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 to the patient within 12 months from the date the couple’s name is put on the waiting list and that their name cannot be added to the waiting list until all the investigations 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 RFC consultation.

When to refer

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

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