A Guide for Family Doctors
At Galway Fertility Clinic, we understand that as a GP you are generally the first point of contact for patients with questions regarding their fertility. To help you provide your patients with the best possible understanding and guidance, we have put together some key information.
What is Infertility?
Infertility is defined as the inability to conceive after 12 months of unprotected intercourse. A normal fertile couple in their mid-20s, having regular sex, have a one-in-four chance of conceiving each month. This means that about nine out of 10 couples trying for a baby will conceive within a year. In addition, age plays an extremely important part as the fertility of a female will continue to decline significantly over the age of 35.
To put this into perspective:
- 60 per cent of fertile people conceive within six months.
- 80 per cent of fertile people will have conceived within the first year.
- 95 per cent of fertile people, where the women are under the age of 35, will have conceived within two years.
Common Causes of Infertility
In recent years, the trend of delaying starting a family has led to increasing infertility rates, with age being the most common and significant fertility factor in females. However, a number of other factors can play a part in causing infertility, the breakdown being:
- 30 per cent of infertility is due to female factors such as tubal or ovulatory problems.
- 30 per cent is due to male factors such as problems with the sperm quality or lack of sperm.
- 30 per cent is due to a combined male and female factor.
- 10 per cent remains unexplained.
Ovulatory problems may be indicated by irregular cycles. A way to determine whether this may be the cause of infertility is to confirm ovulation with a mid-luteal serum progesterone about seven days before the expected onset of menses.
Tubal problems may be caused by previous lower-abdominal operations, IUD usage, PID or lower-abdominal pain. However, tubal problems may also be asymptomatic, such as chlamydia.
Semen problems may be caused by childhood hernia operations, orchidopexy, adult mumps or constant exposure to toxic substances. However, most have no predisposing factors or are genetically determined. In circumstances associated with semen problems, it is advisable to arrange a semen analysis.
When to refer to a fertility specialist
You should refer a person to one of our specialists if the patient has the following:
- No success after 12 months of unprotected sex for women aged under 35, and six months for women over 35.
- Indicated PCOS.
- Irregular cycles.
- Endometriosis or a history suggestive of tubal damage.
- Recurrent miscarriage (two or more consecutive pregnancy losses).
- Premature menopause.
- Poor semen quality.
- Genetic conditions such as Turner syndrome, cystic fibrosis and Klinefelter syndrome.
Oncology patients should be referred as soon as possible, before treatment begins, to enable us to give them the best chance of future fertility. Cryopreservation of sperm, eggs or embryos provides them with a more optimistic prognosis.
Fertility management after vasectomy or tubal ligation
If patients have undergone a vasectomy or tubal ligation, City Fertility Centre can provide treatments to achieve a pregnancy. Surgical aspiration and microinjection of sperm (ICSI) offers an alternative to vasectomy reversal, and standard IVF treatment offers an alternative to female sterilisation reversal.
Galway Fertility Clinic work with the following Consultant Urologists to both investigate the causes, and arrange testicular biopsies in either Galway University Hospital, or the Bon Secour Hospital Galway.
Galway Fertility Clinic has counselling support available through specialist Fertility counsellors that are recommended by the clinic. Please contact the clinic for a list of counsellors available in your area.
Private Health Insurance
VHI customers may avail of a number benefits exclusively with Galway Fertility Clinic and our sister clinics within the Repromed group.
For many choosing which fertility centre to attend is one of the most important decisions you will make.
The standard of care, the true cost of treatment and the clinics success rates are vital considerations in this selection process. Galway Fertility Clinic is recognised as a centre of excellence for fertility treatment with unrivalled success rates. Our pricing system is clear and transparent with no hidden costs. why choose us >