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2025 News

The ACS website is being updated with information about the clinic, services and treatments. Our list of FAQs is also being revised to allow patients a prompt answer to any questions they have. Please check regularly for any updates.

2021 News
23rd December – Festive period operational hours

The ACS will be closed from the 25th of December, reopening on the 28th of December and from the 1st of January, reopening on the 3rd of January. 

6th January – COVID Vaccine Update

The Joint Committee on Vaccination and Immunisation (JCVI) published updated advice on 30 December 2020 to advise that women who are trying to become pregnant do not need to avoid pregnancy after vaccination.

Getting vaccinated before pregnancy will help prevent COVID-19 infection and its serious consequences. In some cases, women will need to make a decision about whether to delay pregnancy until after the vaccine becomes available to them. There is no evidence to suggest these type of vaccines cause issues with fertility. 

Further information can be found on the following websites should you require.

6th January – COVID Update

Following the recent announcement made by the Scottish Government on the 4th of January we can confirm our clinic remains open and we are continuing to offer treatment in a safe environment for all patients.

Government guidance also states that individuals can leave home for medical appointments however if you have any questions please contact us.

January – Measles, Mumps & Rubella Vaccinations

We require all patients starting a cycle of treatment to have 2 MMR (Measles, Mumps & Rubella) vaccinations. If you have already provided us with paperwork to confirm this, you do not need to do so in subsequent cycles. If you are unsure if you have had 2 MMR vaccines please check with your GP in the first instance.

2020 News
29th June COVID-19 Update

Thank you for your continued understanding and patience during such difficult circumstances and while awaiting the gradual re-introduction of fertility services. We are delighted that we have been able resume frozen embryo transfers for patients who were unable to proceed with a fresh transfer and those who had their frozen embryo transfers cancelled due to the coronavirus pandemic.

We are now ready to expand treatment for any patients with frozen embryos and invite patients who wish to initiate a cycle of treatment to contact us from the 6th of July. Please remember that in order to provide treatment that is safe for patients and staff and to allow physical distancing, we are running at a reduced capacity. While we will endeavour to provide your treatment as soon as possible, we may not be able to accommodate patients with their subsequent cycle and there may be a wait for treatment.

We are also ready to begin arranging treatment for patients who had a fresh cycle of IVF or ICSI booked and had their treatment paused before egg collection. We will start contacting these patients from Tuesday the 30th of June and where appropriate, make a plan for treatment. If you do not receive a call from us straight away, please do not worry, we will contact you as soon as we can.
      
Patients who wish to book a cycle of unstimulated IUI can book treatment from the 13th of July. Unfortunately, we are not yet able to resume IUI treatments that require ovulation induction with gonadotrophin  injections. As soon as we are able to offer this treatment, we will update our website to advise.

Please remember that in order to provide treatment that is safe for patients and staff and to allow physical distancing, we are running at a reduced capacity. While we will endeavour to provide your treatment as soon as possible, we may not be able to accommodate patients with their subsequent cycle and there may be a wait for treatment.

We recognise and understand that the coronavirus pandemic and its impact on the deferral of treatment is a very difficult and unsettling time for you. You may feel a sense of loss at not being able to proceed with your treatment at this time, feelings of being alone and uncertain about the future. We therefore, wish to continue to prioritise and support you at this time by offering video conferencing and telephone support with the fertility counsellors. 

In order to make a video conferencing or telephone appointment for counselling please contact us, copying us both into the email addresses. Please provide us with brief details about yourself along with your mobile number, so that we can call you to arrange a suitable appointment.

22nd May COVID-19 Update

Glasgow Royal Infirmary Assisted Conception Service has been permitted by the HFEA to restart treatment.

We are delighted to be able to confirm that Glasgow Royal Infirmary ACS has been given permission by the HFEA to recommence fertility treatments. We are aware many of our patients are keen to commence their treatment and have already been in touch to find out when they can start.
To provide safe and effective treatments in combination with minimising patient and staff risk of Covid 19 we have introduced many changes to our environment and ways of working.
We understand patients are very keen to have specific dates for starting treatment cycles however we need to put processes in place to keep everyone safe.  While we will do all we can to begin your treatment as promptly as possible, the restrictions under which all fertility clinics are now operating mean we will have to monitor the number of cycles carefully which will reduce capacity at this time.
We plan to start treatment with frozen embryo transfers, firstly prioritising patients who were unable to have a fresh embryo transfer and secondly those patients who had a frozen embryo cycle cancelled. We will start contacting these patients from Tuesday 26th of May and where appropriate, make a treatment plan. The next group of patient to be contacted will be those who had a fresh cycle of IVF or ICSI treatment booked and had their treatment paused before egg collection.

We will make contact with you as soon as possible 

If we had to postpone your treatment and you do not receive a call from us straight away, please do not worry, we will contact you as soon as we can.
As we re-commence our services from next week our phone lines will be extremely busy so we would ask for your patience so our teams can speak to as many patients as possible.
We have been working closely with Fertility Network Scotland who you can contact for support, advice or further information.  Telephone: 01294 279162  Mobile: 07411752688
Thank you for your continued patience and understanding.

15th May COVID-19 Update

We understand this has been a challenging and distressing time for our patients and would like to reassure you that the clinic is working to ensure all the necessary protocols and procedures are in place to resume services as soon as possible.  

On Monday 18th May 2020 we will submit our application to the Human Fertilisation & Embryology Authority (HFEA) to restart our services.  Following approval from the HFEA clinic staff will begin to contact patients.  Please be assured we will be in touch as soon as possible.

6th May COVID-19 Update

Following the HFEA announcement that IVF clinics can apply to reopen from week commencing 11th May and we would like to update our patients on our current position.
To enable us, and all UK clinics, to satisfy the HFEA criteria for safe opening, we must review and revise our current procedures to reduce the risk of COVID-19 transmission and infection while ensuring the safety of our patients and staff. We are working hard with the Scottish Government and local NHS Health Board to have detailed plans in place for resuming treatment as safely and as timely as we possibly can.    
We appreciate that all patients are very keen to restart their treatment and that this wait is very difficult for you. If we had to postpone your treatment due to the COVID-19 closure, we will contact you directly as soon as we can to provide a timeline and treatment plan.

Please note: currently, we are unable to provide specific dates and timescales for resuming fertility treatments. When we have this information we will update our website immediately with further details.

Further information can be found on the HFEA website www.hfea.gov.uk

21st April COVID-19 Update

Many of the GRI ACS staff (Doctors, Nurses, Scientific Staff & Admin) have been redeployed within NHS Greater Glasgow & Clyde to support critical areas during this COVID19 pandemic.
However there is a small number of core staff available to answer queries, please contact us on 0141 211 5673 if required. Due to the lower level of staff on hand please leave a message with your details and we will contact you as soon as we can.

In light of the dynamic and changing nature of the situation and the guidance from government, unfortunately, we are unable to provide details or dates as to when we will be able to restart treatment cycles. There may be further changes to our service provision and if so we will let you know about these as soon as possible. 

We are closely monitoring the situation, taking guidance and working together with the HFEA, BFS (British Fertility Society) and ARCS (Association of Reproduction Clinical Scientists) to enable us to provide treatment as soon as it is safe to do so.

A core team of staff within the unit are currently working to ensure the clinic will be ready to reopen and offer treatment as soon we are permitted.

We recognise and understand that the coronavirus pandemic and its impact on the deferral of treatment is a very difficult and unsettling time for you. You may feel a sense of loss at not being able to proceed with your treatment at this time, feelings of being alone and uncertain about the future. We therefore, wish to continue to prioritise and support you at this time by offering video conferencing and telephone support. 

In order to make a video conferencing or telephone appointment please contact us, copying us both into the email addresses. Please provide us with brief details about yourself along with your mobile number, so that we can call you to arrange a suitable appointment.

COVID-19

Unfortunately due to the current COVID19 pandemic we have taken the difficult decision to stop assisted conception treatment with immediate effect at the Glasgow Royal Infirmary.

Guidance has been taken from NHS GGC Scotland, Scottish Government & European Society for Human Reproduction and Embryology (ESHRE) to postpone treatment and ensure patient safety.

Those due to have treatment at our unit will be personally contacted by telephone and advised next steps, due to the high volumes of calls this may take some time, please accept our apologies.

Updates regarding resumption of the ACS services will be published on the website or you may receive a telephone call in due course.

Please be aware waiting lists positions will not be affected and all patients will resume treatment from the point of cancellation.

Please be aware that it is likely we will not be fully staffed at all times and may be deployed to other critical areas within the NHS due to resourcing pressures.

If you need to speak to a member of staff please call 0141 211 5673 and leave a voicemail, we will contact you as soon as possible.

Please do not attend unless you have been asked to or an appointment has been pre-arranged and we ask you attend alone.

For support throughout this period please access ACS counselling service who have moved to using video conferencing and telephone support or use services offered by Fertility Network.

As per Public Health Guidelines please self isolate for 7 days:

  • if you have an acute respiratory infection (with at least one of the following symptoms: fever, cough, shortness of breath);
  • or you have been in the previous 14 days in a country with community transmission of the virus according to the CDC;
  • or you have been in close contact with a confirmed case of COVID-19;
  • or you have been in a  hospital where COVID19 patients are hospitalised, If you have symptoms of COVID-19: Phone your GP or NHS 24 (111) if your symptoms:
  • If you’ve developed a new continuous cough and/or a fever/high temperature in the last 7 days, stay at home for 7 days from the start of your symptoms even if you think your symptoms are mild.
  • You should not come to any appointments in a clinical setting.
  • are severe or you have shortness of breath
  • worsen during home isolation
  • have not improved after 7 days

You should also phone your GP or NHS 24 (111) if you develop breathlessness or it worsens, especially if you:

  • are 60 years old or over
  • have underlying poor health
  • have heart or lung problems
  • have a weakened immune system, including cancer
  • have diabetes
  • If you have a medical emergency, phone 999 and tell them you have COVID-19 symptoms.
Brexit

The clinic is working with the HFEA to plan for Brexit.  These plans are updated as new information comes to light.

2017 News
Technology and Innovation

GRI ACS is looking forward to introducing further new innovative equipment into the ACS laboratories in July 2017.

Additional investment from NHSGGC and the Scottish Government continues to enable the ACS laboratories to remain at the forefront of new technology, ensuring that only state of the art equipment is used for patient treatment.  

To enable introduction of this new equipment, we have planned a routine laboratory closure for three weeks between Wednesday 5th – Friday 21st July to allow the new equipment to be installed and tested.  Existing equipment will also undertake  mandatory annually servicing during this essential shutdown period.

We look forward to continuing to further improve the service we provide. 

Patient Experience Survey Report

In May 2017, we invited 70 patients approaching the end of their fertility treatment to participate in an experience survey to evaluate the standard of service they received during their treatment with us.

We had a 100% response rate with 94.2% of respondents reporting that they’d had a positive experience during their treatment at Glasgow Royal Infirmary ACS. Whilst this overwhelmingly positive response is very encouraging, we are constantly striving to make further improvements to the service we provide, and therefore all feedback has been noted to allow us to develop our service further. 

Please take a moment to look at the ‘Patient Feedback’ display in the ACS waiting room to see areas of your treatment where we aim to deliver further improvement and some positive feedback from patients that have already received treatment with us.    

Poster Winner 2017

The ACS is proud to announce that one of our Embryologists [Catherine Beaton] won the Association of Clinical Embryologists (ACE) Pre-registrant Poster prize at the Fertility 2017 conference held in Edinburgh in January. The poster was entitled “Pregnancy outcomes following fresh or vitrified embryo transfer of non-top quality embryos. Should we change what we freeze?”

The prize is paid registration to the Fertility 2018 conference which will be held in Liverpool.

Well done Cathy! Another proud moment for the ACS scientific team.

New Consultant Gynaecologist

The ACS is delighted to announce the appointment of our new consultant gynaecologist, Claire Banks. Claire trained at Glasgow University and worked as a consultant within Clyde. Claire will start her post here at the ACS in January 2017.

Waiting List Targets

The ACS is pleased to inform couples who are being referred from their GP that the current average waiting time from GP referral to the first ART clinic appointment at the ACS is 6-7 months.

Poster Abstracts

The ACS is proud to announce that four poster abstracts, submitted by the scientific staff, have successfully been accepted for the Fertility 2017 conference, to be held in Edinburgh in January 2017.

  • Determining a sample size for storage tank audit – Daniel M Collins
  • Pregnancy outcomes following fresh or vitrified embryo transfer of non-top quality embryos. Should we change what we freeze? – Catherine Beaton
  • Patient specific dissociation of zona pellucida observed in time-lapse culture – Susan A. Moran
  • The challenges with legal parenthood consent: Can we remove the risk? – Linsey White
2016 News
Counselling Survey Results

In July/August 2016 the ACS invited patients attending the counselling service to participate in a satisfaction survey. The response was overwhelmingly positive, with 100% of respondents reporting that they’d use the service again and 100% reporting that they’d recommend to others to use the service. Our counsellor Isobel O’Neill received extremely positive feedback, and she is now joined by our second counsellor Alison Elliot. In respect of this, waiting times for counselling appointments are now down to approximately two weeks.

Patient Survey Results

In June 2016, the ACS invited patients receiving embryo transfer to participate in a satisfaction survey. The response was good with over 90% of respondents reporting that they’d had a positive experience at the suite. Whilst the response was so encouraging, we are constantly striving for improvement and all comments have been noted for ongoing service development.

Poster Winner 2016

The ACS is proud to announce that one of our Embryologists [George Hughes] won the Pre-registrant Poster prize at the Association of Clinical Embryologists (ACE) conference held in Newcastle in January 2016. The poster entitled ‘Volatile organic compounds in CE marked consumables in a clinical IVF laboratory’ explored the levels of volatile compounds given off when opening laboratory plasticware and the implications for use in an assisted conception unit.] The prize was a paid registration to the Fertility 2017 conference, held in Edinburgh in January 2017.

2015 News
Facing the Future Together, Chairman’s Award Winners 2015

In late 2015, a series of awards were made to departments across NHS Greater Glasgow and Clyde, celebrating the dedication and success of the hard work of the staff. The ACS staff members were honoured as the winners in the ‘Our People’ category for the Acute Services, Women and Children’s.

This award was made for teamwork and notably the successful achievement of the new waiting times targets throughout the relocation of clinical services back to the refurbished Royal Infirmary site.

Press Release October 2015

The refurbished Assisted Conception Service (ACS) is achieving its highest ever success rates since moving back to Glasgow Royal Infirmary a year ago.

The state-of-the-art facility treats patients from across the West of Scotland and beyond and is seeing a 54% positive pregnancy test rate for all fresh embryo transfers – the highest rate unit has ever recorded.

The service now offers seven day access which means all patients are offered individualised treatment which meets their own clinical need.

Patients also now benefit from the use of time-lapse technology which allows continuous assessment of their IVF embryos, whilst enabling them to remain undisturbed in optimal conditions in the incubator. This has the advantage of allowing embryos to develop in culture for longer and thereby improves the ability to select the best embryo for transfer with the highest chance of achieving a pregnancy.

Dr Helen Lyall, Lead Consultant, said: “I am delighted that the unit is seeing such an increase in success rates and we hope this continues to grow.

“One of the main benefits of the newly refurbished unit is that all functions are now located within the one area. Prior to the refurbishment, services were spread across the Glasgow Royal Infirmary site.

“The investment in the facility and state of the art equipment has increased capacity at this new facility and has also enabled us to treat patients within the 12 months target.”

Dr Helen Lyall and Isabel Traynor, Senior Charge Nurse, have made a massive contribution to the National Infertility Group established by Scottish Government Ministers in 2010.

Their input, along with that of the wider team of doctors, nurses, embryologists and administrative staff has been instrumental in achieving equity of access across Scotland for patients requiring assisted conception treatment.

July 2015

Dr Helen Lyall (Consultant) and Isabel Traynor (Senior Charge Nurse) from the Assisted Conception Unit were invited to attend the Queen’s Garden Party at the Palace of Holyrood on Wednesday 1st July. This was in recognition of the work both have done for the Scottish Government as part of the National Infertility Group.

This work has been instrumental in achieving equity of access across Scotland for patients needing assisted conception treatment. This followed an exciting year for the assisted conception services in Glasgow with a new ‘state of the art’ facility in Glasgow Royal Infirmary, opened by the Minister for Health Shona Robison in February 2015.

The ACS laboratory had 2 additional EmbryoScopes installed in July which now means we have a total of 6 in place. This is the highest number of EmbryoScopes in any clinic in Scotland, reflecting the high number of patients we treat. We can now ensure that all patients have their embryos incubated in time-lapsed imaging systems. This helps us to select the best embryo to transfer and thereby give the highest chance of pregnancy.

We have also had approval for a new laser system to continue our improvements to our Pre Genetic Diagnostic service whereby genetic diseases can be screened for to ensure non- affected embryos are replaced and children are born healthy.

2021 News
23rd December – Festive period operational hours

The ACS will be closed from the 25th of December, reopening on the 28th of December and from the 1st of January, reopening on the 3rd of January. 

6th January – COVID Vaccine Update

The Joint Committee on Vaccination and Immunisation (JCVI) published updated advice on 30 December 2020 to advise that women who are trying to become pregnant do not need to avoid pregnancy after vaccination.

Getting vaccinated before pregnancy will help prevent COVID-19 infection and its serious consequences. In some cases, women will need to make a decision about whether to delay pregnancy until after the vaccine becomes available to them. There is no evidence to suggest these type of vaccines cause issues with fertility. 

Further information can be found on the following websites should you require.

6th January – COVID Update

Following the recent announcement made by the Scottish Government on the 4th of January we can confirm our clinic remains open and we are continuing to offer treatment in a safe environment for all patients.

Government guidance also states that individuals can leave home for medical appointments however if you have any questions please contact us.

January – Measles, Mumps & Rubella Vaccinations

We require all patients starting a cycle of treatment to have 2 MMR (Measles, Mumps & Rubella) vaccinations. If you have already provided us with paperwork to confirm this, you do not need to do so in subsequent cycles. If you are unsure if you have had 2 MMR vaccines please check with your GP in the first instance.

2020 News
29th June COVID-19 Update

Thank you for your continued understanding and patience during such difficult circumstances and while awaiting the gradual re-introduction of fertility services. We are delighted that we have been able resume frozen embryo transfers for patients who were unable to proceed with a fresh transfer and those who had their frozen embryo transfers cancelled due to the coronavirus pandemic.

We are now ready to expand treatment for any patients with frozen embryos and invite patients who wish to initiate a cycle of treatment to contact us from the 6th of July. Please remember that in order to provide treatment that is safe for patients and staff and to allow physical distancing, we are running at a reduced capacity. While we will endeavour to provide your treatment as soon as possible, we may not be able to accommodate patients with their subsequent cycle and there may be a wait for treatment.

We are also ready to begin arranging treatment for patients who had a fresh cycle of IVF or ICSI booked and had their treatment paused before egg collection. We will start contacting these patients from Tuesday the 30th of June and where appropriate, make a plan for treatment. If you do not receive a call from us straight away, please do not worry, we will contact you as soon as we can.
      
Patients who wish to book a cycle of unstimulated IUI can book treatment from the 13th of July. Unfortunately, we are not yet able to resume IUI treatments that require ovulation induction with gonadotrophin  injections. As soon as we are able to offer this treatment, we will update our website to advise.

Please remember that in order to provide treatment that is safe for patients and staff and to allow physical distancing, we are running at a reduced capacity. While we will endeavour to provide your treatment as soon as possible, we may not be able to accommodate patients with their subsequent cycle and there may be a wait for treatment.

We recognise and understand that the coronavirus pandemic and its impact on the deferral of treatment is a very difficult and unsettling time for you. You may feel a sense of loss at not being able to proceed with your treatment at this time, feelings of being alone and uncertain about the future. We therefore, wish to continue to prioritise and support you at this time by offering video conferencing and telephone support with the fertility counsellors. 

In order to make a video conferencing or telephone appointment for counselling please contact us, copying us both into the email addresses. Please provide us with brief details about yourself along with your mobile number, so that we can call you to arrange a suitable appointment.

22nd May COVID-19 Update

Glasgow Royal Infirmary Assisted Conception Service has been permitted by the HFEA to restart treatment.

We are delighted to be able to confirm that Glasgow Royal Infirmary ACS has been given permission by the HFEA to recommence fertility treatments. We are aware many of our patients are keen to commence their treatment and have already been in touch to find out when they can start.
To provide safe and effective treatments in combination with minimising patient and staff risk of Covid 19 we have introduced many changes to our environment and ways of working.
We understand patients are very keen to have specific dates for starting treatment cycles however we need to put processes in place to keep everyone safe.  While we will do all we can to begin your treatment as promptly as possible, the restrictions under which all fertility clinics are now operating mean we will have to monitor the number of cycles carefully which will reduce capacity at this time.
We plan to start treatment with frozen embryo transfers, firstly prioritising patients who were unable to have a fresh embryo transfer and secondly those patients who had a frozen embryo cycle cancelled. We will start contacting these patients from Tuesday 26th of May and where appropriate, make a treatment plan. The next group of patient to be contacted will be those who had a fresh cycle of IVF or ICSI treatment booked and had their treatment paused before egg collection.

We will make contact with you as soon as possible 

If we had to postpone your treatment and you do not receive a call from us straight away, please do not worry, we will contact you as soon as we can.
As we re-commence our services from next week our phone lines will be extremely busy so we would ask for your patience so our teams can speak to as many patients as possible.
We have been working closely with Fertility Network Scotland who you can contact for support, advice or further information.  Telephone: 01294 279162  Mobile: 07411752688
Thank you for your continued patience and understanding.

15th May COVID-19 Update

We understand this has been a challenging and distressing time for our patients and would like to reassure you that the clinic is working to ensure all the necessary protocols and procedures are in place to resume services as soon as possible.  

On Monday 18th May 2020 we will submit our application to the Human Fertilisation & Embryology Authority (HFEA) to restart our services.  Following approval from the HFEA clinic staff will begin to contact patients.  Please be assured we will be in touch as soon as possible.

6th May COVID-19 Update

Following the HFEA announcement that IVF clinics can apply to reopen from week commencing 11th May and we would like to update our patients on our current position.
To enable us, and all UK clinics, to satisfy the HFEA criteria for safe opening, we must review and revise our current procedures to reduce the risk of COVID-19 transmission and infection while ensuring the safety of our patients and staff. We are working hard with the Scottish Government and local NHS Health Board to have detailed plans in place for resuming treatment as safely and as timely as we possibly can.    
We appreciate that all patients are very keen to restart their treatment and that this wait is very difficult for you. If we had to postpone your treatment due to the COVID-19 closure, we will contact you directly as soon as we can to provide a timeline and treatment plan.

Please note: currently, we are unable to provide specific dates and timescales for resuming fertility treatments. When we have this information we will update our website immediately with further details.

Further information can be found on the HFEA website www.hfea.gov.uk

21st April COVID-19 Update

Many of the GRI ACS staff (Doctors, Nurses, Scientific Staff & Admin) have been redeployed within NHS Greater Glasgow & Clyde to support critical areas during this COVID19 pandemic.
However there is a small number of core staff available to answer queries, please contact us on 0141 211 5673 if required. Due to the lower level of staff on hand please leave a message with your details and we will contact you as soon as we can.

In light of the dynamic and changing nature of the situation and the guidance from government, unfortunately, we are unable to provide details or dates as to when we will be able to restart treatment cycles. There may be further changes to our service provision and if so we will let you know about these as soon as possible. 

We are closely monitoring the situation, taking guidance and working together with the HFEA, BFS (British Fertility Society) and ARCS (Association of Reproduction Clinical Scientists) to enable us to provide treatment as soon as it is safe to do so.

A core team of staff within the unit are currently working to ensure the clinic will be ready to reopen and offer treatment as soon we are permitted.

We recognise and understand that the coronavirus pandemic and its impact on the deferral of treatment is a very difficult and unsettling time for you. You may feel a sense of loss at not being able to proceed with your treatment at this time, feelings of being alone and uncertain about the future. We therefore, wish to continue to prioritise and support you at this time by offering video conferencing and telephone support. 

In order to make a video conferencing or telephone appointment please contact us, copying us both into the email addresses. Please provide us with brief details about yourself along with your mobile number, so that we can call you to arrange a suitable appointment.

COVID-19

Unfortunately due to the current COVID19 pandemic we have taken the difficult decision to stop assisted conception treatment with immediate effect at the Glasgow Royal Infirmary.

Guidance has been taken from NHS GGC Scotland, Scottish Government & European Society for Human Reproduction and Embryology (ESHRE) to postpone treatment and ensure patient safety.

Those due to have treatment at our unit will be personally contacted by telephone and advised next steps, due to the high volumes of calls this may take some time, please accept our apologies.

Updates regarding resumption of the ACS services will be published on the website or you may receive a telephone call in due course.

Please be aware waiting lists positions will not be affected and all patients will resume treatment from the point of cancellation.

Please be aware that it is likely we will not be fully staffed at all times and may be deployed to other critical areas within the NHS due to resourcing pressures.

If you need to speak to a member of staff please call 0141 211 5673 and leave a voicemail, we will contact you as soon as possible.

Please do not attend unless you have been asked to or an appointment has been pre-arranged and we ask you attend alone.

For support throughout this period please access ACS counselling service who have moved to using video conferencing and telephone support or use services offered by Fertility Network.

As per Public Health Guidelines please self isolate for 7 days:

  • if you have an acute respiratory infection (with at least one of the following symptoms: fever, cough, shortness of breath);
  • or you have been in the previous 14 days in a country with community transmission of the virus according to the CDC;
  • or you have been in close contact with a confirmed case of COVID-19;
  • or you have been in a  hospital where COVID19 patients are hospitalised, If you have symptoms of COVID-19: Phone your GP or NHS 24 (111) if your symptoms:
  • If you’ve developed a new continuous cough and/or a fever/high temperature in the last 7 days, stay at home for 7 days from the start of your symptoms even if you think your symptoms are mild.
  • You should not come to any appointments in a clinical setting.
  • are severe or you have shortness of breath
  • worsen during home isolation
  • have not improved after 7 days

You should also phone your GP or NHS 24 (111) if you develop breathlessness or it worsens, especially if you:

  • are 60 years old or over
  • have underlying poor health
  • have heart or lung problems
  • have a weakened immune system, including cancer
  • have diabetes
  • If you have a medical emergency, phone 999 and tell them you have COVID-19 symptoms.
Brexit

The clinic is working with the HFEA to plan for Brexit.  These plans are updated as new information comes to light.

2017 News
Technology and Innovation

GRI ACS is looking forward to introducing further new innovative equipment into the ACS laboratories in July 2017.

Additional investment from NHSGGC and the Scottish Government continues to enable the ACS laboratories to remain at the forefront of new technology, ensuring that only state of the art equipment is used for patient treatment.  

To enable introduction of this new equipment, we have planned a routine laboratory closure for three weeks between Wednesday 5th – Friday 21st July to allow the new equipment to be installed and tested.  Existing equipment will also undertake  mandatory annually servicing during this essential shutdown period.

We look forward to continuing to further improve the service we provide. 

Patient Experience Survey Report

In May 2017, we invited 70 patients approaching the end of their fertility treatment to participate in an experience survey to evaluate the standard of service they received during their treatment with us.

We had a 100% response rate with 94.2% of respondents reporting that they’d had a positive experience during their treatment at Glasgow Royal Infirmary ACS. Whilst this overwhelmingly positive response is very encouraging, we are constantly striving to make further improvements to the service we provide, and therefore all feedback has been noted to allow us to develop our service further. 

Please take a moment to look at the ‘Patient Feedback’ display in the ACS waiting room to see areas of your treatment where we aim to deliver further improvement and some positive feedback from patients that have already received treatment with us.    

Poster Winner 2017

The ACS is proud to announce that one of our Embryologists [Catherine Beaton] won the Association of Clinical Embryologists (ACE) Pre-registrant Poster prize at the Fertility 2017 conference held in Edinburgh in January. The poster was entitled “Pregnancy outcomes following fresh or vitrified embryo transfer of non-top quality embryos. Should we change what we freeze?”

The prize is paid registration to the Fertility 2018 conference which will be held in Liverpool.

Well done Cathy! Another proud moment for the ACS scientific team.

New Consultant Gynaecologist

The ACS is delighted to announce the appointment of our new consultant gynaecologist, Claire Banks. Claire trained at Glasgow University and worked as a consultant within Clyde. Claire will start her post here at the ACS in January 2017.

Waiting List Targets

The ACS is pleased to inform couples who are being referred from their GP that the current average waiting time from GP referral to the first ART clinic appointment at the ACS is 6-7 months.

Poster Abstracts

The ACS is proud to announce that four poster abstracts, submitted by the scientific staff, have successfully been accepted for the Fertility 2017 conference, to be held in Edinburgh in January 2017.

  • Determining a sample size for storage tank audit – Daniel M Collins
  • Pregnancy outcomes following fresh or vitrified embryo transfer of non-top quality embryos. Should we change what we freeze? – Catherine Beaton
  • Patient specific dissociation of zona pellucida observed in time-lapse culture – Susan A. Moran
  • The challenges with legal parenthood consent: Can we remove the risk? – Linsey White
2016 News
Counselling Survey Results

In July/August 2016 the ACS invited patients attending the counselling service to participate in a satisfaction survey. The response was overwhelmingly positive, with 100% of respondents reporting that they’d use the service again and 100% reporting that they’d recommend to others to use the service. Our counsellor Isobel O’Neill received extremely positive feedback, and she is now joined by our second counsellor Alison Elliot. In respect of this, waiting times for counselling appointments are now down to approximately two weeks.

Patient Survey Results

In June 2016, the ACS invited patients receiving embryo transfer to participate in a satisfaction survey. The response was good with over 90% of respondents reporting that they’d had a positive experience at the suite. Whilst the response was so encouraging, we are constantly striving for improvement and all comments have been noted for ongoing service development.

Poster Winner 2016

The ACS is proud to announce that one of our Embryologists [George Hughes] won the Pre-registrant Poster prize at the Association of Clinical Embryologists (ACE) conference held in Newcastle in January 2016. The poster entitled ‘Volatile organic compounds in CE marked consumables in a clinical IVF laboratory’ explored the levels of volatile compounds given off when opening laboratory plasticware and the implications for use in an assisted conception unit.] The prize was a paid registration to the Fertility 2017 conference, held in Edinburgh in January 2017.

2015 News
Facing the Future Together, Chairman’s Award Winners 2015

In late 2015, a series of awards were made to departments across NHS Greater Glasgow and Clyde, celebrating the dedication and success of the hard work of the staff. The ACS staff members were honoured as the winners in the ‘Our People’ category for the Acute Services, Women and Children’s.

This award was made for teamwork and notably the successful achievement of the new waiting times targets throughout the relocation of clinical services back to the refurbished Royal Infirmary site.

Press Release October 2015

The refurbished Assisted Conception Service (ACS) is achieving its highest ever success rates since moving back to Glasgow Royal Infirmary a year ago.

The state-of-the-art facility treats patients from across the West of Scotland and beyond and is seeing a 54% positive pregnancy test rate for all fresh embryo transfers – the highest rate unit has ever recorded.

The service now offers seven day access which means all patients are offered individualised treatment which meets their own clinical need.

Patients also now benefit from the use of time-lapse technology which allows continuous assessment of their IVF embryos, whilst enabling them to remain undisturbed in optimal conditions in the incubator. This has the advantage of allowing embryos to develop in culture for longer and thereby improves the ability to select the best embryo for transfer with the highest chance of achieving a pregnancy.

Dr Helen Lyall, Lead Consultant, said: “I am delighted that the unit is seeing such an increase in success rates and we hope this continues to grow.

“One of the main benefits of the newly refurbished unit is that all functions are now located within the one area. Prior to the refurbishment, services were spread across the Glasgow Royal Infirmary site.

“The investment in the facility and state of the art equipment has increased capacity at this new facility and has also enabled us to treat patients within the 12 months target.”

Dr Helen Lyall and Isabel Traynor, Senior Charge Nurse, have made a massive contribution to the National Infertility Group established by Scottish Government Ministers in 2010.

Their input, along with that of the wider team of doctors, nurses, embryologists and administrative staff has been instrumental in achieving equity of access across Scotland for patients requiring assisted conception treatment.

July 2015

Dr Helen Lyall (Consultant) and Isabel Traynor (Senior Charge Nurse) from the Assisted Conception Unit were invited to attend the Queen’s Garden Party at the Palace of Holyrood on Wednesday 1st July. This was in recognition of the work both have done for the Scottish Government as part of the National Infertility Group.

This work has been instrumental in achieving equity of access across Scotland for patients needing assisted conception treatment. This followed an exciting year for the assisted conception services in Glasgow with a new ‘state of the art’ facility in Glasgow Royal Infirmary, opened by the Minister for Health Shona Robison in February 2015.

The ACS laboratory had 2 additional EmbryoScopes installed in July which now means we have a total of 6 in place. This is the highest number of EmbryoScopes in any clinic in Scotland, reflecting the high number of patients we treat. We can now ensure that all patients have their embryos incubated in time-lapsed imaging systems. This helps us to select the best embryo to transfer and thereby give the highest chance of pregnancy.

We have also had approval for a new laser system to continue our improvements to our Pre Genetic Diagnostic service whereby genetic diseases can be screened for to ensure non- affected embryos are replaced and children are born healthy.

There are several lifestyle choices for both partners that can improve the chances of successful treatment.

Please also visit our FAQ section Frequently Asked Questions – NHSGGC for common questions while preparing for or having fertility treatment.

These include:

Not Smoking or Vaping

Women who smoke (including e-cigarettes) have a 50% lower chance of successful IVF treatment than those who don’t. Smoking also reduces the ability of sperm to function normally.

For all couples accessing NHS fertility treatment, both partners should not smoke or vape.

How Does Smoking Affect Female and Male Fertility? | Tommy’s

Alcohol Consumption

Best practice and medical advice is to abstain from alcohol consumption completely when trying to fall pregnant.

Drugs and Alcohol When Trying to Conceive | Tommy’s

Body Mass Index

Body Mass Index (BMI) is an estimate of the amount of fat in your body. You can use the NHS BMI calculator to work out your BMI here Calculate your body mass index (BMI) for adults – NHS. If your BMI is less than 18.5 or greater than 30, it might take longer than usual for you to become pregnant, or reduce your chances of becoming pregnant.

At ACS we offer treatment to women with a BMI of between 18.5 and 30. However, we encourage all those embarking on assisted conception treatment to achieve a BMI of 18.5 – 25.

A balanced diet (i.e. one which includes plenty of fruit and vegetables) is, along with moderate exercise, fundamental to a healthy lifestyle. As well as helping to achieve an ideal body weight, it also reduces the likelihood of complications during any pregnancy.

For more information on being overweight while trying to conceive and in early pregnancy please visit the Tommy’s website.

Overweight and Fertility When Trying to Get Pregnant | Tommy’s

Folic Acid

Taking folic acid tablets (400 micrograms) every day can help reduce the risk of your baby developing a neural tube defect such as spina bifida. If you have diabetes or epilepsy or have had a baby with a neural tube defect you should take 5 milligrams of folic acid per day. To gain the most benefit, it is important that you take folic acid for at least three months before you become pregnant and continue to do so for the first 12 weeks of pregnancy.

Caffeine

“We are entrusted with the most precious thing in the world – which is why we use the most advanced technology we can”.

As part of IVF or ICSI treatment we keep your embryos in our laboratory for up to 5 days. During this time we monitor your embryos to check how well they are developing. 

Embryo development is dynamic and they need continuous monitoring to allow us to watch their pattern of development and to ensure we select the ‘best’ embryo(s) for transfer. Until now, a wealth of information about embryo development has gone unseen.

EmbryoScope gives us a new way of looking after and looking at your embryos. It provides a safe, undisturbed and controlled environment for your embryos and allows us to look at your embryos whenever we wish, and to constantly record their development from the moment the egg fertilises to the moment the embryo is transferred. We can look and observe the embryo within the incubator using ‘real-time’ footage whenever we like without disturbing them. A large screen provides a continuous overview of all embryos within the incubator. In addition, continuous 4D images are stored automatically with the patient file for review at any time during the embryo’s development. This means we can go back and view what has been happening in their development day and night. We can see things that we might have missed before because it didn’t happen at a time when we would be examining them under the microscope.

Most importantly, there is evidence to suggest that using EmbryoScope may increase your chances of your treatment working. It may well be possible to now observe key events in your embryos development to help us select which embryos will turn into babies.

Here is an example of what we see.

Here is an example of what Embryoscope allows us to see.

Please ask to speak to a member of the scientific team if you would like any more information regarding the EmbryoScope and your treatment.

Egg and Sperm Donation Campaign

Hundreds of people in Scotland need the help of egg or sperm donors to give them the chance to become parents and the gift of starting a family.

The Scottish Government and NHS Scotland have launched the first national campaign of its kind to encourage people to become egg and sperm donors, with the four NHS tertiary Fertility Centres in Scotland (Aberdeen, Dundee, Edinburgh and Glasgow).

Donating your eggs or sperm is something that requires careful consideration, but if it’s right for you then you have the potential to give the joy of starting a family to those people in Scotland, who need the help of donors to become parents.

Visit the Egg and Sperm Scotland website to find out more.

Why?

The experience of fertility difficulties is almost always distressing and disruptive for any individual or couple.  Powerful feelings can emerge – shock, anger, sadness, envy, guilt, anxiety, isolation, sense of worthlessness and, particularly, fear for the future. 

The situation can also put a great strain on relationships which are normally loving and comfortable whether with a partner, family members or friendships. 

It is not always easy for others to fully understand how such a profound life crisis feels or how it affects so many aspects of day to day living. 

The experience of fertility problems is unique and complex and is often described as an “emotional rollercoaster.”

When?

Counselling is available before, during and after treatment.  Meeting with our counsellors can offer you a safe, discreet and quiet place where you can explore difficult feelings and find ways of making the situation more manageable. 

You may want to talk through your options, prepare for treatment or have support during or after treatment.

For those who are considering treatment using donor eggs, sperm or embryos or who may be considering surrogacy, it is an HFEA requirement to meet with the counsellors to look at the implications of such treatment both in the short and longer term for both the adults and for the potential children who may be born through donor conception.   

For those considering becoming a donor either to help known recipients or as an altruistic donor, it is also an HFEA requirement to meet with one of the counsellors to explore the implication of donation.  

For both donors and recipients, this is a confidential and supportive service and can greatly help in making a positive decision for your own future and reduce some of the fears and more difficult feelings which may arise. 

How?

When you have been referred to the ACS Unit and have been accepted as a patient of the service (including being on the waiting list for treatment), you can either ask to be referred to the counsellors by a member of clinical or nursing staff or you can directly refer yourself (see below). 

The counselling service is independent and confidential.  There is no payment for counselling. 

You may need only one session of counselling or you may decide, with the counsellors, that further sessions would be helpful.

If you are considering treatment with donor eggs, sperm or embryos, or thinking of becoming a donor, you will be referred by a member of staff to the counselling service prior to moving forward to treatment.

Who?

Our counsellors are accredited members of the British Association of Counselling and Psychotherapy(BACP) and accredited members of British Infertility Counselling Association (BICA). The counsellors have had many years of specialist experience providing counselling for people affected by infertility and who are seeking treatment for many different reasons. 

This includes single women, heterosexual and same sex couples and those planning / in the process of gender reassignment.  

The counsellors are aware that the challenges of fertility issues can arouse feelings about other difficult aspects of life and of past events which have not been fully resolved. 

It can be very helpful and liberating to have an opportunity to say some of this out loud in a neutral and non-judgmental setting and to recognise how other events or people might be making it harder to cope. 

Finding tools and strategies to do so may help your resilience.   

Contact

Once you are accepted as a patient of the ACS Unit, you can contact our counsellors directly or you can ask a member of nursing or clinical staff to make a referral.

You can contact our counsellors using the following details:

Email: ggc.acscounselling@ggc.scot.nhs.uk

Phone number: 0141 211 8546

Our counsellor office hours are as follows:

Alison Elliot: Wednesday, Thursday and Friday

Lesley Miller: Monday, Tuesday and Wednesday

Clinical FAQs

Preparing for Treatment
Will I be tested for smoking at anytime?

Yes, you may be tested for carbon monoxide at certain intervals during each treatment cycle. Both partners must not smoke or vape before and during treatment.

Will my BMI be checked at anytime?

Yes, we will check your BMI at regular intervals throughout each treatment cycle. NHS patients must maintain a BMI between 18.5-30 kg/m² or treatment will not proceed.

How can I contact the ACS for advice?

You can call at anytime during the department’s opening times, however there may not always be someone available to speak to you at this time, please leave a message on the voicemail and someone will return your call.

From July 7, 2025, patients undergoing treatment will be able to contact the nurses via a dedicated email, rather than voicemail. Please refer to your paperwork for the email address.

Do I need to attend the department every day for injections?

No. The daily injections are easy to administer and a nurse will teach you how to do them yourself.

Are the injections painful? 

Some patients report a mild stinging sensation after injections but injections should not be painful.

Is the egg retrieval procedure painful?

Patients are given sedation by anaesthetists prior to the egg retrieval procedure and should therefore be very comfortable throughout the procedure. After egg retrieval, you may have some pain similar to period cramps and it is safe to use a hot water bottle, heat pack and analgesia. The ACS nurse will advise which analgesia is suitable for you before you go home.

Do I need to take time off work? 

Most patients continue to work throughout treatment. Most appointments for scans and blood tests will be scheduled in the morning.

Egg retrieval – You will require the day of your egg retrieval off work. We will give you some sedation drugs for the procedure so you cannot drive, operate machinery or sign any legal documents for 24 hours after. However, if you feel well, you can usually go to work after this time. You will be in the department for around 2-3 hours before being discharged. You will need a responsible adult to bring you home and stay with you for 24 hours.

Embryo transfer – you don’t need to take the day off work for embryo transfer, however most patients do. That appointment is similar to a smear test; you shouldn’t feel uncomfortable afterwards and can drive straight away. The appointment usually lasts around 30 minutes

I have started my period and want to book treatment.

Phone Monday-Friday 8.00am-4.00pm and speak to the admin team to book a cycle of treatment. You may need to leave a voicemail with your name, date of birth and phone number and they will return your call.

NHS patients 0141 201 3478

GRFC patients 0141956 0509 option 4

Please note, all treatment bookings should go through the admin teams, nurses cannot take booking requests.

Do I need proof of my MMR (Measles, Mumps & Rubella) vaccinations before starting treatment?

We require all patients starting a cycle of treatment to have 2x MMR vaccinations. If you have already provided us with paperwork to confirm this, you do not need to do so in subsequent cycles.

If you need to check if you have had 2x MMR vaccines please check with your GP in the first instance. 

During Treatment
Should I contact you if I have a period after my Prostap injection?

No, this is normal and should be expected. Make a note of the date your period starts.

Should I contact you if I do not have a period after my Prostap injection? 

No, attend your next appointment as arranged and you will have an ultrasound scan and blood test to check your hormone levels. You may need further medication prescribed.

What side effects should I expect during treatment?

Common symptoms include: Tiredness, Nausea (feeling sick), Vomiting (being sick), Diarrhoea, Weight gain and Pain or swelling of the stomach. You may also notice redness, bruising, swelling and/or itching at the injection site.

In cases of severe OHSS you may have: Fluid build-up in the stomach, pelvis and/or chest, Difficulty in breathing, Decreased urination (producing less urine when you go to the toilet or going to the toilet less often), Formation of blood clots in blood vessels (thromboembolism) or Twisting of ovaries (ovarian torsion). If you notice any of the above signs, contact the clinic immediately.

I have dropped/smashed/wasted some of my medication, what should I do?

If you have enough medication to last until the next appointment, keep taking it as instructed and we will give you more at the next appointment.

If you do not have enough, please contact the nurses before 6 pm. 
If it is after 6pm and you need to take the medication that night please phone Ward 56 GRI (0141 211 4433) and ask if they have a supply of the medication. Please have the name & dose of the drug prescribed. Please note, the ward do not store every medication and this option should only be used in an emergency.

If I miss a dose of medication, what do I do?

Take a dose as soon as you remember, then continue as instructed.

Can I continue to have intercourse? 

We advise you not to have unprotected intercourse during treatment to avoid the risk of a natural pregnancy, either while taking medication, after egg collection or after embryo transfer.

Male partners should leave 2 days since their last ejaculation when providing a sample of sperm for treatment.

After embryo transfer, it is recommended that you avoid intercourse for 3 days.

Can I fly?

Yes, there is no evidence that flying affects any aspect of your treatment.

While having treatment you should be available to attend appointments as needed.

Travel may have impact on treatment as certain areas are at risk of infection, such as zika and ebola disease. This may mean a delay to treatment as there can be serious consequences to pregnancy.

If travelling abroad, please refer to the Welcome to JPAC website for information on which countries are affected by zika and ebola disease.

Can I have dental treatment? 

You should inform your dentist you are having fertility treatment and they will advise you accordingly

Can I colour my hair? 

Yes, there is no evidence that colouring your hair affects any aspect of your treatment.

After Treatment
Is bed rest recommended following embryo transfer?

No, there is no evidence to suggest that bed rest following embryo transfer improves pregnancy rates. There is some evidence to show bed rest can reduce pregnancy rates.

Can I fly? 

Yes, there is no evidence that flying affects pregnancy rates following embryo transfer.

Can I have dental treatment? 

You should inform your dentist you may be pregnant and they will advise accordingly.

Can I colour my hair?

Yes, there is no evidence colouring your hair affects pregnancy rates following embryo transfer.

If I bleed before my pregnancy test should I contact the department? 

No, continue with the medication you have been prescribed and perform your pregnancy test on the recommended date. If you have a positive test and are bleeding, then contact the department as we may wish to assess you further.

If I experience any symptoms of Ovarian Hyperstimulation syndrome should I seek medical assistance? 

Yes, if you have any symptoms of OHSS you should contact the department and we will provide you with advice or arrange for you to attend the department for assessment by one of our doctors.

If I have had a positive pregnancy test do I continue on my medication? 

If you had a fresh embryo transfer you do not need to continue on any medication, unless prescribed by a consultant.

If you have had a frozen embryo transfer you should refer to your protocol for advise on which medication should be continued. To arrange a further supply:

NHS patients – contact the nurses

GRFC patients – contact the admin team 0141 956 0509 option 4

If you were having IUI and were on buserelin injections you should stop.

I have had a positive pregnancy test but have had some bleeding/spotting/discharge, what should I do?

If the bleeding is not heavy, please contact the nurses and a nurse will contact you on or before the next working day. However, if the bleeding becomes heavier or you start to feel unwell, attend your nearest Accident and Emergency (A&E) department.

Can I request copies of my notes?

Yes, you can ask for copies of your clinical notes. Please visit Access to Records – NHSGGC for more information on how to make a request.

Please note, clinic staff are not allowed to provide patients with copies of their notes.

Laboratory FAQs

Semen Analysis
What will a semen analysis test tell me about the quality of my sperm?

A semen analysis is carried out to estimate the number of sperm, their movement (motility) and shape (morphology) in a sample.

When will I get the results from my semen analysis?

A doctor or nurse will explain the results at your next clinic appointment. Unfortunately, we cannot give you these results over the telephone.

Where do I produce my semen sample?

We have dedicated rooms on-site for sample production. We recommend semen samples to be produced on-site, however if you are unable to use our rooms you may produce at home as long as you can get the sample to the ACS within 60 minutes. You must use a sample pot provided by the ACS.

Sperm Freeze
I won’t be available on the day of my partner’s IUI /egg collection. How can I provide a sperm sample for treatment?

If your occupation (i.e. Armed forces, offshore working) means you will not be available to provide a fresh sample of sperm for treatment, you may be able to freeze sperm for back-up. You would need to attend an appointment for blood tests and consents to be taken, and then make a second appointment before the treatment day to ensure we can freeze a sperm sample to use on the day of treatment.

If you are available on the day of egg collection or IUI, a fresh sample is always preferred.

Sperm Preparation
What does “sperm washing” mean?

Before the sperm is used for treatment, the sample is washed to separate the sperm from the ejaculate. The washing procedure can also help to isolate the sperm with more movement.

IUI (Intrauterine Insemination)
What can I expect from an IUI procedure?

The procedure is very similar to a smear test. A speculum is inserted into the vagina in order to pass a catheter through the cervix. Attached to the catheter is a syringe containing prepared (‘washed’) sperm. When the catheter is in the correct position, the operator will depress the syringe and the sperm will be deposited into the uterus. The catheter is very fine and is normally not felt by the patient.

Embryology Laboratory Timeline for IVF and ICSI
Below is a general overview of the laboratory work and what can be expected at each stage of the journey
Oocyte retrieval
What preparation do I need for egg collection?

The nurse will give you a list of instructions to prepare for egg collection once the date of the procedure is known. They will give you an exact date and time to administer the booster injection.

You should fast from midnight before the egg collection, which means no food or fluids, including water.

On the day of egg collection, you should shower in the morning but not use any scented or perfumed products. If your partner is attending to provide a sample of sperm, they should do the same.

Bring any leftover medication and sharps boxes for disposal.

The anaesthetist requests that at least one fingernail be free from gel, acrylics or nail varnish.

Will I find out how many eggs were collected on the day of treatment?

Yes, the doctor performing your egg collection will meet with you after the procedure to discuss the number of eggs that were collected. 

Can my partner stay with me during egg collection and recovery?

Partners are not permitted in theatre during the egg collection.

Due to the limited space in recovery, partners cannot stay with you during recovery.

IVF (In Vitro Fertilisation)
What is IVF?

IVF involves the collection of eggs directly from the ovaries using a needle. Washed sperm are added to a dish containing the eggs and the sperm are left to swim to the eggs on their own. The ‘best’ sperm that reaches the egg first should hopefully enter the egg and fertilise it.

The sperm and eggs are left in the dish together overnight and the eggs checked for fertilisation the following morning.

ICSI (Intracytoplasmic sperm injection)
What is ICSI?

ICSI involves the collection of eggs directly from the ovaries using a needle, then the injection of a single sperm into each mature egg to create embryos. ICSI is often recommended to patients if the sperm quality is not high enough to fertilise your eggs using IVF. ICSI can also be recommended to patients with previously low or complete failure of fertilisation in previous treatment.

I have a normal sperm count, why is ICSI still recommended for our treatment?

For some patients, ICSI is recommended even if sperm parameters are normal. The doctor or nurse will provide you with more information during a clinic appointment. Even when the planned treatment is IVF, this may change on the day of egg retrieval depending on sperm quality and number of eggs collected.

If you wish you can discuss this with your clinician and our embryology team.  

Why aren’t all of my eggs suitable for IVF/ ICSI?

Only mature eggs have the capacity to fertilise, so before an ICSI procedure, your eggs will be assessed for maturity. Only the mature eggs will be used for ICSI.

Fertilisation Check
How many of my eggs should I expect to fertilise?

Our average fertilisation rate with ICSI is around 70%.

Some people may have a higher fertilisation rate and some people may have a lower rate.

When will I find out how many of my eggs have fertilised?

The embryologist will carry out a fertilisation check on your eggs the morning after your egg collection. You will receive a call on the same morning and the embryologist will inform you of your fertilisation results. You should expect the call to be before 12 noon.

Embryo Grading
What is a blastocyst?

A blastocyst is an embryo that has usually formed by day 5 or 6 after fertilisation and has two distinct cell types. The inner cell mass will develop into a baby, and the trophectoderm cells develop into the placenta.

How will you assess my embryos?

Embryo grading is carried out on day 3 and day 5 after your egg collection. On day 3 the embryologist will count the cell numbers and will take into account any fragmentation and unevenness of the cells. On day 5 blastocysts are graded by how expanded they are and the appearance of two cell types, the inner cell mass and the trophectoderm.

We are currently developing information leaflets to help us describe your embryo development in more detail. These should be available in the ACS waiting room and the consultation rooms in the very near future.

Embryo Transfer
What should I expect during an embryo transfer procedure?

The embryo transfer is very similar to a smear test. A speculum is inserted into the vagina and an empty catheter is passed through the cervix. Once the empty catheter is in position, a catheter containing the embryo is passed through the empty catheter and the embryo is deposited from the catheter into the uterus. The catheter is very fine and is normally not felt by the patient.

An abdominal (tummy) scan is used for guidance during the embryo transfer procedure. To ensure the best possible view, we ask that you have a comfortably full bladder in preparation for embryo transfer.

What is the difference between a day 3 or day 5 transfer?

Transfer days are based upon assessment of your embryo/s in the laboratory, which occur on day 3 and day 5. If a group of embryos on day 3 has a similar appearance and embryo selection for transfer cannot be made, a day 5 transfer will be arranged for you. If the embryologists think a transfer on day 3 is better for you, they will arrange this.

Can I take a picture or video during embryo transfer?

As advised by NHS GG&C policy, we do not allow any photography or filming in any areas of the ACS to protect the privacy of patients, staff and visitors.

Embryo Freezing (vitrification)
I didn’t have any embryos frozen. What does this mean?

For an embryo to survive the freezing and thawing process, it must be at the correct stage of development and be of suitable quality. The highest grade of embryo will be selected for transfer and if any surplus embryo/s meet our criteria we will freeze (vitrify) and store those embryo/s for you. 

Some embryos may not reach the correct stage of development, or they may not meet the quality criteria, which is why we are unable to freeze them.

The doctor or nurse will meet with you before transfer to discuss embryo quality and let you know if any embryos are suitable to be frozen.

When will I find out how many embryos I have frozen?

The embryologist will phone the day after embryo transfer to confirm if we have been able to freeze embryos for you.

Frozen Embryo Transfer (warm/thaw)
How many embryos are likely to survive the freezing and thawing procedures?

Currently, our average survival rate for day 5 embryos is more than 95%.

Embryo Biopsies
Why are biopsies performed?

Biopsies are carried out for patients having a certain type of treatment called Pre-Implantation Genetic Testing (PGT). Most patients will not have embryos biopsied.

When are embryos biopsied?

Biopsies are performed on day 5 or 6 of blastocyst embryo development. Embryos are then frozen here in ACS and the biopsied cells are transported to the appropriate genetic lab.

How will I get the results?

An embryologist will call you with the results of genetic testing and explain the next steps.

General
Is there a set timeframe for the clinic to reply when you leave a message?

The clinic staff carry out procedures or see patients in appointments throughout the day; however, we endeavour to reply to all queries until 6pm. Messages after 6pm will be responded to the following day.

Before emailing, please check to see if your question can be answered here first.

What number should I be calling to enquire about treatment/appointments?

GRFC patients should call 0141 956 0509 option 4 for treatment bookings and appointment enquiries

NHS patients:

  • For treatment bookings, please call 0141 201 3478
  • For appointment enquiries, please call reception on 0141 211 8535
What is the current wait times from referral to starting first cycle?

Current waiting times are approximately 10 to 11 months.

How long after finishing a treatment cycle will I wait till I start a new fresh cycle or FET transfer?

If you have had a negative outcome or freeze all and are eligible for further treatment, you can phone with your first normal period to book your next cycle. If you do not have regular periods, you can call 4 weeks after your withdrawal bleed.

Whilst we try to accommodate all bookings, there are times when the numbers of attempted bookings exceed our capacity. In such cases, we advise patient to call with their next period.

When I phone to book a frozen embryo cycle or IUI, how long should I wait to hear if I have a slot?

Although we try to allocate slots daily, it can take up to a week before we can contact you to advise if you have a treatment slot, or not.

If it takes 7 days for a reply, does it mean I need to wait for my next cycle?

Not always. You may have a slot booked and will still have time to attend the necessary appointments.

Can I still do vaginal swabs when having my period?

Yes, please do the swabs as requested before your appointment.

Can I have a scan while on my period?

Yes, sometimes it is necessary to perform a scan at the start of a period, so please don’t worry about attending for a scan at this time.

I need to book a scan on a specific day of my cycle, how do I do this?

Contact the ACS nurses. Contact details can be found on your treatment card.

I’m having IUI or natural FET treatment and have detected a surge.

Call reception on 0141 211 8535 and they will book a blood test for you that morning.

I need more medication.

NHS patients – contact the nurses

GRFC patients – contact admin on 0141 956 0509 option 4

What is the best home ovulation test or pregnancy test to use?

We are unable to recommend specific tests but individual product information will be able to advise on sensitivities.

My case was being reviewed but I haven’t been notified of the outcome.

My case was being reviewed but I haven’t been notified of the outcome.

Every week all treatment cycles which have recently been completed are reviewed by the medics and embryologists. You will receive a letter summarising the outcome of the review meeting and your next steps.

Do I need to come to the clinic for my medication or can it be collected at my local pharmacy?

Most medication dispensed in ACS is very specialised and will not be available in every pharmacy. However, some common medications such as antibiotics may be available to be prescribed locally.

How is an ‘AMH’ test result used?

An AMH test result is used to decide which treatment protocol to use.

A blood sample will be taken from you to measure the amount of a hormone called AMH. The result of that test will help us decide which drug stimulation protocol is best for you during your treatment.

Please note that your AMH test result will not be used to decide whether you are offered treatment or not.

A high AMH level raises the possibility that you may over-respond to your treatment (i.e. too many eggs will be produced), increasing the risk of ovarian hyper stimulation syndrome.

A low AMH level raises the possibility that you may respond poorly to your treatment, i.e. only a few eggs are produced.

Contact us
Address

Assisted Conception Service

Main Outpatient area
Clinic Area B
Ground Floor
Queen Elizabeth Building

Glasgow Royal Infirmary

Alexandra Parade
Glasgow
G31 2ER

We are constantly striving to improve the quality of our service to you and value your opinions about how we could do that. In particular, if you have any comments and suggestions about the content of this website and any of ACS’s information booklets, pamphlets or leaflets, please let us know using the postal address quoted above.

Phone
  • Clinic reception: 0141 211 8535
  • Glasgow Royal Fertility Clinic admin team: 0141 956 0509 (option 4)
  • NHS Treatment bookings: 0141 201 3478
  • Glasgow Royal Fertility Clinic bookings: 0141 956 0509 (option 4)
  • Nursing Staff: 0141 211 8545
  • Laboratory team: 0141 211 8549
  • Counselling service admin: 0141 211 8546
  • Medical Secretary: 0141 201 3436
Opening Times
  • Monday – Thursday: 7.45am – 7.00pm
  • Friday: 7.45am – 3pm
  • Saturday: 8.00am – 3.00pm
  • Sunday: 8.30am – 3.00pm

For any emergencies out with these hours please contact your GP, NHS 24 (telephone number 111) or the on call gynaecologist via switch board (telephone number 0141 211 4000).

How to find us

The Assisted Conception Service (ACS) is located in the main Outpatient Area, Clinic Area B on the ground floor of the Queen Elizabeth Building, Glasgow Royal Infirmary.

There are two entrances to the building. Monday- Friday you can enter the hospital via the Lister Building on Alexandra Parade, go to the lift and go down one level, to the ground floor. The ACS clinic is next to the lifts. Alternatively, you can enter via the main entrance, off Alexandra Parade. Once in the main entrance foyer, turn right at WH Smith and follow the corridor to the end, where you will see signs for clinic area B.

If you need further assistance please ask at the ‘reception and admissions’ desk in the entrance foyer.

The Assisted Conception Team
Dr Helen Lyall, Consultant Gynaecologist

Dr Lyall is a Consultant Gynaecologist for the ACS Unit at Glasgow Royal Infirmary. She qualified in 1988 from the University of Dundee and has always worked in the field of obstetrics and gynaecology. She has been directly involved in assisted conception and reproductive medicine for 20 years. During her training Dr Lyall also worked in Edinburgh, moving to Glasgow in 1995. Dr Lyall has published widely and was awarded a MD from the University of Dundee in 1994. She has been a member of a number of national groups looking at the provision of assisted conception treatment, most specifically equity of access, and is a member of the National Infertility Group, convened by the Scottish Government.

Joanne Leitch – Person Responsible & Lead Embryologist

Joanne has gained over 10 years of experience in Clinical Embryology in both public and private health care settings. In her current appointment as the Person Responsible & Lead Clinical Embryologist, she plays a key role in the largest IVF clinic in Scotland. Joanne is a Diplomat of the Royal College of Pathologists and previously an Executive Board member of the Association of Clinical Embryologists.

Professor Scott Nelson, Professor of Obstetrics & Gynaecology

Scott is the Muirhead Professor of Obstetrics & Gynaecology at the University of Glasgow and HFEA licence holder for Glasgow Royal Infirmary ACS unit. Professor Nelson is a prominent international specialist in reproductive medicine, and world renowned for personalised ovarian stimulation.

Dr Susheel Vani

Dr Vani is a specialist in the field of Reproductive Medicine and Assisted Conception and the Lead Clinician in ACS. He completed most of his training in Obstetrics & Gynaecology, including Subspecialty Training in Reproductive Medicine & Surgery, in Edinburgh.

As a part of this training he completed research studies on the endometrium and he was awarded an MD from the University of Edinburgh. Dr Vani moved to Glasgow to take up a full time post as a Consultant Gynaecologist in the ACS in 2010.

He is the lead gynaecologist for the Male Infertility service which is run in conjunction with the Urologists. He is also actively involved with undergraduate and postgraduate medical training.

Dr Aparna Sastry

Dr Sastry is a consultant in infertility with special interests in Paediatric and adolescent gynaecology, Surrogacy, Fertility preservation and Reproductive endocrinology (Turner’s syndrome, Premature ovarian failure, Differences in sex development, gender dysphoria, post cancer reproductive care etc).

She has over 15 years experience in this field and has worked in Australia, Wales and England. She runs a dedicated fertility clinic at Victoria infirmary. She is an honorary senior clinical lecturer at Glasgow University and is also involved in ultrasound training at Caledonia university.

Dr Claire Banks

Dr Banks is a Consultant Gynaecologist, and qualified in Medicine in 2002 from the University of Glasgow. She has worked in the field of obstetrics and gynaecology throughout her postgraduate career, with a special interest in assisted conception since 2007. Before studying medicine, Dr Banks completed a law degree, graduating from the University of Glasgow in 1996 with an LLB Honours degree in Medical Law and Ethics.

Dr Samra Khan

Dr Khan qualified as a doctor in 2003 and completed her core obstetrics and gynaecology training in Oxford and Glasgow. To pursue her special interest in subfertility, she joined the assisted conception unit in Glasgow Royal Infirmary in 2011 for advanced training in this field. She attained a certificate of completion of training in 2013 following which she continued to serve as a consultant within the same unit.

Besides offering tertiary level care for management of infertile couples she also leads the oocyte donation service at Glasgow Royal Infirmary and also provides a fertility service for the south side of Glasgow through a dedicated fertility clinic at Victoria hospital. Dr Khan is very enthusiastic about her specialty and committed to provide a high quality care to her patients.

Isabel Traynor, Lead Nurse

Isabel is the Redesign Manager of the Assisted Conception Service. She graduated from Caledonian University in 1992 with BA Honours in Health and Nursing Studies and had an extensive gynaecology career in Western Infirmary, Glasgow. She worked there for 10 years, in a variety of roles ranging from staff nurse, research nurse, ward manager and clinical nurse manager in gynaecology across North Glasgow NHS Trust. Following this experience, she took up post as the Senior Charge Nurse in the Assisted Conception Unit in Glasgow Royal Infirmary in October 2002.

This challenging role includes clinical and service management, with a research and education component. This experience has been transferred to a clinical environment ensuring that evidence based practice is delivered locally. A range of nurse led services have also been developed within the unit. She has completed several post graduated qualifications in Infertility, Ultrasound Scanning and Non Medical Prescribing.

She has had the privilege of both presenting and being chairperson at several national Infertility meetings for nursing and multi-disciplinary groups. She is the previous chairperson of the Senior Infertility Nurses Group.

Joanne McNabb, Senior Charge Nurse ACS

Joanne qualified as a Registered General Nurse in 1981 then as a Certified Midwife in 1982. Her career in midwifery progressed to a Community Midwife then three years later to a Labour Ward Sister.

After a short break she returned to Glasgow Royal Maternity (Rottenrow ) as a Bank Midwife before joining the Assisted Conception Team at Glasgow Royal Infirmary in 1993. As Senior Charge Nurse In the department Joanne leads an excellent team of nurses and HCSWs, helping to plan and deliver the care that provides the best possible experience for patients using the service.

Frances Roebuck, Quality Manager

Frances has 10 years of experience working in Clinical Embryology in a variety of public and private fertility clinics. Frances’ career in embryology began in 2012, with enrolment in the Association of Clinical Embryologists (ACE) certification programme.

She then progressed to attain Clinical Embryologist certification in 2018. She has extensive experience in Quality Control across 3 fertility laboratories and is currently completing an MSc in Healthcare Quality Management Systems. 

As Quality Manager, Frances ensures that the clinics quality management system is implemented, maintained and effective whilst co-ordinating awareness of the clinic user’s needs and requirements.

Craig Spinks, Clinical Services Manager

Craig graduated with a Business Management Honours degree and has significant experience working across various NHS sectors which include Golden Jubilee National Hospital and Oral Health Directorate. He commenced current post in July 2014 and has a wider remit across Women and Children’s directorate in addition to Business Manager role within Assisted Conception Service.

Alison Elliot, Counsellor

Alison has been working at the ACS since May 2016. She has worked for NHS as a counsellor for over thirteen years and is an accredited member of British Infertility Counselling Association (BICA), and accredited member of the British Association of Counselling and Psychotherapy (BACP), Counselling Supervisor and a member of Scottish Infertility Counselling Group.

She studied at Glasgow University spending a year at University of South Florida on an exchange programme to graduate with a degree in Sociology 1994. She worked in the field of complex trauma in Florida, USA and Perth, Australia before returning to Glasgow to study a Masters in Public Health.

She was employed by Glasgow City Council Education Services to progress the Scottish Government’s prevention strategy on Gender based violence before returning to education to study to be a counsellor and worked for the Centre of Women’s Health.

Lesley Miller, Counsellor

Lesley has over 26 years experience, having undertaken counselling and psychotherapy training between 1992-1996. Prior to becoming a counsellor Lesley worked within nursing and the field of mental health. Lesley is both BACP and BICA accredited. Over the years she has been employed within a number NHS, Local Authority, residential and community settings.

Before concentrating on her career within the field of fertility counseling she established and managed a therapeutic stress management and crisis service for adults and young people across Glasgow for a period of 21 years up until 2013. In addition to the development of therapeutic skills, Lesley has experience from a depth of understanding and a high level of compassion for her work.

Here at the ACS Lesley endeavors to support individuals and couples with their personal issues arising from infertility and the stress of navigating through the treatment options and process. With her aim being to facilitate a safe, confidential and collaborative relationship, supporting each client to reconnect with their personal strengths, learn new coping skills, build resilience in dealing with the difficulties they are facing, learn effective emotional management techniques and to come to terms with very challenging life events.

Virtual Tour

If you have difficulty viewing the above video please click the link below to view it on YouTube.

There are several ways you can access our service:

  • GP: You can ask your GP/Doctor to refer you if you and your GP are within Greater Glasgow and Clyde health board.
  • Hospital doctor/clinic: You may be referred to us through another NHS service e.g. orthopaedics. 
  • Yourself: If you live and have a G.P. within Greater Glasgow and Clyde you can refer yourself directly by filling in our printable Self-referral form. Please deliver or post your form to your Local Physiotherapy Department
  • Paper copies are also available from your local physiotherapy department or GP surgery.
  • NHS Staff: If you are a member of staff within NHSGGC and wish to refer to physiotherapy, please go to the Occupational Health webpage on HR Connect

We are unable to accept a self referral if

  • You are not registered with a GP within NHS Greater Glasgow and Clyde.
  • You are under 14 years old – please ask your GP to refer you to Children’s Services.
  • You are currently pregnant – please self-refer to Maternity Physiotherapy, if you do not have the contact details in your maternity pack, please contact your midwife.
  • You are currently attending or are under the care of Rheumatology – please self-refer to Rheumatology Physiotherapy by contacting the self-referral line on 0141 531 370 3.
  • You have attended Accident and Emergency or Minor Injuries Unit within the past 2 weeks for condition – we need a referral from your hospital clinic.
  • Your condition is due to a fracture or break within the past 3 months – we need a referral from your hospital clinic to make sure physiotherapy is appropriate.
  • You have had surgery for this condition within the past 3 months – we need a referral from your hospital clinic to make sure physiotherapy is appropriate.
  • You require a home visit – please ask your GP to refer you to Community Rehab Services.

 Further Information

This  What Happens Next leaflet explains what will happen once we receive your referral. 

The Patient Information About Your Appointment With a Musculoskeletal Physiotherapist leaflet will give you more detail about what to consider and expect once an appointment has been arranged.

If you have been offered a Dermatology Virtual Consultation you may find some more information below.

Dermatology Digital Online Consultation

Digital dermatology virtual appointments service was withdrawn at the end of December 2024 and will no longer be available for patients.

Attend Anywhere / Near Me Video Consultation

Dermatology Patient Information Leaflets