Couples hoping to apply for IVF treatment to help them get pregnant may be refused even if suitable under official guidelines, a study has found.

The report, carried out by the All Party Parliamentary Group on Infertility, used Freedom of Information requests submitted to all 152 Primary Care Trusts (PCTs) to establish what restrictions were in place for IVF treatment for couples trying to get pregnant.

Official guidelines from the National Institute for Health and Clinical Excellence (NICE) released in 2004, suggest that women aged 23 to 39 should be offered three cycles from the NHS.

However, according to the report, only 27% of Primary Care Trusts (PCTs) offer infertile couples all three cycles, while others offer fewer or even none. Many are imposing their own strict limits on who can receive the treatment. Women are being turned down if they are considered too young, too old, overweight, smokers, or even if the father already has children.

This means that many desperate couples are to only have one or two chances of getting pregnant before they have to pay for private treatment or consider other options such as adoption.

The report also found that five trusts – Warrington, North Yorkshire and York, West Sussex, Stockport and North Staffordshire – do not offer IVF at all.

The IVF recommendations made by NICE are guidelines only. In response, a Department of Health spokesman has said: “The NHS is making good progress in implementing NICE guidelines and in providing fair and consistent access to IVF.”

Tell us your thoughts?

Have you been affected by this lottery? Do you feel every woman struggling to conceive should be offered 3 chances of IVF free on the NHS? Tell us in the comments box below:

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My husband and I are currently having fertiltiy investigations, but if we are required to have IVF, which is looking very likely as we have a diagnosed male factor problem, we will be affected by the postcode lottery. We are under Warrington PCT but are seeing a fertility consultant at the Liverpool Women's Hospital.
On recieving my husband's diagnosis (low sperm count, with poor motility & morphology) the consultant told us our best option would be IVF with ICSI, if we lived in Liverpool or the surrounding area we would be entitled to 2 rounds of funded IVF. As funding isn't available to us, we have gone for an alternative option, where my husband is currently taking a course of anti-oestrogens in order to hopefully improve his sperm count. We've been told this has a 1in3 chance of this having any effect, but will not necessarily increase our chance of concieving.
I think until you have been through the heartache of infertility, no one can truly undestand how it makes you feel. To be told funding has been suspended in order to save costs as it isn't a medical need is insulting. My husband has done nothing to cause his infertility, yet others that drink heavily, over-eat and have generally poor lifestyles that lead to diabetes or heart & lung problems are treated without a second thought.
I don't necessarily think all women should be given 3 full cycles, as that is extremely costly to the NHS, but it shouldn't be a lottery as to whether you get 3 or none. If funding is tight then I think all women should be given at least one funded cycle and it should at the least be equal across the board.
We're lucky in the fact that we will be finacially able to fund our first IVF cycle privately, but my heart goes out to others that just by living in the wrong postocde should have to go without!

Posted: 23/04/2012 at 16:15

The postcode lottery is disgusting in a 'national' health service. I have just have my one and only funded IVF treatment which has failed yet my neighbours not more than 100 meters away get 3 attempts. It is very unfair and completely heartbreaking.

Posted: 25/09/2012 at 15:53

Talkback: Are you affected by the IVF postcode lottery?