TO OUR PATIENTS:

Due to the the ongoing Coronavirus (COVID-19) pandemic we have taken the decision, in consideration of our medical ethical duties and our social responsibility, to curtail the following range of our clinical services over the coming weeks:-

  • We will continue to be here as long as the CDC/WHO enables us.
  • We are still accepting new patients however Dr. Chin will be doing either phone consultations or video consultations until further notice.
  • Please do not come to your appointment if you feel sick with Flu-like symptoms.
  • Please attend your appointment alone, without your partner (unless otherwise instructed), or friend, and without any children (despite childcare issues prevailing).
  • We will continue to facilitate IVF cycles for those patients already in cycle or have been cleared to begin their cycle.  Please call the office and speak to a nurse if have any questions.
  • We will not be starting any new IVF cycles until further notice.
  • If you are currently in cycle and experiencing any flu like symptoms, there is a possibility your cycle will have to be cancelled.
  • We will continue all IUI cycles that are currently cycling.  If you start your menses, please call our office for further instructions.
  • Routine diagnostics such as semen analysis, blood tests, endometrial biopsies will not take place.
  • Diagnostic ultrasound scans will take place on a case by case basis.
  • Patients attending the clinic for their treatment cycle will be asked to maintain a distance 6 feet from other patients.
  • OB Scans will continue until further notice.

Pregnancy and conception

There is no strong evidence of any negative effects of Covid-19 infection on pregnancies, especially those at early stages, as indicated by the latest updates from the Centers for Disease Control and Prevention (CDC) in the USA and others in Europe.(1,2)

There are a few reported cases of women positive for Covid-19 who delivered healthy infants free of the disease.(3) There have been reports of adverse neonatal outcomes (premature rupture of membranes, preterm delivery) in infants born to mothers positive for Covid-19 during their pregnancy, but the reports were based on limited data.(4) Similarly, one case report has been published of an infected infant, but again there was no strong evidence that this was the result of vertical transmission.(5)

These data, although encouraging, only report small numbers and must be interpreted with caution. They refer to pregnancies in their final stages, but we have no information on the possible effect of Covid-19 infection on pregnancies in their initial stages.(6)

As a precautionary measure – and in line with the position of other scientific societies in reproductive medicine – we advise that all fertility patients considering or planning treatment, even if they do not meet the diagnostic criteria for Covid-19 infection, should avoid becoming pregnant at this time. For those patients already having treatment, we suggest considering deferred pregnancy with oocyte or embryo freezing for later embryo transfer.

  Before attending the clinic:

All patients should follow CDC guidelines and not attend the clinic if they have been to an affected area and are symptomatic. We kindly ask at this time that children not be brought to the clinic for your appointments. Our team will advise in any case.

  • Do not attend if you have travelled to or from the affected regions in the last 14 days
  • If you have been in contact with someone who has the virus
  • If you have flu like symptoms such as:
    • a cough
    • shortness of breath
    • breathing difficulties
    • fever (high temperature)
  • If you have any other reason to believe you have the virus

Symptoms of coronavirus

It can take up to 14 days for symptoms of coronavirus to appear.

The most common symptoms of coronavirus are:

  • a cough – this can be any kind of cough, not just dry
  • shortness of breath
  • breathing difficulties
  • fever (high temperature)

If you have these symptoms and have been to a place where there is spread of coronavirus, read this advice.

When you may need to call a doctor

For most people who have these symptoms now, it is more likely to be an infection that is not coronavirus.

You only need to phone a doctor if you have symptoms and any of the following apply to you:

  • they are the type of symptoms you would usually contact your primary care about
  • you have travelled from an affected area
  • you are a close contact of a confirmed case

Close contact

This is only a guide but close contact can mean:

  • spending more than 15 minutes face-to-face contact within 6 feet of an infected person
  • living in the same house or shared accommodation as an infected person

Anyone with symptoms of coronavirus who has been in close contact with a confirmed case in the last 14 days should:

  • isolate themselves from other people – this means going into a different, well-ventilated room alone, with a phone
  • Call their Primary Care Physician
  • in a medical emergency (if you have severe symptoms) call 911

When you may need to be tested for coronavirus

You will need to be tested for coronavirus if you have symptoms and have in the last 14 days been:

  • in close contact with a confirmed case of coronavirus
  • to a place where there is spread of coronavirus

Your doctor may also suggest you are tested for coronavirus if you have a severe lung infection.

If your doctor thinks that you need a test for coronavirus, they will tell you where the test will be done. They will also tell you when to expect your results.

How coronavirus is spread

Coronavirus is spread in sneeze or cough droplets.

You could get the virus if you:

  • come into close contact with someone who has the virus and is coughing or sneezing
  • touch surfaces that someone who has the virus has coughed or sneezed on

As it’s a new illness, we do not know how easily the virus spreads from person to person. Spread is most likely from those who have symptoms.

The virus may only survive a few hours if someone who has it coughs or sneezes on a surface. Simple household disinfectants can kill the virus on surfaces. Clean the surface first and then use a disinfectant.

Follow this advice to protect yourself and others from coronavirus.

Treatment for coronavirus

There is no specific treatment for coronavirus. But many of the symptoms of the virus can be treated.

Supportive treatments, like oxygen therapy, can be given while your own body fights the virus. Life support can be used in extreme cases.

If you get the virus, your healthcare professional will advise treatment based on your symptoms.

Antibiotics do not work against coronavirus or any viruses. They only work against bacterial infections.