How can I access IVF for free in the NHS?

NICE (National Institute for Care Health and Care Excellence) sets out a set of guidelines for NHS to provide for IVF. It highlights 3 major criteria for women as follows:

• They have not had IVF treatment funded by the NHS
• There is no evidence of low ovarian reserve
• There has been a discussion of the additional implications of IVF and pregnancy

What is regarded as evidence of low ovarian reserve?

NICE Guidelines further clarify that:

The following measures should be used to predict the likely ovarian response to gonadotrophin stimulation in IVF:
• Total antral follicle count of more than 4
• Anti-Müllerian hormone (AMH) higher than 5.4 pmol/l
• Follicle-stimulating hormone (FSH) lower than 8.9 IU/l

What other factors are taken into account?

Other success predictors NICE stipulates are:

• Famale age
• Body Mass Index
• Lifestyle factors e.g. if one is smoking or not

How is NICE’s Guideline being put into practice by the NHS?

In practice, most NHS Trusts in England formulate their policy for access to IVF broadly based on what NICE recommends. The policies of many Trusts in England may resemble the following:

• Age < 40

• AMH > 6 (this may vary slightly from Trust to Trust)

• FSH < 10 (this may vary from Trust to Trust)

• Plus other factors such as being non-smokers, no previous NHS funded IVF history, no children so far etc.

How can I obtain a comprehensive set of criteria for NHS funded IVF?

You should be able to access a set of criteria for NHS funded IVF from your GP or from the Hospital Trust in your area.

How can we help you access NHS funded IVF ?

We have helped our patients to access NHS funded IVF through helping women to reduce their FSH and increase their AMH to levels that meet the NHS funding requirements for IVF.