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Referral, acceptance criteria

Referral to ACS is usually by letter from your GP or Consultant. Once we receive this, we will send you a letter acknowledging receipt of the referral. We will also request detail regarding your partner if it has not been included in your referral letter. After that we will send you another letter enclosing an appointment for you and your partner to come and see us. It is important for your partner to attend because fertility investigations include tests for both of you and treatment/management of care should involve you both.

Criteria to be met before treatment can be offered

For you to be eligible for NHS treatment offered by ACS you must meet the following criteria (the first two apply to the female partner only):

  • you must be less than 42 years of age on the date of your doctor’s referral to ACS
  • your Body Mass Index (BMI) must be less than 30 and greater than 18.5. You can calculate your BMI here
  • both partners must be non smoking (including e-cigarettes) for at least 3 months before being placed on the waiting list for treatment
  • you must have no children from any source residing with you (including children born as a result of successful assisted conception treatment)
  • neither you nor your partner should have been sterilised
  • you must be living together in a stable relationship of greater than 2 years duration

Please also see Access Criteria for NHS Funded IVF Treatments - links below

National Infertility Group Report 2016

NHS Funding for Fertility Treatment in Scotland

Reasons for not offering treatment include:

  • BMI less than 18.5 or greater than 30
  • smoking
  • we are obliged by law to take into account the welfare of any child likely to be born after fertility treatment. In order to assess this, we may ask your permission to contact other professionals. There may be circumstances where treatment cannot be offered if concerns are raised with respect to the welfare of any child born as a result of treatment.
  • certain complex medical issues where pregnancy would carry significant risks

How is an ‘AMH’ test result used?

  • an AMH test result is used to decide which treatment protocol to use
  • a blood sample will be taken from you to measure the amount of a hormone called AMH
  • the result of that test will help us decide which drug stimulation protocol is best for you during your treatment. Please note that your AMH test result will not be used to decide whether you are offered treatment or not
  • a high AMH level raises the possibility that you may over-respond to your treatment (i.e. too many eggs will be produced), increasing the risk of ovarian hyper stimulation syndrome
  • a low AMH level raises the possibility that you may respond poorly to your treatment, i.e. only a few eggs are produced