We are halfway through our A to Z guide to fertility, and this instalment is a mix of three letters; J, K and, L.

We know that when you are dealing with fertility issues and are on a roller coaster journey of treatments and emotions, the last thing you need is to be confused with jargon that just makes it harder to get your head around everything.

Today’s post will look at more words that can come up in consulting rooms and during conversations, as well as issues in everyday life that can throw you off course and leave your head in a spin.

During scans and examinations, it may well be necessary for your doctor to use jelly. This won’t hurt or cause damage, it might be cold and a bit messy, so don’t worry, all is fine.

Sometimes jokes are far from funny and while they might not be meant to cause malice or hurt, even the most innocent memes on social media can be a trigger. If you find that seeing the funny side of things can be hard, we would suggest you unfollow people who don’t always think before they post. If need be, walk away from scrolling on Facebook and IG for a while and find your fun and laughs somewhere else.

You might think that unless you have a baby in your arms, you won’t find joy in your life, but this can be soul-destroying. You have every right to feel a multitude of emotions when you can’t get pregnant, but you haven’t done anything wrong, so don’t punish yourself by missing out on life’s little joys.

Kids are of course at the heart of your situation and our clinic, and that’s what we are here to help you with.

A little bit of kindness goes a long way when life is getting you down. Make sure you are kind to yourself, as well as your partner and family, and even going for a coffee, having a swim or booking a relaxing spa day can give you the kindness you have been looking for.

Kallman’s Syndrome
Kallmann’s Syndrome is an extremely rare genetic condition due to hypogonadotrophic hypogonadism. This is characterised by delayed onset of puberty and absence of smell. It can occur in both sexes. People with this syndrome will require hormone replacement therapy. They will also need to see a fertility specialist to help them conceive.

Kartagener’s Syndrome
Kartagener’s Syndrome causes problems with sperm motility and generally means that ICSI treatment is needed to assist conception.

If you hear someone talk about karyotype, this is a medical term that describes the number and structure of chromosomes. This test is useful in detecting certain inheritable conditions and in women who suffer repeated miscarriages.

Klinefelter’s Syndrome
Klinefelter’s Syndrome is a genetic condition found in men and it means an extra X chromosome is carried. This often leads to a smaller than usual penis and testicles, a lower sex drive and azoospermia (absence of sperm in the ejaculate). If this is the case for you, or your partner, get in touch and we can help look at what is happening and what can be done.

A laparoscopy is an investigation of a woman’s reproductive system using a thin telescope that is inserted through the abdomen to look at the fallopian tubes, ovaries and uterus. This procedure is often used to diagnose issues such as blocked tubes, endometriosis and scar tissue, all of which can impact fertility. If you need to have a laparoscopy it will be carried out under general anaesthetic, so you won’t feel anything and should be able to go home the same day.

Laser-assisted hatching
Laser-assisted hatching is when a laser is used to weaken an area of an embryo’s shell to improve the chances of implantation. A laser is considered to be the safest and most accurate method to do this and is carried out immediately before embryo transfer.

Luteal phase
Not many people know this, but the luteal phase is the second part of your menstrual cycle and is between the day you ovulate and the first day of your period. It is during this time that your womb lining thickens to prepare for a possible pregnancy, and it tends to last around two weeks. Knowing your menstrual cycle can help us to get to grips with what is happening with your body, so keep track each month,

Luteinising hormone
The luteinising hormone (LH) is produced by the pituitary gland and is one of the main hormones that control the reproductive system. This is something that is found in men and women and is tested when fertility issues are being experienced.

It is no secret that fertility treatment isn’t endlessly free on the NHS, but some help is available. We always say never to enter this journey without considering all eventualities through and that not only covers your emotional wellbeing and relationship, but financial aspects too. We make our prices competitive and true, and advise you on what you really need, but it is your responsibly how you pay for these, be that with savings, a credit card or a loan. If you have any questions on costs, let us know and we will be honest, upfront and 100% transparent. We have recently started working with a credit provider to help spread the cost of treatment too.

Long protocol IVF/ICSI
Long protocol IVF/ICSI is one of the most popular fertility treatments out there. Things start on day one or twenty-one of your cycle which also tends to be the day you start to take regulation drugs and a follicle-stimulating drug is introduced 10 to 14 days later. We won’t lie, this can be a little uncomfortable, but it only takes a few weeks and for many patients, it is worth it.

Last chance
There is a lot of scare-mongering when it comes to having babies, but our advice is to listen to the experts not the gossips, or Google. Yes, your chances of conceiving decrease as you get older and once you hit your forties, things get harder still, but come to us with an open mind and we can give you the real picture and an honest prognosis.

Last menstrual period
Your last menstrual period (LMP) is the date of the first day of your last period. It is really important that you know this, as it can help you track your cycle and from this, you can work out exactly when you ovulate which is your most fertile window. On the positive side, it is also used to calculate your estimated due date if you become pregnant which is pretty important.

Late period
If you think back to your carefree younger years, a late period was often a moment for concern and panic, but when you’re navigating the murky waters of fertility it can be a moment for optimism and hope. Again, knowing and tracking your cycle is important and if you think that you’re late, do a test, and if you get a positive result, do it again and then make an appointment with your GP or clinic. If it is a false alarm, we know you will be disappointed, and we share your sadness.

You might not know this, but fertility treatments in the UK are regulated and licensed by the Human Fertilisation and Embryology Authority and by the law. Do be reassured that your fertility treatment is confidential and medical staff cannot disclose your information to anyone else without your permission.

The Harley Street Fertility Clinic is based in London, but we also have a clinic in Maidstone in Kent. We do offer evening and weekend appointments and try to be as flexible as possible to help meet the needs of our patients.

Your moods may well fluctuate from month to month with your cycle and this is only to be expected. From being high with excitement, tired with trying and low from continuous disappointments, go with it. If you need extra support, ask for it – we have staff on hand to help and you will find your partner, family, friends or even your boss will be on your side and ready to support you.

All you need is love! We know it doesn’t always feel like it and we don’t want to offer you empty words, but love can do a lot to keep you going when all else feels bad. Keep the faith, keep loving and we will keep helping you with your fertility needs.

If you have any questions about these terms or fertility in general, get in touch and we would love to talk.

The Harley Street Fertility Team