Concierge fertility assessment · London
Fertility MOT & AMH test - London.
A baseline assessment for women planning a family, considering egg freezing, or wanting to understand their reproductive timeline. Ovarian reserve bloods, transvaginal ultrasound and specialist consultation, in one appointment.
What it is
A baseline snapshot of your fertility potential.
A fertility MOT is a structured assessment for women who want to understand where they stand reproductively, without necessarily trying to conceive right now. It combines ovarian reserve blood tests, a transvaginal ultrasound and a specialist consultation to estimate your reproductive timeline and flag anything that might change the plan.
It is not a pregnancy test, and it does not diagnose infertility on its own. It is a planning tool - for women weighing when to try, whether to freeze eggs, or whether earlier investigation is warranted.
What is tested
The hormone panel and the ultrasound.
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AMH
Anti-Mullerian hormone - the best marker of ovarian reserve, stable across the cycle.
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FSH
Follicle-stimulating hormone, taken on day 2-5 of the cycle for the baseline reading.
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LH
Luteinising hormone, paired with FSH to interpret the pituitary-ovary axis.
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Oestradiol
Cycle-day oestradiol to contextualise the FSH result.
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TSH
Thyroid function - hypothyroidism can disrupt ovulation and early pregnancy.
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Prolactin
Raised prolactin suppresses ovulation and needs investigation.
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Testosterone / DHEAS
Androgen profile, particularly relevant if PCOS is suspected.
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Vitamin D and ferritin
Nutritional markers linked to fertility and early pregnancy outcomes.
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Chlamydia and rubella immunity
Screened where relevant to pre-conception planning.
Interpreting AMH
A useful signal, not a verdict.
AMH varies with age - a healthy 25-year-old typically sits between 15 and 40 pmol/L, while a woman in her early 40s may sit at 3 to 8 pmol/L and still be within a normal range for her age. A level below 5 pmol/L in a younger woman may suggest reduced ovarian reserve; a level below 1 pmol/L is considered significant at any age.
The important caveat: AMH is a single data point. Women with low AMH sometimes conceive naturally without difficulty, and women with strong AMH sometimes struggle for other reasons. It is a guide to how many eggs remain, not to whether any given cycle will produce a pregnancy.
Transvaginal ultrasound
The antral follicle count, and what the scan also shows.
Best performed on day 2-5 of the cycle, the transvaginal ultrasound measures the antral follicle count (AFC) - the small follicles between 2 and 9 mm visible on each ovary. Combined with AMH, the AFC predicts how the ovaries will respond to stimulation for egg freezing or IVF.
The scan also assesses the uterus, endometrium and ovaries for fibroids, cysts, polyps and features of polycystic ovarian morphology. It is a short, well-tolerated procedure and adds significant information beyond bloods alone.
Who benefits
When a fertility MOT genuinely helps.
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Delayed childbearing
Women aged 30+ considering starting a family later.
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Egg freezing candidates
Those actively exploring social or medical egg freezing.
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Pre-conception planning
Wanting a baseline before actively trying to conceive.
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Irregular cycles
Suspected PCOS, anovulation or unexplained menstrual changes.
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Family history
Mother or sister with early menopause under age 45.
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Recurrent miscarriage
As part of a wider recurrent miscarriage workup.
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Before ovarian surgery
To establish a baseline before any procedure that may affect reserve.
Honest limits
What the tests do not tell you.
A fertility MOT does not predict pregnancy outcome. It does not diagnose infertility on its own - that requires actively trying for six to twelve months (six if you are over 35) alongside a partner semen analysis. It does not rule out endometriosis or tubal disease; those need laparoscopy or a HyCoSy tubal patency test.
Read the results as one input into a decision, not the whole answer. The specialist consultation is where the numbers become a plan.
What to do with the results
Turning numbers into a plan.
Discuss the report with a fertility specialist to translate reserve markers into a timeline. If egg freezing is on the table, timing follows the data. Modifiable factors are addressed alongside: weight, smoking, alcohol, sleep and cycle regularity all move the needle. If you are already trying and results are borderline, a couples investigation with semen analysis is the natural next step.
Cost
Indicative pricing across London fertility clinics.
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AMH blood test only
£85-£150
Single ovarian reserve marker, no consultation.
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Full fertility MOT
£450-£850
Bloods, transvaginal ultrasound and specialist consultation.
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Comprehensive couples package
£850-£1,600
Adds additional bloods, partner semen analysis and initial consultation.
Where to go
HFEA-licensed fertility clinics in London.
Established London providers include The Lister Fertility Clinic, CARE Fertility London, The Bridge Centre, ARGC, TFP The Fertility Partnership, King's College Hospital Assisted Conception Unit (private), Chelsea and Westminster Private Care and The Centre for Reproductive and Genetic Health. Independent fertility specialists also offer AMH and consultation via HFEA-licensed satellite arrangements. The full register is maintained on hfea.gov.uk.
Egg freezing pathway
If egg freezing is on the table, earlier is better.
Egg quality is the strongest predictor of a live birth from frozen eggs, and quality peaks in the late twenties before falling steadily through the thirties. UK legislation was updated in 2022 to extend the maximum storage period from 10 years to 55 years, subject to renewed consent every 10 years. That change removed the earlier pressure to freeze late; there is now no penalty to freezing sooner if the timing suits you.
Related
Also useful when planning a family.
FAQs
What women ask us most.
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What is the best age to have a fertility MOT?
There is no single right age, but the assessment becomes most useful between 30 and 38. Under 30, ovarian reserve is usually still strong and a fertility MOT often reassures rather than changes plans. Over 38, reserve typically declines faster and the results carry more urgency. If you are actively considering egg freezing or delayed childbearing, earlier is better as egg quality peaks in the late twenties.
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Does private health insurance cover a fertility MOT?
Most UK private medical insurers exclude fertility investigations and treatment. Bupa, AXA Health, Vitality, Aviva, WPA and Cigna typically classify AMH testing, antral follicle counts and IVF as elective and not covered. Some corporate schemes now include fertility benefits as a wellbeing perk, and a small number of employers reimburse egg freezing. Check your policy schedule before booking.
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Is a single AMH test enough, or should I repeat it?
AMH is more stable than day 2-5 hormones, so a single test is usually sufficient for a baseline. It can be worth repeating after 12 to 24 months if you are actively planning around it, or sooner if the first result is unexpectedly low. AMH also drops after ovarian surgery, chemotherapy or long-term hormonal contraception, so timing matters if any of those apply.
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What does a fertility MOT tell me about egg freezing?
The AMH level and antral follicle count together predict how well your ovaries will respond to stimulation, which drives how many eggs are likely to be collected per cycle. A high AMH suggests one cycle may yield 15 to 20 eggs; a low AMH may mean two or three cycles are needed to bank enough for a reasonable future chance. It does not predict whether the eggs will make a baby - age at freezing is the stronger factor there.
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I have PCOS - what will the results show?
Polycystic ovary syndrome typically raises AMH (often 25 to 60 pmol/L) and increases the antral follicle count on ultrasound. That is a sign of plenty of follicles, not a fertility problem in itself. The main issue in PCOS is irregular ovulation rather than reserve. The specialist will look at your cycle pattern, testosterone, prolactin and thyroid function alongside the ovarian findings to build the full picture.
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Should my male partner be tested at the same time?
If you are actively trying and have not conceived after six to twelve months, yes - male factor accounts for roughly a third of infertility, and a semen analysis is quick and inexpensive (£100-£200). A fertility MOT on you alone does not investigate the couple. Most London fertility clinics offer a combined couples package for £850 to £1,600 that adds semen analysis and an initial consultation for both partners.
Book a fertility MOT
Tell us your age and what you are planning - we match you with the right clinic.
We match you with an HFEA-licensed fertility clinic in London, time the ultrasound to your cycle, and route the results into a plan you can actually act on.