Endocrine and metabolic assessment that complements fertility care for women, men and couples.
Ovulation, sperm health, age, anatomy, thyroid function, PCOS, diabetes, medicines and weight can all contribute. We identify endocrine and metabolic factors we can improve while protecting timely access to specialist fertility investigation.
At both higher and lower weights, hormonal signalling and ovulation can be affected. In men, metabolic health can also be associated with hormone levels and sperm quality. These are associations, not a verdict on any individual’s chance of conception.
Infertility is often multifactorial. Neither partner should be assumed to be the cause, and weight should not distract from age, anatomy, semen factors or another diagnosis.
Weight-management medicines must not be used during pregnancy and need to be stopped before conception in line with current prescribing information. Semaglutide is stopped at least two months before trying to conceive, and tirzepatide at least one month. We build that gap into your plan rather than leaving you to discover it at the end.
A pre-conception plan should also review folic acid, diabetes treatment, blood pressure medicines, nutritional status and any relevant long-term condition.
For women, this can include menstrual and ovulation history, PCOS features, thyroid health, glucose regulation and previous fertility investigations. For men, it may include metabolic health and carefully interpreted hormone tests alongside formal semen analysis through the right pathway.
We review medicines and supplements because some influence hormones, weight or pregnancy planning.
Where weight reduction is appropriate, a modest change may improve ovulation or metabolic health for some people. It cannot guarantee conception, and care should avoid harmful pressure or an arbitrary target without clinical purpose.
Local NHS fertility funding criteria can include BMI thresholds, but these vary by area and are commissioning rules. We help patients understand the distinction between eligibility and individual clinical care.
We can communicate with your own doctor, gynaecologist, andrology service or fertility clinic to reduce conflicting advice.
The aim is to improve health while avoiding unnecessary delay to appropriate fertility investigation and treatment.
Understanding what is driving your weight takes a proper assessment — your history, the other conditions you live with, the medicines you already take, and what has been tried before.
Where obesity is complex, Dr Raj may recommend the Specialist Weight Management Plan: our most intensive option, for the most complex cases. Not everyone needs it. For others, consultations and review alone are enough, and what you are offered depends on what is actually going on.
Care is delivered through our London and Chennai clinics.
This information cannot replace a consultation. Your care depends on your symptoms, history, medicines and test results. We coordinate with your own doctor or relevant specialist when needed.
Understanding the physical, metabolic and emotional factors behind your weight.
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Care that considers blood glucose, weight and your wider metabolic health together.
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Polycystic Ovary Syndrome (PCOS): hormonal symptoms, metabolism and reproductive health considered together.
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Looking beyond weight to understand thyroid function, symptoms and wellbeing.
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Individual care for the hormonal and metabolic changes of menopause.
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Exploring the connections between hormones, weight and fertility concerns.
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Considering liver health as part of a broader picture of metabolic wellbeing.
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Sensitive assessment of hormonal concerns and their links to wider health.
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Ongoing support that recognises weight maintenance as part of long-term care.
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Understanding weight changes after surgery, without blame or judgement.
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