2 November 2020
This year has seen a variety of measures and restrictions the most stringent and fiercely debated being 'lockdowns' introduced around the world in order to address the COVID-19 pandemic. This week, England is due to enter a lockdown which is expected to last for at least a month. What will this mean for fertility patients?
Authorities in England hope to avoid mandatory closure of clinics, of the sort that was imposed during the UK's previous lockdown. The country's fertility regulator the Human Fertilisation and Embryology Authority (HFEA) has said that there are currently 'no plans to implement a national closure of fertility clinics', but has noted that 'we expect all clinics to demonstrate how their service can be safely maintained and how they can minimise any possible further impact on the wider NHS'.
There are important lessons to be learned from the UK's previous lockdown, as well as from the experiences of other countries, when it comes to supporting fertility patients through these challenging times. That is why this coming Thursday (5 November) the day that England's new lockdown measures are expected to begin the Progress Educational Trust (PET) will be holding a free-to-attend online event, from 5pm-6.30pm (GMT), entitled 'Lessons from Lockdown: How to Improve Support for Fertility Patients'.
At this event, we will begin by looking back at early April 2020, when UK fertility clinics closed their doors. This disrupted and delayed the treatment of thousands of patients. An atmosphere of uncertainty prevailed, with little clarity as to when treatments could resume, how waiting lists and funding arrangements would be affected, or how patients would be prioritised once clinics reopened.
This situation added to the stress and anxiety experienced by many patients. Infertility can be associated with a sense of lack of control, even at the best of times, and for some patients this feeling was intensified during and after lockdown.
Things improved in May, when the HFEA issued guidance allowing clinics to begin reopening if they could meet certain criteria (see BioNews 1045). Even then, however, the situation was inconsistent across the UK. Some patients were able to resume treatment almost immediately, while others grew increasingly frustrated because they were unable to access information, make plans or receive adequate support.
Thursday's event which we are producing in partnership with University College London's EGA Institute for Women's Health, with sponsorship from CooperSurgical will explore questions including:
What have been the greatest concerns and anxieties of fertility patients during the recent period?
What support do fertility patients need in such circumstances? And what support have they actually received?
What lessons should be taken on board by fertility clinics, policymakers and others, as we enter another lockdown?
How can fertility patients best be supported in relation to COVID-19? Or in the event of a different disease pandemic? Or in any such period of widespread disruption and uncertainty?
To help us answer these questions, we will be hearing from academics who have led research into fertility patients' experiences of the pandemic (Professor Jacky Boivin and Dr Zeynep Gurtin), from a patient and advocate whose own fertility treatment has been disrupted (Seetal Savla), and from a fertility counsellor who has been supporting patients during this difficult period (Carmel Dennehy).
All are welcome to attend Thursday's event. Find out more here, and register for your free place here.
After this week, we will continue to explore these issues at PET's annual conference, which for the first time we will be holding entirely online. The conference is entitled 'Fertility, Genomics and COVID-19', and is taking place from 9.15am-5.30pm (GMT) on Wednesday 9 December.
The conference will open with a session entitled 'The Impact of COVID-19 on the Fertility Sector', where speakers will include the chair of the HFEA (Sally Cheshire), the chair of the British Fertility Society (Dr Jane Stewart) and a leading figure in medical ethics (Professor Julian Savulescu).
The conference will close with a session entitled 'Resuming Treatment: What Can European Countries Learn from One Another?', featuring an international lineup of speakers (Dr Anna Veiga, Dr Luca Gianaroli, Dr Edgar Mocanu and Dr Nathalie Vermeulen) from the COVID-19 Working Group of the European Society of Human Reproduction and Embryology.
The conference's other sessions are detailed in the full timetable, and many other speakers are listed in the full lineup. Register to attend here, and note that the Institute of Medical Ethics has provided funding for 20 medical students to attend the conference free of charge to apply for one of these places, please email.
As with all of PET's public events, Thursday's 'Lessons from Lockdown' event and next month's 'Fertility, Genomics and COVID-19' conference will devote substantial time to letting you put questions and comments to the speakers. At our online events, you have the additional option of making contributions either identifiably or anonymously.
2020 continues to be a turbulent year, but PET is more determined than ever to provide you with a wide variety of information, opinion and opportunities for discussion. See details of all our upcoming events here, and if you are able to do so, please support our efforts by becoming a registered Friend of PET.
See original here:
Fertility treatment and COVID-19: lessons from, and for, lockdown - BioNews
- World Health Organization reference values for human semen characteristics [Last Updated On: August 17th, 2024] [Originally Added On: April 6th, 2010]
- Economic consequences of overweight and obesity in infertility: a framework for evaluating the costs and outcomes of fertility care [Last Updated On: August 17th, 2024] [Originally Added On: April 6th, 2010]
- Maternal metabolism and obesity: modifiable determinants of pregnancy outcome [Last Updated On: August 17th, 2024] [Originally Added On: April 6th, 2010]
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- The impact of body mass index on semen parameters and reproductive hormones in human males: a systematic review with meta-analysis [Last Updated On: August 17th, 2024] [Originally Added On: April 6th, 2010]
- Options for fertility preservation in prepubertal boys [Last Updated On: August 17th, 2024] [Originally Added On: April 6th, 2010]
- Xenografting of testicular tissue from an infant human donor results in accelerated testicular maturation [Last Updated On: August 17th, 2024] [Originally Added On: April 14th, 2010]
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- Functional regulation of thymic stromal lymphopoietin on proliferation and invasion of trophoblasts in human first-trimester pregnancy [Last Updated On: August 17th, 2024] [Originally Added On: April 14th, 2010]
- Home self-administration of vaginal misoprostol for medical abortion at 50-63 days compared with gestation of below 50 days [Last Updated On: August 17th, 2024] [Originally Added On: April 14th, 2010]
- Prospective study of the forearm bone mineral density of long-term users of the levonorgestrel-releasing intrauterine system [Last Updated On: August 17th, 2024] [Originally Added On: April 14th, 2010]
- Functional attenuation of human sperm by novel, non-surfactant spermicides: precise targeting of membrane physiology without affecting structure [Last Updated On: August 17th, 2024] [Originally Added On: April 14th, 2010]
- Characteristics indicating adenomyosis coexisting with leiomyomas: a case-control study [Last Updated On: August 17th, 2024] [Originally Added On: April 14th, 2010]
- The risk of post-molar gestational trophoblastic neoplasia is higher in heterozygous than in homozygous complete hydatidiform moles [Last Updated On: August 17th, 2024] [Originally Added On: April 14th, 2010]
- Cumulative ongoing pregnancy rate achieved with oocyte vitrification and cleavage stage transfer without embryo selection in a standard infertility program [Last Updated On: August 17th, 2024] [Originally Added On: April 14th, 2010]
- Pregnancy outcome in female childhood cancer survivors [Last Updated On: August 17th, 2024] [Originally Added On: April 14th, 2010]
- Offering excess oocyte aspiration and vitrification to patients undergoing stimulated artificial insemination cycles can reduce the multiple pregnancy risk and accumulate oocytes for later use [Last Updated On: August 17th, 2024] [Originally Added On: April 14th, 2010]
- Avoidance of weekend oocyte retrievals during GnRH antagonist treatment by simple advancement or delay of hCG administration does not adversely affect IVF live birth outcomes [Last Updated On: August 17th, 2024] [Originally Added On: April 14th, 2010]
- Who should pay for assisted reproductive techniques? Answers from patients, professionals and the general public in Germany [Last Updated On: August 17th, 2024] [Originally Added On: April 14th, 2010]
- Sperm donor limits that control for the 'relative' risk associated with the use of open-identity donors [Last Updated On: August 17th, 2024] [Originally Added On: April 14th, 2010]
- Long-term cryostorage of sperm in a human sperm bank does not damage progressive motility concentration [Last Updated On: August 17th, 2024] [Originally Added On: April 14th, 2010]
- Screening for biomarkers of spermatogonia within the human testis: a whole genome approach [Last Updated On: August 17th, 2024] [Originally Added On: April 14th, 2010]
- Avoiding transgenerational risks of mitochondrial DNA disorders: a morally acceptable reason for sex selection? [Last Updated On: August 17th, 2024] [Originally Added On: May 20th, 2010]
- Cross border reproductive care in six European countries [Last Updated On: August 17th, 2024] [Originally Added On: May 20th, 2010]
- Morphometric dimensions of the human sperm head depend on the staining method used [Last Updated On: August 17th, 2024] [Originally Added On: May 20th, 2010]
- ESX1 gene expression as a robust marker of residual spermatogenesis in azoospermic men [Last Updated On: August 17th, 2024] [Originally Added On: May 20th, 2010]
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- Mothers of IVF and spontaneously conceived twins: a comparison of prenatal maternal expectations, coping resources and maternal stress [Last Updated On: August 17th, 2024] [Originally Added On: May 20th, 2010]
- Psychological well-being and sexarche in women with polycystic ovary syndrome [Last Updated On: August 17th, 2024] [Originally Added On: May 20th, 2010]
- Is human fecundity declining in Western countries? [Last Updated On: August 17th, 2024] [Originally Added On: May 20th, 2010]
- Impaired glucose tolerance, type 2 diabetes and metabolic syndrome in polycystic ovary syndrome: a systematic review and meta-analysis [Last Updated On: August 17th, 2024] [Originally Added On: June 5th, 2010]
- Current achievements and future research directions in ovarian tissue culture, in vitro follicle development and transplantation: implications for fertility preservation [Last Updated On: August 17th, 2024] [Originally Added On: June 5th, 2010]
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- Prestimulation parameters predicting live birth in anovulatory WHO Group II patients undergoing ovulation induction with gonadotrophins [Last Updated On: August 17th, 2024] [Originally Added On: July 21st, 2010]
- Transfer of a selected single blastocyst optimizes the chance of a healthy term baby: a retrospective population based study in Australia 2004-2007 [Last Updated On: August 17th, 2024] [Originally Added On: July 21st, 2010]
- Disclosure patterns of mode of conception among mothers and fathers-5-year follow-up of the Copenhagen Multi-centre Psychosocial Infertility (COMPI) cohort [Last Updated On: August 17th, 2024] [Originally Added On: July 21st, 2010]
- Assisted reproductive technology in Europe, 2006: results generated from European registers by ESHRE [Last Updated On: August 17th, 2024] [Originally Added On: July 21st, 2010]
- A decade of sperm washing: clinical correlates of successful insemination outcome [Last Updated On: August 17th, 2024] [Originally Added On: July 21st, 2010]
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- Speriolin is a novel human and mouse sperm centrosome protein [Last Updated On: August 17th, 2024] [Originally Added On: July 21st, 2010]
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