Patient FAQs for our Dublin clinic

The initial consultation is EUR 300 for 45 minutes. The treatment plan is EUR 2,000 and includes all medical consultations, ultrasound follicle tracking, ChartNeo app subscription, pregnancy scans, hormone support throughout pregnancy, blood test analysis, prescriptions, consultant referrals, and phone and email support. This can also be paid in 7 monthly instalments of EUR 300 (EUR 2,100 total). Both payment options are available from the day of your initial consultation.

The cost of treatment is set. We feel this is a reasonable price for those who conceive quickly, and does not make the cost excessive for those who take longer.

Dr. Boyle and Dr. Toth are both registered GPs, which means Irish health insurers recognise them as GPs rather than as consultants. If your policy includes cover for GP visits, you may be able to claim some of your consultation costs back, depending on the terms of your policy. For anything not covered, you can also claim 20% tax relief through Revenue's medical expenses relief.

No. Treatment at NeoFertility is arranged privately, at the prices set out on our clinic pricing page, separate from the HSE's publicly funded fertility scheme. That scheme is a different pathway, starting with a referral from your GP to a regional fertility hub. Ask your GP about eligibility and how the scheme applies to your situation. You are welcome to see us privately at any stage, whether or not you are also going through the HSE pathway.

Treatment usually includes medication. We monitor your hormone levels with regular blood tests to ensure oestradiol and progesterone are balanced. Over-stimulation risks a multiple pregnancy, and under-stimulation makes conception more difficult and increases miscarriage risk. Each treatment plan is tailored to your blood test results and fertility chart.

Our doctors will do their absolute best to achieve a pregnancy for you, but success is not a guarantee with Neo or any other fertility clinic.

We see plenty of successful outcomes with patients who have undergone IVF treatment before coming to Neo.

Restorative reproductive treatment with Neo is more suitable than IVF for patients with low AMH. We do not overstimulate the ovaries, and we monitor your hormones each month to try to ensure we get one good follicle each cycle. We see success with very low levels, and even repeated success for some of our patients with AMH levels under 1 pmol/L.

We do not work with any form of artificial reproduction. If you are doing IVF or using donor gametes (either sperm or eggs), you will need to take all treatment from the IVF clinic you are attending.

We see patients from outside Ireland. Consultations for initial assessment and follow-up reviews are done by secure telemedicine link, so you do not need to be in Ireland for most of your care. Key appointments, such as your first timed blood tests and cycle monitoring, are best done in person at our Dublin clinic, and we plan those around your travel where possible.

There is no definite answer. Some couples conceive very quickly, while others with more complex cases may need surgical intervention and take longer. Generally, when hormones have been balanced, we aim for conception within 12 months. Most couples conceive between 5 and 8 balanced cycles. If you persist for up to 12 balanced cycles, typically well within 24 months, pregnancy rates continue to improve.

Ideally, we prefer to see couples before conception to balance hormones and treat underlying issues. However, we do offer a pregnancy support package for spontaneous pregnancies. We prescribe medications to reduce the risk of miscarriage, including ultrasound scans at 7 and 10 weeks and monitoring hormone levels throughout pregnancy.

If your tests were done within the last 12 months, they generally do not need repeating unless a result is of concern. We test oestradiol and progesterone every cycle, as this is essential for knowing how much medication is needed to optimise hormone levels.

Day 3 bloods give us a baseline picture of where you are at the start of the cycle, before ovulation. We look at FSH and LH to assess how hard your pituitary is working to recruit a follicle. We look at prolactin and TSH to rule out hormonal interference with ovulation. And we look at AMH and DHEA, because those two are routinely left off a standard panel and they matter. AMH, or anti-Mullerian hormone, is a mouthful, but it simply reflects how many small follicles are currently active in your ovaries. It is a useful marker of ovarian reserve. Bear in mind, though, that a low AMH reading is a starting point, not a verdict. For natural conception you need one good follicle per cycle. AMH tells us something about the size of the pool. It does not tell us what the follicle this cycle is actually doing. That is what follicle tracking and 7 DPO bloods are for. DHEA is an androgen precursor, and low DHEA levels, which we call hypoandrogenism, are more common than most couples expect. In our published 2025 cohort of 187 couples, 31% showed hypoandrogenism after our full workup. Before they came to us, 0% had been identified with that finding (Boyle et al., JRRM 2025). It is one of the most frequently missed findings in a standard fertility investigation, because most clinics do not order it. So the Day 3 panel is not about running extra tests for its own sake. It is about asking the questions the standard workup did not get around to asking. Each result either rules something out or opens up a line of treatment we can act on.

The restorative workup is for couples trying to conceive their own genetic child, using their own gametes, who are able to engage with daily fertility charting and cycle-timed blood tests. The medical eligibility floor is that at least one fallopian tube is clear and the woman has not reached full menopause (no period for 1 full year). Where the male partner has a zero sperm count (azoospermia), natural conception is not possible and we will say so on the first call. If your plan involves IVF, donor eggs or sperm, surrogacy, or fertility preservation, those are different services that other fertility clinics provide. We are happy to point you in the right direction if you need help finding them. Recently we helped some couples conceive who were menopausal or started with azoospermia (Zero sperm). We do not ask you to commit to the treatment plan in these cases but can work with you to try and restore fertility, if possible. For everyone else, the next step is to contact the clinic so we can be honest about whether the workup is likely to be useful in your specific situation.

What we do is restorative fertility treatment: we investigate and treat the medical reasons behind difficulty conceiving, so that natural conception becomes possible. IVF, donor eggs, donor sperm, surrogacy, and egg, sperm, or embryo freezing are different services, and we do not provide them. Other fertility clinics in Ireland offer those pathways, and your GP can advise on a referral to the right one. If you are looking for restorative care for your own reproductive health, whether that is PCOS, endometriosis, irregular cycles, recurrent miscarriage, PMS, or postnatal depression, you are very welcome here, and we will assess your situation on its own merits. The restorative workup is for couples trying to conceive using their own gametes. If that is where you are, we would be glad to talk.

We have had very limited success clinically with women aged 45 and above. Rather than make unrealistic promises, we usually discourage commencing treatment over the age of 44. That said, we have achieved pregnancies beyond 44 years, and every case is assessed individually.

You do not need to wait until you have been trying for a full year. The official definition of a fertility problem, twelve months without conceiving, is a guideline used in general practice, and it is not a reason to delay. We are happy to see you now. We would begin by teaching you to chart your cycle with ChartNeo, because the chart often reveals treatable issues, such as a limited mucus pattern or a short luteal phase, before any blood test is needed. If your age is advancing, you have symptoms of endometriosis, or a family history that concerns you, there is all the more reason to come in sooner. The earlier we look, the earlier we can help.

After your initial consultation, you will typically attend every 3 to 4 months, with more frequent visits during specific phases of treatment (such as follicle tracking). Your partner is welcome and encouraged to attend the initial consultation. Male partner assessment is part of our programme, as male factor infertility affects up to 40% of couples.

In most cases, yes, but it depends on what is prescribed. Always check with us before attempting conception if you have been prescribed a new course of treatment.

Email your results to beacon@neofertility.ie. Please include your name and date of birth. Results are reviewed by the medical team and any changes to your treatment plan will be communicated to you.

You can have your blood tests on any one of four days - 6,7,8 or 9 post ovulation. We do not need 7 days post ovulation every time.

Contact your NeoFertility Advisor through ChartNeo. They can review your chart remotely and arrange a follow-up session to help you chart accurately. Correct charting is essential to the success of treatment, so do not hesitate to ask for help.

Timing depends on your individual chart and scan results. Your doctor will advise the specific day and time. As a general rule, the trigger is administered when your lead follicle reaches the target size on ultrasound and your chart confirms you are approaching ovulation.

Typically through the first 12 to 14 weeks, though this varies based on your hormone levels. We monitor with regular blood tests and adjust as needed. Do not stop hormone support without consulting us first.

Contact the practice by phone or email. Most side effects are mild and manageable with dose adjustment. In our clinical experience, the most common side effect with LDN is temporary dry mouth, and very few patients discontinue treatment because of it. We will review your situation and adjust your prescription as needed.

If you are attending our practice you should have a “reserve” pregnancy script within date. You can bring that to your pharmacy and commence the pregnancy prescription. We recommend doing the pregnancy 10 days after your last HCG injection (about 16 to 17 days after peak) to avoid a false positive test. We recommend a blood test for progesterone, oestradiol and HCG on P+17 (4 weeks and 3 days). Repeat the blood test 1 week later at 5 weeks and 3 days and again at 6 weeks and 3 days with your pregnancy scan planned for 7 weeks and 3 days. Very early scans at 6 weeks can be falsely reassuring, which is why we wait a little longer. This is the most important time for close monitoring, and we are with you throughout.

Follicle tracking uses ultrasound to confirm that a mature follicle is developing and to verify rupture has occurred. This is essential for monitoring your response to medication. Timing is cycle-dependent and your doctor will advise when to schedule each scan, typically around day 12 to 14 and possibly again a few days later.

Contact the practice before your surgery date. We will advise which medications to continue, which to pause, and when to resume. Medication adjustments depend on the type of surgery and your cycle stage. Generally you take a rest cycle and stop medications for the month of surgery and resume the following month.