09/04/2026
The 2026 update of the National Institute for Health and Care Excellence (NICE NG257) represents a pivotal advancement in fertility assessment and treatment in the UK, with a clear emphasis on evidence-based, patient-centred care. For the first time, endometriosis has been recognised as a distinct clinical entity requiring a tailored fertility approach, moving away from its previous classification under unexplained infertility. Additionally, NICE has taken a stronger position on IVF add-ons, advising against the routine use of interventions such as endometrial scratching and receptivity testing in the absence of robust clinical evidence. The guideline also expands recommendations on fertility preservation, supporting both adults and younger individuals undergoing treatments that may impact reproductive potential. Importantly, the update reinforces inclusivity, ensuring that fertility services are accessible to individuals regardless of gender identity, sexual orientation, or partnership status.
At London Fertility Clinic, we align closely with these updated principles, offering advanced IVF treatments in London, personalised fertility assessments, and specialist management of complex conditions including endometriosis and reduced ovarian reserve. Our commitment is to deliver transparent, ethical, and scientifically grounded fertility care, empowering patients to make informed decisions at every stage of their journey. EggFreezingLondon FertilityCare ReproductiveMedicine