Infertility Treatment

Difficulty conceiving is an outcome, and outcomes have causes. Underneath it there is usually something identifiable: ovulatory dysfunction, frequently PCOS-related; thyroid involvement; metabolic factors; structural causes; or male-factor contribution, which accounts for a substantial share and is routinely investigated last.

“Unexplained infertility” is a real category, but it is also sometimes a description of how far the investigation got rather than of the biology. Treating the finding without identifying the cause is why cycles get repeated without a changed result.

Cycle and ovulatory pattern first — specifically whether cycles are irregular or genuinely anovulatory, which are different problems needing different treatment and are often conflated.

Thyroid function, because hypothyroidism disrupts ovulation, is common, is straightforward to identify, and will limit anything else attempted while it is untreated.

The metabolic picture — insulin, weight trend, inflammatory load — because where PCOS is present it is usually the driver, and treating it is treating the cause rather than the symptom.

And whatever you already have. Prior investigations, timelines, what was tried and what happened. Repeating tests you have already had is not thoroughness.

We will not promise conception, and we would be sceptical of anyone who does. The variables include age and factors that no treatment controls.

We do not perform or replace assisted reproduction. Where IVF or specialist reproductive medicine is indicated — a structural cause, severe male factor, age-related urgency — we will say so rather than delay it, and delaying it is the specific harm that alternative-medicine fertility treatment is most often responsible for.

Age matters, and time matters, more than in almost anything else we treat. That is said at assessment rather than after months.