The
referral form is for all patients referred to the assisted reproduction services held at IVF Wales at the University Hospital of Wales, Cardiff .
The referral form encompasses all referrals forwarded to the Centre, including those for basic andrology services which are available to Cardiff and the Vale of Glamorgan patients. If referring for andrology services only, please ensure the form is completed accurately with the appropriately marked fields as per instructions.
Patients attending for semen analysis should be informed as follows:
On receipt of referral to the Unit an appointment letter will be sent to the patient along with:
- Instructions re sample production
- Form for completion
- Labelled sample pot with unique identification labels attached.
The sample should be delivered to the Unit within 2 hours of being produced.
The patients should also be informed that the result will be forwarded to the GP surgery within 7 to 10 days following analysis of sample.
No results will be given via the telephone for confidentiality reasons.
Unfortunately samples that do not have the relevant information completed will not be analysed.
Patients who attend the Unit without a scheduled appointment will not be seen.
For referrals to the assisted reproduction service, all fields in the form must be completed in order that the Centre has information on the full basic preliminary investigations which should be undertaken at primary care level.
Unfortunately if the referral information is not complete or accurate we will be unable to accept the referral at the Centre.
The form is also available on the Cardiff and Vale intranet for referrers with access to the clinical portal.
Please also refer to the NHS criteria for treatment.
Supporting patients accessing the service
Many patients will have already attended their GP surgery for healthy lifestyle advice prior to attempting conception. The eligibility criteria for treatment indicates the following:
- BMI for both partners must be between 19 and 30
- Both partners must be non-smoking at the time of treatment.
It is likely that patients will seek advice from their GPs with regards to weight loss and smoking cessation in order to ensure they are eligible to be offered treatment.