How does COVID-19 affect fertility and fertility treatments?

We’ve been getting a lot of questions from our Ovally community on how COVID-19 might affect fertility, as well as access to fertility treatments in the US and in Europe. But before we dive into this content, we’d like to send our heartfelt well-wishes to you, dear readers, and hope you and your loved ones are healthy and safe. For the purposes of this post, we’ll stay focused on fertility; if you’re looking for more detailed information on COVID-19, here’s the latest from the CDC. We’ll keep updating this post as more information becomes available.

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Should we do intracytoplasmic sperm injection (ISCI)?

With more and more Ovally patients undergoing IVF, we’ve been focusing on how to best support you and ensure you’re fully informed to make treatment decisions that are right for you. Intracytoplasmic sperm injection (ICSI) is often a part of IVF that isn’t discussed much in doctor’s appointments. It is a fertilization technique that has been used during in vitro fertilization (IVF) since the early 1990s. A single sperm cell is selected and injected directly into an egg. ICSI stands in contrast to conventional in-vitro fertilization, when a mature egg is combined with a sample consisting of many sperm, allowing natural fertilization to take place. Many fertility clinics, particularly in the US, now use ICSI for any IVF procedure, or recommend and charge an extra ~$1.7k on average for ICSI to be performed. That’s why we dove into the research to identify when it’s advantageous to use ICSI, and what potential risks or downsides there are to consider.

How much can stress affect fertility?

Intuitively, you may assume that stress affects fertility, and the existing research confirms this hunch: Higher levels of stress are linked to longer time to conception and a higher risk of infertility. Similarly, treatment outcomes appear to be worse in fertility patients that suffer from stress and anxiety, particularly if it’s affecting the hopeful parents’ relationship. That’s one of the reasons we created Ovally – to provide you with the emotional, logistical, and educational support you deserve, and to turn your treatment into a relaxing getaway. The research on fertility and stress also had a few surprising findings:

Does my weight affect my fertility?

With New Year’s resolutions still going strong, your weight in relation to your fertility may be on your mind. Research shows that a body mass index (BMI) between 20-25 is ideal to conceive, and losing or gaining weight to fall into that range can significantly improve your fertility outcomes. Most research uses the BMI as a function of weight and height – if you’d like to figure out yours, here’s an easy calculator to do so. Since BMI is not a perfect measure (e.g., it doesn’t distinguish between fat and muscle), we recommend you also discuss your weight with your doctor. Here’s the more detailed high-quality research on weight and fertility:

12 ways to support your fertility in 2020

Whether you’re hoping to start a family, undergo fertility treatment, or simply want to make sure you’re doing everything you can for your reproductive health, here are 12 evidence-based ways to boost your fertility in 2020. Also check with your doctor on their  recommendations for you during your 2020 annual checkup:

5 messages to remember on your fertility journey, particularly over the holidays

The holidays are in full swing, it’s about to get a little quieter, and you’re likely to see some friends and family you haven’t seen in a while. This can be a great time for relaxation, self-care, and loving support, but it can also be a difficult time full of unwanted questions, others’ pregnancy announcements, and nagging rumination. Whether you’re on a journey to preserve your fertility or are undergoing infertility treatment, we wanted to send you off into the holidays with 5 messages to remember:

The diagnoses behind fertility issues (2/4): Diminished ovarian reserve

Earlier this year we began looking into the diagnoses behind fertility issues, starting with ovulatory dysfunction. In this post, we’ll be digging into the most common diagnosis, “diminished ovarian reserve”, affecting 31% of cases in the CDC’s report, which is based on ~260k IVF cycles performed in the US. Diminished ovarian reserve does not only affect IVF treatment but any kind of fertility (preservation) treatment, making it particularly relevant for the Ovally community.

How can PCOS affect fertility, and which treatments are most effective?

In our previous post about PCOS, we talked about its common symptoms and diagnostic criteria. One of those symptoms are infrequent or missing periods and irregular or missing ovulation, which interfere with the ability to conceive. According to the CDC, 16% of diagnoses in patients with fertility challenges are due to issues with ovulation. Below we’ve summarized the literature on PCOS and fertility treatments to give you an overview of how issues with ovulation can be overcome most effectively.

Polycystic Ovary Syndrome (PCOS) – what is it, and how do I figure out if I have it?

September is PCOS Awareness Month, so we are launching a short series on this important topic. PCOS is the most common “endocrine” (i.e., affecting the glands that secrete hormones or other products directly into the blood) disorder among women. PCOS affects between 4-20% of women, depending on the study and the exact diagnostic criteria used. If you’re thinking that we don’t talk enough about something that affects so many women, we couldn’t agree more. So let’s dive in:

Which vitamins and supplements help improve my fertility?

Today’s post in our series on lifestyle & fertility focuses on vitamins and supplements. Taking vitamins and supplements in preparation for fertility treatment is something that we can control and that’s easy to do. But what’s been shown to help fertility outcomes? What has been tested but shown no or inconclusive results? We’ll discuss folic acid, vitamin D, and antioxidants below – some of the results surprised us. As usual, ask your doctor prior to your treatment for their recommendations and guidance, as they may be aware of even more recent unpublished research.