When to refer?

General guidance suggests that couples should be referred for assessment by a fertility specialist after 12-18 months of trying to conceive unsuccessfully. In some cases it may be necessary to refer patients sooner. Immediate referral should be considered for the couple where the following circumstances apply:

Female partner:

  • ≥ 35 years of age
  • High FSH >10
  • Evidence of cycle shortening
  • AMH < 15 pmols/lt
  • Family history of early menopause
  • History of recurrent miscarriage or ectopic pregnancy
  • History of gynaecological conditions (including PCOS, PID, endometriosis, fibroids, irregular periods)
  • History of abdominal surgery (previous caesarean section, hernia repair)
  • Treatment for cancer

Male partner:

  • Abnormal semen analysis results
  • History of undescended testes
  • History of mumps
  • History of vasectomy
  • Treatment for cancer

How to refer?

Waterstone Clinic generally only accepts referrals from GPs or other specialists. Referral letters should include as much information as possible with relevant Gynaecological, reproductive, medical and social history. Please include patient phone contact details for ease of communication.

Once a referral is received, staff will contact the patient with an appointment date and time. We usually suggest 4-6 weeks to allow time for blood tests to be processed and semen analysis to take place.

Should you have concerns or queries
please contact our GP liaison officer
who will be more than happy to assist.

GP Liaison Team:

+353 21 4865764 


Contact Us

For more information or to make an appointment.