GPs seeing nearly double the cases of infertility

A new study has revealed a significant rise in infertility-related visits to the GP over the past decade, with researchers calling for the implementation of national clinical guidelines for the management of infertility in the primary care setting to ensure consistent and fair care for all patients.

Led by Associate Professor Luke Grzeskowiak, in collaboration with SAHMRI Women and Kids Theme Leader Professor Alice Rumbold, the team, including researchers from Flinders University, the University of Adelaide and Monash University, examined data from 2.5 million women aged 18 to 49. It was discovered that the number of GP visits related to infertility grew by just under 70%, from 3.35 per 1,000 women in 2011 to 5.67 in 2021. The highest rates of encounters occurred in women aged between 30 and 34 years.

A/Prof Grzeskowiak says the findings highlight the growing role of GPs in managing infertility concerns.

"Infertility is a deeply personal and often stressful experience, and many women turn to their GP as the first step in seeking help," A/Prof Grzeskowiak said.

"What we've seen is an increasing number of these visits over time, but also a lot of variation in how infertility care is being delivered."

Around half of those with infertility concerns underwent blood tests, while one in four had imaging tests, and five percent were prescribed infertility-related medications by their GP.

A/Prof Grzeskowiak says the differences in care are influenced by multiple factors including age, income and location, as well as the woman’s medical history.

The research team is calling for standardised clinical practice guidelines to support GPs in delivering consistent, evidence-based management of infertility, including investigations and timely referral to fertility clinics and specialists.

"GPs are often on the front line of infertility care, and with demand increasing, now is the time to develop and implement clear guidelines to support them in this critical role," A/Prof Grzeskowiak said.