For referring doctors

Referring to a CREI subspecialist

CREI is a certified subspecialty within obstetrics and gynaecology: a three-year fellowship following specialist training, with written and oral examination and ongoing recertification. This page sets out when a referral helps and what to include.

Step one

When a referral helps

A referral is the normal path into the subspecialty, and it is what gives your patient access to the Medicare rebate that goes with it.

  • Infertility persisting beyond twelve months, or six months where the female partner is over 35
  • Recurrent pregnancy loss
  • Suspected or confirmed endometriosis affecting fertility
  • Polycystic ovary syndrome not responding to first-line management
  • Premature ovarian insufficiency
  • Fertility preservation before gonadotoxic treatment, usually time-critical
  • Complex reproductive endocrine presentations from puberty to menopause

Step two

What to include

The more the subspecialist has at the first consultation, the fewer repeat investigations your patient has to sit through.

  • Duration of infertility, and any prior investigation or treatment
  • Cycle history, plus relevant surgical and medical history for both partners
  • Recent semen analysis where available
  • Current medications, including over-the-counter and complementary
  • Anything time-critical, and planned oncology treatment above all

Your patient stays yours. The subspecialist writes back to you, and many patients are seen for a single opinion on a complex problem rather than transferred.

Where to go next

  • Consensus statements

    How the subspecialty approaches the management of conditions you may refer for. Written for clinicians and reviewed by ANZSREI.

    9 statements

    Read the statements
  • Advocacy & submissions

    ANZSREI’s position statements, public comment and policy work on reproductive health.

    9 publications

    See the register
  • Find a subspecialist

    Members are listed alphabetically, with every practice location across Australia and New Zealand.

    Alphabetical, by location

    Find a specialist
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