Assisted Reproductive Technology

Introduction

Assisted Reproductive Technology

General Comments and Directions

This tool is designed to advise the clinician and the couple of their current status with respect to access to publicly funded fertility treatment. A number of additional data fields are being collected to help with determination of how we can use alternative packages of care (in line with the new Service Specifications). These include height and weight (of the female client) and the reproductive histories of both partners and the current partnership. Where possible data is collected only once and used in the relevant components of the algorithm.

The procedure list is designed to define the likely package of care of this couple and must be filled out.

  • Scoring should be based on the considered view of the clinician taking into account the patient’s history, examination, results of investigations and the clinician’s experience in treating like patients.
  • Criteria only apply for patients where a procedure is indicated and the patient wishes it and all non-surgical therapeutic options have been explored.
  • These criteria only apply to elective and arranged admissions.

Prioritisation

Assisted Reproductive Technology

Demographics
Origin of FSA
Female client


Prioritisation

Ovulation defects
Semen defects
Tubal/peritoneal factor
Endometriosis
Other factors
Duration of infertility
Number of children
Sterilisation reference range
Procedure list
(For analysis of case mix – does not affect the score.)
  • (In vitro fertilization (IVF)–first cycle- - includes ovarian stimulation, collecting and fertilizing eggs (includes blastocyst addition), and embryo transfer. Spare embryos may be frozen and stored for subsequent use.)
  • (Intracytoplasmic sperm injection (ICSI) – a single sperm injected directly into an egg for in vitro fertilization treatments)
  • (The insemination of donor sperm into women whose partners are infertile)
  • (Intrauterine technique for specially prepared sperm to be placed directly into the uterus. (Excludes hyperstimulation of the ovary.))
  • (Hyperstimulation of the ovary to produce more than one egg combined with intrauterine insemination technique using specially prepared sperm)
  • (Stimulation of ovaries with fertility drugs to induce mono-follicular development and allow fertilisation to occur by natural intercourse)
  • (Sperm obtained surgically from the epididymis or testis and then used for Intracytoplasmic sperm injection-(ICSI))
  • (Ejaculated or testicular sperm frozen for future use in fertility treatment.)
  • (Surgical procedure before starting fertility treatment (male and female) such as: Vasectomy reversal or Fallopian tube surgery)
  • (Surrogacy related fertility procedures)
  • (Donor related fertility procedures including donated egg)
  • (Surgical retrieval and freezing of eggs for fertility preservation)
  • (Preimplantation genetic diagnosis (PGD) biopsy and testing for fertility services)