Will not be available where a man or woman chooses to undergo medical or surgical treatment whose primary purpose is that it will render her infertile, such as sterilisation. Will not be available where a man or woman requests cryostorage for personal lifestyle reasons, such as wishing to delay trying to conceive. Post-storage Treatment Funding of assisted conception treatments would be made available on the same basis as other patients who have not undergone such storage. Self -funding following cessation of NHS funding Once the period of NHS funding ceases, patients can elect to self-fund for a further period, not to exceed appropriate HFEA regulations on length of storage. Embryo Cryostorage after NHS funded assisted conception Suitable embryo’s that are not transferred in IVF/ICSI cycle - Storage will be funded for a minimum period of one (1) year. 2.5 HYSTERECTOMY FOR HEAVY MENSTRUAL-BLEEDING Hysterectomy is an appropriate treatment for certain conditions such as malignancy. Its effectiveness in conditions such as heavy menstrual bleeding and fibroids where there are a number of treatment options is less clear cut. Funding for hysterectomy for heavy and fibroids will be approved only when: There has been a prior with a LNG-IUS (levonorgestrel intra-uterine system) intra-uterine device (unless contraindicated) or other hormonal treatments in line with NICE guidance, which has not successfully relieved symptoms AND Other treatments [such as Non-Steroidal Anti-Inflammatory Drugs (NSAIDs).Tranexamic Acid, Endometrial ablation and uterine-artery embolization] have failed, are not appropriate or are contra-indicated in line with NICE guidelines. Contraindications to LNG-IUS are: Severe anaemia, unresponsive to transfusion or other treatment whilst a LNG-IUS is in progress Distorted or small uterine cavity (with proven ultrasound measurements) Genital malignancy Active trophoblastic disease Pelvic inflammatory disease Established or marked immunosuppression In relation to a fibroid uterus 12 weeks size, the LNG-IUS or ablation techniques are unlikely to work.
Will not be available where a man or woman chooses to undergo medical or surgical treatment whose primary purpose is that it will render her infertile, such as sterilisation. Will not be available where a man or woman requests cryostorage for personal lifestyle reasons, such as wishing to delay trying to conceive. Post-storage Treatment Funding of assisted conception treatments would be made available on the same basis as other patients who have not undergone such storage. Self -funding following cessation of NHS funding Once the period of NHS funding ceases, patients can elect to self-fund for a further period, not to exceed appropriate HFEA regulations on length of storage. Embryo Cryostorage after NHS funded assisted conception Suitable embryo’s that are not transferred in IVF/ICSI cycle - Storage will be funded for a minimum period of one (1) year. 2.5 HYSTERECTOMY FOR HEAVY MENSTRUAL-BLEEDING Hysterectomy is an appropriate treatment for certain conditions such as malignancy. Its effectiveness in conditions such as heavy menstrual bleeding and fibroids where there are a number of treatment options is less clear cut. Funding for hysterectomy for heavy and fibroids will be approved only when: There has been a prior with a LNG-IUS (levonorgestrel intra-uterine system) intra-uterine device (unless contraindicated) or other hormonal treatments in line with NICE guidance, which has not successfully relieved symptoms AND Other treatments [such as Non-Steroidal Anti-Inflammatory Drugs (NSAIDs).Tranexamic Acid, Endometrial ablation and uterine-artery embolization] have failed, are not appropriate or are contra-indicated in line with NICE guidelines. Contraindications to LNG-IUS are: Severe anaemia, unresponsive to transfusion or other treatment whilst a LNG-IUS is in progress Distorted or small uterine cavity (with proven ultrasound measurements) Genital malignancy Active trophoblastic disease Pelvic inflammatory disease Established or marked immunosuppression In relation to a fibroid uterus 12 weeks size, the LNG-IUS or ablation techniques are unlikely to work.