Infertility
What is infertility? Infertility is when a couple struggle to conceive. About 84% of couples will conceive naturally within a year if they have regular unprotected sex (every couple of days). Some people fall pregnant quicker than others but if you are still trying after a year then it is advised to get checked over by a Consultant Consultant. What are the different types of infertility: pr
What it is
We are not an IVF centre; we provide expert pre-IVF and pre-conception consultation, investigation and onward coordination to the assisted-conception clinic of your choice. Many couples we see do not need IVF; for those who do, we accelerate the workup and protect your relationship with the eventual IVF provider.
Symptoms and signs
- Trying to conceive for 12 months (or 6 months if you are 35 or over) without pregnancy.
- Known cause for concern — irregular periods, previous pelvic surgery, endometriosis, low AMH, abnormal semen analysis.
- Recurrent miscarriage (three or more) — formal assessment indicated.
- Pre-conception counselling for women on chronic medication, with known conditions or following cancer treatment.
- Same-sex couples and single women planning donor conception — pre-treatment assessment and referral.
How we investigate
Initial 60-minute consultation with both partners. Female workup typically includes cycle bloods, AMH, TSH, prolactin, transvaginal pelvic ultrasound and tubal-patency assessment. Male workup includes semen analysis through our accredited partner laboratory. Genetic and recurrent-miscarriage panels where indicated.
Treatment options at The Vesey
- Pre-conception optimisation — weight, alcohol, exercise, folic acid, vitamin D, thyroid and HbA1c review with a clear written plan.
- Ovulation induction — for selected cases of anovulatory infertility, coordinated with your chosen treatment centre.
- Tubal and endometriosis surgery — operative laparoscopy where structural cause is found, performed by our consultant team.
- Referral to an HFEA-licensed IVF centre — with a complete workup, your IVF clinic can start treatment immediately rather than repeating months of investigations.
- Recurrent miscarriage workup — autoimmune, thrombophilia, anatomical, endocrine and karyotype screen.
At what point should we seek help if we have been trying to conceive? +
Guidance says 12 months of regular unprotected intercourse if you are under 35, and 6 months if you are 35 or over. Earlier referral is appropriate if you have irregular periods, known endometriosis, a previous ectopic, or an abnormal semen analysis.
Do both partners need to attend the consultation? +
We strongly recommend both partners attend the first appointment — a joint 60-minute consultation allows us to take a full joint history and arrange male factor investigations at the same visit. Remote or telephone attendance for one partner is possible if logistics make attendance difficult.
What is the difference between IUI, IVF and ICSI? +
IUI (intrauterine insemination) places prepared sperm directly into the uterus — suitable for selected couples without major tubal or sperm issues. IVF (in vitro fertilisation) fertilises eggs outside the body and transfers embryos. ICSI (intracytoplasmic sperm injection) injects a single sperm into an egg — used for male factor infertility.
Can lifestyle changes improve fertility? +
Yes, significantly. Optimising weight (BMI 19–25), stopping smoking, reducing alcohol to ≤ 5 units/week, correcting vitamin D deficiency, and treating underlying conditions such as thyroid disease or insulin resistance all improve natural conception rates and IVF outcomes. We produce a written pre-conception plan at your first visit.
Pricing at a glance
Initial fertility consultation (60 minutes, both partners) £390. Female fertility blood panel from £290. Semen analysis from £150. Transvaginal pelvic ultrasound from £240. Tubal patency assessment from £450. Insurance accepted: BUPA, Vitality, AXA, WPA, Cigna, Aviva, Healix.
Book an appointment
When to see a specialist
Book if you have been trying for 12 months (or 6 if 35+), if you have a known reason for concern, if you have had two or more miscarriages, or if you want pre-conception planning before stopping contraception.
Cost and pathway
Initial fertility consultation (60 minutes, both partners) £390. Female fertility blood panel from £290. Semen analysis from £150. Transvaginal pelvic ultrasound from £240. Tubal patency assessment from £450.
- Open 7 days including Sundays — 8am to 8pm, no weekend surcharge
- No GP referral required — book directly with our consultant gynaecology team
- Sutton Coldfield location — serving Birmingham, Walsall, Tamworth, Lichfield and the West Midlands
- CQC-regulated — rated 4.88/5 on Doctify from 700+ verified reviews
View our gynaecology services →
Sutton Coldfield · Birmingham · Walsall · Tamworth · Lichfield · West Midlands · Open 7 days 8am–8pm
Open 7 days · 8am–8pm · 0121 387 3727