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HSE National Clinical Guideline

National Clinical Guideline Fertility - Investigation and Management in Secondary Care


Topic: Fertility investigation and management in secondary care
Document Owner: National Clinical Lead for Guideline Development in Maternity and Gynaecology Services, National Women and Infants Health Programme (NWIHP)
National Group: Guideline Development Programme, National Women and Infants Health Programme
Effective From: 31/10/2023
This Guideline aims to provide evidence-based recommendations for the care of women, men or couples presenting with infertility.

To promote a standardised approach nationally across all maternity hospitals/units regarding the structure and organisation of care, including counselling and supportive care, investigation and management.

It addresses service organisation, timely referral, couple-centred assessment and diagnostic evaluation of male and female factors.

Recommendations encompass semen analysis, assessment of ovulation, ovarian reserve, pelvic anatomy and tubal patency, alongside appropriate medical, surgical and assisted reproductive interventions. It also embeds pre-conception counselling, psychosocial support, audit and implementation measures to promote equitable, safe and patient-centred fertility care.