Assessing personal and family history features for risk to fertility

Some individuals have a personal or family history that suggests risk to fertility. Recurrent miscarriage, stillbirth, developmental disability or congenital anomalies, for example, may indicate genetic causes that can affect fertility or health of offspring. See the section on Family history in the Royal Australian College of General Practice (RACGP) guideline Genomics in General Practice. Consider referral to or seeking advice from a genetic service; see the Centre for Genetics Education website for a state-based directory of genetic services. Concurrent referral to an infertility specialist may be appropriate if time is scarce.