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Recommendations: When to refer your patients to the fertility clinic?

Patients of less than 35 years of age, who haven't been able to conceive a child after more than 12 consecutive months of unprotected intercourse, should have a basic investigation done, e.g.:
  • Hormonal tests : FSH (day 3 of menstrual cycle), LH (day 8), progesterone (day 21), TSH and prolactinemia;
    All identified causes should be treated;
    Ex.: Hypothyroidism (Thyroxine), hyperprolactinemia (Bromocriptine), ovulation problems (Clomiphen citrate), etc.
    If the investigation is negative, please refer your patient to a gynecologist for a hysterosalpingography (HSG) or a laparoscopy.

  • Their partners (if applicable) should also have a sperm analysis done. 
    If any abnormalities are noted in the analysis report, please refer your patients directly to the clinic.

It is recommended to do the investigation of women from 35 to 37 years of age, after six months of unsuccessful unprotected intercourse.

For women of 38 years of age or older, please start the investigation and refer them immediately to the clinic.



How to refer your patients?
All female patients need to be referred to the fertility Clinic by their family physician or gynecologist. It is also important to indicate both partner's name on the referral (if applicable) and to attach a recent result of the sperm analysis of the partner (if applicable). However, it is not necessary to refer the male patient. Only the analysis result is required.

Also, basic hormonal blood tests may be very useful for the fertility specialist if available at the time of the initial consultation. It may help him to inform you more quickly about your specific treatment options. Please refer to the consultation referral form here below.

For your convenience, please download this referral form:

When a male partner has previous sperm analysis results below normal range values, the fertility specialist may recommend a physical fertility exam. We have a tendency to concentrate our care almost exclusively on women when in fact, about 50% (a percentage constantly increasing) of our male patients do not have a normal sperm analysis, for reasons that are rarely known. Recent studies have shown a correlation with this specific group of patients and a higher incidence of testicular and prostate cancer, as well as cardiovascular diseases. We feel that it is our duty to investigate these issues for the best interest of these patients.

 


Why do you need to do a male patient fertility exam?
When a male partner has previous sperm analysis results below normal range values, the fertility specialist may recommend a physical fertility exam. We have a tendency to concentrate our care almost exclusively on women when in fact, about 50% (a percentage constantly increasing) of our male patients do not have a normal sperm analysis, for reasons that are rarely known. Recent studies have shown a correlation with this specific group of patients and a higher incidence of testicular and prostate cancer, as well as cardiovascular diseases. We feel that it is our duty to investigate these issues for the best interest of these patients.
It is important for us not only to help these patients to conceive a child, but also to detect any abnormalities that may affect their health.

The attached form was designed for this purpose.


Azoospermia (no sperm found during sperm analysis)
Even when no spermatozoon is found during a standard sperm analysis, medications (such as Letrozole) can improve some cases and help them to produce just enough few sperms to allow us to proceed to a fertility treatment



For more information