This guideline covers diagnosing and treating fertility problems. It aims to reduce variation in practice and improve the way fertility problems are investigated and managed.

In September 2017, we stood down section 1.7 in this guideline as it has been superseded by publication of the NICE guideline on endometriosis.

Recommendations

This guideline includes recommendations on:

Who is it for?

  • Healthcare professionals
  • People with fertility problems, their families and carers

Is this guideline up to date?

We checked this guideline in June 2015 and concluded that new evidence was available that may affect some of the recommendations. In August 2016 we reviewed the evidence for recommendation 1.9.1.3 on intrauterine insemination. The evidence reviewed did not justify a change to the recommendation. For more information see the addendum.

As outlined in our responses to stakeholder comments (for example response to comment 5) we will review the evidence for intrauterine insemination compared with IVF in a future update.

Guideline development process

How we develop NICE guidelines

Your responsibility

The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using their service. It is not mandatory to apply the recommendations, and the guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian.

Local commissioners and providers of healthcare have a responsibility to enable the guideline to be applied when individual professionals and people using services wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties.


Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.

  • National Institute for Health and Care Excellence (NICE)