Clear Answers to Help You Feel Confident About Your Journey

Starting a new health or fertility programme can come with plenty of questions. From how consultations work to what support is available, we're here to make everything as clear and straightforward as possible.

What does a fertility nutritionist do?

I work like a detective, investigating the underlying causes of your fertility challenges. This could be nutritional gaps, an imbalanced microbiome, or hormone disruption. From there, I use diet, targeted supplements and lifestyle medicine to bring your body back into balance.

Can nutrition help with infertility?

Yes, hugely. What we eat becomes our cells, including eggs and sperm, and the building blocks our hormones are made from. Infertility can be driven by a wide range of subtle, often overlooked factors: hormone imbalances, sperm DNA fragmentation, microbiome imbalances in the gut, vagina, uterus or semen, poor egg and sperm cell quality, autoimmunity, nutrient depletions, thyroid dysfunction, insulin resistance, chronic inflammation and mitochondrial dysfunction, to name a few. My approach goes beyond generic diet advice though. I use functional testing to look at what's actually happening for you, then build a plan combining diet, lifestyle and targeted supplements to address the real cause, not just support fertility in general.

How is this different from standard fertility care?

My work goes a lot deeper. I test for markers that simply aren't available on the NHS or in most private clinics, and I often work alongside consultants and IVF teams rather than in place of them. The aim isn't to replace reproductive technology, but to work alongside it so that you have the best possible chance of a healthy, full term pregnancy. Interestingly, many of my clients preparing for IVF go on to conceive naturally during our work together.

Are your recommendations evidence based?

Yes. Every recommendation I make is grounded in published research and clinical evidence, and I stay on top of the latest studies as they come out. It takes an average of 18 years for published medical research to filter through into NHS and NICE guidelines, a genuinely alarming gap when it comes to something as time sensitive as fertility. My work is about closing that gap, bringing you what the evidence shows right now, not what guidelines will eventually catch up to. Where evidence is still developing, I'll always be upfront about that too, so you know exactly what we're working with.

I feel like I've tried everything already. What makes this different?

I hear this a lot, and I understand it completely. Often "everything" has meant standard testing and general advice, which only gives part of the picture. My work goes deeper, using functional testing to find what's actually going on for you specifically, rather than a generic approach. Having been through my own fertility journey, I also know how exhausting it is to keep trying without answers, and that's exactly what I aim to change.

I've had a lot of medical testing. Can you still help?

Brilliant. Please share everything you have before our first appointment. I also understand how frustrating it is when testing doesn't give you the answers you need, so I may suggest we explore further areas such as the microbiome, sperm DNA fragmentation, genetic testing or more advanced blood work.

I am worried about making lots of changes to my diet. Do I have to?

 I will meet you exactly where you are. There's no pressure, and we work with what you feel comfortable with, including your food likes and dislikes. It's worth saying that diet is just one part of my work, "nutritionist" is, in some ways, a misleading title for what the role involves. The larger part of the process is functional testing, targeted supplements, and rebalancing the underlying systems driving your symptoms and fertility challenges. Dietary suggestions will always be part of your plan, but this isn't a "change everything about how you eat" approach, and the odd sweet treat or bowl of pasta still has its place in a healthy, balanced life.

Does nutrition help women preparing for egg freezing?

Absolutely. This is one of my specialist areas. The right combination of diet, targeted supplements and lifestyle changes can make a real difference to egg quality and retrieval outcomes.

What are my qualifications as a fertility nutritionist?

I studied for four years and graduated with a distinction from the Institute for Optimal Nutrition. I then spent a further two years specialising in fertility and women's health. The learning never stops though. I stay on top of the latest research every day, so my advice is always current.

What are my values as a practitioner?

I always aim to bring hope and empathy into every consultation. I also believe food should be joyful, so the odd bit of chocolate or a bowl of pasta is never off the table.

Why do I work as a fertility nutritionist?

I believe everyone has the right to build their own family, and it's a privilege to be part of that journey with so many couples. Having been through my own hormone and fertility journey, I know first hand how frightening, lonely and confusing this space can be. That's exactly why I bring the latest science into my work, so you have clarity, a sense of control, and results you can trust.

Do you work with clients outside the Cotswolds?

Yes, all of my work is online, so I support clients right across the UK and further afield.. Being based in the Cotswolds doesn't limit who I work with, video consultations mean you get exactly the same level of care wherever you're based.

Do you work with women preparing for egg freezing?

Yes, and egg freezing preparation is a particularly good time to do this foundational work. It gives your body real time to get ready for whatever comes next. The markers we address, including mitochondrial function, methylation, microbiome and toxic load, all directly affect egg quality at retrieval.

How do I know if this is right for me?

This is for you if you want a thorough, highly personalised, results driven approach. Perhaps you already eat well and take a few supplements, but you still aren't seeing the results you need. Or you may be dealing with unexplained infertility, recurrent miscarriage, poor egg or sperm quality, or a PCOS or hormone diagnosis that hasn't been properly investigated. My work is to dig deeper than standard care allows, using functional testing to find what's actually going on, then build a plan around diet, supplements and lifestyle to address it.

What is functional testing, and how is it different from NHS testing?

NHS testing is designed to rule out disease and works from broad reference ranges. Functional testing looks at optimal ranges rather than just "normal" ones, and covers markers the NHS doesn't routinely test, such as detailed hormone panels, the microbiome, nutrient status, and sperm DNA fragmentation. It's less about ruling things out, and more about understanding exactly what's happening in your body.

Do you work alongside my GP or consultant, or instead of them?

Alongside, always. I see my role as complementing your medical care, not replacing it. I often liaise directly with GPs, consultants and IVF clinics as part of a wider team, and I'll never suggest you stop or change medical treatment without discussing it with your doctor first.

Do you offer one-off consultations, or only programs?

My work is built around programs, because meaningful change in fertility and hormone health takes time, testing and adjustment along the way. A single session can highlight areas to explore, but it rarely gives your body enough time to make meaningful changes. I'll talk you through which option fits your situation during a free call, and I often create bespoke programs to suit different needs and budgets, so there's usually a way to make this work for you.

Do I need to order my own supplements, or do you provide them?

I'll recommend and prescribe exactly what you need based on your testing and history, and you'll get a discount through me on anything prescribed. You're never left guessing which brand or dose to buy off a shelf.

Why do I need supplements for fertility?

Our soil isn't what it used to be. Decades of intensive farming have depleted the mineral content of much of our produce, so even a good diet doesn't always deliver what your body needs. Targeted supplements and herbs fill that gap. Used therapeutically and at the right dose, they work in a similar way to medication (many medications originally derive from plants), correcting underlying imbalances rather than masking symptoms.

What if I have already had some medical testing done?

Brilliant. Please share everything you have before our first appointment. I also understand how frustrating it is when testing doesn't give you the answers you need, so I may suggest we explore further areas such as the microbiome, sperm DNA fragmentation, genetic testing or more advanced blood work.

How can I improve my fertility?

It starts with improving your overall health. Fertility is a direct reflection of how well your body is functioning, and modern diets and lifestyles are actively working against it, often without any obvious symptoms. We begin with the fundamentals: closing nutritional gaps, correcting imbalances, and supporting the systems that regulate hormone production. From there, we move on to more advanced testing if needed. Egg and sperm cells are highly responsive to change, so results can show within a matter of months.

How does fertility nutrition help with egg freezing?

Targeted changes to diet, supplements and lifestyle can significantly impact egg health and quality, supporting mitochondrial function, reducing oxidative stress and improving the hormone environment eggs develop in. I have seen real improvements in retrieval numbers and egg quality when clients properly prepare for their egg freezing cycle, rather than going in with generic groundwork and supplements.

Why do you need 90 days before my egg freezing cycle?

Egg cells take around 90 days to mature before ovulation or retrieval. That gives us a window to directly influence their health and quality. We use this time to prepare your body so your eggs have the best possible environment to develop in.

What foods should I eat for fertility?

Eat the way your grandmother did. Research consistently points to the Mediterranean diet as one of the best approaches for fertility: rich in vegetables, fruit, full fat dairy, eggs, meat, fish, nuts and seeds, and very light on processed food. It's less about restriction and more about eating real, whole ingredients.

What age should I start thinking about freezing my eggs?

Egg quantity and quality both decline with age, with a more noticeable drop from your mid-thirties onwards. There's no single right age, it depends on your individual circumstances, but earlier generally means better outcomes per cycle. If you're considering it, it's worth having a conversation sooner rather than later, even if you're not ready to start the process yet.

What does a typical first session involve?

Our first session is a deep dive, usually around 90 minutes. We go through your full health history, cycle, symptoms, diet, lifestyle and any previous testing or treatment. From there I identify what functional testing would be most useful for you, and we build the first phase of your plan together. Your partner can join for this initial consultation, or we can meet separately - it’s entirely up to you. You'll leave with clear next steps,  and some clarity on what is actually going on.

How long should we prepare for conception?

Sperm and egg cells both take around three months to mature, so this is the minimum time we want to prepare for conception. That window gives your body enough time for meaningful changes to take effect, and to build up the nutrients it needs for a healthy pregnancy. A personalised fertility nutrition plan during this time gives you the best possible chance of conceiving.

I've been told I need IVF. Can you still help?

Absolutely. IVF can be highly effective, but in my experience the couples with the best success rates are the ones who prepare properly beforehand. That means improving the quality of egg and sperm cells for embryo formation, creating the best possible environment in the endometrium for implantation, and supporting hormones and overall wellbeing. IVF is often seen as a fix all solution, but success is never guaranteed, and many couples have been through several failed rounds before they come to see me. Interestingly, I have worked with many couples in exactly this position who go on to conceive naturally during our time together, before they even reach their IVF cycle.

My partner's sperm was normal. Does he need to be involved?

Yes please. There is always something to learn from a sperm analysis, and 'normal' rarely means ideal. Male fertility is declining rapidly, and the criteria for what counts as 'normal' has declined right along with it. A standard semen analysis also doesn't tell the whole story. Sperm DNA fragmentation and the sperm microbiome can both play a significant role in miscarriage and infertility, even when the semen analysis itself comes back completely normal. I like to involve the male partner whenever you're trying to conceive naturally or using a fresh sample.

I've had multiple miscarriages. Can you still help?

I absolutely can, and many clients come to me having sadly experienced multiple losses. We focus on nourishing your body and, crucially, identifying your individual risk factors for miscarriage. My aim is to give you a renewed sense of hope, with both compassion and expertise.

I've been diagnosed with 'unexplained infertility', how will fertility nutrition help?

Unexplained infertility simply means the standard tests haven't found a clear cause, not that there isn't one. This is where functional testing comes in. We look more closely at areas such as the microbiomes, thyroid function, nutrient status, DNA fragmentation and hormone balance, areas that standard fertility investigations often don't cover, to uncover what's really going on.

I've been told I have poor egg health, will fertility nutrition help?

Absolutely. The idea that nothing can be done to improve egg quality is outdated and simply not true. This is exactly where nutrition and lifestyle make a real difference. An egg takes about three months to mature before it's released from the ovary, so everything you do during that window, for better or worse, affects its health. Evidence based nutrition and lifestyle changes during this time give your eggs the right building blocks and hormone balance to develop well before conception. It's why my packages run for a minimum of three months, so you know you've done everything within your control. Supporting egg health in this window doesn't just improve live birth rates. It can also strengthen your future child's genetics and reduce their health risks into adulthood, something IVF alone can't do.

What happens if we conceive during the protocol?

First, we celebrate! Then we shift our focus to supporting a healthy, full term pregnancy, gently guiding you through each trimester for as long as you need me.

How does nutrition affect my hormones?

Hormones are made from the foods we eat, specifically from cholesterol and fats. Yes, the same cholesterol we were told to fear! Progesterone, for example, can be significantly boosted with a good vitamin C intake. But making hormones is only half the story. They also need to be cleared properly by the liver and digestive system, and if that's not happening well, hormones can build up and cause imbalances. This is why I often work on both systems together.

What is the best PCOS diet?

It depends slightly on the type of PCOS you have, but generally the diet should be anti-inflammatory, unprocessed, Mediterranean style, and high in fibre, fat and protein. A low carbohydrate diet isn't necessarily right for every type of PCOS.

What should I eat for endometriosis?

Endometriosis is an inflammatory condition, so a diet low in sugar, caffeine, alcohol, gluten and processed foods is a good starting point. Beyond that, filling your plate with a rainbow of colourful plant foods gives you the polyphenols that help reduce inflammation. I would also be looking at the root cause, working on factors such as the gut microbiome and the immune system.

What is oestrogen dominance, and how does it affect fertility?

Oestrogen dominance happens when oestrogen is too high relative to progesterone, rather than oestrogen being high in absolute terms. It's rarely down to one thing. Poor liver clearance, a sluggish gut, high stress, and exposure to xenoestrogens (from plastics, personal care products and pesticides) can all tip the balance. The knock-on effect for fertility can include irregular cycles, heavy or painful periods, and a luteal phase too short to support implantation. Supporting the liver and gut to clear excess oestrogen, alongside building progesterone naturally, is often central to correcting this.

What is PMDD, and how is it different from PMS?

PMDD (premenstrual dysphoric disorder) is a much more severe form of PMS, involving intense mood symptoms such as anxiety, rage or depression in the days before your period, severe enough to disrupt daily life. It's thought to be less about hormone levels themselves and more about how sensitively the brain responds to the normal hormonal shifts of the cycle. Nutrition can play a real role here, particularly around blood sugar stability, B vitamin status and supporting the pathways that regulate mood and hormone clearance.

What blood tests should I ask my GP for if I suspect PCOS/PMOS?

A useful starting panel includes FSH, LH, testosterone, SHBG, prolactin, thyroid function and fasting insulin, alongside a pelvic ultrasound. Many GPs won't automatically test insulin, but it's key to identifying your PCOS type. If your GP is reluctant, I can guide you through requesting the right tests, or arrange functional testing that covers this in more depth.

What should I eat during pregnancy?

It depends slightly on whether you're dealing with nausea or sickness, and nutrient needs also shift at each stage of pregnancy. Early on, the priority is simply eating what you can tolerate. As things settle, focus shifts to protein, healthy fats, iron and folate, with needs for choline, omega 3 and calcium increasing further as the baby develops. Overall, it's about nutrient density rather than "eating for two."

How does prenatal nutrition affect the health of my future child?

Prenatal nutrition directly shapes a child's lifelong health. It supports vital organ formation, regulates gene activity through epigenetics, and lowers the risk of chronic disease later in life. Good omega 3 intake, for instance, positively impacts brain and eye development in the baby. Maternal health matters too. A mother with poor gut health and a dysbiotic microbiome is more likely to have a baby with allergies or eczema.

Can I start the program at any point during pregnancy?

Yes, you can. My preference is that we start in the first trimester, or even before, so we have the greatest impact. But I'm always happy to build a bespoke program around where you are and what you need.

Can you advise me on which pregnancy supplements to take?

Absolutely, and this is an area that creates a lot of confusion. Walk into any pharmacy and you'll find dozens of prenatal formulas with different doses, forms and ingredients, some using folic acid rather than the more absorbable methylfolate, others missing key nutrients like choline. Rather than guessing, supplements are built into your personalised plan based on your history and any testing we do, and I'll provide a discount on anything I prescribe.

I am really anxious during my pregnancy. Can you help?

I'm sorry you're feeling anxious. It's understandably a worrying time, whatever your journey to get here. I can absolutely help reassure you that you're doing everything within your power, both to support a healthy full-term pregnancy and to make sure you and your baby are well nourished.

Can fertility nutrition help with miscarriage?

Yes, and this is one of my specialist areas. I help you uncover the possible reasons behind your loss and address them before trying again.

How long does it typically take to see changes?

Every case is different, but many clients notice changes in energy, cycle regularity or symptoms within the first six to eight weeks. Egg and sperm cells take around three months to mature, so this is generally the minimum timeframe for changes at that level, which is why my packages run for at least three months. Real, lasting change takes a little time, but it's often faster than people expect.

Can nutrition help after a failed IVF cycle, before trying again?

Yes, and this is often when functional testing is most valuable. A failed cycle can highlight specific areas to investigate further, whether that's egg or sperm quality, the uterine environment, immune factors or hormone balance. Preparing properly between cycles, rather than going straight back in, is something I see make a real difference to outcomes.

Who is your typical client?

Most of my clients have been trying for a while and have had testing come back "normal" without real answers. Some are preparing for IVF and want to maximise their chances beforehand, others are recovering from failed rounds, recurrent miscarriage, or an under-investigated PCOS diagnosis. They've usually already tried the basics, eating well, some supplements, standard testing, and are looking for a proper explanation rather than more reassurance. I work with clients UK-wide, online.