Fertility Treatment & Diagnosis

Fast access to diagnostics
Flexible payment options
In-depth consultation
No GP referral needed

Get the answers and treatment you deserve

Frustrated with waiting lists and navigating complex healthcare systems? At Pall Mall Medical, you can access private, gynaecology-led investigations for fertility concerns without long waits or a GP referral. Get the answers you need, sooner, in the comfort of our dedicated private hospital.

Our specialist gynaecologists deliver expert, compassionate care throughout your fertility journey. Everything, from your first diagnostic test to creating a personalised treatment plan, happens under one roof, ensuring a seamless and confidential experience. We are here to help you feel supported and in control.

What happens during a fertility consultation?

If you're struggling to conceive, a comprehensive consultation is the best first step. We provide an integrated approach that gives you a clear understanding of your fertility. This includes:

A Medical History Review: We begin with a detailed, one-on-one discussion with a senior consultant gynaecologist to understand your unique story, symptoms, and medical background.
Essential Fertility Tests: To get a full picture of your fertility health, we can perform basic tests on the same day. This includes a semen analysis for male partners and a series of blood tests and scans to assess ovarian health in women.
A Personalised Treatment Plan: Based on your results, we will create a tailored plan just for you. This can range from simple lifestyle recommendations and hormonal treatments to exploring more advanced assisted reproduction options if needed.

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Your Journey starts here

Support at every stage Your fertility journey with us begins the moment you reach out. We'll ensure you feel informed, valued, and completely reassured every step of the way as you navigate your path to parenthood.

In-depth consultation Our specialists take the time to understand your unique story, review your medical history, and start building a personalised fertility care plan tailored specifically to you.

Treatment Plan & Aftercare Your fertility treatment begins only when you're ready; physically, emotionally, and personally. Your care is fully tailored to you, with dedicated aftercare and support, providing expert guidance at every step.

Fertility struggles to joy : Hear Rebecca's story

After facing setbacks on their fertility journey, Rebecca and her husband found renewed hope with Consultant Mr. Maiti at Pall Mall Medical. "I was extremely anxious but Mr. Maiti instantly put me at ease," Rebecca shared. With his guidance, they successfully conceived in April 2023, welcoming a healthy baby boy, Luca, in December of the same year. Rebecca highly recommends Mr. Maiti and Pall Mall to anyone facing similar challenges, stating, "We will be forever grateful to Mr. Maiti... we couldn’t be happier with the service we received.”

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What is the cause of infertility?

There are many possible causes of infertility, and fertility problems can affect either partner. Understanding the causes of fertility issues is the first step toward a solution.

Lack of regular ovulation: Conditions that affect the release of eggs from the ovaries. This is one of the most common causes of female infertility and can be due to hormonal imbalances, such as those caused by Polycystic Ovary Syndrome (PCOS).

Damage to fallopian tubes: Blocked or damaged fallopian tubes can prevent sperm from reaching the egg or prevent the fertilized egg from traveling to the uterus. Causes can include pelvic inflammatory disease, endometriosis, or previous surgeries.

Endometriosis: A condition where tissue similar to the lining of the uterus grows outside of it, which can interfere with the function of the ovaries, uterus, and fallopian tubes.

Uterine or cervical causes: These include abnormalities in the uterus's shape, benign polyps or fibroids in the uterine wall, or issues with the cervix that prevent sperm from traveling to the uterus.

Other causes: Age, weight, sexually transmitted infections, smoking, alcohol, environmental factors and/or stress

Males fertility causes: Factors that can impact male fertility include a low sperm count or problems with sperm quality, a history of testicular or prostate conditions, or prior treatments like chemotherapy or hernia surgery. Physical signs such as smaller-than-average testicles or swollen veins in the scrotum (varicocele) are also relevant risk factors.

Infertility Diagnosis Tests and Surgeries

From consultation to surgery and aftercare, everything is done in-house at our own private hospital. Our expert gynaecologists offer a full range of diagnostic and surgical treatments, giving you fast, seamless care in one trusted place

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Fertility Blood Tests

Price from £78 | Klarna available

A common test carried out for patients struggling with infertility is a blood test which looks for a hormone, called progesterone, to check whether you are ovulating.

The timing of the test is based on how regular your periods are. If you have irregular periods, you'll be offered a test to measure hormones called gonadotropins, which stimulate the ovaries to produce eggs.

You can have all tests without the need for a GP NHS referral.

Luteinizing Hormone (LH) - £78

Estradiol - £78

Progesterone - £78

Follicle Stimulating Hormone (FSH) - £83

Testosterone - £83

Anti-Müllerian Hormone (AMH) - £175

The Gynaecologist will help you decide what test you will need in your consultation with your personalised treatment plan.

When will I get my results?

Most common tests can have results returned within 24 - 48 hours, though some tests can take longer than others. We can advise you on the likely time to receive results upon booking or please enquire online.

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Endometrial biopsy (Endometriosis)

An endometrial biopsy is a simple, outpatient procedure to collect a tissue sample from the lining of the uterus. The sample is then analysed to investigate the cause of abnormal bleeding, infertility, or other gynaecological concerns. This procedure is key to diagnosing conditions such as hormonal imbalances, polyps, or pre-cancerous cells.

At Pall Mall, our experienced specialists use this biopsy for an accurate diagnosis. Based on the results, we can create a personalised treatment plan to manage your symptoms. The procedure is quick and performed with your comfort as a priority, and our dedicated team will manage your entire journey, from consultation to treatment.

Speak to a specialist More info

Hysterosalpingogram (HSG)

Price from £1,895 | Finance options available

You will be asked to lie down on the x-ray table in a similar position to that used for a smear test. An instrument called a speculum will be inserted into your vagina (as in a smear test). A fine tube is inserted through the cervix into the neck of the uterus and held in position with a small balloon.

A small amount of colourless dye is then injected into the uterus and fallopian tubes. This dye is visible on x-ray so images will be taken at this time.

The examination normally takes 10 minutes but sometimes may take a little longer – you should allow for 30 minutes which includes time to change into your gown, the test itself, and changing afterwards.

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Laparoscopy Surgery

Price from £5,495 | Finance options available

If you're having a laparoscopy to diagnose a condition, it usually takes between 30 and 60 minutes. It'll be longer if you're having surgery to treat a condition.

The surgeon will make a small cut, usually near your belly button.
Air is pumped into your tummy through the cut so the surgeon can see inside your tummy more easily.
A thin, flexible tube with a camera inside (a laparoscope) is then put into the cut so video images of the inside of your tummy can be shown on a screen.
If you're having surgery, more small cuts may need to be made in your tummy for the surgeon to pass their tools through.
When it's finished, the air is let out of your tummy and the cuts are closed with stitches or clips, and a dressing is placed on top.

The key benefit of laparoscopy is that it is associated with less pain, a shorter hospital stay, and a faster recovery time compared to traditional open surgery.

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HyCoSy Procedure

Price from £1,850 | Finance Options Available

HyCoSy, stands for Hystero Contrast Sonography. This test is done to find out if your fallopian tubes are open. It can also help detect some problems with the womb (uterus) and its lining (endometrium).

Most patients have this test if they have difficulty conceiving. Having open tubes is necessary for natural conception to be achieved as it allows the sperm and egg to meet.

The procedure is carried out in the outpatient department. An internal (transvaginal) ultrasound is carried out first. A medical instrument called a speculum is then placed in the vagina while you are awake and lying on your back, and a thin plastic catheter is passed through the neck of the womb. A further internal ultrasound is then carried out and a dye is flushed through the catheter at the same time. The procedure itself lasts about 20 minutes.

What are the risks?

The procedure is considered safe, well tolerated and rarely causes any complications.
Pelvic infection: 0-3%; if you develop an offensive vaginal discharge or high temperature, please contact our medical team as you may require antibiotics.

Inconclusive procedure: due to discomfort or technical difficulties.

Perforation of the womb: less than one in a 1,000

Allergic reaction to the dye: less than one in 100

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Meet our experts who’ll be supporting you

Our consultant gynaecologists led by Mr Maiti bring decades of hands-on experience managing endometriosis and other complex gynaecological conditions. Together they have helped hundreds of women regain quality of life and start families.

Frequently Asked Questions.

Our expert team is always on hand to help, advise and arrange appointments with our specialist consultants.

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What does fertile mean?

Being fertile means having the ability to conceive a child. In women, it refers to the time when the body is most capable of becoming pregnant, typically around ovulation when an egg is released from the ovary. In men, fertility refers to the ability to produce healthy sperm capable of fertilising an egg.

Do I need a GP referral to see a fertility specialist?

No - Pall Mall Medical offers direct access to consultations with no NHS referral required. Appointments are available rapidly, often with flexible scheduling, including evenings and weekends.

Are you more fertile after a miscarriage?

It’s possible to be more fertile in the first few weeks after a miscarriage, especially if your menstrual cycle returns quickly. Hormone levels and ovulation can normalize within a couple of weeks, and some women do conceive soon after. However, every body is different, so it’s important to speak with a healthcare provider about when it’s safe and appropriate to try again.

How do I book an appointment, and what does it cost?

You can enquire online or by phone—no referral is necessary. Fertility or gynaecology consultations start from around £250, with more comprehensive assessments (including ultrasounds) priced higher

Who are the fertility specialists at Pall Mall Medical?

Pall Mall Medical's team includes highly qualified consultants such as Dr. Nikoletta Panagiotopoulou (MBBS, MSc, MRCOG), who specializes in assisted conception, reproductive endocrinology, IVF/ICSI, ovulation induction, egg freezing, and tailored fertility counseling.

Can older women get fertility support at Pall Mall Medical?

Absolutely. Pall Mall Medical provides fertility advice and treatment options for women in their late 30s and 40s, including testing ovarian reserve, supporting natural conception, and assisted reproductive treatments tailored for age-related fertility decline.

Are ultrasound scans available on-site?

Yes. Pall Mall Medical offers on-site ultrasound scanning (including transvaginal scans) to assess reproductive health. This ensures faster diagnosis and eliminates the need for separate appointments at other locations.

When is a woman least fertile?

A woman is least fertile during her menstrual period and in the days immediately following it. Fertility is also low during times of hormonal imbalance, certain medical conditions, or while using hormonal birth control. Generally, the least fertile phase is outside of the ovulation window, which typically occurs mid-cycle (around day 14 in a 28-day cycle).

What's the difference between a HyCoSy vs HSG

HyCoSy - Uses ultrasound, no radiation, real-time imaging whilst HSG:Uses X-rays which means higher radiation exposure.

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