Who it’s forAny couple who hasn’t conceived after 12 months of trying — 6 months if the woman is over 35, or straight away with irregular periods, repeated miscarriage, or a known condition.

Both partners are assessed together. For you: hormone profile, AMH, thyroid and prolactin, and a scan for antral follicle count and any structural issue. For him: a semen analysis, which is the simplest and most informative first test. Tube patency is checked with an HSG or a laparoscopy where indicated.

Who it’s forWomen who aren’t ovulating reliably — commonly with PCOS — where tubes are open and semen parameters are adequate.

Tablets or low-dose injections encourage a single mature follicle, tracked by ultrasound across the cycle so that timing advice is based on your actual response rather than a calendar. Monitoring matters here: it’s what keeps the response to one or two follicles rather than several.

Who it’s forMild male-factor difficulty, unexplained infertility, or cervical factor — with at least one open tube and adequate ovarian reserve.

The cycle is monitored to identify ovulation, sperm is prepared in the lab to concentrate the motile fraction, and it’s placed into the uterus through a fine catheter. The procedure itself takes a few minutes, needs no anaesthesia, and you go home the same morning.

Who it’s forBlocked or damaged tubes, low ovarian reserve, endometriosis, unexplained infertility that hasn’t responded to earlier steps, or age-related urgency.

Stimulation injections over roughly ten to twelve days, with scans every few days to track follicle growth and adjust the dose. Eggs are retrieved under short sedation, fertilised in the lab, and embryos are cultured for three to five days. Transfer is either in the same cycle or after freezing, depending on your response and your lining.

Dosing here is set to your response and reviewed mid-cycle. A larger egg count is not the goal — a safe cycle and a good embryo is.

Who it’s forSignificant male-factor difficulty — low count, poor motility or morphology — surgically retrieved sperm, or failed fertilisation in a previous IVF cycle.

Identical to IVF for you; the difference is in the lab, where a single selected sperm is injected directly into each mature egg instead of leaving fertilisation to happen on its own. ICSI is added when there’s a reason for it, not as a default upgrade.

Who it’s forCouples with more than one viable embryo, anyone at risk of hyperstimulation, and cycles where the lining isn’t ready for a fresh transfer.

Embryos grown to day five are easier to select between, and freezing lets the transfer happen in a calmer, unstimulated cycle. Surplus embryos are stored for later attempts, which means a second try doesn’t require repeating stimulation and retrieval.

Who it’s forWomen postponing pregnancy for personal or professional reasons, and anyone facing treatment that may affect ovarian function.

The stimulation and retrieval are the same as an IVF cycle; the eggs are then vitrified and stored rather than fertilised. Age at freezing matters more than age at use, so this is a decision worth having a full conversation about — including the parts that argue against it for you.

Who it’s forWhere a couple’s own eggs or sperm cannot be used — premature ovarian insufficiency, azoospermia, or repeated failure attributable to gamete quality.

Donor gametes are sourced only through a registered ART Bank as required under the ART (Regulation) Act, 2021, with the screening, consent and record-keeping that the Act mandates. Counselling is part of the process, not an add-on, and the legal position on parentage is explained in writing before you decide.

Who it’s forAnyone whose IVF or IUI cycle didn’t work elsewhere, before agreeing to repeat the same protocol.

Send your previous records ahead on WhatsApp — stimulation protocol and doses, follicle counts, retrieval numbers, fertilisation rate, embryo grades and lining thickness. These are reviewed before you arrive, so the consultation is spent on what should change rather than on reconstructing what happened.

Who it’s forPregnancy at any stage, including transfers from another doctor partway through.

Structured visits with the scans that matter at the weeks they matter — dating, NT, anomaly and growth — and the same doctor at each one. Birth preferences are discussed early rather than in labour, and normal delivery is supported where it’s safe to.

Who it’s forGestational diabetes, hypertension and pre-eclampsia, twins, IUGR, previous caesarean, recurrent loss, or pregnancy following fertility treatment.

Closer monitoring, tighter scan intervals, and a delivery plan made in advance rather than improvised. Neonatal support is available on site, which matters most in exactly the situations where it can’t be arranged at short notice.

Who it’s forIrregular or absent periods, acne and excess hair growth, difficulty conceiving, or a PCOS diagnosis you’ve been given without much explanation.

PCOS is treated as a metabolic condition rather than only an ovarian one, so insulin resistance, thyroid and prolactin are assessed alongside the cycle itself. What treatment looks like depends heavily on whether you’re trying to conceive now or later — those are different plans, and they get separated.

Who it’s forFibroids, ovarian cysts, endometriosis, adhesions, uterine septum or polyps — often found during a fertility workup.

Keyhole procedures with smaller incisions and a shorter recovery than open surgery. Where a finding is discovered during fertility investigation, the surgical and fertility plans are made together so that one doesn’t delay the other unnecessarily.

Who it’s forAnyone needing a gynaecologist — heavy or painful periods, contraception advice, infections, menopause, or a routine check.

Not everything that brings you here is about fertility, and it isn’t treated as though it is. Investigations are explained before they’re ordered, and you’re told what a result would change before you agree to the test.