Understanding your fertility is the first and most important step on your journey. At Aria Fertility, we believe that every woman deserves clear, honest information about her reproductive health – so that whatever comes next is based on real knowledge, not uncertainty.
Our female fertility investigations are comprehensive and delivered with the warmth and sensitivity this kind of appointment requires.
Investigations are recommended if you have been trying to conceive for 12 months without success (or 6 months if you are 35 or over), or sooner if you have a known condition that may affect fertility. They are also valuable for women who simply want to understand their fertility before they are ready to try.
AMH is produced by follicles in the ovaries and is the most reliable marker of ovarian reserve – the number of eggs remaining. A low AMH suggests a reduced reserve; a high AMH may indicate PCOS.
An ultrasound scan that counts the small resting follicles in each ovary. Together with AMH, this gives a clear picture of ovarian reserve.
Assesses the uterus and ovaries for fibroids, polyps, ovarian cysts, or signs of endometriosis.
Including FSH, LH, oestradiol and thyroid function, to assess cycle regularity and identify any hormonal imbalances.
Checks whether the fallopian tubes are open. This may be recommended if tubal damage is suspected.
For patients who have experienced repeated failed cycles, we may also recommend specialist investigations such as endometrial receptivity testing or immune screening.
Laparoscopy is an operation performed in the pelvis or abdomen with the aid of a camera. It is usually a day-case surgical procedure and requires general anaesthesia.
A laparoscopy can be used to evaluate all pelvic surfaces for endometriosis and adhesions. If we are checking for fertility, blue dye is flushed through the fallopian tubes to ensure that the tubes are not only open but also free of scar tissue (adhesions) that can damage or block them. If ovarian cysts are present, they can be removed at the same time. If endometriosis is present, all visible implants are identified and destroyed using electricity (bipolar current), laser, or by surgical excision.
At the time of laparoscopy, it is common to perform a hysteroscopy to check whether your fallopian tubes are open and functioning properly. During this procedure, a special dye is injected through the cervix in the womb and subsequently through the fallopian tubes. A small telescope is then inserted through the vagina and cervix so that the uterus can be completely visualised.
In addition to being able to visualise the entire uterus, the openings of the fallopian tubes can be assessed, and the part of the uterine cavity where implantation occurs is readily seen. Common problems in the uterus include both fibroids and polyps. Fibroids are nodules of muscle and tissue that can interfere with embryos’ ability to implant in the uterus. Polyps are fleshy pieces of tissue which protrude into the cavity of the uterus and can also affect implantation. It is usually possible to remove fibroids and polyps from the uterine cavity using hysteroscopy.
Your consultant will take a detailed medical and reproductive history, discuss your concerns and recommend a tailored set of investigations.
Blood tests and an ultrasound scan can often be completed on the same day or over a short period. Tubal assessment is arranged as a separate appointment if needed.
All results are reviewed in a follow-up consultation, where your consultant will explain what they mean in plain language and discuss any recommended next steps.
Aria was founded by fertility professionals, which means every decision is driven by what is best for patients. You will have a dedicated consultant overseeing your care, supported by our team of highly experienced embryologists and nurses, to ensure you receive personalised, compassionate care.
Our laboratory was one of the first in the UK to use AI-assisted embryo selection, and our single-embryo transfer rate and multiple-pregnancy rate (currently 3.7%) reflect our commitment to safe, evidence-based care. We are regulated by the Human Fertilisation and Embryology Authority (HFEA) and publish our results transparently.
Our Marylebone clinic offers a calm, unhurried environment and personalised support from the first appointment to the final outcome.
IVF is a significant financial commitment, and we believe in being transparent about what that means from the outset.
Costs vary depending on your individual treatment plan, the investigations required, and whether additional procedures such as ICSI, embryo freezing, or genetic testing are recommended. When comparing prices between clinics, it’s worth ensuring you have a full breakdown of all components – consultation fees, monitoring scans, medication, and laboratory costs can vary considerably and are not always included in headline figures.
At Aria, we will discuss the expected costs during your initial consultation and provide you with a fully costed treatment plan before we start, so there are no surprises along the way.
The questions below are intended to give you a clear and honest overview. For advice specific to your situation, we always recommend booking a consultation with one of our team.
What is AMH and what does it tell me?
AMH (anti-Müllerian hormone) is a hormone produced by follicles in the ovaries. It is the best available marker of ovarian reserve – how many eggs you have remaining. A low AMH suggests fewer eggs remaining; a high AMH may indicate PCOS. It does not tell us about egg quality, but it helps guide treatment planning.
What is an antral follicle count?
An antral follicle count (AFC) is performed via transvaginal ultrasound and counts the small resting follicles visible in each ovary. When combined with AMH, it provides a fuller picture of ovarian reserve and how likely you are to respond well to stimulation medication.
Can I check my fertility if I am not trying to conceive yet?
Absolutely. A fertility assessment is a valuable and empowering thing to do at any stage. It will not tell you with certainty whether you can conceive naturally, but it will give you an honest picture of your current fertility and help you make informed decisions about the future.
Do I need a GP referral to come to Aria?
No. You can book directly with us for a private fertility assessment. If you have already had some investigations with your GP, please bring the results to your consultation so we can build on them.
What happens if the investigations show a problem?
Your consultant will explain your results clearly and honestly and discuss the options available to you. Finding out earlier always means more options. There is no obligation to proceed with any treatment; we want you to have the information you need to make the right decision for yourself.
Where is Aria Fertility?
We are located at 8 Welbeck Way, Marylebone, London W1G 9YL – a short walk from Bond Street Underground station. The clinic is deliberately discreet and calm, situated in a quiet mews in the heart of London’s medical district.
When you are ready and the time is right for you, the next step is to contact us, and we will help you arrange a face-to-face, telephone or video-call introduction with one of our consultants.
You can do this by filling in the contact form below or by calling one of our friendly team members on +44 (0) 203 263 6025.
We really look forward to getting to know you and helping guide you toward your next steps toward your dream family.