Our Island Plan

Fertility Services

Struggling to conceive can be an incredibly emotional and challenging journey — but you don’t have to go through it alone. Manx Care’s Fertility Service are dedicated to supporting individuals and couples who are having difficulty getting pregnant.

Infertility affects many people and can bring feelings of stress, frustration and sadness. We understand the emotional toll it can take and our goal is to offer compassionate, personalised care every step of the way.

Our aim is to help identify possible causes of infertility and guide you through the available options, whether you're just beginning to explore your fertility or have been trying for some time. We offer a supportive, understanding environment where your concerns will be heard, your questions answered, and your hopes respected. Our aim is to create a supportive and helpful environment to provide expert advice, and emotional support, and the care you deserve.

What we can do for you

If you’ve been trying to conceive without success, we’re here to help you understand why and to explore the treatment options available to you. Our first step is a thorough investigation to identify the most likely cause of your fertility difficulties. This includes a range of diagnostic tests and consultations to give us a clear picture of your individual situation.

In many cases, once a cause has been identified, we are able to offer treatment locally. These treatments may include lifestyle advice, medication to stimulate ovulation, and minor procedures which are all tailored to your specific needs and medical background here in the island.

For those who require more advanced interventions such as in vitro fertilisation (IVF) or the use of donor eggs or sperm, we offer a satellite service in partnership with leading fertility centres in the UK. This allows you to undergo much of your preliminary care and follow-up locally, minimising travel and disruption, while still accessing specialist treatment through our trusted partners.

Our aim is to support you at every stage of your fertility journey, providing expert care close to home and helping you navigate the next steps with confidence and clarity.

Depending on your needs we can

  • Provide personalised information and support:
    We offer both written and verbal information tailored to your specific situation, so you can better understand your fertility journey, the possible causes of your difficulties, and the treatment options available to you

  • Investigate infertility in both men and women:
    Our comprehensive assessments cover all aspects of fertility, including hormone testing, semen analysis, ovulation tracking, and imaging such as ultrasound scans which help us pinpoint potential issues for either partner

  • Support ovulation through medication:
    For individuals experiencing irregular or absent ovulation, we can prescribe and monitor fertility drugs designed to stimulate ovulation and improve the chances of natural conception

  • Carry out fertility-related surgical procedures:
    In cases where surgery may improve fertility; such as treating endometriosis, removing fibroids, or addressing tubal blockages, this will be facilitated where appropriate

  • Coordinate satellite IVF services:
    If IVF or the use of donor eggs or sperm is recommended, we offer a satellite IVF service in collaboration with specialist fertility clinics in the UK. This allows much of your care, including initial consultations and follow-ups to take place locally, while accessing advanced treatment with our trusted partners

Our service standards

We are committed to providing a high-quality, patient-centred fertility service. To ensure your experience is as supportive and efficient as possible, we adhere to the following standards:

  • Tailored Appointments:
    Couples will be seen in the clinic most appropriate to their specific needs, ensuring personalised care from the very beginning

  • Timely Consultations:
    We respect your time. Waiting times in our outpatient clinics will not exceed 30 minutes from your scheduled appointment

  • Continuity of Care:
    You will be introduced to the staff involved in your care, helping to build trust and ensure consistent, compassionate support throughout your journey

  • Clear Communication:
    All couples will receive comprehensive and easy-to-understand information about the investigations and treatment options available to them

  • Privacy and Dignity:
    Consultations and treatments will be carried out in a private, respectful, and dignified setting

  • Timely Diagnosis:
    We aim to reach a diagnosis within four months of your initial clinic appointment, so you can begin appropriate treatment without unnecessary delays

  • Transparent Funding Information:
    In cases where IVF or other advanced treatments are needed, you will be given clear and upfront information about any funding limitations that may apply

  • Patient Feedback and Improvement:
    We monitor patient satisfaction annually through surveys and use this feedback to continuously improve our service

Where to find us

The Fertility Clinic is situated in the Women's and Children's Outpatients Department at Noble's Hospital. You should enter the Hospital through the main doors, walk through the atrium onto the main corridor and turn right. Women's and Children's Outpatients – Suite E is clearly sign-posted and is on the Ground Floor of the East Wing.

Ground floor map of Nobles Hospital

Contact us

Mr Ali Elfara MD, FRCOG, Dip MedSci Edu (Nottingham), CCT (2007).

Consultant Obstetrician and Gynaecologist and Lead Consultant for Fertility Services.

Women and Children’s Directorate
Scheduled Care Division
Nobles Hospital
Braddan
Isle of Man
IM4 4RJ

Please contact Mr Elfara’s Secretary on +44 1624 650590.

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