In general, new treatments should be introduced into clinical practice on a time scale that allows for the identification of appropriate resources. Planners and commissioners of infertility services should incorporate national and local strategies to encourage evidence-based practice. Bringing together existing research evidence in the format of clinical guidelines is a helpful approach to getting knowledge into practice - but mere dissemination of these guidelines is not enough. Services should conduct clinical audit at a local level as well as drawing on national audit data, such as those gathered by the HFEA, in evaluating the care they provide. B. Recommendations for clinical practice General recommendations for infertility services 1.
Infertility causes distress and distress seems to influence the outcome of infertility treatment.
Recommendations for the treatment of male factor infertility 5. Where donor insemination is the chosen method of treatment, initially a minimum of six cycles of insemination without ovarian stimulation should be considered. In cases of poor sperm quality, intrauterine insemination with or without ovarian stimulation can be recommended. Recommendations for ovulation induction and ovarian superovulation 17. Recommendations for treatment of endometriosis-associated infertility 22.