Infertility Referral

Support and advice from a GP is the first step in managing what can be a long and very emotionally draining journey.

As a GP it is very helpful to the RFC if anything specific can be identified as being a factor in the couples infertility. Relevant information to be included in the GP referral letter:

  • Menstrual history
  • Medical history
  • Previous pregnancies
  • Frequency & timing of sexual intercourse
  • Lifestyle factors
  • BMI (only patients with BMI <35kg/m2 will be treated)

Appropriate investigations carried out prior to referral will allow more information to be given to the couple at their first consultation. IVF/ICSI assisted conception treatment is provided within 12 months of being placed on the treatment waiting list and patients cannot be added to the waiting list until all the investigations and consents have been completed. Early investigations should speed up the pathway for fertility treatment. Waiting times vary due to demand over the year. Investigations are as follows:

  • Rubella screening
  • Chlamydia screening - female
  • Hormone levels - Day 2 or 3 FSH & Oestradiol of cycle if regular cycle
  • Random FSH, LH, Oestradiol, Prolactin if irregular/infrequent periods
  • Semen analysis (if available)

If semen analysis shows azospermia examination of the male as well as blood tests - hormones (FSH, LH, testosterone, prolactin) and male karyotype would be useful information to have in advance of Regional Fertility Centre consultation.


When to refer

Normally, referral should take place after two years of infertility. Referrals should be addressed to:

Appointments
Ground Floor East Wing, RVH
Belfast Trust
Grosvenor Road
Belfast   
BT12 6BA