About our fertility and reproductive medicine service

This service is for people who want to have a baby, but cannot, for a variety of reasons.

We offer routine investigations to identify the cause of subfertility. Depending on the cause we can offer a variety of treatments. This may include surgery if a reversible anatomical cause is suspected or ovulation induction (with ultrasound follicle tracking) if eggs are not being released. For mild to moderate male-factor infertility we have the benefit of an experienced clinical andrologist who can advise on how to optimize the sperm count and improve the success of assisted reproduction techniques.

If no cause is found, we offer IUI (Intrauterine Insemination). Our IUI success rates are good, with 34% of women achieving a pregnancy in 2019. The technique can also be used in couples with mild to moderate male-factor infertility.

We do not perform IVF (In vitro fertilization) or ICSI (Intracytoplasmic Sperm Injection) at North Middlesex. Patients for whom this is the appropriate treatment (patients with tubal obstruction, with unexplained subfertility or with severe male-factor infertility) will be referred to an IVF centre.

Throughout your fertility treatment, you will be supported by our expert team of doctors and our experienced specialist nurses.

We are an HFEA-licensed fertility clinic.

Conditions we treat

  • Subfertility
  • Anovulation
  • PCOS
  • Ovarian insufficiency
  • Male-factor infertility
  • Fibroids
  • Endometriosis
  • PID
  • Hydrosalpinx
  • Unexplained subfertility

How to prepare for your visit

At your first appointment you will be seen by one of our nurse specialists, who will review the investigations you have completed with your GP, and ensure all outstanding blood tests and scans are requested.

Once the investigations are complete and the results available, you will receive an appointment to see the consultant or one of their team. They will review the tests and recommend a course of treatment.

Refer a patient

GPs should refer anyone seeking a pregnancy but unable to conceive. If there is a known reason for subfertility (such as a known low sperm count; previous surgery to the fallopian tubes on both sides; anovulation – irregular infrequent periods >5 weeks apart, or known severe endometriosis) they should be referred without delay. If no cause for subfertility has yet been identified, they should be referred after trying to conceive without success for one year (if the woman is older than 36 years they may be referred to commence investigation after 6 months).

 

Note that the NHS poses limitations on who may access assisted reproduction treatments. Couples who already have a living child together are excluded. There are also a variety of clinical grounds that lessen the chance of success or increase the risk of complications – woman’s age over 42, body mass index over 30 kg/m^2, diminished ovarian reserve. The precise exclusion criteria however vary according to your local Clinical Commissioning Group – please see the individual CCG website for guidance on their specific criteria.

We are happy to review patients who fall outside these criteria in the reproductive medicine clinic; to organize their investigations; offer treatment if there is a reversible cause of fertility, and counsel regarding possible next steps. However, we cannot offer ovulation induction, IUI or IVF treatments on the NHS to people outside these criteria.

Likewise we do not offer treatments using donor sperm or eggs at our clinic. Single women, or women in a same-sex couple can be referred, and we will see them to arrange their baseline investigations. However, they will be referred to another provider for their treatment.

Meet our team

  • Miss Ansam Al-Habib – consultant gynaecologist and fertility lead
  • Mr Peter Hinstridge – consultant gynaecologist, endometriosis centre lead
  • Gulam Bahadur – consultant clinical andrologist
  • Afeeza Illahibuccus – specialist nurse in fertility and endometriosis
  • Chrisitiana Falayi – specialist nurse in fertility and early pregnancy