At P4 Fertility, we use your clinical history and request the most appropriate tests and use evidence-based models to predict the chances of conception naturally and with various treatment options. This allows you to make an informed decision on when and how to proceed with creating a family.

Everyone is different clinically, socially, and psychologically. Everyone’s personal circumstances are different and so is the fertility potential. Our ethos is personalised care with personalised prediction.

Please request an appointment by contacting us and request ONE STOP specifically. We will send you a questionnaire for clinical details and then plan your tests.

The cost varies with investigations required for you and your partner. It could range from £190 to £870. But don’t worry. You will get the detailed cost plan after your fertility questionnaire. This will be before you commit to attend this service. Therefore, no hidden charges or any surprises. The cost includes consultant appointment.

Boosting chances of getting pregnant Naturally:

You need to go for any fertility treatment only after you have done everything to achieve natural pregnancy. Booking an appointment with P4 Fertility does not mean you have to go for any fertility treatment. We encourage natural conception in couples with good fertility potential and time to try it. You may choose to book test to check for fertility potential and discuss your chances of natural conception. P4 Fertility designs the personalised ways to assist natural conception.

In our opinion, the common sense approach is the best approach. There are some obvious food items such as trans fats, processed foods, canned food etc, which are not good for general health as well as for fertility. On the other hand, green leafy vegetables, fruits, berries, and nuts contain high levels of antioxidants, vitamins and micronutrients. Antioxidants are the substances that cleanse our body from stress-related damaging chemicals. Vitamins, antioxidants, and micronutrients such as selenium, zinc is good for cell functions. Similarly, they are good for sperm and eggs. You do not need to follow a strict fertility diet plan, which may be counterproductive by adding undue stress in your busy life! Think of wide variations in dietary practices all over the world, but every country has fertile population. The common-sense approach and gentle change in daily lifestyle help most of the couples. There is no need to follow a strict diet plan as long as your height-to-weight ratio (BMI) is in normal range.

Tomatoes are rich source of lycopene, an antioxidant believed to improve sperm motility, structure, and activity. You can also add olive oil to cooked or processed tomatoes for improving the absorption of the antioxidant. Walnuts are rich in omega 3 fatty acids. All kinds of berries, including blueberries, strawberries, cranberries, and blackberries, contain powerful anti-inflammatory and antioxidants quercetin and resveratrol. Pomegranates may improve the testosterone levels and sperm quality and increase sex drive. Ginseng, also known as Ashwagandha, it is an aphrodisiac root used in traditional medicinal practices. Other good food items are, citrus fruits, whole wheat and grains, most fish, especially wild salmon, cod, and haddock, most shellfish, especially oysters, vitamin D, dark chocolate, garlic, bananas, broccoli, turmeric, asparagus, most leafy greens, especially spinach and kale, fermented nuts and seeds.

Processed meats/ food, Trans fats, Soy products, Pesticides and bisphenol which act as xenoestrogens—chemicals that mimic estrogen (pesticides could be present on fruits and vegetables and BPA is used in food packaging and cans), and High fat dairy products may cause reduced motility and abnormal shape of sperms.

Your menstrual cycle begins on the first day of your period and continues up to the first day of your next period. For all medical purposes, when you start bleeding is counted as day one of the period. If bleeding starts in the night, count next day as day one of the period. Ovulation happens about 14 days before your period starts. If your average menstrual cycle is 28 days, you’re most fertile two to three days leading to and at the time of ovulation (when an egg is released from your ovaries), which usually occurs 12 to 14 days before your next period starts. This is the time of the month when you're most likely to get pregnant. If your cycle is of 30 days, your ovulation day is around day 16.

If your average menstrual cycle is 35 days ovulation happens around day 21 and your most fertile days are days 19,20 and 21.

If you have shorter cycles, say 21 days, ovulation happens around day 7 and your most fertile days are days 5, 6 and 7.

It is often stressful to plan everything based on ovulation day. We do not recommend testing for ovulation regularly when trying for natural conception. The tests for ovulation add extra stress and stress is not good for conception. As the fertile window is of few days, intercourse (sex) every two to three days is enough to have better chances of conception. In fact, it has been shown that couples following above advice were more successful than couples using ovulation tests or apps to plan sex. The only explanation to this is stress related damage to sperms and eggs. The reason we suggest that intercourse every 2- 3 days is enough as

• Sperm live for around five days.

• Eggs can only be fertilised for around 24 hours (one day) after being released from the ovary.

Eggs and sperm need to come together at the right time for fertilisation to happen to create an embryo. There is a high possibility of egg and sperms coming together when intercourse happens every 2-3 days. Therefore, it is not essential to absolutely check for ovulation and plan intercourse on the day. It could be rather counterproductive.

When the periods are regular and no other medical issue, 80% of couple conceive in first year of trying and 50% of remaining may get conceived in next year. Therefore, if you both do not have any pre-existing medical condition, it is reasonable to seek help after two years of trying naturally. If you are on certain medications, you are known to have endometriosis, PCOS or previous chlamydia infection, it is advised to see a doctor sooner than later. If age of the woman is above 37 years, it is suggested to seek help early.

Yes, we do. Managing weight is one of the key steps to achieve success. Our advice is personalised to you.