Reproductive Medicine Clinic
Referrals
Please refer via eRS.
Only one referral is required. If the patient is in a relationship, we do not need a referral for each patient, although the partners information would be helpful on the referral (Name, DOB and NHS Number).
Fertility preservation referrals should be e-mailed directly from the oncology department at the RUH, using the appropriate referral form, to ruh-tr.enquiries-bfc@nhs.net
Investigations prior to referral
To maximise the benefit of a first appointment, we would be grateful if the following investigations could be organised in primary care prior to referral:
Semen analysis
This can be arranged via the cytology department at the RUH. Tests are carried out by appointment only on Tuesdays and Thursdays. Patients should phone 01225 824721 to make the appointment and should bring the sample to the department on the day. Once the patient has booked an appointment, the lab will send out the kit to the surgery for collection by the patient.
If sub-optimal parameters, please advise general lifestyle improvements together with supplements (e.g. Wellman) for 12 weeks and repeat analysis. If azoospermia, please check FSH, LH, testosterone, TFT's and refer.
Unless the male has a symptomatic varicocele, we would not generally advise referral to urology for investigation and management of abnormal semen parameters.
Rubella and Chlamydia serology
If no rubella immunity – advise 2 doses of the MMR vaccine 6 weeks apart
If raised chlamydia serology – this is indicative of past NOT CURRENT infection and may suggest a higher incidence of tubal disease.
Endocrine investigations
Menstrual FSH / LH
TSH / Prolactin and testosterone
Mid luteal progesterone
There is no need to organise an ultrasound scan prior to referral. We can scan at their initial appointment. Folic acid 400mcg should be recommended to all women trying to conceive. Although we are happy to see women with a raised BMI, we would not generally offer treatment until their BMI is below 35 due to their increased risks of pregnancy.