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Between our two sites at Southmead Hospital (BCRM) and the Spire Bristol Hospital, we are able to offer tests, advice and treatment for women suffering with a wide range of reproductive problems, including recurrent miscarriage.

Valentine Akande, Amanda Jefferys and the team have a wealth of experience and use the most up to date techniques and treatments to achieve successful outcomes.


Infertility is quite common, with about 1 in 6 couples needing to seek help for fertility problems. Fertility is a matter of chance and compared to most other mammals, the human is quite inefficient and not that fertile. Humans on average have a 1 in 5 (20%) chance of conceiving each “cycle” compared to rabbits that have >90% chance!

At our Bristol Fertility Clinic we take care to assess you situation, undertake tests if appropriate and advice you on the best options to help you create and begin a family.

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Ovulation problems

Ovulation problems are quite common, this could be due to hormonal problems, polycystic ovarian syndrome – PCOS, age, reduced ovarian reserve, stress, too much exercise as well as other issues.

At BCRM we take care to assess your situation, undertake tests if appropriate and advice you on the best options to help you ovulate and improve your chances of having a baby.

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Male fertility problems

There are a number of treatments that can help to improve the quality of your sperm, or help it to reach your partner’s womb. If your sperm quality is affected by hormone problems such as male hypogonadism, medicines may help. In other cases Valentine Akande can advice you on vitamin supplements or lifestyle changes that may improve sperm. In other cases IVF treatment using ICSI will be required.

Blocked tubes

Blocked fallopian tubes prevent the successful meeting of egg and sperm and accounts for around one in four fertility problems.

For some women with blocked tubes, IVF offers the best chance for achieving pregnancy but for others, specialist surgery can hold the key to successfully conceiving a baby naturally.

Fertility Bristol’s Valentine Akande is an expert in this field, having helped hundreds of women with this problem and published numerous research papers on this topic. He is one of only a handful of recognised experts able to offer surgery to treat blocked tubes.

Surgery will involve opening and repairing the tube, clipping the tube to prevent harmful fluid affecting a pregnancy or removal of the tube if severely damaged. There is evidence to show that surgery can also improve the chances that IVF will be successful.

Find out more about the surgery here.


Polycystic ovary syndrome (PCOS) is a very common condition that affects the function of the ovaries. It affects millions of women across the UK and is characterized by high levels of ‘male’ hormones, cysts on the ovaries and a lack of regular ovulation.

Symptoms of PCOS can include irregular or absent periods, difficulty getting pregnant, weight gain, acne and hair growth or hair loss.

At BCRM, we have helped many women with PCOS go on to have a baby or successfully manage the condition.

See also: PCOS & Metformin

Recurrent Miscarriage

Recurrent miscarriage is the term usually given when a woman experienced three or more miscarriages. It affects around one woman in every 100.

Miscarriage takes a huge emotional toll on both partners and the sense of loss can be feel overwhelming. However, many women who experience recurrent miscarriage go on to carry a baby to term. Sometimes a treatment is needed to correct any problems – and that’s where we are able to help.

At Fertility Bristol, we are able to use our experience and expertise to investigate the cause of recurrent miscarriage. We provide thorough investigation, full support and personalised care. We aim to offer a solution or treatment that will prevent further miscarriage and help you go on to have a healthy baby.

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Endometriosis affects around two million women in the UK. It occurs when tissue that behaves like the lining of the womb is found elsewhere in the body, most commonly on the ovaries, the lining of the pelvis and near the cervix.

Symptoms of endometriosis can include painful or heavy periods, pain in the lower abdomen and fertility problems.

We are highly experienced at helping women with endometriosis regain control of their daily life and manage symptoms.

Although there is no cure for this condition, there are treatment options available, including surgery, to help make coping with endometriosis easier.

Find out more in our endometriosis factsheet.


Fibroids are non-cancerous growths that vary in size and are made up of muscle and fibrous tissue.

Symptoms can include heavy or painful periods, abdominal pain, constipation and a frequent need to urinate.

We offer comprehensive treatment for fibroids to ease symptoms. Medication is usually the first port of call, but surgery is sometimes necessary. We are able to advise on the best course of action based on your individual needs.

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Period problems

Many women suffer with absent, infrequent, heavy or painful periods – and it can affect both fertility and day-to-day life.

At Fertility Bristol, we have the expertise to investigate the cause of troublesome periods and we can advise on the best course of treatment if appropriate.

Ovarian cysts

Ovarian cysts are fluid filled sacs that grow on the ovary. They are common and usually harmless.

Symptoms of an ovarian cyst can include pelvic pain, period problems, bloating, indigestion, a frequent need to urinate and difficulty going to the loo.

The treatment for ovarian cysts depends on the size of the cyst and the symptoms that occur. At Fertility Bristol, we are able to put your mind at ease and offer the necessary tests to diagnose an ovarian cyst. Treatment is available to remove large cysts if appropriate.

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Premature ovarian failure or menopause

This is when the ovary stops working normally before the age of 45 years because of loss of eggs. Symptoms include hot flushes, irregular or lack of periods, night sweats, mood changes and loss of libido. Treatment can includes hormone replacement therapy. Fertility is reduced and treatment can be challenging but very successful if egg donation treatment is used.