March 17, 2020 – Patient Management and Clinical Recommendations

“Along with others in the global community, reproductive medicine professionals and their patients are battling an unprecedented viral pandemic.

The priority of the ASRM is to maximize the wellbeing of patients, staff, and society at large. As such, ASRM aims to provide guidance and support based on existing scientific knowledge, to its members and the patients they care for during the coronavirus (COVID-19) pandemic.

This guidance addresses a gap in current guidelines addressing COVID-19, which only indirectly mention infertility and its treatment.

The recommendations laid out in this document are guided by COVID-19’s steep daily rise in incidence, the impact of the virus on patient health and fertility care providers, and the known and unknown impact of coronavirus on fertility, pregnancy and transmission patterns. These recommendations are aimed at guarding the health and safety of patients and providers, while also recognizing that it is our social responsibility, as an organization and as a community of providers and experts, to comply with national public health recommendations and apply them to all reproductive settings during this unprecedented time.

The role of ASRM during this pandemic is to proactively do our share in blunting the impact of this pandemic while recognizing the need to safeguard limited health infrastructure resources. However, we also understand our patients’ time-sensitive aspirations to achieve pregnancy, and so we will regularly reassess these recommendations with a hope to resume initiation of comprehensive fertility care as soon as possible.

This guidance recommends the following:

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.

Note: This guidance will be revisited periodically as the pandemic evolves, but no later than March 30, 2020, with the aim of resuming usual patient care as soon and as safely as possible.”


March 13, 2020 – Patient Update

To Our Patients:

We know many of you are concerned about the spread of COVID-19 (the new coronavirus) and how it may impact us here at Troché Fertility part of Advanced Fertility Care.  Ensuring patients are cared for in a safe and healthy environment is our first priority. At this time, we don’t have any cases in our clinic.

The Centers for Disease Control and Prevention (CDC) have recommended a variety of steps that we are implementing to help reduce the potential for the virus to enter our buildings. However, we need your help in battling COVID-19. Below are some examples of how you can help protect the yourselves and our staff, as well as prevent the spread throughout the community.

If you are experiencing a cough, fever, sore throat, runny nose, and/or shortness of breath, please call and reschedule your appointment.

We encourage any patients who are scheduled for new patient consultations or follow up appointments to do these by phone, Skype or some other virtual communication.

You can help prevent the spread of infection by exercising proper hand washing hygiene as well as coughing and sneezing etiquette. We have hand washing and alcohol-based hand sanitizer available throughout our offices.  Please also avoid contact with people and items as much as possible: handshakes, handles, etc.

At this time, we request that family and friends do not accompany patients to appointments. Out of an abundance of caution, we are limiting all visitors to our offices unless absolutely necessary. We have posted signs on our entryway doors to notify visitors of this policy and actively screening individuals, including staff, who need to come into the building. If you have a family member or friend with you for appointments, please have them wait in the vehicle during your appointment.

Our office has always followed CDC recommendation on prevention, which includes: following strict hand washing procedures, sanitizing rooms after each patient, sanitizing door handles and workstations regularly, etc.  We have increased all prevention activities and are being vigilant in our sanitation practices.  We also are staying up to date with the CDC recommendations as they may continue to change.

Should you have any questions, please feel free to reach out to us.

For additional information, please visit the CDC’s coronavirus disease information page.

Troché Fertility part of Advanced Fertility Care