Women's fertility treatment in Dublin
Women's fertility treatment in Dublin
We find what is keeping you from conceiving. NeoFertility is a fertility clinic in Dublin. We investigate and treat the causes of impaired fertility in women: unexplained infertility, low AMH, endometriosis, PCOS, and recurrent miscarriage. Before we can treat, we need to find out why.
If you are here, you have probably been trying for a long time. We see couples every week who have been through the system and come away with a label, and not much else. Unexplained infertility. Poor ovarian reserve. Or a quiet steer toward IVF as the only thing left to try. In many of those cases, the investigation that would find the actual cause was never done. We see infertility as a symptom, not a disease, and behind every symptom there should be a reason. What we do is look for it.
The search matters, and it changes things. We looked at 187 couples we investigated here in Dublin, and the proportion with unexplained infertility fell from 24% to 1% after a full restorative workup (Boyle et al., JRRM 2025). Those couples did not stay unexplained. They became diagnosed. And most of those diagnoses were treatable.
Unexplained infertility fell from 24% to 1% after a full restorative workup. The cases did not become unexplained. They became diagnosed.
How a fertility investigation works
The investigation has three phases, and the first one is mostly about listening and looking. Phase 1 takes roughly two months. We take a full medical and reproductive history from both of you. We set up a charting baseline using ChartNeo, the app we use to read your cycle. And we run blood tests timed to specific points in that cycle. That timing is a key difference from standard blood testing. Day-21 progesterone tells you whether ovulation happened at all. Our 7 DPO testing is taken 7 days after ovulation, and it tells us about the quality of that ovulation. At that point we look for progesterone above 60 nmol/L and oestradiol above 400 pmol/L. Most women who arrive with a label of unexplained infertility have never had this assessment done.
We also screen for silent endometriosis, the kind that causes no obvious symptoms. In our 2019 study, among the women who went on to have a laparoscopy (keyhole surgery to look inside the pelvis), 60% were found to have endometriosis. Most of them had no diagnosis before the operation (Boyle et al., JRRM 2025). That is not a coincidence. Endometriosis is missed again and again by less thorough routes.
Phase 2 treats what we found. Phase 3 supports natural conception through up to 12 carefully managed cycles. Treatment is a process over time, not a single intervention. And we stay with you through each step: blood monitoring, pregnancy support, regular review, and hormone support from the first positive test through to 12 weeks and beyond.
So what does this mean for cost? A single IVF cycle in Ireland typically costs EUR 5,000 to EUR 8,000, and most couples need more than one cycle. Our full treatment plan, up to 12 balanced cycles, costs EUR 2,000. That is a fraction of the cost of IVF, and it comes with a diagnosis.
The female causes of infertility we investigate
The female causes of impaired fertility we investigate include unexplained infertility, low AMH, endometriosis, PCOS, recurrent miscarriage, and impaired fertility in women over 35. We look at each one in turn below.
Unexplained infertility
In standard fertility medicine, unexplained infertility means the cause has not been found, not that there is no cause. A full restorative workup finds a diagnosable cause in almost every case. In our clinical experience, the most common findings are a suboptimal quality of ovulation, low-grade hormonal deficiencies, and endometriosis that was never picked up. Each of those has a treatment pathway.
Low AMH
AMH, or anti-Mullerian hormone, is a blood marker of ovarian reserve, which is a rough measure of the eggs you have left. A low result can feel like a verdict. It is a starting point, not a final answer. We looked at 26 couples from our 2015 clinic data who had AMH below 3.5 pmol/L. In that group we saw a 35% live birth rate, with no premature births and no multiple pregnancies (NeoFertility clinic data, 2015). A low AMH figure tells us something important about your cycle. It does not tell us you cannot conceive.
Endometriosis
Endometriosis is when tissue like the lining of the womb grows outside it, often causing pain and inflammation. Across published studies, roughly one in three women investigated for impaired fertility are found to have it. It often does not show up on a standard ultrasound. We screen for it carefully: through the symptom history, through the hormonal picture, and where it is needed, through referral for keyhole surgery to look directly. Women with endometriosis have a measurably higher miscarriage rate than women without it. The condition can sit silently behind years of failed attempts with no label on it. Finding it is the first step toward treating it.
PCOS
Polycystic ovary syndrome, or PCOS, is the most common cause of infertility where ovulation does not happen. Around 75% of women with PCOS have trouble conceiving because they are not ovulating properly (Costello et al., ANZJOG, 2019). In practice, that means cycles can look like they are happening while ovulation is absent or consistently poor in quality. We look at the cycle in detail, we assess the hormonal pattern, and we use targeted follicle stimulation and cycle support to restore real ovulation.
Recurrent miscarriage
After three or more losses, there is a 30% risk of another miscarriage (RCOG data cited by Boyle in his 2025 recurrent miscarriage lecture). Standard practice offers investigation but little in the way of treatment. We take a pre-conception approach. We investigate and correct the hormonal and immune factors that drive loss before the next pregnancy begins. Where we find DHEA hypoandrogenism (a shortage of certain androgen hormones), published evidence from our clinic shows miscarriage rates fell from 45.5% in untreated patients to 17.5% with treatment (p=0.038, Boyle et al., Front Reprod Health, 2024).
Fertility after 35
Age does reduce both egg quality and how often you ovulate. That is real, and we will be honest with you about it. But the restorative investigation often finds other, correctable factors sitting alongside the age picture. In our 2015 clinic cohort, the average age of the women was 37. A low AMH reading is a reason to start investigating, not a reason to stop looking.
What about my partner?
We investigate the male partner too, from the first appointment, every time. Male factor is part of the picture in roughly 40% of couples with impaired fertility. In many couples, both partners have something contributing. A semen analysis tells you count, motility, and morphology. It does not tell you about sperm DNA fragmentation (damage to the genetic material inside the sperm), which can make fertilisation harder and cause early losses that simply get recorded as unexplained. We look at both sides from the start, because fertility is a two-person picture. Read more about how we investigate the male partner.
Frequently asked questions
What female fertility problems does NeoFertility investigate?
NeoFertility investigates unexplained infertility, recurrent miscarriage, low AMH, endometriosis, PCOS, and impaired fertility in women over 35. The restorative investigation looks at the quality of ovulation, the hormonal picture across the cycle, the uterine environment, and the ovarian response, identifying diagnosable causes in the large majority of cases. Each finding has a treatment pathway.
What does a women's fertility investigation involve?
A women's fertility investigation at NeoFertility starts with a full clinical and reproductive history, cycle charting using the ChartNeo app, and targeted blood tests timed to 7 DPO, which is 7 days after ovulation. This is the point where progesterone and oestradiol levels reflect the true quality of ovulation. We also screen for silent endometriosis and luteal-phase problems. In most cases, we have a clear clinical picture within the first two months.
How much is a fertility consultation and how long is it?
The initial fertility consultation is EUR 300 and runs for 45 minutes. Payment is required at booking. The consultation is fully refundable with two working days' notice of any changes or cancellations. Both partners are welcome, and we ask that both attend where possible from the first appointment.
Is restorative reproductive medicine an alternative to IVF?
For many women, restorative reproductive medicine is an evidence-based alternative to IVF. It investigates and treats the underlying cause of impaired fertility rather than bypassing it. In our published 2019 cohort (Boyle et al., JRRM 2025), the crude live birth rate was 41% in 187 couples, with an average female age of 36.4 and 19% having had prior IVF. IVF does not investigate why you cannot conceive. Our approach is to find the underlying cause, correct it where possible, and support natural conception.
Do you assess my partner too?
Both partners are assessed from the first appointment. Male factor is part of the picture in roughly 40% of couples with impaired fertility. We evaluate the semen analysis, sperm DNA fragmentation, and male hormonal factors from the outset. Investigating only the female side is not a complete picture. Read more about how we investigate the male partner.
Do I need a GP referral?
No referral is needed. Couples come to NeoFertility directly, from across Ireland and from abroad. Book your initial consultation through our contact page, and a member of the team will be in touch to confirm your appointment.
If you are ready to take the next step, we are here to help.
Send a short message whenever you feel ready, and we will reply within one working day. There is no obligation, and no question is too small.
No GP referral is needed, and you can ask anything before you decide whether a consultation is right for you.