SCIENTIFIC STUDIES ON THE EFFECTS OF THE CHANGES IN TREATMENT PROCESSES DURING THE COVID-19 PANDEMIC ON INFERTILE COUPLES: LITERATURE REVIEW

Abstract: The COVID-19 pandemic has been rapidly raging. Suspending the services related to infertility and assisted reproductive techniques are among the measures taken to prevent the spread of the epidemic. Various guides and recommendations have been published by many national and international associations for this purpose. Recommendations foresee the completion of cycles that have already been initiated and require no new reproductive therapies to be initiated except for patients with low ovarian reserve and those with a background of oncological disorders. The majority of couples whose treatment is suspended/postponed throughout this process have experienced intense stress, sadness and anxiety. In addition, some of the patients do not have adequate coping skills. This article is designated as a literature review in order to provide information about the current emotional states of infertile couples throughout the COVID-19 pandemic and to guide the studies planned for their needs. Due to the fact that the subject is related to the pandemic, the years covered by the literature review were limited to 2019 and later. As a result of the literature review; 2 studies conducted in Turkey and 5 studies conducted abroad, examining the effects of COVID-19 on infertile couples, were included. Majority of studies revealed that suspending fertility treatments caused high levels of anxiety and stress in infertile couples. Providing psychological counseling services to couples through online platforms by health professionals is thought to enable couples to cope better with the situation.

Keywords:

COVID-19, infertility, anxiety stress, fertility treatment.,

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[1] World Health Organization, “WHO Director-General’s opening remarks at the media briefing on COVID-19- March 11 2020”,https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at- the-media-briefing-on-covid-19---11-march-2020
[2] Ministry of Health, COVID-19 Information Page. https://covid19.saglik.gov.tr/TR-66935/genel-koronavirus-tablosu.html
[3] Ministry of Health, “Guidelines for Working in Health Institutions and Infection Control Measures in the COVID-19 Pandemic”, Scientific Advisory Board Study, 127–132; 2020, https://covid19.saglik.gov.tr/TR- 66532/saglik-kurumlarinda-calisma-rehberi-ve-enfeksiyon-kontrol-onlemleri.html
[4] Europian Society of Human Reproduction and Embriology (ESHRE), “Guidance on recommencing ART treatments”, 2020, https://www.eshre.eu/COVID19WG.
[5] American Society for Reproductive Medicine (ASRM), “Patient management and clinical recommendations during the coronavirus (COVOD-19) pandemic”, 2020, https://www.asrm.org/globalassets/asrm/asrm-content/news-and-publications/covid- 19/c ovidtaskforce.pdf
[6] The Fertility Society of Australia (FSA), “Updated Statement of the COVID-19 FSA Response Committee” ,2020, https://www.virtushealth.com.au/sites/vh/files/2020-03/20200324-covid-19-statement-fsa- response-committee.pdf
[7] Turkish Reproductive Health and Infertility Association (TSRM). “Post-COVID-19 Restart Recommendations”, 2020, https://www.tsrm.org.tr/pro/tsrm-egitim/bilgilendirme/tsrm-covid-19-sonrasi-yeniden-baslangic-onerileri-el-kitabi
[8] “Elektif İşlemlerin Ertelenmesi ve Diğer Alınacak Tedbirler”. Available from: https://shgmhastahakdb.saglik.gov.tr/Eklenti/36865/0/elektif-islemlerin-ertelenmesi-ve-diger-tedbirlerpdf.pdf (Accessed 31.10.2021).
[9] Ben-Kimhy, R., Youngster, M., Medina-artom, T. R., Avraham, S., Gat, I., Marom Haham, L., ... & Kedem, A., “Fertility Patients Under COVID-19: Attitudes, Perceptions And Psychological Reactions”, Human Reproduction, 35(12), 2774-2783, 2020. Doi: 10.1093/humrep/deaa248
[10] Barra, F., La Rosa, V. L., Vitale, S. G., Commodari, E., Altieri, M., Scala, C., & Ferrero, S., “Psychological status of infertile patients who had in vitro fertilization treatment interrupted or postponed due to COVID-19 pandemic: a cross-sectional study”, Journal of Psychosomatic Obstetrics & Gynecology, 30;1-8, 2020. Doi: 10.1080/0167482X.2020.1853095.
[11] Esposito, V., Rania, E., Lico, D., Pedri, S., Fiorenza, A., Strati, M. F., ... & Venturella, R., “Influence Of COVID-19 Pandemic On The Psychological Status Of İnfertile Couples”, European Journal Of Obstetrics & Gynecology And Reproductive Biology, 253;148-153, 2020. Doi: 10.1016/j.ejogrb.2020.08.025.
[12] Boivin, J., Harrison, C., Mathur, R., Burns, G., Pericleous-Smith, A., & Gameiro, S., “Patient experiences of fertility clinic closure during the COVID-19 pandemic: appraisals, coping and emotions”, Human Reproduction, 35(11), 2556-2566, 2020. Doi: 10.1093/humrep/deaa218
[13] Turocy, J.M., Robles, A., Hercz, D., D'Alton, M., Forman, E.J., Williams, Z., “The Emotional Impact of The ASRM Guidelines on Fertility Patients During The COVID-19 Pandemic”, Fertility and Sterility, 114(3), e63, 2020. Doi: 10.1016/j.fertnstert.2020.08.194
[14] Tokgoz, V.Y., Kaya, Y., Tekin, A.B., “The level of anxiety in infertile women whose ART cycles are postponed due to the COVID-19 outbreak”, Journal of Psychosomatic Obstetrics & Gynecology, 19; 1-8, 2020. Doi: 10.1080/0167482X.2020.1806819
[15] Arbag, E., Tokat, M.A., Fata, S., “Emotions, Thoughts, and Coping Strategies of Women with Infertility Problems on Changes in Treatment during Covid-19 Pandemic: A Qualitative Stud.”, ESHRE’s 37th virtual Annual Meeting 2021