Specialist Services


pregnantwomanFor many men and women, knowing their fertility potential is very valuable, even if they are not in a current relationship. This can be undertaken with an initial semen analysis for men. For women, it depends on what level of detail you wish to have and to what purpose. To this end Mrs Gordon has devised two separate levels of checks for you and finally detailed consultation for you or as a couple.

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You may be required to have blood tests undertaken as part of your fertility journey, either with Mrs Gordon or elsewhere, perhaps as part of your treatment abroad, and Mrs Uma Gordon would be happy to support you having these done here at the Spire.

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Infertility is incredibly common, 1 in 6 couples will be affected. If you consider that 1 to 2% of babies are born each year in the UK following IVF/ICSI alone (and this is only one form of assisted conception), you will appreciate that your situation is not uncommon. For many couples getting pregnant will not be easy.

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Male infertility is extremely common and appears to be increasing. It relates to the quantity and quality of sperm produced and affects 50% of couples.

The advent and use of ICSI has made the treatment the of male infertility successful using very small numbers of sperm.

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This is a diagnosis made after thorough investigation of the couple, when all tests are noted to be normal including advanced semen analysis.

It is seen in approximately 20 to 25% of couples. Management options will vary depending on the female age.


This is where one or both of the fallopian tubes are blocked or damaged such that the egg cannot be transported properly or at all to the site within the tube where it would normally be fertilised by the sperm.

The test tube baby technique referred to as IVF nowadays was originally designed to treat this specific problem. If the tube is blocked and distended with fluid, it is known as a hydrosalpinx. The success rates of IVF can be affected by the presence of a hydrosalpinx and requires surgical treatment/removal of the hydrosalpinx prior to IVF.


Recurrent miscarriage is diagnosed after three or more consecutive early pregnancy losses and affects 1 to 2% of patients. It requires detailed investigations to identify the specific cause which could vary from clotting disorders to genetic reasons.

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Polycystic Ovarian Syndrome (PCOS)

Polycystic ovarian syndrome (PCOS) needs to be differentiated from polycystic ovaries. While polycystic ovaries on ultrasound are very common affecting 20% of women, the syndrome is diagnosed if you have additional features such as abnormal hormones, irregular cycles or excess hair on your face/body.

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Premature Menopause

Premature menopause is diagnosed when the ovarian function stops before the age of 40 years and can affect one in a hundred women. These women need specialist care as their general health can be affected if they are not counselled and treated appropriately in a specialist clinic.

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