From: A patient-centered network approach to multidisciplinary-guideline development: a process evaluation
Medical-technical recommendations | Origin or guideline | Chapter of the MuG |
---|---|---|
The physician should only physically examine the man if his semen analysis is irregular. LOE C | General infertility for physicians | Family physician (physical examination) |
The gynecologist should not test ovarian reserve capacity to predict probability of pregnancy (with or without treatment). LOE A | Unexplained infertility | Gynecologist (assessments) |
Organizational recommendations | Â | Â |
The physician should order a semen analysis from an accredited laboratory (ISO15189) or from a referral hospital. LOE D | MuG | Organization of fertility care |
In accordance with the Dutch IVF planning decree, every licensed IVF center and their corresponding transport and satellite centers must provide annual reports on treatment outcomes for uniform national IVF registration. LOE D | MuG | Organization of fertility care (registration) |
Patient-centered recommendations | Â | Â |
Both partners of the couple should be involved in the assessment and management of infertility because it is a joint problem. LOE C | MuG | Physician, gynecologist, and urologist (basic principles) |
The gynecologist should offer couples with fertility problems psychological support throughout all phases of fertility care. LOE D | MuG | Gynecologist (information provision) |
Patient recommendations | Â | Â |
Patients want their gynecologist to inform them about the different phases of treatment and their expected time spans. LOE P | MuG | Gynecologist (information provision) |
Patients want their physician to make a referral immediately after they have been trying to conceive for 1Â year. LOE P | MuG | physician (referral) |