Decided that is a time to have a baby?

So excited to become parents, but months pass and you have had no success? When it is appropriate to seek help? How long should couples try before going to see the professional? What is the cause of not getting pregnant?

Sometimes no matter how hard couples try to conceive, they cannot get successful results. It is recommended to consult a specialist after a year of trying for a baby.

What is the process?

Couples have to be assessed together to determine the main causes of infertility. The gynaecologist will ask about their medical history, the medical history of their family, previous illnesses, operations, pregnancies and other important factors influencing the possibility to get pregnant.

Male testing

The main test for men fertility is semen analysis which determines sperm quality and quantity.

It is recommended to abstain from sexual activity 5 days prior to testing and tests for sexually transmitted disease also have to be performed.

The semen sample assessment includes direct microscopy which is carried out immediately, sperm count, automated sperm analysis, laboratory testing for stress using stimulus, sperm fragmentation and other. The test analyses sperm motility – the percentage of moving and non-moving sperms in the sample, sperms normality/abnormality levels as well as presence of abnormal cells, the quantity of semen fluid and its colour, direction of sperm’s movement – whether it flows in one direction or moves in circles.

What next?

If the sperm appears to be poor quality, the patient will be informed and explained what further steps are recommended for successful conception. Dr Ahmed Ismail, consultant gynaecologist and obstetrician at Queen’s Clinic, will advise on treatments and procedures which will boost the possibility to get pregnant and give birth to a healthy baby.

For more information on fertility treatments or to book a consultation please call 020 7935 5540 or email