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One stop fertility clinic.

A Magos1, A Al-Khouri, P Scott

  • 1Minimally Invasive Therapy Unit & Endoscopy Training Centre, University Department of Obstetrics and Gynaecology, Royal Free Hospital, Pond Street, Hampstead, London NW3 2QG, UK. a.magos@medsch.rcl.ac.uk

Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology
|April 9, 2005
PubMed
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A one-stop infertility investigation is feasible and acceptable for many couples, offering a single visit and immediate results. However, organizational challenges and suitability for all patients need consideration.

Area of Science:

  • Reproductive Medicine
  • Gynecologic Surgery

Background:

  • Infertility affects a significant number of couples, necessitating efficient and patient-centered investigation methods.
  • Traditional infertility workups often involve multiple appointments, leading to patient inconvenience and potential delays in management.

Purpose of the Study:

  • To assess the feasibility and acceptability of an outpatient, "one-stop" approach for investigating infertile couples.
  • To evaluate the diagnostic yield, patient satisfaction, and management outcomes of this streamlined investigation process.

Main Methods:

  • A prospective observational study was conducted at a large undergraduate teaching hospital.
  • Couples referred for secondary care infertility investigation underwent pelvic ultrasound, hysteroscopy, and culdoscopy.
  • Data collected included procedure feasibility, diagnostic findings, patient views, and subsequent management plans.

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Main Results:

  • Out of 347 referred couples, 199 (57.3%) met selection criteria, with 162 attending.
  • Culdoscopy was unsuitable or failed in 38.2% of cases.
  • The average procedure time was 41.2 minutes; over a third of patients had pelvic pathology. Investigations were well-tolerated with minimal complications.
  • Patients appreciated the convenience of a single visit and rapid results.

Conclusions:

  • The "one-stop" infertility investigation is attractive and feasible for many couples, improving patient experience.
  • However, this approach is not universally suitable or desired, and organizational factors require attention.
  • Further refinement may be needed to optimize this model for all infertile couples seeking secondary care.