Referring Practitioners
Referrals can be faxed to +61 2 7226-5090 or emailed to [javascript protected email address]
If your patient requires an urgent consultation, please phone my PA, Dani, on . Appointments for urgent fertility preservation prior to the commencement of chemotherapy can generally be arranged within 24 hours. Most non-urgent appointments can be arranged within 1-2 weeks.
Please don’t hesitate to email me at [javascript protected email address] if you have any complex patients that you would like advice regarding.
If it is possible, I would be grateful if you could arrange the following investigations prior to the patient’s consultation with me. It would be fantastic if you could copy me in to receive the results of these investigations so I can review them prior to the patient’s appointment.
For women who would like to undergo social egg freezing:
- Anti-mullerian hormone (AMH)
- Full blood count (FBC)
- Serology (Hepatitis B, Hepatitis C, HIV, Syphilis)
- Pelvic ultrasound with antral follicle count (ideally at a specialist women’s ultrasound practice such as Ultrasound Care or Sydney Ultrasound for Women; a link to a referral form is below)
- If the patient has an irregular menstrual cycle, please add in:
- Thyroid function tests (TSH, T3, T4)
- Prolactin
- Free androgen index (FAI)
- Testosterone (total)
- Sex hormone binding globulin (SHBG)
- Androstenedione
- DHEAS
- 17OH progesterone
- LH / FSH / oestradiol / progesterone (these can be conducted at a random time in the menstrual cycle)
- B-hCG (if sexually active)
- If the patient is known to have a low ovarian reserve, please add in:
- LH / FSH / oestradiol / progesterone (ideally these would be done around day 2-7 of the menstrual cycle, however if menses are irregular they can be conducted at a random time in the menstrual cycle)
- Karyotype
- Thyroid antibody tests (anti-TPO, thyroglobulin)
For women planning pregnancy:
- Anti-mullerian hormone (AMH)
- Full blood count (FBC)
- Blood group & antibodies
- Serology (Hepatitis B, Hepatitis C, HIV, Syphilis)
- Rubella IgG
- Varicella IgG
- Iron studies
- HbEPG
- Karyotype
- Thyroid function tests (TSH, T3, T4)
- Prolactin
- Cervical screening test
- Pelvic ultrasound with antral follicle count (ideally at a specialist women’s ultrasound practice such as Ultrasound Care or Sydney Ultrasound for Women; a link to a referral form is below)
- HyCoSy to check tubal patency, specialist women’s ultrasound practices can conduct this test at the same time as the pelvic ultrasound
For women with irregular periods or suspected polycystic ovarian syndrome, please add in these additional blood tests:
- Free androgen index (FAI)
- Testosterone (total)
- Sex hormone binding globulin (SHBG)
- Androstenedione
- DHEAS
- 17OH progesterone
- LH / FSH / oestradiol / progesterone (these can be conducted at a random time in the menstrual cycle)
- Fasting glucose level, HbA1C or GTT
- B-hCG (if sexually active)
For women with a history of two or more miscarriages, please add in these additional blood tests:
- Anti-cardiolipin antibodies
- Lupus anticoagulant
- Beta 2 glycoprotein
- Thyroid antibody tests (anti-TPO, thyroglobulin)
For women with an unexpectedly low ovarian reserve, please add in these additional blood tests:
- Karyotype
- Thyroid antibody tests (anti-TPO, thyroglobulin)
- Fragile X testing
- LH / FSH / oestradiol / progesterone (ideally these would be done around day 2-7 of the menstrual cycle, however if menses are irregular they can be conducted at a random time in the menstrual cycle)
For the male partner:
- Full blood count (FBC)
- Iron studies
- HbEPG
- Serology (Hepatitis B, Hepatitis C, HIV, Syphilis)
- Karyotype
- Semen analysis (this can be conducted at IVF Australia, a link to the referral form is below)
For men with azoospermia or severe oligospermia, please add in these additional blood tests:
- LH
- FSH
- Testosterone (total) – please tell the patient to have blood for this test taken before 10am in the morning as testosterone levels fluctuate during the day, and results from tests taken later in the day are difficult to interpret
- Oestradiol
- Prolactin
- Karyotype
- Y chromosome microdeletions (AZFa, AZFb, AZFc)
- Cystic fibrosis testing
- Testicular ultrasound (looking for the size of the testes, varicoeles, presence of the vas deferens; this can be conducted at most radiology firms)
- Repeat semen analysis with a post-ejaculatory void analysis (this can be conducted at IVF Australia, see below for referral form)
All of the above blood tests can be conducted at Sydney pathology companies such as Douglass Hanly Moir (DHM), Laverty or Australian Clinical Labs.
Links to referral forms: