BCRM has an NHS contract to provide Fertility treatment to NHS patients who meet the eligibility criteria in Bristol and surrounding areas.
Please see link below detailing how you can access NHS funded Fertility assessment and Treatment:
Arranging an NHS Sperm test at BCRM: please ask you GP to complete the this form.
Eligible for NHS IVF? Have your treatment at BCRM
If you’re eligible for Fertility treatment on the NHS, did you know that you may choose to have your treatment with us? and there is no waiting list.
BCRM is able to treat patients from the following or surrounding areas:
Your local NHS Clinical Commissioning Group (CCG) provides funding for patients who require fertility treatment. Each CCG has criteria that determine whether you are eligible or not.
In the Bristol and Somerset area you would be able to have treatment if-
The Female partner:
Any decisions affecting your funding should be directed to your local CCG.
All fertility referral letters are reviewed and an appointment for a consultation is usually arranged within 2 weeks of receipt
Once you have been given a diagnosis and treatment options, you may start your treatment as soon as you like. The start of treatment is not determined by whether you’re funded by the NHS or self funded, there is no wait time for treatment.
A referral is required from your GP or Specialist. This usually follows assessment in an NHS General Fertility clinic. Their referral letter will include a summary of all tests performed to date and any initial thoughts on diagnosis.
It’s important that if you are a couple both of you attend the consultation.
It is important that a semen sample is checked prior to your treatment at BCRM. We will determine if another sample is required to determine if it is suitable for a variety of treatments
Such as IVF or ICSI.
Yes, a scan will be performed at consultation, even if you have had one performed before unless there is detailed information of your previous scan. A scan will be internal and it is important to empty your bladder on arrival at the BCRM.
For consultation and treatment planning appointments – yes, as there may be specific issues or consent forms you will both need to consider. Both of you will also need to attend the first monitoring appointment so we can check your wishes and the consent forms for that treatment cycle.
There is no clear evidence that small amounts of alcohol have any adverse effect on fertility treatment. We advise the female partner restrict her alcohol intake to less than 5 units each week during treatment. As the production time for sperm is up to 100 days, we suggest that men restrict their alcohol intake for about 3 months before treatment. 1 unit of alcohol = ½ pint beer, a small glass of wine or 1 measure of spirit.
Whilst we do not have research to support the benefits of complementary medicine, we acknowledge that many people may want to use them. We would advise against the use of herbal treatments, which we know can have an adverse effect, such as Agnus Castus, or treatments whose ingredients are unknown. Physical complementary treatments may be more acceptable, particularly if they reduce stress. We cannot accept responsibility for the effects for any of these treatments but advise that, if you are using them, you attend a qualified practitioner and inform us of treatments you are undergoing. We are unable to facilitate complementary medical treatment sessions.
Paracetamol used accordingly to the normal dosage instructions is safe, even in pregnancy. If paracetamol does not work we ask that you call us for advice.
It is possible at consultation that further investigations will be required prior to embarking upon the treatment and you will be advised accordingly at that time.
Absolutely, all couples are entitled to a free session of counselling either before or during treatment.
HFEA consent forms: We will check with you at every treatment cycle what your wishes are relating to treatment and will only renew any relevant consent forms if you have changed your mind, e.g. relating to freezing of embryos. ‘In house’ consent forms; as some treatment options may vary from cycle to cycle; e.g. assisted hatching, we need to ask for new consent forms each time. We need to be absolutely sure of your wishes, to ensure the correct treatment is carried out.
There is no evidence that sexual intercourse in the early stages of your treatment, or after embryo transfer or IUI, has any adverse effect. If anything, the limited information we have is that normal sexual intercourse may have a small beneficial effect. However, we would advise you to avoid sexual intercourse for 3 – 5 days before your egg collection or IUI treatment to improve the quality of the man’s sperm.
Between to 2-6 weeks depending on your menstrual cycle dates, the treatment regime you are on and how you respond to the drugs.
Yes. There is no evidence that any of these activities can be harmful. However, we would advise women to avoid water-skiing or using water slides during treatment. You should live your life as normally as possible during your treatment. It is important that you are relaxed and comfortable with yourself at this time and during any resulting pregnancy so that if you look back, you have no regrets about anything you might have done. Whilst we may advise a particular activity is safe (for example, to fly), if anything were to go wrong would you blame yourself, despite our reassurance? If you have concerns about any specific activity, please ask us.
Any exercise that is usual for you, however avoid excessive exercise. Treatment is tiring and you may find your stamina and exercise tolerance are not up to your usual level.
If you think you have missed a spray please take another one as soon as you remember, occasionally if a nasal spray hasn’t been taken for a significant amount of time it might affect the treatment cycle. However, usually as long as you sniff as soon as you remember there shouldn’t be a problem.
Do not attend for your blood test as organised, please inform your nurse when your period does start so alternative arrangements can be made. Keep sniffing the spray during this time.
One bottle of buserelin nasal spray will last 2 -3 weeks, 2 bottles are usually required for one treatment cycle. Do not throw away after 1 week (as instructed in the paperwork) please use until the bottle is empty.
If you have a cold during your nasal spray, blow your nose prior to the sniff and the spray will work.
A pregnancy test is usually taken 2 weeks and 2 days after your egg collection.
Sometimes there can be a brownish discharge after the embryo transfer or egg collection which is normal due to having an egg collection and transfer. Please continue to use your pessaries. Following your treatment cycle, you would normally expect a period 2 weeks after egg collection and sometimes, even though you are on the pessaries you may have a bit of spotting prior to your test. If it is only spotting, continue with the pessaries and take a pregnancy test at the right time. If you have bleeding prior to your pregnancy test, please phone for advice.
You would have been advised to drink plenty of fluids (up to 2 litres a day) after your egg collection and take paracetamol regularly. It is important to continue with fluids and take paracetamol on regular basis. If you are short of breath, have nausea, not passing water enough please phone the on-call nurse at the weekend or the doctors out of hours for advice.
Generally, our administrators will try and answer patient calls during any part of the day; however, if you wish to speak to one of the nursing team, please be aware that they are usually in clinic/theatre every morning. Therefore, better times to call are in the afternoon on the main nursing number 0117 414 6888. Should your call not be answered, the team will try and contact you by the end of each day.
Please write to the Quality Manager Joanne Tyrrell at the BCRM address.