Update #1 Released to the ASRM Patient Management and Clinical Recommendations During The Coronavirus (COVID-19) Pandemic

The ASRM Task Force continues to emphasize that infertility is a disease, and infertility care is not elective. The treatment of infertility, as well as the treatment of many other critical diseases, including cancer treatment, other gynecologic surgery, and organ transplantation, are being postponed in the face of the COVID-19 pandemic. The use of the words “elective surgery” generally refers to surgery that can be delayed for a period of time without undue risk to the patient.

The ASRM Task Force continues to be committed to a return to routine patient care as soon as possible. However, it is unclear how long the COVID-19 pandemic will continue. Epidemiologic evidence suggests that the speed by which it lessens is proportional to the degree of adherence to CDC guidance, including strictly following hygiene recommendations, shelter-at-home, and rigorous social distancing.

At this time, the ASRM Coronavirus/COVID-19 Task Force affirms all of the stated recommendations of March 17, 2020 as timely and appropriate, including:
  1. Suspend initiation of new treatment cycles, including ovulation induction, intrauterine inseminations (IUIs), in vitro fertilization (IVF) including retrievals and frozen embryo transfers, as well as non-urgent gamete cryopreservation.
  2. Strongly consider cancellation of all embryo transfers whether fresh or frozen.
  3. Continue to care for patients who are currently “in-cycle” or who require urgent stimulation and cryopreservation.
  4. Suspend elective surgeries and non-urgent diagnostic procedures.
  5. Minimize in-person interactions and increase utilization of telehealth.
During this unprecedented public health emergency, the ASRM Coronavirus/COVID-19 Task Force (“the ASRM Task Force”) is committed to being responsive to our professional membership, their patients, and
our broader communities. This update reflects the stated commitment of the Task force to reassess its recommendations at no more than two-week intervals considering the fluid and evolving situation.

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