Fertility is a couple's journey. Long before IVF, there is meaningful medical work we can do to optimise egg and sperm quality, correct nutrient deficiencies, balance hormones and manage conditions like PCOS, endometriosis, thyroid dysfunction and low testosterone.
Why it happens
Understanding the causes
Hormonal imbalances (thyroid, prolactin, progesterone, testosterone)
PCOS, endometriosis and irregular ovulation
Low sperm count, motility or morphology
Nutrient deficiencies (folate, vitamin D, B12, iron, CoQ10, zinc)
Weight, insulin resistance and lifestyle factors
Our approach
How Refresh can help
Both partners are assessed. Dr Zama runs a full fertility bloodwork panel, reviews cycles and semen analysis where relevant, and builds a preconception plan — nutrition, supplementation, hormone support and referral to a fertility specialist or gynaecologist when needed.
Book a consultationRecommended treatments
Tailored options your doctor may recommend
Preconception Consultation (Couple)
Full history and screening for both partners.
Fertility Bloodwork Panel
Female hormone profile, thyroid, AMH, insulin, vitamin D, iron; male hormone and semen analysis referrals.
PCOS & Insulin Management
Metformin, inositol and lifestyle protocols to restore ovulation where appropriate.
Preconception IV & Supplementation
Folate, B12, iron, vitamin D and CoQ10 support for egg and sperm quality.
Referrals to Fertility Specialists
Trusted network of gynaecologists and reproductive medicine specialists when specialist care is needed.
Frequently asked
Good to know
How early should we start preparing?+
Ideally 3–6 months before actively trying — that's how long egg and sperm quality take to respond to nutritional and hormonal support.
Do you do IVF?+
No — we prepare and support you medically, and refer to specialist reproductive medicine when that's the right next step.
Ready for your personalised plan?
A doctor-led consultation is the best next step.