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Obstetrics & Gynaecology

Subfertility Workup

NICE CG156 — when to investigate, comprehensive workup couple, NHS-funded IVF eligibility.

Source: NICE CG156 (2013, updated)

Step 1 of ~3
info

When to Investigate

Refer for investigation: • Couple unable to conceive after 12 months of regular unprotected intercourse. • Earlier (after 6 months) if: woman ≥35y, known cause of infertility (e.g. amenorrhoea, hypogonadism, endometriosis, prior surgery), partner with risk factor (chemotherapy, surgery, varicocele). • Female: male ratio of cause ~30:30:30 (female / male / both or unexplained).

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only. Always apply local guidelines and clinical judgement.