15 August 2019

Fertility Myths Debunked (Part Two)

This Part Two instalment concludes our talk with Dr Janet Evans, regarding the common misconceptions around fertility. Make sure to check out Part One if you haven't already.

Part Two of Fertility Myths Debunked. Make sure you’ve read Part One.

In this part, we’ll talk a little more about how time can affect your infertility and what we can do to help at the London Women’s Clinic. We continue our talk with Janet Evans from LWC Cardiff for her expert comments.

“If I’m below the age of 40, I don’t have to worry about my fertility.”

Statistically, women are waiting longer and longer before starting their families.

“A common misconception is that you don’t have to worry about menopause or fertility issues until you reach your forties. In fact, it is possible for women to have drastically different biological windows in which they can conceive.”

Women are born with a certain number of eggs. This number of eggs is finite, and the number does not replenish over time. Once a woman’s eggs are used up, the ovaries can no longer respond to hormonal stimulation and menopause occurs.

Some women lose eggs faster than others and this can be for a number of reasons. It could be down to certain diseases that affect fertility, such as endometriosis, where the ovaries become inflamed.

“Looking at a general sample of women, studies suggest that fertility starts to fall very slightly around the age of 35, then the effect becomes more pronounced at 40. Additionally, there is a small but perceptible increase in chromosomal abnormalities, such as Downs Syndrome. This suggests that the issue is not only with the number of the eggs at an increased age, but the quality of the eggs.”

You can have certain tests to assess an individual women’s ovarian status. These include having a Antral Follicle Count (AFC) scan to count the number of follicles (little egg cysts) and an Anti-Mullerian Hormone (AMH) blood test. These tests are including in the LWC’s Fertility MOT which also includes a consultation with a fertility specialist to discuss your fertility.

It can be very difficult, finding the right moment in your life to start a family. Pressure to find the right partner as you grow older can feel overwhelming and there can be intense societal pressure to do so, as well as the exception to excel in your career.

Your 40s might seem like a looming shadow over your dreams of a family, but a lot of ground has been covered in fertility treatment since its inception. The LWC has a specialized program that is designed to specifically help women over the age of 40, you can learn more here.

There are now safe and effective ways for you to freeze and store your eggs, which can potentially help to give you some freedom to live your life while having the stored and frozen eggs ready and waiting for you when you’re ready. Although egg freezing is never a ‘sure thing’, it can definitely take a lot of the pressure off.

“We’ve been told we should wait at least a year before consulting a doctor about not conceiving.”

A couple that is naturally fertile will conceive within the first year of trying. A further 10% will conceive in the second year. It’s from this understanding that the advice ‘wait a year’ has come from.

“There are exceptions to this however,” says Dr Evans including:

- For couples where the woman has very infrequent periods, there is an obvious problem that needs diagnosis and treatment to achieve regular ovulations and, therefore, a better chance at pregnancy.
- For couples where the woman is over the age of 35, it is not advisable to ‘watch and wait’ because of the time constraints that surround the window of a woman’s fertility. It’s wise to start investigations of the ovarian reserve after six months.
- If the woman has had previous pelvic issues, this may have affected her fallopian tubes and this requires immediate attention.
- If the man has had issues such as varicolele (varicose veins in the scrotum), undescended testes as a child, a vasectomy/vasectomy reversal or urological problems.
- Where there are problems with sexual intercourse, such as erection problems, vaginismus (vaginal pain during intercourse).

In these situations, it’s advisable not to delay consulting your doctor for the length of a year. Some fertility problems need to be managed over a period of time, so give yourself the space to work it out.

The London Women’s Clinic is here to offer you:

- A fertility assessment to find the reason for your fertility problem, if there is one. This includes a pelvic ultrasound scan, AMH and consultation with the doctor. A male and female fertility MOT also includes a semen analysis.
- A HyCoSy – this involves injecting dye through the fallopian tubes and using an ultrasound scan to see if the dye has gone through. This is to establish whether or not the patient’s tubes are ‘open’.
- The London Egg Bank for you to safely store eggs until you wish to try for a family.
- The London Sperm Bank with a varied and high-quality stock of sperm should you need to undergo IVF or IUI with donor sperm.
- A full and friendly explanation with one of our consultants, who can give you a present-day rundown of your options and possible action points moving forward.
- A supportive counselling service.

Want to learn a bit more? Feel free to get in touch with the London Women’s Clinic today. We regularly hold free Open Days, so always make sure you're checking up on your nearest clinic location.

All of our blog posts are written, edited, or produced by the London Women's Clinic Content Team. This is a collaboration between our expert writers, health editors, and the leading researchers and senior doctors at our Harley Street clinic.

‘We started our IVF process with LWC around a year ago. It felt very daunting and a long road ahead, and the entire team were so supportive and explained everything so clearly. When we were undergoing the egg retreival and transfer, the team were so kind and we felt really looked after. We have now welcomed our little girl and after years of trying, we wouldn't have gotten here without the support and guidance given by LWC. Thank you all!’

Alice Maker

22 January 2026, LWC London Bridge

‘Dr Suraya made our appointment a really enjoyable experience. She made us both feel at ease and was so knowledgeable throughout the scan. Dr Suraya is a real asset to LWC’

Liz Troup

22 January 2026, LWC London Bridge

‘I received excellent care from all the staff at London Women's Clinic, we felt very welcomed as a same sex couple. We are so grateful to have been able to have our wonderful daughter. I would definitely recommend the clinic to anyone starting fertility treatment!’

Megan Knox

21 January 2026, LWC Canterbury

‘I've recently completed a round of egg freezing with London Women's Clinic harrow and I couldn't recommend them as a clinic more. Carla and Ana-Maria quite literally held my hand throughout the entire process, making me feel really relaxed and supported. It's made such a stressful experience super positive and if anyone is thinking of using them, I'd absolutely recommend them!’

Brooke Day

19 January 2026, LWC Harrow

‘I undertook Kind IVF, which even though is nurse led as opposed to consultant led, the care, professionalism and knowledge is there. The nurses consult with consultants during your protocol, so the difference really is you see the nurses instead. The medication doses are less and less medication, but this doesn't mean it will be less effective, it is an option worth exploring, as the cost is less and can open the door when more traditional ivf is out of reach. I am currently pregnant having gone through the kind ivf protocol one time.’

APINTOF MEGAN

19 January 2026, LWC London Bridge

‘Exceptional service from start to finish. Highly recommend Harley street team for looking after us. Absolutely loved your service and care. Thank you London woman's clinic :)’

Anh Nguyen

19 January 2026, LWC Harley Street

‘The team at the Cambridge LWC branch have been incredibly supportive, encouraging and helpful throughout our journey, and have been with us through the ups and downs. It's a very safe and inclusive space, and we feel very well cared for. We can't recommend them enough! Sarah and Jacqui’

Sarah Peace

16 January 2026, LWC Cambridge

‘We will be forever grateful to London Women's Clinic Bromley for helping us achieve what once felt impossible -- welcoming our beautiful, healthy baby boy in November 2025. Our IVF journey was emotional, overwhelming at times, and deeply personal, but from the very first appointment we were met with nothing but kindness, compassion, and unwavering support. Every step was clearly explained, we were kept fully informed throughout, and there was always someone available to answer our questions or simply reassure us when we needed it most. We never once felt like just another patient -- we felt truly cared for. Dr Malini, Sarah, Nicky (Nikita) and Dom were exceptional and will always hold a very special place in our hearts. Their warmth, patience, and genuine kindness made the process so much easier to cope with. They made us feel safe, comfortable, and supported during some of the most vulnerable moments of our lives. Every nurse, embryologist, and member of staff we encountered was wonderful. We honestly cannot recommend London Women's Clinic Bromley enough to anyone struggling with fertility or facing similar challenges. The dedication, empathy, and expertise of this team has changed our lives forever. We hope to take the clinic up on their offer to visit with our little miracle, who we are endlessly thankful they helped bring into this world. Thank you from the bottom of our hearts. Lucy & Sayed ’

Lucy morgan

16 January 2026, LWC Bromley

‘My journey with egg freezing in the LWC has been amazing. I had started consultations with another provider before but didn't feel comfortable there, and I'm SO GLAD I listened to my instinct and went to this clinic! The whole team was so knowledgeable and supportive throughout, but also just lovely. I would recommend the clinic, ESPECIALLY if you are worried about the process and feel emotional, the understanding and support here is way beyond what I was hoping for!!!’

Charlotte M

15 January 2026, LWC London Bridge

‘My journey with the LWC in London Bridge + Harley Street has been outstanding. The team is so lovely, I felt welcomed and understood from the first to the last call and through every appointment in between. I would recommend it to every friend!’

Charlotte M

15 January 2026, LWC Harley Street

‘Nicki has a beautiful and excellent personality, she was so kind, polite and sweet. I felt so happy after the scan . Bless her. Right woman for the job.’

Steave Oyinloye

15 January 2026, LWC Bromley

‘Nikita was fab - really put me at ease with my scan and able to relax. Feel very supported’

S S

15 January 2026, LWC Bromley

‘Just had my scan with Nikki and she was very informative and made me feel very comfortable.’

Lisa

15 January 2026, LWC Bromley

‘Nikita was excellent and mindful during our initial scan/consultation explained everything well.’

james harris

15 January 2026, LWC Bromley

‘Myself and partner have had a lovely experience with LWC Canterbury they are thoughtful and caring. Always made us feel comfort and welcome even through the difficulties that we have faced on our journey, however we will be forever grateful for all they have done and are contiuing to do.’

Natasha Elliott

14 January 2026, LWC Canterbury

‘This was my first fertility treatment, and I cannot express enough how thankful I am to have chosen LWC and to have been treated at the Harrow clinic. I would highly recommend it to anyone considering starting their fertility journey! From the start, I appreciated how transparent the admin team was about all the costs involved at every stage, giving clear ranges when the decision depended on how the treatment would go. I am also extremely grateful for their support in helping with securing financing, even when I decided to move forward at short notice. They took the time to schedule calls to answer my questions, and I truly felt listened to and cared for as a patient. At the Harrow clinic, I experienced an exceptionally caring and positive environment. All the nurses were highly professional while also being incredibly comforting and supportive. I would especially like to thank Ana Maria, who was there throughout the process, offering practical advice based on her own experience, a hug when needed, and making the entire journey feel much more like home. I would also like to thank Carla for her positivity, high energy, and encouragement during difficult moments, and Laura for her empowering and reassuring approach to the injections. Dr Goswami was also outstanding--extremely professional and clear in her advice. She carefully adjusted the treatment to aim for the best possible outcome while prioritising safety and minimising risks. I am also very grateful for the support groups organised by the clinic. Through these, I met incredibly brave and empowered women and couples. Sharing this journey with some of them made the experience far more bearable and positive. Thank you to everyone at the Harrow clinic and LWC for your incredible support!!’

Marina Riabiz

14 January 2026, LWC Harrow

‘We had a very positive experience at this IVF clinic and would highly recommend it. From the very beginning, we felt well supported and looked after throughout the entire journey. A special thank you to Safak, our patient coordinator, who was incredibly helpful and always very quick to respond. We would also like to thank Princess, the receptionist, as well as the Italian receptionist whose name we unfortunately don't remember, for always being kind and welcoming. We are extremely grateful to Dr Suraya, who performed many of our scans and was exceptional throughout the process, and to Dr Rao, who followed our journey step by step with great care, professionalism and attention. Finally, a big thank you to all the nurses, especially Hannah,Ella and Paige, for their support, kindness and professionalism. Overall, we felt very well cared for and supported, and we truly recommend this clinic to anyone considering IVF!’

Alicia Gioia

12 January 2026, LWC London Bridge

‘The reception staff are amazing nothing is to much trouble. Always answered any queries we had. The whole team were brilliant from our first initial appointment too our very last. They made us feel so comfortable.’

Rachel Powell

12 January 2026, LWC Bristol

‘We don't know where to begin, this place truly is wonderful. So so comforting and welcoming. Every single staff member went above and beyond and really felt like family. We couldn't be more appreciative of everyone who helped us on our way to creat our little one, who is cooking away nicely at 20 weeks. From choosing a sperm donor to my egg collection and then to getting my wife pregnant with the embryos a few months later, it was so stress free and we felt supported every single step of the way. We can't thank all the lovely wonderful ladies at the Brentwood clinic enough for what they have helped us achieve- and of course the amazing people at the Harley street clinic for doing the procedures who were just as welcoming! Thank you all so so much, we can't wait to bring our little man to meet you all when we are ready to try for baby number 2 xxxxx’

molly bannister

9 January 2026, LWC Brentwood

‘Following a seminar I attended at LWC, I arranged a consultation with Dr. Naware who specialises in fertility for women over 40. It was a refreshing experience. Dr. Naware is empathetic, kind and thorough. The follow up from the clinic was excellent, with Safak, Patient Coordinator, providing regular updates.’

A Patel

9 January 2026, LWC London Bridge

‘We are incredibly grateful to London Women's Clinic - Canterbury for their outstanding care and support throughout our IVF journey. Both the Canterbury and Bromley teams surrounded us with genuine kindness, understanding, and constant attention. We always felt listened to and truly cared for, and the level of professionalism was exceptional at every stage. Thanks to their dedication and hard work, we had the chance to welcome our beautiful little daughter into the world. We cannot recommend this clinic highly enough.’

Natalia Twardochleb

8 January 2026, LWC Canterbury

‘We can't recommend the London Women's Clinic enough. My partner and I are a same-sex female couple and are currently pregnant with our baby due in July -- after only two attempts. From the moment we chose the London Women's Clinic, the experience was incredible. The Harrow branch in particular felt so welcoming and supportive. Carla Lang, Ana-Maria, Laura Adagbon, and Dr Gill were absolutely amazing -- accommodating, kind, friendly, and genuinely caring. They went above and beyond throughout our entire journey, even responding to emails outside of working hours, which meant so much to us. We had previously completed blood tests and scans at another clinic but didn't feel it was the right fit. The London Women's Clinic didn't push us to repeat everything unnecessarily -- they accepted our previous tests, which really showed that they are not money-driven. On that note, their pricing is also very affordable compared to other clinics. Dr Gill is incredibly thorough and precise, taking so many factors into account when planning treatment, which gave us complete confidence. Our insemination was carried out at the Harley Street London Women's Clinic by Dr Yogita Date, who was equally wonderful. She made us feel comfortable, supported, and genuinely wished us luck during the procedure. Overall, this clinic felt more like family than a medical service. Even now, they continue to check in on us and our pregnancy, which says everything about the level of care they provide. We are beyond grateful and wouldn't hesitate to recommend the London Women's Clinic to anyone starting their fertility journey.’

Maisie Thomas

8 January 2026, LWC Harrow

‘The team at LWC Harley Street have been outstanding. They have supported my wife and I through our IVF journey at every step, keeping us informed and making the entire journey feel seamless. A special thanks to Dr Serra, Nurse Mimi, Vita and the rest of the LWC team that have helped us along the way. We are now 20 weeks into our pregnancy and LWC have continued to follow up to ensure all is well. A big thank you once again and we highly recommend LWC Harley Street to anyone considering IVF.’

Keyur Nakum

29 December 2025, LWC Harley Street

‘Cannot fault the ladies here at all. I felt so so welcome and looked after during the visit and consultation. The nurses were so compassionate and lovely, and I really felt like I was being listened to and understood. Would recommend to anyone looking to start a fertility journey/make some enquiries into their fertility healthxx’

Ellie Brown

19 December 2025, LWC Canterbury

‘Myself and my partners experience with LWC in Canterbury has been AMAZING! They have been so supportive and friendly throughout our whole IVF journey and gave us no stress throughout any part of it. Would very highly recommend as our first round of ISCI IVF worked ’

Mia Summers

19 December 2025, LWC Canterbury