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Fertility Services

Opening Times: Monday, Tuesday, Wednesday and Thursday 8:30 – 16:30.
Telephone: 01493 452366
Location: Within Gynaecologist outpatients, just past M&S Food To Go located in the front foyer.

This is an NHS Secondary fertility service providing help and support for couples who have difficulty in achieving a pregnancy. The full range of infertility services are provided - from diagnosis and advice, to a full range of infertility treatments including ovulation induction, laparoscopic and hysteroscopic surgery.


What services are provided?

Services provided by the Infertility Service within the Gynaecology Department:

  • In depth consultations and investigation of both partners to identify possible causes of sub-fertility. Mr Elfara and Mr Appiahanna run weekly Consultations clinic at James Paget University Hospital and in addition, Mr Elfara runs an outreach secondary infertility clinic at Bourn Hall Clinic, Wymondham.
  • Health promotion and lifestyle advice to improve fertility for men and women.
  • Ultrasound scans (both Base line Scan to exclude any pelvic problem and also follicular tracking for Clomid therapy, confirmation of viability of pregnancy and cycle monitoring for IVF)
  •  Blood Test such as  ovarian reserve testing, hormonal profiles  for both Male and Female to confirm or to exclude other causes of infertility
  • Different tubal patency tests.
  • Ovulation induction with clomid alone or with metformin, Gonadotropins injections and Laparoscopic Ovarian Drilling for PCO.
  • Laparoscopic surgery for treatment of: endometriosis, ovarian cyst, adhesion (Scar tissues) and Salpingectomy to remove damaged dilated fallopian tubes.
  • Diagnostic Hysteroscopy: to confirm the integrity of the Uterine cavity or to exclude Intrauterine Pathology such as Congenital Uterine Malformation , Polyp , scar tissues and Submucosal Fibroid  and Hysteroscopic Surgery for the Management of Sub mucosal Fibroid/ polyp.


How can I get a referral?

Couples are referred to James Paget University Hospital Fertility Services by their General Practitioners (GP) the referral can be posted, emailed or arranged through the NHS Electronic Referral Service.

Before your referral to the fertility services at JPUH, you would have had some preliminary tests arranged by your GP. These include a progesterone level, a screening test for Chlamydia infection (urine test or internal swabs) and an assessment of your Rubella immunity. It is almost always necessary for the male partner to undertake a sperm test (semen analysis). Also it is important to be sure that you are up to date with your cervical screening (smear test).

Also if you are known to have chronic medical diseases such as Diabetes or Epilepsy, then it is mandatory that, these conditions are well controlled and that you have had a recent follow up by your GP/ Hospital specialist or at your local pre-conception clinic.

For an information leaflet on Fertility Services click here

For a leaflet on Home Advice for Patients who are due to undergo Clomifene (Clomid) Treatment click here

Key staff

Key staff

Mr Ali Elfara

Mr Ramesh Appiahanna

Clinical Midwifery Manager: Karen Erskine

Fertility Sister: June Howard

Clinic co-ordinator: Kylie Chapman