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When you’re planning to conceive, there’s a lot on your mind—from diet and lifestyle to managing stress and preparing your body for the changes ahead. But one area that often gets overlooked in this journey is your skin health. As a dermatologist, I frequently meet women who are trying to conceive, whether naturally or through assisted reproductive technologies like IVF, and they’re often unsure about which skincare products are safe to use or how to handle the skin changes that come with fluctuating hormone levels. Let’s explore how to optimise your skin health when trying to conceive, what to watch out for in your skincare routine, and why consulting a dermatologist might be a wise move during this time. Understanding Hormonal Changes and Skin Impact Hormones have a significant impact on skin health, and this becomes even more pronounced when you’re trying to conceive. The body undergoes various hormonal shifts even before pregnancy begins, which can lead to skin concerns such as acne, dryness, sensitivity, and pigmentation changes. When you stop hormonal contraception in preparation for pregnancy, your skin may react to the sudden shift in hormones. Research shows that oestrogen and progesterone levels, which help regulate the menstrual cycle and are key in pregnancy, can influence the skin’s oil production, hydration levels, and overall texture. Additionally, if you’re undergoing IVF or preparing for embryo transfer, the high doses of hormones involved can cause further changes. These hormones can stimulate oil glands, leading to an increase in acne, or exacerbate conditions like melasma (dark patches on the skin) due to increased melanin production. Common Skin Concerns When Trying to Conceive As you navigate the journey to conception, whether naturally or through IVF, you might notice changes in your skin. Here are some common skin concerns during this time: Oily skin, acne, and breakouts: Hormonal fluctuations often lead to increased sebum (oil) production, which can clog pores and cause acne. This can be particularly pronounced after stopping birth control or during fertility treatments when hormone levels are artificially manipulated. Increased sensitivity and redness: Hormonal changes can make the skin more sensitive and prone to redness, dryness, or irritation. This is especially true if you have a history of sensitive skin or conditions like rosacea or eczema. Pigmentation changes: An increase in melanocyte-stimulating hormones can cause dark patches or melasma in pregnancy. This can also be seen in women undergoing IVF due to the high levels of hormones used in the process. Dryness and dehydration: Hormonal shifts can also affect the skin’s ability to retain moisture, leading to dryness or flakiness. Keeping the skin well-hydrated and maintaining a strong skin barrier is essential during this time. Navigating Skincare Confusion: What’s Safe When Trying to Conceive? When you’re trying to conceive, whether naturally or through IVF, you might find yourself wondering which skincare products are safe to use. The skincare landscape can be confusing, with countless products on the market and mixed messages about what is safe during conception and pregnancy. Here’s a guide to help you navigate this tricky terrain: Avoid certain ingredients: Some skincare ingredients are best avoided during conception and pregnancy due to potential risks to the developing baby. Retinoids (often found in anti-ageing products), high concentrations of salicylic acid, and other exfoliating acids can fall into this category.  Emphasise hydration and skin barrier support: Ingredients that support hydration and the skin barrier are your best friends. Look for products containing hyaluronic acid to retain moisture, ceramides to strengthen the skin’s barrier, and niacinamide to soothe irritation and reduce sensitivity. Choose Safe Sun Protection: Protecting your skin from UV damage is always important, but it becomes even more crucial when trying to conceive, especially if you’re prone to pigmentation changes. Opt for high factor broad-spectrum sunscreen with blue light protection to reduce the risk of pigmentation. Consider mild active ingredients: Consider azelaic acid, which is both effective in managing acne and pigmentation and safe for use when trying to conceive. It is an anti-inflammatory rather than an exfoliating acid and can also help with redness. Preventative Acne Treatments: The Role of Laser For women prone to acne, especially those who experience breakouts after stopping hormonal contraception or undergoing fertility treatments, taking preventative measures can be highly beneficial. One innovative treatment to consider is a drug-free, non-invasive laser therapy that targets sebaceous glands to reduce oil production and prevent acne. It offers a preventative approach without the need for systemic medications, which may be restricted when trying to conceive or during pregnancy. By reducing oil production, the laser  can help maintain clearer skin during a time when treatment options are more limited due to safety concerns. It’s a great option to discuss with your consultant dermatologist, particularly if you’re seeking ways to manage acne without relying on potentially harmful medications. Adapting Skincare During IVF and Embryo Transfer If you’re undergoing IVF or preparing for an embryo transfer, your skin is likely to undergo additional changes due to the high levels of hormones administered during treatment. These hormones can exacerbate acne, increase pigmentation issues like melasma, and make your skin more sensitive or reactive. In such cases, a tailored skincare routine that addresses these specific concerns is essential. Working with a dermatologist can help you develop a plan that suits your skin’s needs while being mindful of the changes brought on by fertility treatments. They can recommend safe, effective products and treatments, such as laser treatment, to help manage skin concerns during this time. Supporting Skin Health Through Lifestyle Optimising skin health isn’t just about topical skincare—it’s also about making healthy lifestyle choices that support your body from within. Here are a few tips to help support your skin health while trying to conceive: Nutrition: Eating a balanced diet rich in vitamins, minerals, and antioxidants supports both your overall health and your skin. Focus on foods rich in omega-3 fatty acids, such as salmon and flaxseeds, which help maintain the skin barrier, and plenty of fruits and vegetables for antioxidants. Manage stress: Stress can trigger skin issues, particularly during the emotionally taxing […]

Menopause is a significant phase in a woman’s life, marked by a decline in oestrogen levels that leads to various changes in the skin. These hormonal shifts can cause several skin concerns, ranging from dryness and thinning to increased sensitivity and a heightened risk of developing both medical and cosmetic skin issues. Understanding these changes and learning how to manage them effectively is crucial for maintaining healthy, youthful skin during this transitional period. How Menopause Affects Your Skin During menopause, the body undergoes several hormonal changes, particularly a reduction in oestrogen and progesterone levels, which have profound effects on the skin: Loss of collagen and elasticity: Oestrogen is vital for maintaining collagen, the protein that provides structural support and elasticity to the skin. With menopause, collagen production decreases significantly—by up to 30% within the first five years—and continues to decline at a rate of about 2.1% per year thereafter. This reduction leads to thinner skin, loss of firmness, and decreased elasticity, resulting in sagging, fine lines, and deeper wrinkles.  Increased dryness and skin thinning: Oestrogen plays a key role in regulating the skin’s moisture levels by promoting sebum production. As oestrogen levels decline, the skin becomes drier and the moisture barrier weakens, leading to increased transepidermal water loss (TEWL) and a rough texture. Thinning skin is more fragile and prone to bruising and injury, and reduced thickness also makes blood vessels more visible, contributing to increased redness. Pigmentation changes: Hormonal fluctuations during menopause can lead to pigmentation issues such as age spots, melasma, and uneven skin tone. Prolonged exposure to UV radiation further exacerbates these changes, as the skin’s ability to repair sun damage diminishes with age. This results in more pronounced pigmentation and sunspots, especially on areas frequently exposed to the sun, like the face, hands, and chest. Altered skin texture: The reduction in collagen and elastin also affects the skin’s texture, leading to enlarged pores and a rougher surface. Decreased skin cell turnover can contribute to a dull complexion, making regular exfoliation and rejuvenation practices essential to maintain a smooth, glowing appearance. Increased sensitivity and pruritus (itchiness): Menopausal skin is often more sensitive due to a compromised barrier and decreased hydration. This increased sensitivity can lead to greater reactivity to skincare products and environmental factors. Pruritus, or itching, is also a common complaint among postmenopausal women, often associated with dry skin conditions like xerosis. Higher risk of medical and cosmetic skin issues: As skin ages and hormone levels change, there is an increased risk of developing both medical and cosmetic skin concerns. Women with outdoor hobbies, frequent sun exposure, or a history of sun damage are particularly vulnerable to skin cancers, including melanoma. Regular mole checks and skin screenings are crucial for early detection. Some laser treatments, such as Halo, not only improve the skin’s aesthetic appearance by reducing pigmentation and fine lines but can also help reduce the risk of skin cancer by targeting and treating precancerous lesions. The Role of Hormone Replacement Therapy (HRT) Hormone Replacement Therapy (HRT) can be effective in alleviating some of the skin changes associated with menopause by replenishing oestrogen levels. HRT has been shown to increase collagen production, enhance skin thickness, and improve elasticity, potentially restoring some of the skin’s youthful qualities. However, it is not without risks. While oestrogen in HRT can improve skin hydration and reduce signs of ageing, some women may experience side effects like acne, especially if their HRT regimen includes progesterone. Progesterone can increase sebum production, leading to clogged pores and breakouts. For women experiencing acne due to HRT, laser treatment designed to target sebaceous glands, may offer a solution. It works by reducing oil production, thereby minimising acne flare-ups without the need for long-term medications, providing a non-invasive option for managing hormone-induced acne. Effective Strategies for Managing Menopausal Skin To manage these changes effectively, a comprehensive approach involving skincare, medical treatments, and lifestyle adjustments is essential: Topical retinoids: Retinoids are highly effective in promoting collagen production and enhancing skin cell turnover. They help reduce the appearance of fine lines, improve skin texture, and increase elasticity. However, due to their potential to cause irritation, especially on thinning menopausal skin, retinoids should be used cautiously and under the supervision of a dermatologist. Hydrating moisturisers: Moisturisers that contain hyaluronic acid and ceramides are crucial for maintaining hydration and supporting the skin’s moisture barrier. Hyaluronic acid acts as a powerful humectant, attracting moisture to the skin, while ceramides help strengthen the barrier and prevent further dryness and irritation. Antioxidant serums: Antioxidants like vitamins C and E play a crucial role in protecting the skin from environmental damage and reducing pigmentation. These serums neutralise free radicals, molecules that accelerate skin ageing, and help improve overall skin tone and texture. Energy-Based Treatments: Lasers and ultrasound technologies are highly effective for stimulating collagen and elastin production, tightening, and lifting sagging skin. Treatments such as BroadBand Light (BBL) therapy, fractional laser resurfacing, and Sofwave can rejuvenate the skin and provide a firmer, more youthful appearance. Additionally, lasers like Halo can aesthetically enhance the skin while targeting and treating precancerous lesions, potentially reducing the risk of developing skin cancer. Injectable treatments – Polynucleotides and Profhilo: Polynucleotides and Profhilo are innovative injectables that promote skin regeneration and hydration. These treatments help improve skin elasticity and overall quality by providing deep hydration and stimulating collagen production, making them particularly effective for addressing thinning skin and volume loss. Microneedling with radiofrequency: This advanced treatment combines microneedling with radiofrequency energy to enhance collagen production and improve skin texture and firmness. It is particularly beneficial for menopausal skin, helping to reduce fine lines, improve skin tone, and provide a smoother appearance. Sun protection and lifestyle modifications: Protecting the skin from UV damage is critical during menopause. Using a broad-spectrum sunscreen with SPF 30 or higher, wearing protective clothing, and avoiding sun exposure during peak hours can help prevent further pigmentation and damage. Additionally, maintaining a healthy diet rich in antioxidants, staying hydrated, and managing stress can significantly impact […]

As a consultant dermatologist with extensive experience in managing acne and other skin conditions, I understand how menstrual cycles can significantly impact your skin. Fluctuating hormones during your period can cause various skin issues, from increased oiliness and acne breakouts to heightened sensitivity and dryness. Here are some expert tips to help you navigate period skincare and maintain a clear, healthy complexion. Understand the Hormonal Cycle The first step in managing period-related skin issues is understanding how your menstrual cycle affects your skin. Hormones like oestrogen and progesterone fluctuate throughout the month, influencing oil production, skin hydration, and inflammation levels. Typically, the luteal phase (the two weeks leading up to your period) sees an increase in progesterone, which can cause sebaceous glands to produce more oil. This can lead to clogged pores and acne breakouts. Conversely, during your period, oestrogen levels drop, potentially making your skin more sensitive and prone to dryness.  Tailor Your Skincare Routine Adapting your skincare routine to your hormonal cycle can make a significant difference. Here’s a week-by-week guide: Week 1: MenstruationDuring your period, your skin might be more sensitive. Focus on gentle, hydrating products that won’t irritate your skin. Use a mild cleanser and a soothing, non-comedogenic moisturiser. Avoid harsh exfoliants and treatments that could exacerbate sensitivity. Week 2: Follicular PhaseAs oestrogen levels begin to rise, your skin’s hydration improves, and oil production decreases. This is a good time to use products that support hydration and repair. Consider incorporating a hyaluronic acid serum and a light exfoliant to help keep your skin smooth and radiant. Week 3: OvulationYour skin is often at its best during ovulation, thanks to a peak in oestrogen. Continue with your hydrating routine and consider adding antioxidants, such as vitamin C, to protect your skin from environmental stressors and boost radiance. Week 4: Luteal PhaseAs progesterone increases, oil production ramps up. To prevent breakouts, incorporate salicylic acid or benzoyl peroxide into your routine to keep pores clear. Be mindful of your diet and try to reduce your intake of sugary foods, as these can exacerbate acne. Seek Help Early It’s crucial to seek professional help early, especially if your breakouts are becoming more extensive, affecting your mental health, confidence, or self-esteem, causing scarring or marking to the skin, or if you experience changes in circumstances like coming off the combined oral contraceptive pill, pregnancy acne, perimenopause, or undergoing treatments like egg freezing or IVF. Early intervention can prevent long-term skin damage such as scarring and help maintain your confidence. If your acne is spreading to new areas such as your chest, back, and shoulders, or if the severity of your breakouts is increasing, it’s time to seek help. Consult an Expert When dealing with hormonal acne, it’s important to consult a dermatologist who understands the hormonal impacts on the skin and takes a full lifestyle approach. At Self London, we pride ourselves on providing expert-led care that addresses all aspects of skin health. We have a comprehensive range of treatments available to manage breakouts, from skincare advice and prescription treatments to advanced procedures like laser, chemical peels, and other targeted therapies. Consistency is Key Consistency is key to managing period-related skin issues. Stick to a regular skincare routine and avoid the temptation to over-treat your skin when a breakout occurs. Overusing acne treatments can lead to irritation and worsen your skin’s condition. Instead, use targeted treatments sparingly and give them time to work. Manage Stress Stress can exacerbate skin issues, especially during your period. Practice stress-reducing techniques such as yoga, meditation, or deep-breathing exercises to keep stress levels in check. Adequate sleep is also crucial for maintaining healthy skin, so aim for 7-9 hours of quality sleep each night. Consider working with a clinical psychologist who has a specialist interest in skin and body image if you find you are spending many hours of the day worrying about break-outs. Dietary Considerations What you eat can have an impact on your skin’s health. During your period, aim to eat a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Foods high in antioxidants, such as berries, leafy greens, and nuts, can help combat inflammation and support skin health. Additionally, staying hydrated by drinking plenty of water is essential for keeping your skin plump and radiant. Professional Treatments If you find that your period significantly impacts your skin and at-home treatments aren’t enough, consider professional treatments. At Self London, we understand the hormonal impacts on the skin and take a full lifestyle approach, offering a comprehensive range of treatments including laser for acne (which is completely drug-free), peels, and prescription creams and tablets tailored to individual needs. Listen to Your Skin Finally, it’s important to listen to your skin and adjust your routine as needed. Everyone’s skin is unique, and what works for one person might not work for another. Pay attention to how your skin reacts to different products and treatments, and don’t hesitate to make changes if something isn’t working. Get Expert Advice Being proactive and getting the right advice is better than trial and error from the internet, social media sites, and brands which are ultimately there to sell. A dermatologist who understands the hormonal impacts on the skin can offer a personalised treatment plan that includes skincare advice, professional treatments, and lifestyle recommendations. At Self London, we take pride in providing expert-led, patient-centric care to help you achieve and maintain healthy, radiant skin. Recognise Important Changes and Life Events Certain life events and changes in circumstances can have a significant impact on your skin. For example, if you are thinking of coming off the combined oral contraceptive pill, you may be worried about an acne flare-up. Similarly, acne in pregnancy, life changes such as perimenopause, or undergoing treatments like egg freezing or IVF can all affect your skin. It’s important to seek expert advice in these situations to manage your skin effectively and prevent long-term damage. Full Scale of Tools Available At Self London, we offer […]

As a consultant dermatologist, I’ve seen many women come through my clinic doors frustrated by stubborn acne that doesn’t seem to respond to any treatment. If this sounds familiar, you’re not alone. Acne can be a visible and sometimes painful marker of an underlying condition called polycystic ovary syndrome (PCOS). Understanding the connection between acne and PCOS is crucial, not just for the health of your skin but for your overall well being Why Should You Consider PCOS if You Have Acne? Acne is often thought of as a teenage problem, something that magically disappears with age. But for many people, particularly those with PCOS, acne can persist into adulthood and become a significant concern. PCOS is a hormonal condition that affects up to 10% of women and people assigned female at birth and is often characterised by elevated levels of androgens like testosterone– hormones that can lead to increased oil production in the skin, causing clogged pores and, subsequently, acne. But it’s not just any acne we’re talking about. Women with PCOS often experience more persistent and inflammatory acne that tends to appear along the lower third of the face, jawline, and upper neck. This is because of the hormonal imbalance that’s driving excess oil production. So, if you find yourself struggling with acne in these areas and have tried countless treatments without success, it might be time to think beyond the skincare aisle and look a little deeper. What Are the Signs That PCOS Could Be Affecting Your Skin? When we talk about PCOS and acne, it’s essential to consider the bigger picture. PCOS is not just about your skin; it can impact various aspects of your health. So, when should you start thinking about getting screened for PCOS? Here are a few signs that might suggest PCOS could be contributing to your acne: If you’re noticing any of these symptoms alongside your acne, it’s worth discussing them with your doctor. Why Early Diagnosis and Treatment is Key If you’ve been diagnosed with PCOS, it can feel like a lot to take in. But remember, getting an early diagnosis is a positive step. Why? Because it allows you to take control of your health and manage the condition effectively. PCOS doesn’t just affect your skin; it’s a systemic condition that can have long-term health implications, including an increased risk of developing type 2 diabetes, high blood pressure, mental health issues and other metabolic issues. It can also impact fertility and increase the risk of complications during pregnancy. By diagnosing PCOS early, you can work with your healthcare provider to develop a management plan tailored to your needs. This might include lifestyle changes, like a balanced diet and regular exercise, which are crucial in managing weight and improving insulin sensitivity – both key factors in PCOS. Medications may also be prescribed to help regulate your menstrual cycle, manage acne, or reduce excess hair growth. Treating Acne in PCOS: What Works? When it comes to managing acne in the context of PCOS, it’s not just about what you put on your skin – it’s also about addressing the hormonal imbalance driving it. Here are some treatment options that might be recommended: Lifestyle Changes: Small Steps, Big Impact Don’t underestimate the power of lifestyle changes when managing PCOS and its symptoms. Maintaining a healthy weight through a balanced diet and regular physical activity can significantly impact hormone levels and insulin sensitivity, improving both your skin and overall health. Focus on whole foods, such as fruits, vegetables, lean proteins, and whole grains, and try to reduce your intake of sugar and processed foods. Staying hydrated and getting plenty of sleep can also make a difference. In addition to lifestyle changes, a consistent and gentle skincare routine can help manage acne. Opt for non-comedogenic (non-pore-clogging) products and avoid harsh scrubs or overly drying treatments that can irritate the skin further. Take Charge of Your Health Remember, PCOS is a manageable condition. With the right care and support, you can control its impact on your life. Getting screened is the first step towards understanding your body better and finding a treatment plan that works for you.PCOS and acne don’t have to define you. With early screening and proper management, you can take control of your skin and health and feel more confident in your body. The journey might seem daunting, but with the right information and a proactive approach, you can find a way forward that brings clarity and comfort to both your skin and your overall well being Inspiring skin confidence with Hertility and Self London Hertility and Self London are collaborating to give you absolute clarity into what’s going on inside your body and inspire skin confidence. We’re working with patients to uncover how hormones impact not only our reproductive health but also our skin’s natural glow.Discover the partnership

PCOS is one of the most common reproductive health conditions. Some of the most common symptoms people struggle with are physical symptoms such as issues with weight; skin and hair related issues such as acne or excessive hair growth and irregular periods. These are mainly driven through disrupted hormones. Androgens are a group of hormones, including testosterone,  that are made in the ovaries and are often found at much higher levels in women with PCOS, called “hyperandrogenism”. Insulin is also found to be at much higher levels, due to insulin resistance. Normally, Insulin helps manage blood sugar levels, helping cells absorb glucose. Insulin resistance is when the body no longer responds to normal levels of insulin. This can result in excess amounts of insulin being produced, misregulated blood sugar levels and metabolism issues like weight gain and type 2 diabetes. Women are also 3 times more likely to experience mental health related symptoms like anxiety, depression or body image issues. Unfortunately there is currently no cure for PCOS, however, there are  treatment options  aimed to manage symptoms.  Think you might have PCOS? Check your hormones Benefits of regular exercise Regular exercise can be an extremely effective way to help manage PCOS symptoms. Some experts suggest exercise as a first port of call for PCOS management but can also work alongside medications like metformin for increased effects, particularly for improving cycle related issues (1). Exercise can have positive effects on physical, hormonal and mental health related issues including: How much exercise is recommended? For a healthy lifestyle, preventing weight gain and maintaining health: Adults should do a minimum of 150 minutes a week of moderate-intensity physical activity or 75 minutes per week of vigorous activity or a combination of both and include muscle-strengthening activities Young women should do 60 minutes or more of moderate to vigorous activity per day including those that strengthen muscle at least three times a week Activity can be done in 10-minute bursts or around 1000 steps, aiming to do at least 30 minutes on most days. For those who have a goal to lose weight, prevent weight regain or achieve greater health benefits more exercise is needed: A minimum of 250 minutes a week of moderate-intensity activity or 150 minutes a week of vigorous activity or a combination of both Muscle-strengthening activity on 2 non-consecutive days of the week. Overall, aim for around 30 minutes per day. Of this, 90 minutes per week should be more active or aerobic activities (running, biking, fast pace walking etc.) at a moderate to high intensity to optimise clinical outcomes (see table below for suggested activities). Remember physical activity includes walking, activity at work, household chores, sports and planned exercise. Choose an exercise you like and if possible exercise with friends or others to increase your motivation. Mixing up exercise will also help with motivation. Benefits for your body What are the benefits of exercise on PCOS? PCOS can affect the body’s metabolism making it harder to lose weight and also affect where fat is stored. Visceral fat (fat in the abdomen and around your organs) tends to be increased in those with PCOS. Alongside this, there is an increased risk of long-term health issues including obesity, cardiovascular disease and high blood pressure. Regular physical activity can help improve body composition and is extremely beneficial for reducing these risks.  In general aerobic exercise (or cardio), like running, swimming or cycling, is great for reducing blood pressure and improving heart health. Increasing your daily energy expenditure (the amount of energy you burn in a day) can help with losing weight by creating a calorie deficit (burning more calories than you consume). Women with PCOS who had greater vigorous activity levels were found to have less visceral fat (2). A 6 month study introducing an exercise regime of 30 mins aerobic exercise 3 times a week saw a reduction in waist circumference (as a measure of visceral fat), and improvements in menstrual cycle patterns (3).  What type of exercise is best? There is a lack of evidence supporting any one type and intensity of exercise being better than another for metabolic, hormonal, reproductive or psychological outcomes. The International guidelines and majority of studies have focused on aerobic exercise routines, however, resistance training (exercise designed to improve muscle strength or endurance) such as weight lifting, has big benefits too. Resistance training has a positive effect on body composition by increasing muscle mass, which can contribute to increasing your energy expenditure. In studies focusing on resistance training for women with PCOS, a reduction in visceral fat and an increase in lean muscle mass was seen (4). It is also important to know that exercise without weight loss or only moderate weight loss can still lead to a reduction in visceral fat and improve insulin sensitivity. Think of being active as often as you can through the day, for example take stairs instead of lifts, park further away from shops etc. Can exercise improve chances of conceiving? Improvements in reproduction have been seen in women with minimal weight loss – so the scales are not the be all and end all! The NHS states as little as 5% reduction bodyweight can help improve symptoms (5). Other important lifestyle factors to consider, particularly for managing weight, are issues with appetite regulation – if this is something you are struggling with you can speak to one of our Fertility Nutrition Consultation. Benefits for your hormones  Insulin resistance is common among those with PCOS and can contribute to many of the symptoms like dark skin patches, fatigue and weight issues. This goes hand in hand with visceral fat and general inflammation throughout the body.  This is believed to be associated with greater levels of visceral fat and amount of visceral fat Women who had greater levels of physical activity, had better chances of normal insulin responses (6)  and reduced chances of inflammation (7).  Excess insulin can increase the production of androgens in the ovaries, contributing to hyperandrogenism. […]

We created Hertility to give women a way to proactively track their fertility, but the last thing we want to do is panic people who aren’t in a position to have babies just yet or scaremonger people into starting a family when they’re not ready. Cue: fertility preservation, as explained by our trusted partner clinic, The Evewell.  Quick Facts: Fertility preservation is not just for single women; it’s relevant to anyone who is not yet ready to start a family regardless of their relationship status. You can freeze eggs, or embryos (fertilised eggs) with either a partner or donor sperm. Fertility preservation is also a form of ‘Strategic family planning’, a way to work towards building the family you want before you get pregnant with your first child. Fertility preservation: the difference between freezing eggs vs. embryos Let’s talk about something very topical right now: fertility preservation. You’ve probably heard about it in the context of egg freezing, almost always in relation to single women, but in reality, it’s something that may be relevant to many more of us than we think.   Emma Whitney, Director of Embryology and Genetics at The Evewell in London (and @emmatheembryologist on Instagram), is passionate about helping people understand the available steps they can take today, so they can have options to build and complete their family in the future. In this article, she will take you through some of the science as well as the groups of people who are or should be thinking about fertility preservation. To speak to a member of our nursing team about The Evewell Clinic and how to access services contact referrals@hertilityhealth.com.  Our team will be able to book in your appointment and provide insights into pricing and next steps. The Evewell Clinic, West London  Firstly, what is fertility preservation? Fertility preservation is when we collect eggs and then we can either freeze them at this point (the well-documented egg freezing option) or create embryos by fertilising them with either partner or donor sperm and freeze those instead. We work with patients to help them make the best choice for them. Talking about freezing eggs or embryos is something I speak to patients about every single day and we can help patients decide which option is best for them depending on their family goals. What is so frustrating is that many people have not considered fertility preservation because they didn’t understand it related to them or could have supported them in creating their future family. So could fertility preservation be relevant to you?  I’m in a committed relationship but we’re not ready to start a family yet… I see it all the time, for people in their 30s, the pressure to settle down and start a family can intensify, particularly if they’re in long-term relationships. But for some people now is just not the right time. It may be career commitments, financial concerns or simply still having things on the “list” they want to do or achieve before they become parents. What’s interesting is that people in committed relationships may just feel fertility preservation isn’t relevant to them because it’s all about egg freezing for single women. By explaining that it’s not just eggs that can be frozen, but embryos too, it’s a bit of a lightbulb moment as they realise this is quite literally, a way to press pause and start a family when they’re ready. And for those of you thinking: I’m not sure I want to freeze embryos with the person I’m with right now, you can freeze both eggs and embryos, giving yourself even more options for who you want to start a family with. We’ve been trying to conceive but it’s harder than we thought… When people are trying to have a baby, the focus understandably is getting pregnant as quickly as possible, and little thought is given to what will happen when you want to have baby two and beyond. As more people are starting their family later in life, it can be harder than they thought. Some find it takes more time or they need medical support. What’s frustrating is that we often see patients in The Evewell who are now two to three years older than they were when they had their first baby and now it’s considerably harder to achieve a second pregnancy. If I know people want more than one child, I always talk to them about ‘strategic family planning’; making sure we aren’t just focused on baby number one, but how we can help them plan for the family they dreamed of. This is when embryo freezing – before the first pregnancy – can be a really useful option. We call it ‘strategic family planning’ because it’s a strategic approach that really can make the difference between needing more invasive, exhaustive and expensive treatments later down the line, when you’re – inevitably – a couple of years older, with older eggs (and with a toddler running around!) I’m single and I may want a family in the future…. Single people in their 20s and  30s are understandably confused and feeling overwhelmed. On the one hand, they understand the harsh fact that females are born with all the eggs they’re ever going to have, and, as much as science and technology have improved almost all areas of our lives, we haven’t been able to stop a female from losing her eggs, or those eggs ageing. But they’re also being bombarded by press articles telling them that egg freezing is not the solution. Just this month, Tory MP mother of three Miriam Cates told women they should not consider egg freezing and that if they wanted to be parents, to have babies “sooner rather than later”. It’s this kind of attitude that is really distressing. I see this all the time in the clinic because women who haven’t met their life partner and who don’t want to parent alone, feel like they’re left with no choice and they may […]

No longer seen as a ‘nice-to-have’, but an essential part of employee wellbeing, reproductive health and fertility benefits are increasingly becoming a top priority for employers. Here’s why they should be included in your budget. Quick facts: The rise of reproductive health benefits  With the dynamics of the workplace having rapidly shifted since the pandemic, more and more employees are prioritising their wellbeing and looking to their employers to provide well-rounded benefits packages.  Fertility and reproductive health support is emerging as a key employee need within this matrix. Demand for inclusive fertility benefits is growing year on year—with up to 71% of employers looking to adopt fertility benefits within the foreseeable future.  Additionally, the estimated global productivity loss due to employees experiencing menopausal symptoms is a staggering $150 billion a year. With around 20% of the workforce, according to Let’s Talk Menopause, being pre to post-menopausal, it’s clear to see that menopause benefits are also emerging as a vital lifeline for employers and employees alike.  However these initiatives aren’t just a tick box for improving D&I metrics—they can drive a significant impact on your organisations’ bottom line, with some providers seeing an ROI of x6 and upwards.  Here are the top four reasons why your organisation’s wellbeing budget should include a comprehensive fertility and reproductive health benefits package. Improved retention and reduced turnover costs Recent research from Fertility Network UK showed companies that are not supporting their employees through fertility treatments and journeys, including LGBTQIA+ individuals, has a significant negative impact on employee retention.  1 in 5 employees going through fertility treatment left their jobs due to insufficient support within the last 5 years alone. With the average cost to replace an employee in the UK being around £30K, it’s no secret that the right reproductive health and fertility support can have a positive impact on your bottom line through employee retention alone. Appealing to wider talent pools Despite previous sentiment that fertility benefits are just a concern for millennial employees, or just for women, reproductive health issues affect employees of all ages and identities across the talent pool.  1 in 3 Gen Z employees think fertility benefits should be a part of their package and are actively looking for employers that offer attractive, well-rounded benefits.  At the other end of the spectrum, perimenopausal and menopausal women are seeking employers with rigorous menopause support policies—with 42% considering quitting their jobs due to symptoms.  With job ads citing fertility benefits up by 700% since March 2022, fertility benefits are fast becoming an important factor in diverse talent acquisition at all organisational levels. This rings especially true for companies looking to attract women into senior leadership positions and improve gender diversity at the top. Fostering a culture of care  Fertility benefits signal to your workforce that you, as an organisation, are committed to supporting your employees beyond the scope of the office. This can demonstrate to your employees that you care about them as individuals, whatever life stage they are at.  Creating an environment where employees feel supported through any struggles, or simply aware that they have options should they need them, helps to foster a culture of care that translates into improved productivity and overall employee satisfaction. Upstream and downstream cost savings Whilst fertility benefit packages might seem like less of a priority compared to mental or physical health initiatives during times of tighter budgets, the upstream and downstream savings can have significant longer-term ROI.  Reproductive health is intimately linked to mental and physical wellbeing. Offering a well-rounded support package that focuses on education in addition to reproductive health testing and treatment can initiate preventative care, reducing longer-term costs like employee absence. Getting started with reproductive health benefits Reproductive health benefits are far more than simply covering the cost of IVF treatments or extra time off for menopause support. Impactful initiatives should be multifactorial, focusing on community-building and education right through to treatment support.  Regardless of life stage or identity, all employees should feel supported across the physical and mental wellbeing spectrum. The Hertility productivity loss calculator can help you decipher your estimated annual losses from employee reproductive health. In turn, you can accurately estimate your workforce’s needs for fertility and reproductive health benefits—the first step towards building a robust business case. Contact benefits@hertilityhealth.com to find out how reproductive health support can positively impact your people and business.

International Women’s Day (IWD) is an important annual event for celebrating all of your employees who identify as women. In this article, we give a quick recap of the day’s history and how to embrace its sentiment every day of the year. Quick facts: What is International Women’s Day? International Women’s Day (IWD) is celebrated annually on the 8th of March. A day of global signification, IWD celebrates and champions the social, economic and political achievements of women everywhere. Each IWD has a theme that reflects current struggles or aspirations for women around the world. The 2024 theme will be #inspireinclusion. History and significance  IWD was first recognised in 1977 by the United Nations. It has its origins in early Twentieth-century labour movements, which facilitated some of the first organised strikes for female workers.  Today, it has evolved into a growing international women’s rights movement that underscores the work that is yet to be done for global gender equity.  Why IWD matters for your organisation IWD is an incredibly important event for any organisation’s internal events calendar. It provides a meaningful opportunity to demonstrate your organisation’s commitment to fostering gender equity within the workplace, year-round.  By celebrating the achievements of female colleagues and leadership, organisations can foster an environment of support, inclusion and respect for women within their workplaces. This is far from trivial and has been proven to improve female talent retention and contribute to meaningful diversity and inclusion initiatives.  Representation matters at all levels of an organisation. Workplaces that actively seek to champion their female employees can inspire future generations of female leaders who can help build a more inclusive and diverse workforce.  Year-round female health initiatives  Any IWD events should be supported with year-round initiatives that support your female employees. Reproductive health benefits are fast becoming a cornerstone of any progressive employee wellbeing support. We believe that knowledge is power and hosting education sessions for your team centred around awareness days helps to educate everyone across the business, whilst bringing recognition to important issues. This can in turn foster your organisation’s culture whilst making your employees feel seen and supported. Here are some key awareness days to build into your internal events calendar.  From family-forming to menopause in the workplace, we deliver specialist CPD-accredited education sessions for the entire workforce that can help to empower your people.  Don’t just take our word for it . “Dr Helen and the Hertility team did a phenomenal job in educating our workforce on all things menopause related. It was done in such an approachable and engaging way.” – Flora Kong, the Co Chair of The One Gender Equality Network at Dentsu commented on the impact of our education delivered to Dentsu employees.  Get in touch with our team to learn how we can support you with your journey to becoming a Reproductively Responsible™ employer.

In this article, we’ll explain why women are so integral to senior leadership roles for the effective operation of organisations, both internally and externally. As well as lay out some effective approaches companies ought to adopt to ensure senior female retention.   Quick facts: Women in senior leaderships positions can have a considerable positive impacts on all organisational levels. Positives span overall revenue performance, employee satisfaction, engagement and reduced risk taking. Effective gender parity strategies need to include a multi-factor approach, often with emphasis on retention as well as upward mobility for women. Current workplace gender imbalance The benefits of gender equity within the workplace, particularly for top-down initiatives, are well known, well documented and certainly well reported.  But even in the face of such benefits, gender imbalance, especially across senior leadership and boards, overwhelmingly persists. Globally, male employees occupy an incredible 65-95% of senior roles.  Any progressive employer should not only be striving for gender balance within the workplace but actively ensuring they have an effective gender parity strategy in place to plug current organisational gaps. Not only should strategies focus on upward mobility for women but also on retention for female leaders. Effective strategies often require nuanced approaches that span employee benefits, competency-based hiring and pay and the need for a cultural shift in often deep-rooted, systemic biases.  The impact of women in leadership Here are some of the top line and most well documented positive impacts that gender equity and increased numbers of women within senior leadership teams can offer organisations. Improved organisational performance  Countless studies have shown a clear and definite correlation between women in senior leadership and improved company performance. This not only applies to improved financial performance but extends granularly into individual employee performance.  Studies have also shown that an increased number of women on board teams can de-risk company performance, reducing the incidence of lawsuits, corporate crimes and tarnished organisational reputations.  Increased innovation In addition to performance, organisations with a higher percentage of women in senior leadership have been found to both invest more in innovation and be more innovative overall.  This has been attributed to increased diversity, viewpoints and creative approaches to decision making apparent within gender-equitable senior leadership teams.  Enhanced employee engagement  Studies have also found that an increased number of women in senior leadership improves overall employee engagement and retention—regardless of gender or identity.  Employees from companies with higher proportions of women are more likely to report overall levels of job satisfaction and positive organisational culture.  Women are more likely to embody empathy and prioritise communication within their leadership style, often driving a more positive and meaningful workplace culture.   Strategies for retention Effective retention strategies are multi-faceted and can include a number of the following iniatives alongside organisational policy change. Address gender pay gaps Despite women in SLT performing, often better than their male counterparts and contributing to improved company performance, they still earn significantly less than men.  Ensuring transparency across pay structures is essential for acquiring top talent and retaining the best female employees. Fair compensation reflective of competency, irrespective of gender, combined with regular reviews and a clear commitment to closing any outstanding pay gaps is critical.  Offer fertility and reproductive health benefits Over 1 million women have left the workplace due to menopausal symptoms and a further 1 in 5 employees going through fertility treatment left their jobs due to insufficient support within the last 5 years alone. Offering fertility and reproductive health benefits has been found to significantly improve retention and employee engagement. These benefits can particularly help female employees, both through challenging life events, like menopause and fertility struggles—but also via mitigating potential future health issues and concerns. Companies need to remember that women’s hormones impact them for nearly their entire lifespan and the workplace needs to cater for these changes.  Educate employees on second-generation gender bias Harvard Business Review recently reported that an integral part of upward organisational mobilisation for women is the removal of second-generation bias. This is often deeply rooted in organisational practices, creating ‘invisible’ barriers for women.  Bias can lead not only to a reduced number of women in SLT but also implicitly hostile working environments for them when they get there. Making employees aware of bias can radically alter attitudes and foster possibilities for meaningful change.  The future of your senior teams  Forbes recently reported on studies highlighting that to see the benefits of an increased number of female leaders, a critical mass of a 30% female team is needed. Forbes similarly reported the need for a Reproductive Revolution in the workplace. This maps onto things like company performance, competency based pay and employee engagement.  The need for women within leadership is, evidently, more crucial than ever. The Economist and McKinsey Global Institute estimate that if global workplace gender gaps were bridged the global economy would surge by 26%. Any successful 21st century business should adopt a rigorous gender parity strategy focusing not only on upward mobilisation but also retention. Contact the Hertility team to learn how we can support you with your journey to becoming a Reproductively Responsible™ employer.

This comprehensive guide will serve as your go-to resource for female fertility tests, providing detailed information about different types of fertility testing, and everything you need to know to take control of your reproductive health, wherever you are in your fertility journey. Quick facts: Fertility testing in the UK If you’re planning a family, now or in the future, checking your fertility can offer you insights and peace of mind.  In this article, we’ll cover where you can get female fertility tests done and when you would be eligible, including fertility tests on the NHS, fertility tests at home, and fertility tests online. We’ll also explain how fertility tests are carried out, whether they’re painful, and information about blood tests. We’ll delve into the hormones and individual tests so you know exactly how the tests work, what exactly they’re testing for, and what your fertility test results mean for you. You can get answers to your fertility testing questions including: Understanding fertility in women Let’s start with the foundations of female fertility and the biological processes that govern your reproductive system. Your fertility is influenced by various factors, both physiological and environmental. Understanding what goes on inside, and how your fertility works, helps you gain a deeper understanding of fertility testing. The menstrual cycle The foundation of fertility lies in your menstrual cycle—a recurring roughly 28-day cycle that’s regulated by your hormones. A normal menstrual cycle can last between 25-31 days. The cycle consists of phases, including menstruation (when you get your period), the follicular phase, ovulation and the luteal phase. Within different phases of your menstrual cycle, different things are happening in your body, all orchestrated by your hormones. Each phase has its superpowers, but for fertility, the most important phase is ovulation. Ovulation Ovulation is when a mature egg is released from the ovary making it available for fertilisation (the first step of conception and pregnancy). Ovulation typically happens around the middle of the menstrual cycle (around day 14 of a 28-day cycle, but it might be later or earlier depending on your cycle length) and is an important moment in the fertility timeline. The egg travels down the fallopian tube where it awaits potential fertilisation by sperm. If you’re not ovulating, this could impact your fertility potential. Issues with ovulation accounts for 40% of female infertility. Fertilisation and implantation Fertilisation occurs when sperm successfully penetrates the egg. If it does fertilise it, the fertilised egg is called a zygote. The zygote travels down the fallopian tube towards the uterus where its goal is to successfully attach itself to the uterine wall lining (implantation). From there, it grows and develops into a baby. Hormone regulation Hormones play a crucial role in the menstrual cycle and fertility. Follicle-stimulating hormone (FSH) and luteinising hormone (LH) released from the pituitary gland in your brain, along with oestrogen and progesterone from the ovaries, regulate the various phases of the cycle. Each hormone has a specific role to play. A big part of female fertility testing is testing your hormones to offer insights into your fertility. Ovarian reserve Your ovarian reserve refers to the quantity of eggs you have remaining. It gradually declines with age, particularly after the age of 35. Assessing ovarian reserve provides insights into a woman’s fertility. Age, and therefore, declining ovarian reserve, is the most common reason for infertility. Cervical mucus and reproductive environment The consistency of cervical mucus changes throughout the menstrual cycle. Just before ovulation, and during ovulation, your cervical mucus becomes slippery and water like to help the sperm travel through the fallopian tube to meet the egg, for the egg to become fertilised. If fertilisation is successful, the next stage towards healthy pregnancy is implantation (when the fertilised egg successfully attaches to the uterus wall lining). For implantation to be successful, the uterine lining has to be thick enough. If implantation doesn’t occur, the uterine (womb) wall lining sheds resulting in a period (and no pregnancy). External factors Lifestyle factors such as nutrition, sleep and overall health can impact fertility. Maintaining a healthy lifestyle is essential for optimising reproductive function. Why and when to check your fertility There are various reasons why and optimal times you’d want to check your fertility from age-related concerns to family planning and if you’ve been trying to conceive without success. Family planning If you want to get pregnant or are planning a future pregnancy, checking your fertility from the get-go could be beneficial. Getting a fertility test at the start of your journey can help to start your journey from a place of knowledge and understanding. Some individuals and couples wait until the 3-month, 6-month, or 12-month mark trying to conceive without success before pursuing a fertility test. To get a fertility test on the NHS, you have to have been trying for a year without success. You can, however, check your fertility from the comfort of your own home at any point in your fertility journey. The earlier you know, the better, since fertility declines with age. Age-related concerns Concerns about age-related fertility decline might prompt you to check your fertility to assess your ovarian reserve and fertility potential, especially if you’re considering delaying conception until later in life. This might be the case if you’re in your 30s but don’t want a baby yet. Women are born with all the eggs they’ll ever have (the ovarian reserve), and as you age, you gradually lose eggs every menstrual cycle. Your naturally declining ovarian reserve is the leading cause of infertility. In your 20s and early 30s, you are considered at your most fertile age. After the age of 35, fertility can decrease significantly. This prompts many to take a fertility test whether it’s out of curiosity or wanting to plan for the future. Age is one of the most important factors when it comes to your fertility. If you plan on delaying having a baby until later in life, having a fertility test to check your ovarian […]