Couples can start fertility treatment after Covid jab | Pune News

Pune: Those who are fully vaccinated can start their fertility treatment within a few days after the final dose of the Covid vaccine, the position statement-cum-recommendations of the Indian Society of Assisted Reproduction (ISAR) have stated.
The guidelines have advised women to avoid Covid-19 vaccination at least three days prior and three days after the fertility treatments, including any surgical procedures, oocyte retrievals, embryo transfers, or intrauterine insemination.
The short time interval is to allow for the immune reaction to settle in and tide over any fever following vaccination, the guidelines have clarified.
Fertility treatments, medically termed in-vitro fertilization (IVF), have helped many infertile couples conceive. IVF services, badly hit during the pandemic, have started gaining momentum over the past few months. It is safe to carry on with IVF treatment post-vaccination, experts have emphasized.
“The minor side effects of the Covid vaccine make it difficult to determine if the fever the patient has developed post-fertility treatment is related to the vaccine or due to a developing infection related to the IVF treatment. Hence, the guidelines have advised infertile couples to avoid Covid-19 vaccination at least three days prior and three days after the fertility treatments,” senior gynaecologist and IVF expert Sanjay Gupte, former national president of the Federation of Obstetric and Gynaecological Societies of India, said.
Everyone seeking fertility treatment need to be counselled and encouraged to proceed with Covid vaccination.
“An important dilemma that may arise is that whether pregnancy should be postponed until after the second dose is received. Even though there is no data to guide the clinical practice in this scenario, balanced advice would be not to delay pregnancy; this is of relevance to women of advanced maternal age or reduced ovarian reserve,” IRAS recommendations have stated.
Many couples are apprehensive of undergoing ART treatments post-Covid infection or vaccination.
Infertility expert Sanjeev Khurd said, “Women who wish to conceive naturally or through ART should take the Covid-19 vaccine and then attempt pregnancy. Women can take the Covid-19 vaccine on any day of the menstrual cycle, even during the menstrual period.”
While fertility has not been specifically studied in the clinical trials of the vaccine, no loss of fertility has been reported among trial participants or among the millions who have received the vaccines so far; no evidence of infertility appeared in animal studies either.
Fertility clinics should monitor and compare the outcomes of assisted reproduction treatments in vaccinated versus non-vaccinated patients. This move will help in providing data to assess the safety of vaccines for pregnant women and their offspring, and guidance for future recommendations, experts have said.

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