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Fertility Evaluation: Your Starting Point for Family Planning

Published on

13/11/2025

LivingCare

LivingCare

Dr Harish Bhandari

Consultant Gynaecologist, Fertility Specialist & Sub-Specialist in Reproductive Medicine & Surgery

If you are planning to start a family or have been trying to conceive without success, a fertility evaluation can give you the clarity and support you need. At LivingCare, we make it easy to take that first step toward understanding your fertility health.

Our fertility evaluations are delivered in collaboration with JIVA Fertility, under the clinical leadership of Mr Harish Bhandari, a Consultant Gynaecologist and Specialist in Reproductive Medicine. With his extensive expertise and patient-first approach, you can feel confident that your care is in safe hands.

Through this partnership, we ensure you receive expert-led, compassionate support at every stage of your evaluation.

What Is a Fertility Evaluation?

A fertility evaluation is a thorough assessment of your reproductive health. It typically involves a series of consultations, physical examinations if appropriate, and targeted diagnostic tests for both individuals and couples. The purpose is to understand any factors that may be impacting fertility and to create a plan that reflects your unique needs and goals.

This service is suitable for both individuals and couples and covers both male and female fertility factors. You don’t need a GP referral to book your appointment, just contact LivingCare to schedule your appointment.

Who Should Consider a Fertility Evaluation?

You will benefit from fertility evaluation if:

  • You have been trying to conceive for 12 months without success OR sooner at six months if you are over 35 years or you have a known reproductive health condition such as PCOS or endometriosis
  • You’re thinking about preserving your fertility through egg freezing
  • You’re a single individual or part of a same-sex couple planning a family
  • You’ve experienced repeated miscarriages and want clearer answers

Even if you’re not ready to conceive yet, an early evaluation can offer the information that you need to help you make informed decisions about the future.

What to Expect at Your Evaluation

Fertility evaluations delivered through LivingCare are led by the expert team at JIVA Fertility. Your care begins with an in-depth consultation and continues with focused testing and personalised follow-up.

1. Initial Consultation to assess your Medical History

Your consultant will begin by learning about your menstrual cycle, any previous pregnancies, lifestyle factors, medications, and current symptoms. If you're attending as a couple, both partners will be involved in the assessment.

2. Physical Examination and Pelvic Ultrasound

Assessment of your body mass index (BMI), and blood pressure will provide information about your general health. Abdominal and pelvic exam if required, and a transvaginal ultrasound allow us to assess your uterus and ovaries. This helps identify issues like fibroids, ovarian cysts, or signs of polycystic ovary syndrome (PCOS).

3. Female Fertility Tests

These laboratory tests help us understand your hormonal profile and overall health. They may include:

  • a blood test for AMH (Anti-Müllerian Hormone) to gauge your egg reserve and FSH, LH, oestradiol and prolactin levels if appropriate
  • Screening for Thyroid function Vitamin D, full blood count, and metabolic conditions such as Diabetes
  • Infections screening for rubella, chlamydia and gonorrhoea

4. HyCoSy – Checking Fallopian Tube patency

If you're trying to conceive naturally and there are no contra-indications, we perform HyCoSy (Hysterosalpingo-contrast sonography) to confirm that your fallopian tubes are open. Some may require a surgical procedure called laparoscopy and dye test under general anaesthesia

5. Male Fertility Assessment

Male partners usually undergo semen analysis to check semen volume, sperm count, motility, and morphology (size & shape of sperm) and urine testing for chlamydia and gonorrhoea. Depending on those results, additional testing may be recommended.

6. Focused Assessments for Specific Concerns

We offer in-depth assessments tailored for:

  • Polycystic Ovary Syndrome (PCOS)
  • Recurrent miscarriage

These evaluations are designed to provide faster, clearer insights and reduce delays in accessing the right care.

Your Personalised Plan

After all results are reviewed, your consultant will meet with you to discuss the findings and walk you through next steps. Your treatment plan may include:

  • Nutritional and lifestyle adjustments
  • Ovulation Induction medications and monitoring
  • Assisted conception options such as IVF, ICSI, or IUI
  • Referrals to other experts if needed, such as dietitians or counsellors

The goal is always to offer support that is timely, relevant, and aligned with your reproductive goals.

Expert Nutrition Support

As part of our extended team, Nutrition-Dietitian Maria Kolotourou offers compassionate, evidence-based support to help optimise your nutrition and health in preparation for pregnancy. Her guidance is tailored, practical, and rooted in the latest fertility nutrition research.

Fertility Counselling

Angela Pericleous-Smith is a Senior Specialist Fertility Counsellor works in collaboration with JIVA Fertility. With over 20 years of fertility counselling experience, she understands the complexities of fertility journey and provides a compassionate, inclusive, and holistic approach to fertility care.

Why Choose LivingCare for Your Fertility Evaluation?

At LivingCare, we make access to expert fertility care simple, welcoming, and efficient. By working closely with JIVA Fertility, we combine medical expertise with convenience and continuity.

You can:

  • Book directly without the need for a referral
  • Access comprehensive assessment in a modern, private setting
  • Receive coordinated care from trusted specialists

Book Your Appointment

If you’re ready to take the next step in your fertility journey, we’re here to support you. Book your fertility evaluation with LivingCare and access expert, personalised care tailored to you.

Visit our website or contact our team directly to schedule your consultation.

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