Elena LabartaGynecologist specialized in Assisted Reproduction Treatments , IVI RMA Valencia
- IVI RMA Valencia
Thank you very much for exposing the current situation at this time of crisis.
Obviously, the best recommendation is not to transfer embryos while the uncertainty of the effects of COVID-19 on pregnant women and foetuses continues.
I also agree that aggressive ovarian stimulation should be avoided, as this could lead to the risk of ovarian hyperstimulation syndrome and possible hospital admission at a time when hospital beds should be made available for all victims of COVID-19.
A key point is whether the virus can be present in the gametes. As stated in this manuscript: "... in the absence of evidence of transmission of the virus within reproductive cells.... But I am not sure if this has been proven already and, as is well known, "the absence of proof does not proof the absence".
Therefore, until we know this, we could not even consider vitrifying oocytes in our patients, with the consequent risk of allowing their ovarian reserve to diminish over the months.
Clearly, we are in a dramatic situation that will paralyse many things, including assisted reproduction treatments, until we are in a safe situation. Obviously, within 9 months, the birth rate will be reduced worldwide, taking into account the number of children born from assisted reproduction treatments.
We must follow all the recommendations that the health authorities send us, in order to flatten the curve and thus be able to recover as soon as possible from this situation.
Dr Elena Labarta
IVI RMA Valencia, Spain