Comprehensive and quick fertility assessment

Difficulty conceiving affects one in six couples in the UK. Couples who do not conceive within six to twelve months of regular, unprotected intercourse would be obviously distressed and anxious about the possible causes of infertility. Our comprehensive and quick fertility assessments offer couples the answers to their questions without the need for repeated appointments and lengthy tests, often over a period of weeks or months.

Appropriate investigations would normally show that 3 in 10 have no fertility problems and up to 40% of couples with normal investigation results would conceive spontaneously in the following 6 to 12 months.

Three in ten will have a male factor and three in ten a female factor responsible for their difficulties conceiving. In some cases, male and female factors are identified.

Appropriate investigations and fertility advice in a timely, discrete and sensitive process is of the utmost importance to couples struggling to conceive. However, with increasing pressures on the NHS, many couples are faced with long waits for strung out investigations which in some cases could take up to 18 months to complete. For a stressed couple anxious to get the tests done quickly and results interpreted in order for a management plan to be formulated, the pathways and resources available in primary care with their local hospital are not acceptable.

The National Institute of Clinical Excellence (NICE) recommendations for the investigation of couples with difficulties conceiving recommend that tests should be started if they have not conceived despite 12 months of regular unprotected intercourse.

One-Stop Fertility Assessment

At Herts & Essex fertility Centre, we provide an easy, reliable and fast One-Stop Fertility assessment service. Couples do not need a GP referral for the investigations. Tests that would normally take up to 18 months, with over six appointments are performed by our fertility experts in two visits over a two-week period.

Your first appointment

The first visit is at any time in the cycle. This takes less than an hour and will be with a fertility nurse specialist. A semen analysis is performed and the results are available within 30 minutes of providing the sample. Blood tests are performed to check the female egg reserve (AMH) as well as immunity to Rubella and a full blood count to assess general well-being. A urine specimen is examined for chlamydia and gonorrhoea infection.

Your second appointment

The second visit, one to two weeks later will last one hour and you will be seen by a consultant fertility specialist. It includes a 3D saline infusion sonogram (SIS) and a Hystero-Contrast-Sonography (HyCoSy) procedure.

  • A 3D ultrasound scan will assess the uterus and ovaries. Congenital uterine abnormalities will be checked for. An antral follicle count determines the egg reserve. We will also check and assess any ovarian cysts.
  • Saline infusion sonogram will assess the endometrium for polyps, fibroids and scar tissue that may affect implantation or cause miscarriages.
  • HyCoSy procedure at the same time will assess your fallopian tubes for patency

The whole procedure lasts 20-30 minutes and all of your results will be available at the end of the appointment. The 3D/SIS/HyCoSy, semen analysis as well as blood test reports will be discussed with you by the expert and will include a recommended treatment plan.

Your results

A detailed report will be provided for you to share with your GP or NHS fertility clinic, saving you months of waiting.

Your next steps …

Appointments are available with no waiting lists, and there is no need for a GP referral.
If you would like to book an appointment or find out more about our One-Stop Fertility Assessment service, please call 01992 78 50 60 or email


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