What qualifies as a complex fertility case?
Complex fertility requires specialised testing and the benefit of a highly experienced specialist. These may include:
- Recurrent miscarriage – defined as three or more consecutive miscarriages.
- Repeated unsuccessful IVF cycles – If you have undergone several IVF cycles without success, relating to implantation failure or poor embryo development, advanced scientific and genetic assessment may be recommended
- Known genetic conditions – people with inherited conditions such as cystic fibrosis, haemophilia and many others may require specialised genetic counselling and genetic testing.
- Multi factorial medical factors – when either partner has a combination of medical conditions such as an autoimmune disease, diminished ovarian reserve, PCOS, and metabolic disorders for example the fertility journey can become more complex. In these cases, careful treatment planning and multidisciplinary care are essential.
How we approach complex fertility cases
Every fertility journey is different, particularly when managing complex fertility cases where multiple factors may be involved. At City Fertility, we take a structured and personalised approach to ensure no detail is overlooked.
Your specialist will begin with a comprehensive review of your medical history, previous investigations and any prior treatment cycles. For patients with complex fertility cases, this step is essential to identify patterns, gaps, or opportunities to refine your treatment approach. Where appropriate, additional testing may be recommended to better understand the underlying causes of infertility. This is supported by input from our wider clinical team, including embryologists and genetic specialists, ensuring your care is guided by both clinical expertise and advanced scientific insight.
Your treatment plan is then tailored specifically to you, with ongoing review and optimisation to support the best possible outcomes, even in more complex fertility cases.
Rest assured, we have fertility specialists and scientists who are recognised leaders. They are actively involved in clinical research, academic collaboration, and teaching, and are sought after for their subspecialty knowledge. The combination of expertise, advanced diagnostic capability and collaborative care supports all our fertility patients.
Thinking of changing fertility clinics? Here’s why it matters
Many people experiencing complex fertility cases choose to move to another clinic to gain a second opinion and a new expert perspective.
Whether you’re questioning treatment plans, concerned about safety protocols, or seeking a second opinion, switching clinics could result in a better experience and better outcomes.
To learn more, visit our How to Switch Clinics page.