Non-essential treatment? Sub-fertility in the time of COVID-19 (and beyond)

Cavaliere, Giulia

doi:10.1016/j.rbmo.2020.07.029

Cited by 8 publications

(10 citation statements)

References 8 publications

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“…It also reveals that while many patients undergoing hormone reaffirming therapy do so with a clear biological plan of parenthood in mind before commencing therapy, others do not until presented with the option of fertility preservation, a finding similar to that reported in the companion RTS paper (Bach et al, 2020). We also present our first Viewpoint, where Dr Giulia Cavaliere discusses the multiplicity of the societal impacts of COVID-19 on fertility treatments from an ethical point of view (Cavaliere, 2020).…”

supporting

confidence: 62%

Reproduction, Technology and Society - a new section in RBMO

Macklon¹,

Camporesi²,

Vassena³

et al. 2020

Reproductive BioMedicine Online

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supporting

confidence: 62%

Reproduction, Technology and Society - a new section in RBMO

Macklon¹,

Camporesi²,

Vassena³

et al. 2020

Reproductive BioMedicine Online

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“…Here, the collected sample should be considered a potential source of virus, and the handling of the semen should be prepared using a density gradient followed by the swimming technique. Although the presence of SARS-CoV-2 in male and female genital organs, in sperm or oocytes has not yet been clearly highlighted, an important aspect related to cryopreservation is the fact that it is possible to spread the virus during the preparation and cryopreservation procedures [ 51 , 52 , 53 , 54 , 55 ]. Depending on the capacity of the clinic staff, it is recommended that the staff should work in at least two or three alternating mini-teams in the workplace, thus limiting the spread of the virus.…”

Section: Covid-19 and Artmentioning

confidence: 99%

Impact of COVID-19 on fertility and assisted reproductive technology (ART): a systematic review

Săndulescu

Văduva²,

Siminel³

et al. 2022

Rom J Morphol Embryol

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The appearance of coronavirus disease 2019 (COVID-19) caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has been a major obstacle for the performing of current medical activities throughout the world. COVID-19 has affected humanity in many ways, thus causing a great medical, social, economic, and political instability. The aim of this study was to make an analysis of the scientific data obtained by so far to highlight the impact that COVID-19 has had on fertility and assisted reproductive technology (ART). Infection with SARS-CoV-2 alters the normal immune response by local and systemic damage to tissues and organs. After the virus enters the body, the first lesions are produced in the respiratory tract. Extrapulmonary lesions specific to COVID-19 include acute renal lesions/acute kidney damage, hepatocellular lesions, neurological diseases, myocardial dysfunction and arrhythmia, gastrointestinal diseases but also genital impairment. The possible impairment of the male reproductive system is because angiotensin-converting enzyme 2 (ACE2) receptors are in an increased number in the testes, seminiferous duct cells, spermatogonia, Leydig cells and Sertoli cells. Many published studies to date have pointed out that COVID-19 could also affect female fertility and disrupt the functions of the female reproductive system. The theory that this virus can also be transmitted sexually and can cause infertility or testicular damage is supported by the fact that the virus can be isolated in the semen of COVID-19 patients but only during the disease. Choosing the best method of treating infertility during the COVID-19 pandemic is multifactorial, but the risk of infection and compliance with specific ART hygiene protocols must always be considered. Currently, there is no scientific basis regarding the fact that the COVID-19 vaccination would influence fertility.

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“…due to priorities in limited resourse settings or efforts to reduce the eventual burden on hospitals and the movement of people to fertility clinics). Moreover, the pandemic and the consequent suspension of fertility treatments represent an opportunity to exacerbate the long-standing debate over whether fertility treatments should be considered essential [73]. This may cast further doubt on transgender people's freedom to make meaningful decisions in reproductive matters.…”

Section: Implications For Practice and Further Researchmentioning

confidence: 99%

A qualitative study examining transgender people’s attitudes towards having biological children and pursuing fertility treatments in Greece

Voultsos

Zymvragou

Karakasi

et al. 2021

Preprint

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Background: Advances in biomedical technologies permit transgender individuals not only to achieve gender transition but also to experience parenthood. Little is known about this topic in Greece, a traditionally conservative country; however, Greece is changing at the legal level towards a greater recognition of transgender people’s rights. This study aimed to investigate transgender people’s attitudes towards having biological children and pursuing fertility treatments in Greece.Methods: This is a prospective qualitative study conducted with adult individuals who identified as transgender men or transgender women between April 2019 and March 2020. Individual in-depth qualitative interviews were conducted with twelve participants. The interviews were carried out in person and were digitally recorded and transcribed verbatim. We performed an inductive analysis of the data.Results: The inductive data analysis resulted in the identification of themes that represent key barriers to pursuing fertility preservation (FP) or the use of assisted reproductive technology (ART). Six major themes were clearly present in the findings (lack of adequate information and counseling, worsening gender dysphoria, increased discrimination against transgender people due to the rise of extreme far-right populism, low parental self-efficacy, high costs, and a less than perfect legal framework). Moreover, diverse cases were examined, and minor themes, such as the symbolic value of the uterus and pregnancy, the relationship between the type of gender transition and willingness to pursue fertility treatments, and transgender people’s adherence to heteronormative patterns in the context of reproduction, were identified. Various reasons for transgender people’s differing degrees of desire for parenthood were identified.Conclusion: Our findings demonstrated contextual factors as well as factors related to transgender people themselves as barriers to pursuing transgender parenthood. Most aspects of our findings are consistent with those of previous research. However, some aspects of our findings (regarding aggressive behaviors and economic instability) are specific to the context of Greece, which is characterized by the rise of extreme far-right populism due to the decade-long Greek economic crisis and the deeply conservative traditionalist background. In that regard, the participants highlighted the (perceived as) less than perfect Greek legislation on transgender people’s right as barrier to transgender (biological) parenthood.

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Non-essential treatment? Sub-fertility in the time of COVID-19 (and beyond)

Cited by 8 publications

References 8 publications

Reproduction, Technology and Society - a new section in RBMO

Reproduction, Technology and Society - a new section in RBMO

Impact of COVID-19 on fertility and assisted reproductive technology (ART): a systematic review

A qualitative study examining transgender people’s attitudes towards having biological children and pursuing fertility treatments in Greece

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