While on a cost-cutting spree, the UK NHS has made many changes to the criteria for IVF funding over the last few years. The latest cutback means that NHS IVF funding may be refused if your husband is overweight.\r\n\r\nDoes the weight of the male partner significantly affect chances of IVF success and is this exclusion criterion fair?\r\n\r\n \r\nLocal CCG's cut NHS IVF funding\r\nThe Clinical Commissioning Groups (CCGs) make NHS funding decisions at a local level. Given that their budgets are constantly shrinking, CCGs are cutting their services to account for this.\r\n\r\nThe axe has largely fallen on fertility treatments in the last few years, with some CCGs cutting down the number of cycles that they fund and others stopping IVF funding entirely.\r\n\r\nThey have reasoned that as fertility treatment is a non-urgent service, it is a viable area to save money. However, this decision gives little thought to the emotional and mental well-being of couples that are denied this potentially life changing treatment.\r\n\r\nSome women have actually resorted to relocating from their home in order to qualify for IVF funding. Given the high costs of IVF treatment, this decision may be an easy one.\r\n\r\nLocal CCGs have introduced several criteria for couples to qualify for IVF funding, including:\r\n\r\n \tBeing in a particular age range\r\n \tBeing a non-smoker\r\n \tThe woman being a healthy weight\r\n \tNeither partner having children from this, or a previous relationship\r\n\r\n \r\nEffect of BMI on sperm quality\r\nMore recently, some CCGs are insisting that the male partner should be within a healthy weight range.\r\n\r\nThe Bath and North East Somerset CCG are one of the first to introduce this controversial new criterion. They have stated that males whose BMI falls over 30 will be refused treatment. Around one-fifth of the British male population would fall into this category.\r\n\r\n\r\n\r\nThe CCGs of West Cheshire and Devon have also introduced similar criteria based on the male\u2019s BMI.\r\n\r\nAccess to IVF funding is already restricted based on the woman being within a healthy weight range. However, research shows that being overweight can significantly affect a woman's chance of conceiving.\r\n\r\nBesides affecting your chances of conceiving, obesity may also affect your response to fertility treatment. Weight loss in obese women has proven to improve the outcome of both spontaneous pregnancy and fertility treatment.\r\n\r\nThe NICE guidelines do state: \u201cmales with a BMI of 30 or over should be informed that they are likely to have reduced fertility.\u201d\r\n\r\nHowever, there is no conclusive evidence that shows that a male's weight will affect his sperm quantity and quality. In fact, research suggests that, while a high male BMI can negatively affect the reproductive hormone levels, only an extremely high level of obesity may significantly affect a male\u2019s chances of conceiving.\r\n\r\nThe measurement of BMI itself is also suggested to be a flawed representation of whether or not a person is overweight. This is because it does not take into account the composition of the body, for example, if a person is particularly muscular they may have a high BMI whilst having little body fat.\r\n\r\nTherefore, the decision to withdraw the option of NHS IVF funding entirely from couples who fall into this category is a controversial one, which does not appear to be supported by any hard evidence.\r\n\r\n \r\nNHS IVF postcode lottery\r\nWhat is very difficult to understand is just how much the criteria for NHS IVF funding can vary depending on your location within the UK.\r\n\r\nAs mentioned before, Bath and North East Somerset, West Cheshire and Devon CCGs have all stated that NHS IVF funding will be refused for males with a BMI over 30. However, the East of England CCG only refuses funding for males with a BMI over 35.\r\n\r\nIn other areas of the UK, for example Bristol, overweight males are not refused treatment, but instead referred to weight loss groups prior to commencing their treatment.\r\n\r\n\r\n\r\nThis seems like a viable option to help overweight males become healthier, whilst still receiving the treatment they require. However, the issue with this is the extra cost to the NHS, when funds are dwindling.\r\n\r\nObviously shrinking funds mean that services need to be restricted within some areas of the NHS. However, the inconsistent funding of IVF between different areas of the UK provides an unfair system, which has been aptly dubbed the \u2018IVF postcode lottery\u2019.\r\n\r\nBecause of this, many couples seeking IVF treatment opt to travel to Asia, to undergo IVF in India, Malaysia and Thailand.\r\n\r\n \r\nWhat do you think about the refusal of NHS funding if your husband is overweight? Please share in the comments below.