Trimester Reproductive Health
Your Pregnancy - Our Priority
Learn more about your internal health before, during and after conception with a simple blood test.
Get in touch to find out more or book an appointment.
For women who:
- want to take control of their health
- have a genetic pre- disposition
- plan to conceive in the future
- are actively trying to conceive
- are struggling to conceive
- have had an early miscarriage
- are using assisted reproduction like IVF
- are struggling with chronic conditions
- are struggling with medical conditions
- suspect or know they have PCOS
- have symptoms of the menopause
Common causes of sub-fertility and infertility that affect women include genetic reasons, age, cancer treatment, lack of regular ovulation, blockage of the fallopian tubes, endometriosis, certain lifestyle factors such as stress, and sexually transmitted Infections (STI).
Age (Ovarian Reserve) - As your age increases the number and quality or eggs in your ovaries decreases. This reduction can affect fertility as there are potentially fewer eggs that are suitable to be fertilised.
Menopause – Your biological clock starts ticking from the time you are born. Sooner or later your menstrual cycle will stop. This change is called the menopause, and in most instances, this occurs in your 40’s or 50’s but for some women this can be earlier.
Miscarriage - Sadly, data from records show more than 1 in 5 pregnancies ends in a miscarriage. The NHS will investigate if you have had 3 recurrent miscarriages with no children born in between. Many families seek answers before they get to this stage and often a simple blood tests can reveal information to help with family planning. For Genetic screening for risk of miscarriage prior to pregnancy. Please visit our NIPT range, some of which can be taken pre-pregnancy.
Reproductive
Health Tests
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We have many other tests, just ask if you can't see the one you want listed
Fertility Heath - Preconception
The ideal testing profile for those exploring their own wellbeing whilst preparing for parenthood.
Book your appointment in the morning. We recommend fasting for this test. Do not take biotin supplements for 2 days prior to this test. If you are taking prescribed Biotin, you should discuss this with your care provider. This test includes: Full Blood Count, Thyroid Function Test, Cholesterol Levels and Diabetes Status
The contraceptive pill/HRT can affect the results of this test, consider taking the test when on a break from these to give more accurate results.
Fertility Health Female Hormones & Ovarian Reserve
This is better than your average profile for those considering planning a family and understanding your ovarian reserve.
Book this test between days 2 and 4 of your period. It can be taken at any time if you are not having periods.
The test includes: Follicle Stimulating Hormone, Luteinizing Hormone , Oestradiol Hormone and AMH- Ovarian Reserve.
Do not take biotin supplements for 2 days prior to this test. If you are taking prescribed Biotin, you should discuss this with your care provider.Â
The contraceptive pill/HRT can affect the results of this test, consider taking the test when on a break from these to give more accurate results.
Polycystic Ovary Syndrome Advanced Panel
This advanced profile tests for PCOS and other conditions such as diabetes, cholesterol, thyroid function as well as female hormones and ovarian reserve. The test includes, Follicle stimulating Hormone, Luteinising Hormone, Oestradiol Hormone, Sex Hormone Binding Globulin, Diabetes status, Prolactin Hormone, Testosterone Hormone, Cholesterol Levels, Thyroid Function Test and Total Protein Levels.
This test is suitable for women who have or suspect they have impaired fertility or symptoms of Polycystic Ovary Syndrome (PCOS) Symptoms include irregular periods and excessive facial hair, difficulty getting pregnant and thinning hair. If you are planning a family and think that PCOS might affect your ability to conceive. Or have you already had a diagnosis of PCOS and want to monitor your risk for diabetes and raised cholesterol.
Please take your sample in the morning. We recommend fasting for this test. Do not take biotin supplements for 2 days prior to this test. If you are taking prescribed Biotin, you should discuss this with your care provider.
The contraceptive pill/HRT can affect the results of this test, consider taking the test when on a break from these to give more accurate results.
Please tell us if you already have been diagnosed with Polycystic Ovary Syndrome, as this can affect the results of this test
Menopause Check
This test includes: Luteinizing Hormone, Follicle Stimulating Hormone, Oestradiol and a Thyroid Function Test.
The menopause is the term given when a woman stops having periods and is no longer able to get pregnant naturally. Periods usually start to become less frequent over a few months or years before they stop altogether.
The menopause is a natural part of ageing that usually occurs between 45 and 55 years of age, as a woman's oestrogen levels decline. In the UK, the average age for a woman to reach the menopause is 51. Around 1 in 100 women experience the menopause before 40 years of age. This is known as premature menopause or premature ovarian insufficiency.
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Please take this test between days 2 and 4 of your period. It can be taken at any time if you are not having periods.
Vitamin B12
This test measures - Red Cell Folate
This test is suitable for anyone who believes they are experiencing symptoms of vitamin B12 deficiency, especially if you suffer from Crohn’s or Coeliac disease where your immune system has problems with vitamin absorption or eat a poor non-supplemented diet. Certain medications, including anticonvulsants and proton pump inhibitors (PPI’S), can affect vitamin absorption in your body. These vitamins are vital and perform several important functions in the body, including keeping the nervous system healthy.
Although it's uncommon, vitamin B12 or folate deficiency (with or without anaemia) can lead to complications, particularly if you have been deficient in vitamin B12 or folate for some time. Potential complications can include:
problems with the nervous system
temporary infertility
increased risk of heart conditions/heart failure
pregnancy complications and birth defects
Anti Müllerian Hormone
This test measures 2nd Generation AMH
What is AMH?
Anti-mullerian hormone (AMH) is produced in the ovarian follicles (small fluid-filled sacs where eggs develop). Since AMH is only produced by ovarian follicles, blood levels of this hormone have been used to estimate the number of remaining viable eggs (ovarian reserve) in women.
AMH tests indicate whether the level is normal for a woman's age and indicates whether there's the expected number of viable eggs. It cannot measure the actual number of viable eggs, nor can it give a precise estimate for the years left that a woman can wait for pregnancy to occur.
AMH levels decline as you get older and reach menopause, as the quality and number of ovarian follicles decline with age. Women with polycystic ovaries can have higher than expected results for their age. This is because AMH is produced in the ovarian follicles and women with polycystic ovaries often have high numbers of follicles in the early stages of development.
This test is suitable for:
Anyone considering starting a family
Anyone struggling to conceive a pregnancy naturally
Anyone who has been referred to us for a test
Anyone curious about her future fertility
If you wish to check your ovarian reserve is appropriate for your age
If you are considering assisted conception
You want to use AMH to investigate for menopause
Blood Group
This Test analyses your ABO status
There are 4 blood types (A, B, AB or O) this blood test allows you to find out which type you are. It is useful to know your blood group in case you need to be given blood, for example if you have heavy bleeding (haemorrhage) during pregnancy or birth.
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In order to perform this test, you must inform us if you have a;
history of known antibodies
received a blood transfusion in the last 3 months
medical history of a blood transfusion
Please note: these testing profiles must not replace any routine or urgent NHS check-up or blood test, anyone who is unable to get an NHS appointment must escalate this through their own GP surgery.
Understanding Test Results
Female Hormones
Hormonal evaluation studies identify hormonal imbalances that may impair your fertility as hormones control every step in achieving pregnancy, from stimulating the development of an egg to ovulation and implantation of a fertilised egg in the uterus. Each hormone that plays a role in conception must be produced in a specific amount at a precise time in your menstrual cycle.
Hormonal studies measure the levels of certain hormones produced by your body during your cycle. You are likely to have a series of simple blood tests at various points in your cycle. The tests you choose may help your care provider to determine your diagnosis, as well as to identify the best treatment options for your personal circumstances.
Reasons for men to test
Common causes
One common cause of infertility in men is poor-quality semen, the fluid containing sperm that's ejaculated during sex.
Possible reasons for abnormal semen include:
a lack of sperm – you may have a very low sperm count or no sperm at all
sperm that are not moving properly – this will make it harder for sperm to swim to the egg
abnormal sperm – sperm can sometimes be an abnormal shape, making it harder for them to move and fertilise an egg
Many cases of abnormal semen are unexplained.
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There's a link between increased temperature of the scrotum and reduced semen quality, but it's uncertain whether wearing loose-fitting underwear improves fertility.
Hypogonadism
Hypogonadism is an abnormally low level of testosterone, the male sex hormone that is involved in making sperm.
It could be caused by a tumour, taking illegal drugs, or Klinefelter syndrome (a rare syndrome involving an extra female chromosome).
Book a blood test to check your levels or for Klinefelter Syndrome.​
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Testicles
The testicles produce and store sperm. If they're damaged, it can seriously affect the quality of semen.
This can happen as a result of:
an infection of your testicles
testicular surgery
a problem with your testicles you were born with (a genetic defect)
when 1 or both testicles has not descended into the scrotum (the loose sac of skin that contains your testicles (undescended testicles))
injury to your testicles
Ejaculation disorders
Some men experience ejaculation problems that can make it difficult for them to release semen during sex (ejaculate).