I hope this letter finds you well. Thank you for referring Mrs. Sarah Jones and Mr. David Jones to me for a consultation regarding their fertility journey.
Mrs. Jones and Mr. Jones came to see me for assessment and management of primary infertility. They have been trying to conceive for 18 months. Mrs. Jones has a history of irregular periods and was diagnosed with polycystic ovary syndrome (PCOS) five years ago. Mr. Jones has no significant medical history.
They have not undertaken any treatment previously.
I have proposed the following investigations: a full blood count, thyroid function tests, and a pelvic ultrasound for Mrs. Jones. I have also requested a semen analysis for Mr. Jones.
We discussed treatment options including ovulation induction with clomiphene citrate, intrauterine insemination (IUI), and in vitro fertilisation (IVF). I explained the advantages, disadvantages, and success rates of each option. We discussed that the success rate for IUI is approximately 15-20% per cycle, while IVF has a higher success rate, around 40-50% per cycle, depending on the woman's age and other factors. We also discussed the potential risks associated with each treatment.
I recommended that they undergo the investigations I have proposed and then return for a follow-up appointment to discuss the findings and make an informed decision on the optional treatment.
I plan to conduct a follow-up appointment with Mrs. Jones and Mr. Jones in 4 weeks to discuss the findings of their investigation and screening tests so they could make an informed decision on the optional treatment.
Should you have any questions or require any further information, please do not hesitate to contact me.
I hope this letter finds you well. Thank you for referring [patient's name] and [patient's partner's name] to me for a consultation regarding their fertility journey [or describe presenting complaint].
[Patient's name] and [patient's partner's name] came to see me for assessment and management of [primary/secondary infertility] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely). [State how long they have been trying to conceive] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely). [Write a brief summary of the female's medical history followed by the partner's medical history] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely). [Elaborate on the treatment previously undertaken, where, and outcome if any] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely). [Elaborate on the investigation already undertaken and that is further proposed by me, if any] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely).
[Elaborate on treatment options discussed with advantages, disadvantages and success rates that have been discussed] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely). [If a recommendation was made - please elaborate] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely). [Summarise the discussion and the plan moving forward] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely).
I plan to conduct a follow-up appointment with [patient's name] and [patient's partner's name] in [mention when the patient will be seen next to discuss the findings of their investigation and screening tests so they could make an informed decision on the optional treatment] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely). [If the patient already has a treatment plan, or doesn't need a follow-up appointment, change this accordingly, mentioning the plan moving forward] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely).
Should you have any questions or require any further information, please do not hesitate to contact me.
(For each section, only include if explicitly mentioned in transcript or context, else omit section entirely. Never come up with your own patient details, assessment, plan, interventions, evaluation, or next steps—use only the transcript, contextual notes, or clinical note as reference for all information. If any information related to a placeholder has not been explicitly mentioned, do not state that in the output; simply leave the relevant placeholder or section out entirely. Use as many lines, paragraphs, or bullet points as needed to capture all relevant information from the transcript.)