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Private fertility assessment in London, by a reproductive-medicine specialist.

A thoughtful assessment of ovarian reserve, semen quality and cycle health - for individuals and couples - with a consultant reproductive-medicine specialist and counselling included where results are sensitive.

A stethoscope on a clinical desk

Indicative pricing

What a private fertility assessment costs in London.

In short

£350–£700, with results in 3–7 days.

Test or assessment Indicative range
Female fertility MOT (AMH + ultrasound + review) £350–£700
Male fertility assessment (semen analysis + review) £250–£550
Couples’ fertility work-up £600–£1,200
Antral follicle count (AFC) ultrasound £180–£350
Extended female hormone panel £250–£500
Fertility preservation consultation (egg / sperm freezing) £350–£650

Prices vary by clinic, how many markers and scans are included, HFEA licensing status, and whether counselling is added.

The problem

Fertility deserves more than a form and a number.

Plenty of places will run an AMH and email you a result. Understanding what it means for you, in the context of your age, cycle and plans - with someone who has time to listen - is the part that matters. That is what we do.

  • Worried about a result?

    AMH and semen numbers land hard on their own. We put them in context, honestly and kindly.

What it shows

Match the assessment to the question.

Fertility assessments answer very different questions. These are the reasons people - and couples - come to us most.

  • Ovarian reserve

    AMH plus antral follicle count - the most reliable measure of how many eggs remain.

  • Irregular cycles or PCOS

    Cycle disturbance, absent periods, or a suspected PCOS diagnosis to confirm.

  • Sperm quality

    Count, motility and morphology to WHO 2021 criteria - up to half of infertility is male-factor.

  • Ovulation confirmation

    Timed hormone checks and ultrasound to confirm ovulation is happening.

  • Tubal patency

    HyCoSy or HSG to check the fallopian tubes are open, where indicated.

  • Uterine or pelvic structure

    Ultrasound and MRI where needed - fibroids, polyps, endometriosis or adenomyosis.

  • Age-related decline

    A clear picture of where you stand, ahead of trying - or ahead of freezing.

  • Red flags

    Recurrent miscarriage or long time-to-conception - routed to a dedicated recurrent pregnancy-loss pathway.

What each option is actually for.

  • Female fertility MOT

    AMH, antral follicle count and hormone panel - a complete picture of ovarian reserve and cycle health.

  • Male semen analysis

    Count, motility, morphology and vitality to WHO 2021 criteria, in a HFEA-registered andrology lab.

  • Couples’ combined assessment

    Female MOT plus semen analysis, reviewed together - the sensible starting point for most couples.

  • HyCoSy or HSG

    Tubal patency testing to check the fallopian tubes are open, where clinically indicated.

  • Antral follicle count only

    Focused ultrasound count of resting follicles - a quick, focused view of ovarian reserve.

  • Extended endocrine panel

    Thyroid, prolactin and androgens - the hormonal picture behind cycle disturbance.

  • Genetic carrier screening

    Screening for inherited conditions, delivered alongside genetic counselling.

  • Egg / sperm freezing

    Fertility preservation consultation and pathway, with age-graded success rates explained honestly.

Preparation and practicalities

Simple tests, with a few important details.

Cycle timing, recent contraception and even a recent illness can change what the results mean. We tell you exactly what applies to you.

  • Cycle timing matters

    Some hormones are cycle-day specific (FSH, LH, oestradiol on day 2–5).

  • Recent hormonal contraception

    AMH and hormone interpretation is affected - a wash-out period is often sensible.

  • Recent illness or fever

    A febrile episode can distort semen quality for up to 3 months - we usually repeat.

  • Pregnancy is confirmed first

    Where relevant, a beta-hCG is taken before any pelvic imaging.

  • Carrier screening implicates partners

    A positive carrier result has implications for a partner - we counsel both together.

  • Egg and sperm freezing

    Success rates are age-graded and honestly explained - freezing at 32 is not the same as at 40.

  • NHS provision is limited

    IVF eligibility on the NHS is postcode-dependent and slow - private options give clarity sooner.

  • HFEA licensing varies

    Not every clinic is licensed for every procedure.

  • The emotional impact is real

    Fertility news lands hard. Psychological support is included with sensitive results.

Reading your report

A fertility report can look intimidating. It isn't.

However many markers and scans are included, the report follows the same four parts.

A UK consultant reproductive-medicine specialist reviewing a fertility report

A quiet reminder

A single number rarely tells the whole story - context, age and cycle timing are everything.

Ask your care team to explain anything that is unclear.

  1. 01 Header

    Your details and the reason for assessment

    Your details, which tests were run, and the question behind them - trying, planning ahead, or preserving.

  2. 02 Technique

    Which tests, and when in the cycle

    The tests performed, cycle-day timing where relevant, and the methods used - this is why results between clinics can differ.

  3. 03 Findings

    AMH, AFC, hormones and semen parameters

    Every marker alongside its reference range and age-adjusted context, with anything outside expected values flagged.

  4. 04 Impression

    Read this first: what it means

    The conclusion in plain English - reassurance, IUI candidate, IVF pathway, or referral for further work-up.

Recognised by major UK insurers

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Frequently asked

Everything we get asked about fertility assessment.

Quick answers on cost, AMH, PCOS, male-factor, IVF eligibility, age and preservation.

  • What does a fertility MOT include?

    A female fertility MOT typically includes AMH (ovarian reserve), an ultrasound with antral follicle count, a hormone panel, and a consultant review. A male assessment is a WHO 2021 semen analysis with a specialist review. Couples’ work-ups combine both.

  • How much does a private fertility assessment cost in London?

    A female fertility MOT is typically £350–£700, a male assessment £250–£550, and a couples’ work-up £600–£1,200. Antral follicle count on its own is £180–£350.

  • Do I need a referral?

    Self-referral is common for private fertility assessments.

  • How does the AMH test work?

    AMH (anti-Müllerian hormone) is a blood test that estimates ovarian reserve - the number of eggs remaining. It can be taken any day of the cycle. Recent hormonal contraception lowers AMH temporarily, so interpretation is done in that context.

  • Can PCOS affect fertility?

    Yes. Polycystic ovary syndrome disrupts ovulation and is one of the most common causes of subfertility, but it is very treatable. AMH is typically raised, and the ultrasound has a characteristic appearance - assessment confirms the picture.

  • How common is male-factor infertility?

    Male factors contribute to around half of all infertility cases. Semen analysis to WHO 2021 criteria (count, motility, morphology, vitality) is essential for any couples’ work-up - it is not an afterthought.

  • Am I eligible for NHS IVF or do I need to go private?

    NHS IVF eligibility is set locally by ICBs and varies widely by postcode, age and prior children. Waiting lists are long. Private assessment gives clarity and options sooner - many patients start privately and rejoin the NHS pathway later.

  • Does age really make that much difference?

    It does - for women more sharply than for men. Fertility declines from the mid-30s and more steeply from 38. Egg freezing before 35 has meaningfully better outcomes than freezing at 40. We are honest about age-graded success rates.

  • How does egg or sperm freezing work?

    A preservation consultation covers your fertility status, realistic success rates for your age, the treatment cycle, and the storage options. HFEA licensing rules apply to every step, and success rates are quoted per age at freezing.

  • When should I see a fertility specialist?

    If you are under 35 and have been trying for a year, over 35 and trying for six months, have irregular cycles, recurrent miscarriage, known endometriosis or PCOS, or a male-factor concern - sooner is better. Waiting rarely helps.

Related tests

Looking for something else?

In practice, in London

The honest picture around fertility assessment in London

With fertility assessment, the London question is usually about report turnaround and the radiologist reading it - not whether the scan is available. The NHS route for fertility assessment is thorough, but the queue is real. Most patients we speak with have been told to expect anywhere from a handful of weeks to several months, depending on their local trust and how the referral is graded. Going private in London usually collapses that window to a matter of days - often the same week if the diary allows. It isn’t about jumping a queue so much as buying time back while you still have the flexibility to plan around it.

A typical private booking for fertility assessment in London starts with a consultant conversation - sometimes in person on Harley Street or Marylebone, sometimes on video if that suits better. Any imaging or diagnostics happen at a nearby CQC-registered facility, and reports usually land within 24 to 72 hours. The whole loop, from first call to written report, is often done inside a fortnight. For fertility assessment specifically, the difference between a routine report and a sub-speciality read is where private care earns its keep.

There are a lot of consultants in London who can technically handle fertility assessment. Fewer who do it week in, week out for the exact question you’re bringing. We spend most of our time working out which is which - and being straight when a different test or a different specialist would serve you better. Everything runs to CQC, GMC and Royal College standards; the choice is about fit, not floor.