Ultrasound
From £249
Scans to check follicles, structure and blood flow.
Female Subfertility Treatment in London
How does PMOS cause a delay in conception?
The hormonal disturbances caused by PMOS (PCOS) are the primary drivers of subfertility in affected women, disrupting ovulation, menstrual cycles, and uterine receptivity, making it one of the most common causes of infertility in women.
Can fibroids cause female subfertility?
While not all fibroids cause infertility, certain types like submucosal fibroids can significantly impair a woman's ability to conceive and carry a pregnancy to term. Proper evaluation and management of fibroids is important.
When does endometriosis affect fertility?
Endometriosis is a significant risk factor for female subfertility, with the degree of impact depending on the stage and location of the disease. It is important to assess and treat women with endometriosis who are trying to conceive.
Common causes of female subfertility
Prefer to read? Key takeaways
- Subfertility is rarely one cause — hormonal, structural and age-related factors often overlap.
- PMOS (PCOS) and endometriosis account for a large share of diagnosed cases.
- A proper diagnostic work-up usually points to a clear, treatable cause.
No waiting list
Same week appointments available
No referrals needed
Meet your consultant
Dr Irfana Koita
- Fellow, Royal College of Obstetricians and Gynaecologists (FRCOG)
The highest recognition in UK gynaecology - 20+ years of clinical fertility experience
Trained at King's College Hospital London · Over 8,000 patient journeys - Master's in Healthcare Leadership, Cornell University
Combining clinical excellence with patient-focused care
Top ivf success rates in london
Nearly double the UK average live birth rate
Between 2022 and 2024, patients aged 30 to 43 at IVF Matters achieved live birth rates well above the UK national average for the same age range.
Source: HFEA published data, 2023. Comparison cohort: patients aged 30–43.
Every fertility journey is different. Book a free call and we'll talk you through what success could look like for you.
30 minutes. No obligation. Speak with our fertility advisors.
IVF live birth rate
Patients aged 30 - 43
47%
vs 25% UK average
FET live birth rate
Patients aged 30 - 43
50%
vs 33% UK average
Not sure which test you need?
Every diagnostic test is fixed price, with a clinical review included.
Up to 12 months
Short-term finance for diagnostic tests purchased via website. Pay it off in a year, interest-free.
Up to 5 years
Retail finance option for diagnostic tests or payment for treatment. Flexible plans with options up to 5 years.
Up to 7 years
Personal loan option for diagnostic tests or payment for treatment. Flexible plans with options up to 7 years.
FAQ
Not all miscarriages can be prevented, as many occur due to chromosomal abnormalities in the developing embryo. However, managing underlying health conditions, avoiding smoking and alcohol, and taking folic acid before pregnancy can support a healthy pregnancy. If you have experienced recurrent miscarriages, a fertility specialist can investigate possible causes and recommend appropriate treatment.
Female subfertility can result from several factors, including ovulation disorders such as PCOS or PMOS, reduced ovarian reserve, endometriosis, fibroids, blocked fallopian tubes and age-related changes in egg quality. Thyroid disorders and other medical conditions may also affect fertility. A fertility assessment can help identify potential causes and guide treatment.
Yes. Depending on the cause and severity, PMOS-related subfertility may be treated without IVF. Treatment may include lifestyle changes where appropriate, managing metabolic health and medication to stimulate ovulation. If these approaches are unsuccessful or other fertility factors are present, treatments such as IUI or IVF may be considered. Your specialist will recommend a personalised treatment plan.
No. Not all uterine fibroids require treatment or surgery. Their size, number and location are important, particularly if they distort the uterine cavity or affect fertility. A fertility specialist can assess whether fibroids may be contributing to subfertility or pregnancy loss and advise whether monitoring, treatment or surgical removal is appropriate.
Female fertility gradually declines with age, with a more significant decline during the mid-to-late 30s. If you are aged 36 or over, it is advisable to seek fertility advice early rather than waiting a year. You should also seek assessment sooner if you have irregular periods, endometriosis or another known fertility concern.
Hydrosalpinx occurs when a fallopian tube becomes blocked and fills with fluid, often affecting fertility and IVF success. Treatment depends on your individual circumstances. Before IVF, a specialist may recommend laparoscopic removal of the affected tube (salpingectomy) or blocking the tube (tubal occlusion). The most suitable option depends on your medical history and surgical considerations.
Take the next step to grow your family
If you’re concerned about your fertility, get in touch with us today — we’ll be able to advise you on a full range of options based on your individual fertility needs.
We offer free 30-minute advisory calls to anyone looking to learn more about our approach and our treatments.
Start your exciting journey!
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Pick a time that works, add a few details, and we'll take it from there — ready to give you the advice and support you need on your fertility journey.
WHAT TO EXPECT
Your advisory call, explained
1
You share your situation
Tell us where you are in your journey and what's on your mind — nothing to prepare in advance.
2
We answer your questions
Ask about timelines, costs, treatment types, or anything else on your mind.
3
We suggest next steps together
If it's helpful, we'll point you toward a consultation or treatment plan — only if you want to.
Telephone: 0333 93 999 51
Whatsapp: +44 7828 574115
Right after you book: you'll get a confirmation email straight away, and a video call link 24 hours before your call.
Our Location
Dr Koita consults at the Harley Street IVF Clinic in London