Please use this section to find information about investigations that can be performed at primary care level. We have also included an online referral form (of which you will receive a copy for your patient’s records) in order to facilitate ease of referral.
We are delighted to work in collaboration with GPs in order to ensure holistic care for your patients. Please feel free to contact us for advice or if you would like to discuss a case.
Fertility in General Practice
Approximately 84% of couples in the general population will conceive within one year if they do not use contraception and if they have regular sexual intercourse.
About 50% of those who do not conceive in the first year will do so in the second year, giving a cumulative pregnancy rate of 92% over two years (NICE, 2013).
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.
There are a number of investigation that can be performed at Primary Care level. Please see Investigations section in GP Resources.
- Fertility Assessment Clinics
- Ovulation induction and cycle monitoring
- Intrauterine insemination (IUI)
- In Vitro Fertilisation (IVF)
- Intracytoplasmic Sperm Injection (ICSI)
- ICSI with surgically retrieved sperm (TESA)
- Blastocyst Culture
- Egg, Sperm and Embryo donation
- Cryopreservation (Vitrification)
- Pre-implantation Genetic Diagnosis (PGD)
- Pre-implantation Genetic Screening (PGS)
Referral to a Fertility Clinic
Immediate referral should be considered for the couple where the following circumstances apply:
- ≥ 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
- Abnormal semen analysis results
- History of undescended testes
- History of mumps
- History of vasectomy
- Treatment for cancer
How to refer?
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.