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05/10/2026

How Many Eggs Should You Freeze? Understanding Egg Freezing Success Rates

We talk about the reality of egg freezing, explaining that freezing six eggs doesn’t mean six chances for a baby. We break down the survival rates from thawing to fertilization to embryo development, and emphasize that age is key—younger women need fewer eggs for similar success. We share clinic guidelines and stress that egg freezing boosts options but isn’t a guarantee.

28/09/2026

IVF SUCCESS: What actually determines your chances?

IVF success isn’t determined by one blood test. Age, ovarian reserve, s***m factors, reproductive history and embryo development all matter — and AMH is frequently misunderstood.
Next: How many eggs do you actually need for one baby?

21/09/2026

PCOS Renamed to PMOS: Understanding the New Name and What It Means

I talk about the renaming of PCOS to PMOS, explaining why the change was made after 14 years of research. I discuss how the old term ‘polycystic’ was misleading, as the follicles seen on ultrasounds aren’t cysts but undeveloped eggs due to disordered hormone signals. The new name, PMOS, stands for polyendocrine metabolic ovarian syndrome, reflecting the condition’s impact on multiple hormones, metabolism, and the ovaries. I highlight how this shift aims to improve diagnosis, research funding, and holistic treatment for the one in eight women affected worldwide.

14/09/2026
03/08/2026

What to Do If You Have a Low AMH: Expert Advice from Fertility Specialist Dr Sam Dobson

I talk about what to do if you receive a fertility report indicating a low AMH, defined as less than sevenpmol/L or less than one ng/ml. I explain that AMH is a marker of ovarian reserve, reflecting egg quantity but not quality, which is more linked to age and lifestyle. I emphasize that a low AMH at a young age is less concerning for conception, but it may require more strategic timing. I discuss next steps like combining AMH with an antral follicle count, considering your goals for conception or preservation, and optimizing lifestyle factors to support egg quality. I reassure you not to panic, as many patients with low AMH conceive naturally or with treatment, and I encourage you to seek specialist advice.

20/07/2026

IVF Providers: Independent Clinic vs. Corporate Company – Which Is Right for You?

We talk about the differences between large corporate IVF companies and independent doctor-run clinics, highlighting factors like personalized care, consistency, cost, and treatment flexibility to help you choose the right provider for your IVF journey.

09/07/2026

Understanding Antiphospholipid Syndrome and Sticky Blood in Recurrent Miscarriage…. I talk about antiphospholipid syndrome, also known as sticky blood, and its link to recurrent miscarriage. I explain the importance of blood tests for lupus anticoagulant, the need for repeat testing, and how treatment with aspirin and low molecular weight heparin can reduce miscarriage risk by preventing blood clots behind the placenta.

22/06/2026

Ovulation Induction for Premature Ovarian Insufficiency: A Home-Based Approach

I discuss premature ovarian insufficiency (POI) and how we help patients achieve natural ovulation through home-based ovulation induction. We talk about suppressing FSH levels with hormones, followed by low-dose FSH stimulation to encourage egg growth and release. I share a patient success story of someone who hadn’t menstruated for 12 months but is now ovulating again after treatment, giving her a chance at natural conception without the cost and risk of full IVF cycles.

04/06/2026

Progesterone-Only Treatment for Menopause: What Does the Evidence Show?

We discuss whether progesterone alone is an effective treatment for menopause symptoms. We review a large 2020 systematic study covering 40 years of research and find that micronized progesterone can help with hot flushes and sleep, but transdermal progesterone shows no improvement in symptoms. We also highlight that progesterone doesn’t improve mood symptoms and that one in five patients stop treatment due to side effects like headaches, irritability, and skin issues. We emphasize that estrogen should be the first-line treatment for menopause, with progesterone-only considered only when estrogen cannot be given.

25/05/2026

Excision vs Ablation: Why Complete Endometriosis Removal Matters

I discuss how many surgeons treat endometriosis incorrectly using ablation, which only burns the surface, versus excision, which removes the disease at its root. I demonstrate my robotic-assisted excision surgery technique, showing how the butterfly excision pattern addresses deep infiltrating and superficial endometriosis while preserving surrounding nerves and structures. With robotic surgery’s precision, three-dimensional visualization, and wristed movements, we can safely operate in delicate pelvic areas and significantly reduce recurrence rates. I emphasize that patients deserve complete removal, not temporary fixes, and encourage those told ablation is their only option to seek a specialist trained in excision.

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The Park Hospital, Sherwood Lodge Drive
Nottingham
NG58RX

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