Category: Health and Lifestyle

In the UK, employers can support fertility and reproductive health at work by offering early diagnostic testing, expert consultations, inclusive family-forming support, fertility leave and flexible working, and access to clinically credible care and guidance. For HR teams, this matters for more than employee wellbeing. A clear fertility and reproductive health offering can help improve inclusion, reduce stress and uncertainty for employees, and strengthen retention in a competitive talent market. One of the most important things to remember is that our reproductive and hormonal health impacts us all the way through our career, not just at single points in time. The reproductive health landscape within the workplace tends to be siloed into fertility benefits or policies. Workplaces should aim to accommodate employees from every aspect of the reproductive lifespan, from those who have gynaecological conditions, sperm testing, those who need fertility care and those approaching menopause. What are fertility and reproductive health benefits? Fertility and reproductive health benefits are employer-sponsored services that help employees better understand their reproductive health, access timely care, and navigate different paths to either parenthood, symptom management or life stage health. Crucially, this support should extend beyond family planning to include the diagnosis, support, and management of reproductive health conditions (such as PCOS or endometriosis), allowing employees to get answers for symptoms and plan for their futures with clinical confidence. These benefits can include: hormone and fertility testing consultations with clinicians or specialists Diagnosis and support for conditions such as PCOS or endometriosis egg freezing guidance financial support for fertility treatment, such as IUI or IVF support for surrogacy or other family-forming journeys fertility leave and flexible working arrangements Unlike standard private medical insurance, which may limit or exclude parts of fertility care, specialist reproductive health benefits are designed to provide more targeted, comprehensive support. Why should UK employers offer fertility and reproductive health support? A strong fertility and reproductive health policy can help employers: support employee wellbeing more effectively create a more inclusive workplace for different family-forming journeys reduce stress, absenteeism, and presenteeism improve retention during key life stages demonstrate a meaningful commitment to women’s health and health equity For many employees, reproductive health concerns begin long before fertility treatment. Earlier access to testing, answers, and specialist support can make a meaningful difference to how supported they feel at work. What should a strong employer policy include? A well-designed fertility and reproductive health policy should usually include four core elements. 1. Early fertility and reproductive health checks Many employees face long waits or limited access to investigations through standard care pathways. Offering earlier access to reproductive health testing can help employees understand symptoms sooner and make more informed decisions about their next steps. This can include support for: hormone and fertility testing ovarian reserve assessments investigations into irregular cycles or hormone imbalance early identification of conditions that may affect fertility, such as PCOS, endometriosis, or thyroid dysfunction What HR teams can do: work with clinically credible providers that offer accessible testing and clear follow-up pathways. 2. Inclusive family-forming support A modern policy should reflect the fact that there is no single route to parenthood. Support should be inclusive of employees pursuing IVF, IUI, egg freezing, donor conception, surrogacy, LGBTQ+ family-forming pathways, and single parenthood by choice. A more inclusive approach may include: financial support or stipends for treatment access to approved clinics or specialists support that is not limited to one definition of infertility language and eligibility criteria that reflect a broad range of family structures What HR teams can do: review whether current benefits are accessible and relevant for all employees, not only heterosexual couples following a traditional treatment pathway. 3. Fertility leave and flexible working Fertility treatment and reproductive health care can involve repeated appointments, physical side effects, and emotional strain. Practical workplace support matters. A supportive policy may include: paid time off for fertility-related appointments and treatment leave for partners flexible start times or remote working for clinic appointments confidential processes for requesting support What HR teams can do: make expectations clear, train managers on handling requests sensitively, and ensure employees are not forced to disclose more than necessary. 4. Access to expert guidance and onward care Testing is only useful if employees understand what their results mean and what to do next. Employer support should include access to clinicians, education, and onward referral pathways where appropriate. This might include: clinician-reviewed results specialist consultations tailored next-step guidance support for managing symptoms and understanding treatment options What is the legal position in the UK? There is currently no statutory right to paid time off for fertility treatment in the UK, but employers still need to approach fertility and reproductive health support carefully and consistently. HR teams should be aware of: Pregnancy discrimination protections under the Equality Act 2010 once an embryo has been implanted the need to treat medical appointments fairly and sensitively the wider duty to create policies and management practices that reduce the risk of unfair treatment, discrimination, or employee relations issues As expectations around fertility support continue to evolve, many employers are choosing to go beyond minimum legal requirements and introduce clearer internal policies. How can HR teams implement fertility and reproductive health support well? A policy is more effective when it is practical, visible, and easy to access. HR teams should consider: defining what support is available and who it applies to making language inclusive and easy to understand training managers to respond with sensitivity and consistency providing confidential signposting to support choosing providers with clear clinical standards and appropriate follow-up care reviewing whether support covers prevention and early insight, not only treatment Where Hertility fits Many fertility benefits focus on support once an employee is already facing treatment. Hertility takes a proactive approach by helping employees access earlier insight into their reproductive and hormone health. Hertility supports employers with a diagnostics-led model that includes: at-home hormone and fertility testing screening for identifying issues such as PCOS, endometriosis, and hormone imbalances clearer insight into reproductive health and future […]

In our recent webinar, we unpacked the science behind fertility, explaining how hormones regulate ovulation, why timing matters, and how ovarian reserve naturally changes with age. We explored evidence-based ways to optimise egg and sperm health through nutrition, sleep, stress management, and reducing exposure to endocrine disruptors. But as always, the most important part of the session was your questions. Many of them couldn’t be answered fully in the time we had live. So we’re starting something new. Welcome to the Hertility Expert Q&A series,  a new post-webinar blog series where our clinical and research team answer your most pressing women’s health questions in depth. This edition covers the questions submitted during our fertility science webinar, including: This edition’s questions were answered by Emily Moreton, Clinical Services Manager at Hertility, fertility nurse, and registered nutritionist specialising in reproductive health. Emily holds a Master’s degree in Clinical Nutrition and Public Health from UCL and is a trained nutrition counsellor. Her work focuses on health-promoting behaviours, empowering individuals to improve their relationship with food, movement, and their body without restrictive dieting. ​​Her clinical expertise supports individuals in optimising fertility, managing PCOS and hormonal symptoms, maintaining a healthy pregnancy, and navigating menopause with confidence. We’ve rounded up every answer here so nothing gets lost in your inbox. Folic acid vs methylfolate: what’s the difference and which should you take? If you’re trying to conceive, you’ve likely been told that folic acid is non-negotiable. But then you see supplements advertising “methylfolate” or “5-MTHF” and suddenly the choice feels far less straightforward. Here’s what you actually need to know. The basics first. Folate is the natural form of vitamin B9 found in food. Folic acid is the synthetic version used in most prenatal supplements and fortified foods. Methylfolate, also known as 5-methyltetrahydrofolate (5-MTHF)  is the biologically active form your body ultimately uses. When you take folic acid, your body converts it into methylfolate through a series of enzymatic steps. For most people, this happens efficiently. The official recommendation is . 400mcg of folic acid for all women from three months before conception through the first 12 weeks of pregnancy to reduce the risk of neural tube defects (NTDs) like spinal bifida. This recommendation is backed by major health bodies including the NHS and CDC, and is supported by decades of large-scale clinical trial data. Folic acid is currently the only form of folate clinically proven in human trials to significantly reduce NTD risk. So why does methylfolate exist as an alternative? Some people carry variations in a gene called MTHFR, which can reduce how effectively the body converts folic acid into its active form. For those individuals, methylfolate may raise blood folate levels more efficiently because it bypasses this conversion step entirely. The catch is that methylfolate has not been put through the same rigorous, large-scale trials as folic acid for NTD prevention and at this point, it would be unethical to design such a trial, because it would require withholding a known protective intervention from pregnant women.  Which is better absorbed: Folic Acid or Methylfolate? Folic acid is actually very well absorbed, and crucially it is the form used in the large clinical trials that proved it prevents neural tube defects like spina bifida. That is why public health bodies, including the NHS, recommend 400 micrograms of folic acid daily before conception and during the first trimester. However, this dose needs to be increased to 5 milligrams daily (prescription-only in the UK) in certain higher-risk situations. When is a higher 5mg dose of Folic Acid recommended? A higher 5mg dose (prescription-only in the UK) may be recommended if you: When might methylfolate be worth considering?  It may be appropriate in cases of known MTHFR variants, recurrent pregnancy loss, recurrent implantation failure, or where a previous pregnancy was affected by a neural tube defect despite folic acid supplementation. Hertility’s in-house clinical team or registered nutritionists and dieticians if you’d like some advice but ultimately it should be up to the individual to make an informed decision. A large number of fertility supplements now use methylfolate rather than folic acid and that shift isn’t without reason. The reality is that experts are divided. Folic acid remains the gold standard in public health guidelines because it’s backed by decades of clinical trial data. Methylfolate is a promising and increasingly popular alternative, but it doesn’t yet carry the same evidence base for preventing neural tube defects in large-scale trials.  Which foods are richest in folate? Supplementation is important, but dietary sources matter too. Good sources include spinach, kale, Brussels sprouts, broccoli, beans and lentils, eggs, oranges, fortified breakfast cereals, nuts and seeds, and wholegrains. Because folate is water-soluble and lost during cooking, steaming or microwaving vegetables rather than boiling helps preserve it. The bottom line: for most women, folic acid remains the evidence-backed standard. If you have reason to believe methylfolate may be more appropriate for you, whether due to a genetic variant or a history of pregnancy complications, speak with your GP or Hertility’s clinical team before switching. What is the best nutrition approach for PCOS and improving ovulation? PCOS is one of the most common hormonal conditions affecting women of reproductive age and one of the most common causes of irregular ovulation. Search online for the “best diet for PCOS fertility”  or “how to improve ovulation naturally with PCOS,”  and you’ll be met with extremes: cut carbs, go keto, eliminate gluten, try fasting. The evidence doesn’t support most of it. There is no single recommended PCOS diet. The goal of nutrition in PCOS is not restriction, it’s choosing foods that stabilise blood sugar and reduce inflammation, consistently, over time. Understanding the link between PCOS and insulin. At its core, PCOS is often linked to insulin resistance. When insulin levels stay elevated, the ovaries produce more androgens such as testosterone, which can interfere with follicle development and regular ovulation. Managing insulin through diet is therefore one of the most evidence-based nutritional targets in PCOS. A Mediterranean-style […]

For years, women have been told to wait. Wait until the symptoms get worse.Wait for an appointment.Wait until it’s “clinically significant.” And so women wait, often with fatigue, irregular cycles, unexplained anxiety, weight changes, brain fog, pain, or the quiet, persistent feeling that something isn’t quite right. Not urgent enough for A&E. Not specific enough for a specialist referral. But not nothing either. This gap is where modern women’s healthcare loudly fails. And it’s exactly the space Hertility is trying to rebuild. So, we’re introducing Women’s Health GP Consultations to close that gap. Helping you bring your symptoms, test results and medical history into one joined-up consultation. It’s a space designed to give you clarity, not just reassurance, and a plan you can actually act on. We’re bringing you a consultation with a GMC Registered GP trained women’s hormonal and reproductive health. It’s medical care, informed by your test results, so you don’t have to start again. A Women’s Health GP will be there to: It’s general practice redesigned around women’s bodies and your lived experience. Because these days, getting an appointment isn’t always the same as getting help On paper, the NHS has never been busier. In August 2025 alone, there were over 27 million GP appointments in England, an increase of 11% per working day compared to pre-pandemic levels*. The demand is there. The doors are technically open. But access doesn’t always equal care. With short appointments and fragmented follow-ups make it hard to unpick complex hormonal symptoms. Many conditions don’t show up clearly in one blood test. Patterns take time and context matters.  This isn’t a failure of clinicians. It’s a failure of design, shaped by decades of neglect in women’s health. We can see women are falling through the cracks (it’s a tale as old as time) In a Hertility survey of nearly 1,000 users.  Crucially, these were not stories of advanced disease or specialist-level cases. They were stories of everyday medical uncertainty: These are conditions and symptoms woven into daily life, not medical outliers. They sit firmly within the scope of good general practice when time, expertise, and continuity are available. There’s a serious diagnosis to treatment gap Even when women do receive a diagnosis, care often stalls. Among Hertility users with known conditions such as PCOS, thyroid disorders, fibroids, or anaemia: This is not a failure of specialist medicine. It is the absence of ownership in the middle. Someone to say: this matters. This can be treated. Or this can safely be monitored. And while NHS diagnostic and treatment backlogs continue, with 24% of patients waiting over six weeks for diagnostic tests* and referral-to-treatment targets unmet since 2016, many women are left in limbo. Unsure whether to push, pause, or escalate. How Hertility is building women’s healthcare differently We founded Hertility because we’d seen first-hand how often women’s health concerns are dismissed, delayed, or oversimplified. Too often, symptoms are looked at in isolation. Too often, women are told everything is “normal” without anyone taking the time to explain what that actually means for them. By combining diagnostics, hormone-literate clinicians, and now, ongoing GP care, we’re creating a more reliable path from results to action. It’s the difference between being told “everything looks normal” and being helped to understand what normal means for you. What Women Actually Want From Care (It’s Simpler Than You Think) For many women, we hear the most powerful part of healthcare isn’t always the diagnosis or even the treatment. It’s being believed, understood, and guided toward the right next steps. We know that the future of women’s health won’t be built on apps alone, or tests alone, or even specialists alone. It will be built in the spaces between. Where insight becomes action. Where long-ignored conditions finally meet real medical solutions. Our new Women’s Health GP service isn’t about replacing what exists. It’s about rebuilding care in a way that finally works for women. In a world capable of extraordinary scientific progress, it shouldn’t be radical to expect clear pathways for conditions that affect 51% of the population.  We’re tired of waiting, so we’re building the future ourselves. From Deirdre O’Neill, Dr Helen O’Neill and Dr Natalie Getreu x Resources: https://researchbriefings.files.parliament.uk/documents/CBP-7281/CBP-7281.pdf

Why Women’s Health Awareness Days & Support is Your Top 2026 DEI and Retention Strategy Over the last five years in the UK alone, 1 in 5 employees undergoing fertility treatment left their jobs due to insufficient support from their employers. (Gender Health Gap Report, 2024) 53% of women have taken time off due to menopause symptoms, and over 1 million women per year leave their jobs due to menopause-related struggles and workplace inaccessibility. (Gender Health Gap Report, 2024) 84% of employees would consider staying at a job longer if they had more comprehensive mental and physical wellbeing offerings (Source: Reward Gateway). 42% of women feel uncomfortable discussing health issues with their managers (Source: Benenden Health). These are just a couple of the stats that highlight the growing importance of workplace reproductive health benefits as an integral part of employee wellbeing.  As the adage goes, knowledge is power and one of the best places to start is ensuring your employees have ample access to educational resources surrounding their reproductive health.  Awareness days offer purposeful opportunities to provide employees with education and celebration over a range of important issues. This can in turn foster your organisation’s culture whilst making your employees feel seen and supported.  As you plan for 2026, consider building key female reproductive–health awareness days into your internal events calendar. These are just a few standout moments you can bring into your organisation — and for a full, comprehensive list, you can download our complete 2026 calendar here. 2026 Calendar of Reproductive Health Awareness Days 1. International Women’s Day When: March 8th 2026 What: A globally recognised campaign that celebrates women’s achievements social, economic and political achievements whilst raising awareness for gender equality.  2. National Endometriosis Action Month When: March 2026 What: A globally recognised month of action for the 1 in 10 people assigned female at birth who suffer from the reproductive health condition endometriosis.  3. National Infertility Awareness Week  When: April 19th – 25th 2026 What: A UK-focused awareness week highlighting the challenges, mental and physical, faced by those struggling with infertility. 4. Black Maternal Health Week When: April 11th – 17th 2026 What: A globally recognised week to amplify Black female voices and raise awareness for the historically higher maternal mortality rates in Black women.  5. Maternal Mental Health Awareness Week When: 4th – 10th May 2026 What: A global weeklong campaign dedicated to awareness around mental health struggles before, during and after pregnancy.  6. National Women’s Health Week When: May 10th – 14th 2026 What: A UK-focused weeklong campaign encouraging women and girls to make their health, physical and social wellbeing a priority. 7. Fibroids Awareness Month When: July 2026 What: A globally recognised month to raise awareness about uterine fibroids that affect around 2 in 3 women.   8. Ovarian Cancer Awareness Month  When: September 2026 What: A globally recognised month to support those who’ve been diagnosed with or indirectly affected by ovarian cancer.  9. Polycystic Ovary Syndrome (PCOS) Month When: September 2026 What: A globally recognised month of action for the 1 in 10 people assigned female at birth who suffer from the reproductive health condition PCOS.  10. Menopause Awareness Month When: October 2026 What: A globally recognised awareness month focused on breaking the stigma surrounding menopause, including World Menopause Day on the 18th of October. 11. Baby Loss Awareness Week When: October 9th – 15th 2026 What: A UK-focused week-long event dedicated to supporting those who have suffered pregnancy or infant loss.  12. National Fertility Awareness Week When: 1st – 7th November 2026 What: A UK-focused weeklong campaign initiated to raise awareness about fertility issues, treatments and reproductive health education.  What next? Why not download our full 2026 Hormone & Reproductive Health Awareness Calendar – designed specifically for HR, Benefit, and Reward Leaders who need actionable ideas and high-quality, trusted content. This resource is not just a list of dates, it’s your year-round plan to drive conversion from awareness into loyalty. Access:  Download the full 2026 calendar now to access your action plan and immediately boost your employee engagement and retention strategy. By incorporating key awareness days and campaigns, such as International Women’s Day, National Endometriosis Action Month, and Menopause Awareness Month, employers can provide educational resources and celebrate the diverse aspects of female reproductive health. This not only promotes a sense of acknowledgement and support for employees but also contributes to a workplace environment that values the holistic well-being of its people.  If you’d like to take proactive steps in this direction, get in touch – benefits@hertilityhealth.com. 

We’re all sold the ideal of flawless skin and perfect hair, but sometimes the cause of persistent breakouts or unexplained thinning is more than skin deep. Your complexion and scalp are often the first, most visible external indicators of your internal hormone balance. When hormones that regulate your sebaceous glands and hair follicles shift out of their optimal range, the results – from cystic acne to a widening hair parting – can be frustratingly visible. Quick Facts: Hormonal acne and hair thinning are primarily caused by fluctuations or imbalances in androgen hormones (like testosterone) and thyroid hormones. Oestradiol supports skin health and increases a key protein that controls active androgen levels. These symptoms are common in conditions like PCOS and during hormonal transitions like perimenopause. Find out what your hormones are telling you 💡  Don’t guess what’s causing your skin and hair changes. Take our Advanced At-Home Hormone and Fertility Test to uncover the root causes and get a personalised care plan. TAKE THE TEST → What are Hormonal Skin and Hair Changes? These symptoms are related to the pilosebaceous unit – the complex structure comprising the hair follicle and the sebaceous (oil) gland. Hormonal Acne: Breakouts related to hormonal imbalance or fluctuation, typically found on the lower face, cheeks, jawline, chest, neck, and back. Hormonal Hair Changes: This includes both hair thinning or loss on the scalp (androgenic alopecia) and excessive dark, thick hair growth on the face or body (hirsutism). The Hormonal Culprits Behind Your Skin and Hair Your sebaceous glands and hair follicles have receptors for several key hormones. Imbalances in these messengers directly influence how much oil is produced and how the hair growth cycle progresses. 1. Androgens: The Oil and Hair Drivers Androgens, such as testosterone and DHEAS, are the most significant modulators of your skin and hair health. Acne and Oily Skin: When your body produces excess androgens, there is more of the hormone binding to the sebaceous gland receptors. This stimulates excessive oil (sebum) production, resulting in oily skin hormones and clogged pores, which can cause inflammatory, cystic acne. Hirsutism: High androgen levels convert fine hair into thick, dark hair in androgen-sensitive areas (face, chest, back). Hair Thinning: Conversely, in scalp follicles, testosterone can be converted into dihydrotestosterone (DHT) which causes hair follicles to shrink, shorten the growth phase, and ultimately lead to hair thinning and female pattern hair loss (Glaser et al., 2012). A key marker for assessing true androgen activity is sex hormone-binding globulin (SHBG). SHBG is a protein that binds to and deactivates sex hormones. If your SHBG levels are low, more testosterone is left “free” and biologically active in your system, intensifying its impact on your skin and hair, even if your total testosterone level is within range. Clinical Link: High androgens, measured as testosterone or DHEA-S, are a defining feature of Polycystic Ovary Syndrome (PCOS) symptoms (Teede et al., 2018). This is why people with PCOS are significantly more likely to experience persistent hormonal acne and hair issues. 2. Thyroid Hormones: The Metabolic Regulators The thyroid gland acts as the body’s metabolic regulator, and its hormones (thyroid stimulating hormone (TSH) and free thyroxine) are essential for the natural cycle of the hair follicle (Schmidt et al., 1991). Hypothyroidism (underactive): When the thyroid is underactive (often seen with high TSH and low FT4), cell regeneration slows down. This commonly results in diffuse hair thinning across the entire scalp, hair that is dry and brittle, and dry, scaly skin. Hyperthyroidism (overactive): An overactive thyroid accelerates the hair cycle, causing hair to shed prematurely. This can also lead to noticeable thinning and frequently causes the skin to be warm and moist. Hair and skin changes can be some of the first signs of underlying thyroid dysfunction and require testing to confirm if the condition is metabolic or hormonal in origin. 3. Oestradiol, LH, FSH, and Prolactin: The Modulators These hormones work together to modulate androgen activity and support tissue health: Oestradiol (Oestrogen): Oestradiol supports the anagen (growth) phase of hair and promotes healthy skin by increasing collagen production, hydration, and wound healing. Critically, high oestradiol levels increase the production of SHBG in the liver, lowering the amount of active, acne-causing free testosterone. Conversely, low oestrogen (e.g. in perimenopause) can cause skin thinning, dryness, and sometimes acne. LH and FSH: As the pituitary signals that regulate the ovaries, an altered LH:FSH ratio combined with other markers (like high AMH and testosterone) helps diagnose conditions like PCOS, which are the source of most severe hormonal skin and hair symptoms. Prolactin: Elevated prolactin (hyperprolactinemia) can sometimes signal hormonal disruption that indirectly affects the balance of sex hormones, potentially contributing to symptoms like hirsutism (Tirgar-Tabari et al., 2016). When to Get Tested If you are treating your skin and hair symptoms with topical creams or cosmetics and seeing minimal, temporary, or no improvement, it’s a strong indication that the issue is systemic and hormonal. Consider testing your hormones if your symptoms include: Acne that is cystic, deep, or confined to the lower face and jawline. Noticeable, persistent thinning of the scalp hair, especially if your part line is widening. The new or increased growth of coarse body or facial hair (hirsutism). Skin or hair changes coupled with other systemic symptoms, such as irregular periods, chronic fatigue, or unexplained weight changes. What Your Personalised Results Can Tell You Hertility’s panel of personalised hormones provides the essential diagnostic data needed to find the root cause. This panel is tailored to your symptoms and what you are looking to achieve from your test. Pinpoint Androgen Activity: Your personalised results will clarify if the issue is high total androgens, high free testosterone (due to low SHBG), or high adrenal output (DHEAS), which directs the most effective therapeutic strategy (e.g. lifestyle, targeted supplements, or medication). Uncover Thyroid Issues: We can rule out or suggest thyroid dysfunction by measuring TSH and free T4, ensuring hair loss isn’t misdiagnosed as purely androgenic. Identify Underlying Conditions: The results provide the crucial diagnostic […]

Menopause marks the natural end of the reproductive years, when periods stop permanently and pregnancy is no longer possible.  Clinically, it is diagnosed after 12 consecutive months without a period, when there’s no other medical reason for periods to have stopped. In the UK, menopause happens on average around age 51, but this varies widely. Importantly, the lead-up phase, called perimenopause can begin years earlier, often in someone’s late 30s to early 40s, and this is when most symptoms appear. What’s actually happening in the body? As the ovaries age, levels of oestrogen and progesterone begin to fluctuate and then gradually fall.  These hormones show effects throughout the body, including the brain, heart, bones, and nervous system.  How hormone changes affect the body Oestrogen plays a key role in regulating body temperature and supporting brain function, including attention, memory, and processing speed.  As oestrogen levels fluctuate and decline during perimenopause and menopause, it leads to hot flushes and night sweats. These hormonal changes can also affect cognitive function, which is why some people experience “brain fog,” difficulty concentrating, or memory lapses during this time. Progesterone also declines during the menopausal transition.  This hormone has a calming effect on the nervous system and supports healthy sleep. As progesterone levels fall, the body may become more sensitive to stress and sleep can become disrupted, night sweats can also severely impact sleep quality.  This helps explain why anxiety, poor sleep quality, and insomnia are common during perimenopause and menopause, even in those with no previous history of sleep or anxiety problems. Oestrogen also helps protect bone density and supports cardiovascular health. After menopause, the risk of osteoporosis (bone thinning and fractures) increases. There is also a gradual rise in cardiovascular disease risk after menopause, making long-term monitoring and preventative healthcare increasingly important. Menopause at work With nearly 4 million women aged 45–54 currently employed in the UK, this demographic represents a cornerstone of the modern economy.  Furthermore, women over 50 now constitute one of the fastest-growing segments of the entire workforce, making their health and retention a strategic priority for any leadership team. This demographic typically holds the most institutional knowledge and senior leadership roles.  However, it is also the peak age for perimenopause and menopause, a transition that, without proper support, leads to a significant loss of top-tier talent. “These are women in the prime of their lives, in their late 40s and 50s, who should be in senior positions, the people who should be the trailblazers and role models for younger people in the workplace.” – (Gender Health Gap 2024)  While every menopausal journey is unique, the hormonal fluctuations of perimenopause and menopause can create a “perfect storm” of symptoms that directly clash with the demands of senior leadership. And as an employer, it is vital to recognise that symptoms like loss of confidence or memory lapses are not “performance issues,” they are measurable, biochemical responses to a significant physiological transition. 1. Cognitive dysfunction (“brain fog”) 2. Sleep fragmentation and night sweats 3. Psychological shifts and anxiety What this means for businesses Approximately 1 in 10 women have left a job due to menopause symptoms (Fawcett Society, 2022).  When a senior leader leaves, the cost to the business includes recruitment fees, training & upskilling, and the invaluable loss of mentorship for younger staff. Research indicates that menopause-related symptoms are a primary driver of absenteeism and “presenteeism” (being at work but unproductive).  The NHS Confederation reports that menopause-related attrition and illness cost the UK economy an estimated £1.5 billion annually (NHS Confederation, 2024). In the UK, the Equality and Human Rights Commission (EHRC) has issued clear guidance: if menopause symptoms have a long-term and substantial impact on a woman’s ability to carry out normal day-to-day activities, they may be considered a disability under the Equality Act 2010. Failing to provide “reasonable adjustments” can lead to costly employment tribunals. How to best support Menopause at Work Education, Clinical Care, Policy & Flexibility are key pillars of a supportive workplace for menopausal individuals.  Read our Menopause in the Workplace guide for a more in-depth look at effectively supporting the menopause at work.  1. Workplace adjustments Simple, low-cost changes to the physical environment can mitigate symptom severity: 2. Managerial competency Managers do not need to be doctors, but they must be “menopause-literate.” 4. Comprehensive employee benefits Cover the full spectrum of reproductive health, including menopause support with an employee benefits provider.  Give you workforce access to:  Choosing the right employee benefits provider At Hertility, we provide the clinical expertise required to support your workforce through every reproductive life-stage. From menstruation to menopause, our diagnostic first approach helps employers reduce absenteeism, boost retention and protect their talent at whatever stage they are in their career.c Our employer solutions include: Credible resources for HR Leaders Is your workforce strategy menopause-ready? Contact the Hertility Benefits Team or visit our website to learn how to implement support today.

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 […]

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. […]

In this article, we’ll delve into the five main lifestyle factors that play a pivotal role in female fertility, and how you can shape and optimise your lifestyle to support your reproductive health. Quick facts: Understanding female fertility When embarking on your fertility journey, whether it’s trying to conceive for your first or your fifth—planning is everything.  Understanding the various lifestyle factors that can affect your fertility is crucial for both individuals and couples looking to begin their conception journey.   Lots of couples conceive without any issues, but 1 in 6 heterosexual couples face fertility struggles, so if it’s taking longer than you’d hoped, know that you’re not alone.  The earlier you know what’s going on inside your body, the earlier you can take action to support your future fertility goals.  There are lots of different factors that can impact female fertility—including age, lifestyle factors, hormones, reproductive health conditions and environment.  To get pregnant and have a baby, lots of these biological and environmental factors come into play. When one or more of these factors fall out of sync, that’s when you might face difficulties with fertility. Let’s take a look at some of these factors and how you can prepare for your fertility journey. Age and fertility First, let’s explore what fertility is from a biological perspective. Ovulation plays a critical role, marking the release of an egg from the ovary. For a pregnancy to occur, a healthy egg must meet healthy sperm (usually in the fallopian tube) where the egg gets fertilised. Plus, the uterus (womb) must be in optimal condition so the fertilised egg can implant and grow into a healthy baby. But unfortunately, biology often has other plans for us. We hear a lot about the ‘biological clock’ when it comes to women and those assigned female-at-birth (AFAB). This references the deterioration of both the quality and quantity of your eggs over time—known as your ovarian reserve.  Women and those AFAB are born with all the eggs they’ll ever have. Each menstrual cycle, you lose eggs. Once you hit your mid-thirties, this decline increases even more rapidly. Add in hormonal changes as a result and collectively, it reduces your ability to become, and often stay, pregnant. For a pregnancy to occur, you need healthy eggs. So from a biological standpoint, the younger you are, the healthier your eggs will be.  While an Anti-Müllerian Hormone (AMH) test can help you to understand how many eggs you have left, it can’t tell us the quality of the eggs we have. Additionally, after the age of 35, there’s a higher risk of pregnancy-related complications and negative health outcomes for the baby. There’s also a higher risk of miscarriage, high blood pressure, and gestational diabetes. Plus, chromosomal conditions like Down’s syndrome are more common. Despite misconceptions, ageing affects male fertility too. From age 40 onwards, sperm quality and sperm function decrease with significant implications to pregnancies and births including increased time to conception and increased risk of miscarriage. Lifestyle choices and fertility The idea that our fertility is out of our control is somewhat of a myth. Whilst biological and genetic factors play a big role—there’s a lot we can do to support our reproductive health.  Through lifestyle choices, we can impact the quality of our eggs and contribute to a healthier reproductive environment. Eating a well-balanced, nutritionally rich diet, getting regular physical exercise, managing stress, getting enough sleep and stopping or reducing smoking and excess alcohol can contribute to improving your fertility. This is because your lifestyle choices directly impact your hormones, and hormonal balance (involved in regulating your menstrual cycle) is crucial to a successful conception, pregnancy and healthy baby. Let’s take a look at some lifestyle tips that can help take care of your fertility Eat a fertility-friendly diet One of the best things you can do to support your fertility is to focus on your nutrition. Eating a Mediterranean diet—one that’s based on plant foods like fruit, vegetables, nuts, beans and whole grains with a moderate amount of dairy, fish, meat and eggs—can be really beneficial.  Check out our fertility-friendly meal plan, and fertility nutrition shopping list to support your healthy diet.If you’re trying for a baby and in the first 12 weeks of pregnancy, taking prenatal supplements like folic acid is important as it can help prevent major birth defects by supporting neural tube development. Get regular physical exercise Getting regular physical exercise is healthy no matter where you are in your fertility journey, but be wary of overexercise. Too much vigorous physical activity can stop ovulation, cause irregular periods or stop them altogether, known as hypothalamic amenorrhea. An absent period is often a sign that something’s not quite right, so it’s worth speaking with a healthcare professional if you’re worried. Limit smoking and alcohol Smoking, alcohol and recreational drug use are associated with an increased risk of miscarriage and complications during conception and pregnancy. Cigarette smoke contains chemicals that can disrupt your hormones and impact your fertility. It’s also been linked with early onset menopause. There’s limited evidence to know how vaping affects fertility (although early studies suggest it could affect the ability to implant and result in lower birth weights) but if you’re trying to get pregnant, not vaping is safer than vaping.  The lack of information doesn’t mean it’s safe, but by stopping, you’re being exposed to fewer chemicals. Get help to quit smoking in the UK with the NHS. Excess alcohol consumption is not only associated with hormone imbalances, there is no safe level of alcohol that can be consumed during pregnancy as it can lead to adverse health effects for the baby.  In women and those assigned-female-at-birth, disrupting your hormones can affect your menstrual cycle causing irregular periods which can affect ovulation, reducing your chances of conceiving. As well as its impact on our hormones, drinking and smoking negatively impact our general health which can lead to knock-on impacts on our fertility making it harder to become and stay pregnant, […]

Having a healthy diet and active lifestyle is essential for good health at all times, but when you’re trying to conceive or pregnant—it’s even more vital. Here, we’ve laid out everything you need to consider for your nutritional health if you’re starting your conception journey.  Quick facts: Nutrition and fertility During all stages of the conception journey—right from trying to conceive, through to pregnancy and postpartum—nutrition needs to be front and centre for both your health and your baby-to-be.  Questions we frequently hear include ‘which foods increase fertility?’, ‘what are the best foods for pregnancy?’, and ‘what nutrients are needed for pregnancy?’. In this article, we’ll tell all and take a deep dive into everything pregnancy and fertility nutrition. Follow these tips for what to and what not to eat for optimal health during your conception journey. Key nutrients to eat when you’re trying to conceive When trying to conceive, you’ll need a high-nutritional diet. This is because nutrition directly impacts our fertility and can shape the health of your baby during those vital first 9 months of its life.  Whilst there are no specific guidelines for a recommended ‘fertility diet’, the Mediterranean diet offers a great template for the kinds of foods you should be consuming.  This diet is rich in fish, vegetables, fruits, legumes, nuts, seeds, whole grains, beans and unsaturated fats such as olive oil. It includes smaller amounts of dairy, eggs and lean meat and limits processed and red meats and ultra-processed foods.  Due to the abundance of fruits, vegetables and whole grains in the Mediterranean diet, it is rich in antioxidants which have been shown to protect sperm and eggs from DNA damage and oxidative stress.  Diets opposing this way of eating, such as those poor in fruit, veg and dairy, but high in saturated fat, have been associated with an increased risk of pregnancy complications.  Here are some key nutrients and minerals found in the Mediterranian diet that are especially important for pregnancy. Vitamin D How much Vitamin D do I need when trying to conceive? Folic acid and folate If you are currently trying to become pregnant, it is advised to take at least 400 mcg of folic acid supplement every day. You should supplement for 12 weeks before conception and at least three months after conceiving.  It is also a good idea to include food sources of folate in the diet such as dark green leafy veg, avocado, citrus fruit, peas and lentils. Folate (Vitamin B-9) is very important in red blood cell formation and for healthy cell growth. Studies have shown that taking folic acid can greatly reduce neural tube defects in the baby (defects in the brain and the spine). Neural tube defects affect one in 1,000 pregnancies, with 190 babies born with an NTD every year in the UK. Omega-3 fatty acids Omega- 3 Polyunsaturated fatty acids (PUFAs) are antioxidants that are found in oily fish such as salmon, herring, anchovies, sardines or mackerel. Aim for two portions per week of fish (140g each), one of which should be oily.  Plant-based sources include flax, hemp, chia seeds, pumpkin seeds, walnuts, rapeseed oils, linseed vegetable oils and soya products. Plant-based sources aren’t as rich, so you may want to consider supplementing with 450mg EPA/DHA per daily adult dose of Omega-3 every day if you’re vegetarian or vegan. Avoid taking Omega-3 supplements that contain fish liver, such as cod liver oil. Some benefits of taking Omega-3 fatty acids when trying to conceive are:  Fat plays a crucial role in the production of hormones and is needed to absorb fat-soluble vitamins A, D, E and K. So in addition to omega-3 PUFAs, you should also be focusing on including healthy fats from monounsaturated fats such as olive oil, olives, nuts, avocados and seeds. Monounsaturated fats are associated with improved pregnancy and live birth rates.  Fibre In a study in the US, higher fibre intake was associated with an increased chance of conception. Those who had a higher fibre intake had a 13% higher chance of conceiving, compared with those who had a lower fibre intake. How much fibre should I be eating when trying to conceive? In the UK, it is recommended that we all aim for 30g of fibre per day. The carbs-to-fibre ratio is also extremely important. More carbs than fibre can lead to reduced fertility, whilst more fibre-to-carbs is more beneficial for fertility. Some foods that are high in fibre: Protein Adequate protein intake whilst trying to conceive can positively affect egg and sperm development. To increase your chances of getting pregnant, make sure you and your partner are getting enough daily protein.  The average adult needs around 0.75 grams of protein per kilogram of body weight daily. However, active individuals, especially those doing weightlifting or resistance training, will need to up their intakes.  What foods are high in protein?  Animal meats are high in protein but according to a study by the Harvard School of Public Health, it found that infertility was 39% more likely in women who ate high intake of animal proteins.  Women who ate plant-based proteins were much less likely to be diagnosed with infertility, linked to a reduced risk of ovulatory infertility. High-protein foods that can help aid fertility include fish, eggs, lentils, beans, tofu, quinoa, chickpeas, yoghurt, seeds and nuts. What’s the best type of protein when trying to get pregnant? The best type of protein when trying to get pregnant is plant-based protein. Including more minimally processed, plant-based sources of protein in the diet and fewer animal sources of protein could improve ovulatory infertility. This doesn’t mean you have to become fully vegan. You can simply limit your consumption of animal proteins and make a conscious effort to consume more plant-based proteins (better for you and the environment). Some plant proteins include chickpeas, lentils, beans, tofu, tempeh, nuts, seeds and quinoa. Iron and planning for pregnancy Iron is essential for the reproductive system and too little iron can cause anaemia. Women need 14.8mg of iron […]