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Fertility

From this page you can find out more about

What is infertility

Some people fall pregnant easily when trying to have a baby, but for others it can take longer.

Infertility is when a couple cannot get pregnant (conceive) despite having regular unprotected sex without the use of contraception.

Most couples where the woman is aged under 40 will conceive naturally within one year. However, many couples experience difficulties with trying to conceive a child. It’s estimated that around 1 in 7 couples may have difficult with getting pregnant.

Causes of infertility

There are many possible causes of infertility, and infertility can affect either partner trying to conceive.

In some cases, it is not possible to find a reason why a couple may be struggling to have a baby, but some of the common reasons include:

  • Problems with ovulating regularly each month (when your ovary releases an egg)
  • Problems with the quality of sperm or semen
  • Blocked or damaged fallopian tubes
  • Endometriosis – a condition where tissue, similar to the lining of the womb (the endometrium), grows in other places outside the womb
  • Polycystic ovary syndrome (PCOS)
  • Fybroids

Lifestyle factors can also affect your fertility such as smoking, drinking too much alcohol, being overweight or obese, and stress.

Getting support

There are many treatments available that can support people with getting pregnant, some of which are paid for by the NHS.

If you have fertility problems, the treatment you’re offered will depend on what’s causing the problem.

There are 3 main types of fertility treatment:

  • medicines
  • surgical procedures
  • assisted conception – including intrauterine insemination (IUI) and in vitro fertilisation (IVF)

As your local Integrated Care Board, we are responsible for funding fertility services across north east London. You can read about what type of treatments we fund in north east London and who is eligible for support in our fertility policy

Accessing fertility services

If you are concerned about your fertility, contact your GP for advice if you have not conceived after a year of trying.

Women aged 36 and over, and anyone who is already aware of or living with a condition which may cause fertility problems, should see their GP sooner.

It is always best for both partners to visit the GP as fertility problems can affect either or both partners.

Your GP will be able to do an initial assessment to check for things that may be causing your fertility problems. During that assessment they will ask you and your partner about your medical history and your sexual history.

Your GP can also refer you to a specialist infertility team at an NHS hospital or fertility clinic for further tests if you need it.

Find out more information about our fertility services across north east London and your nearest clinic.