8.5 Infertility Services

Part II: Guidelines for Client Services and Clinic Management

Delegates must make basic infertility services available to women and men desiring such services and must establish written protocol and procedures for its infertility services. This protocol must meet the program requirements and define the scope of the infertility services, and whether those services will be provided on site and/or by referral.

All family planning clinics must provide Level I infertility services at a minimum. Level I infertility services include an initial infertility interview, including an informed consent, complete medical, menstrual and sexual history, a complete physical and pelvic examination, lab testing (including Hgb/Hct, Pap, Gonorrhea and Chlamydia testing) education and counseling, and appropriate referral. The education and counseling should include:

  • A basic discussion about male and female anatomy and the physiology of conception as it relates to the client's needs or concerns;
  • Reassuring the client that infertility does not relate to sexuality;
  • The benefits and risks of any proposed diagnostic and therapeutic measures;
  • A description of how the infertility study may proceed. (Clinics must advise the client that the infertility investigation will consider both partners because there may be more than one contributory factor); and
  • Referral to a physician with training and experience in infertility.

Level II and Level III infertility services are considered beyond the scope of the Illinois Family Planning Program. Level II services may only be provided by clinicians who have special training in infertility. Level II services include semen analysis, assessment of ovulatory function and post coital testing. Level III infertility services include more sophisticated and complex testing and procedures than both Levels I and II.

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