Table 3.

ASRM patient management and clinical recommendations during the coronavirus (COVID-19) pandemic: 5th update

Third-party reproduction	Do not start a cycle where the intended parents and the pregnant carrier do not live in the same country.
Fertility services for healthcare workers	Take routine precautions; there is no data to support the need for medical staff to avoid infertility treatment or pregnancy.
Having partners present when providing care	The number of people in the ward must be limited, and partners are encouraged to use telephone or video methods to participate in the escort.
Travel restrictions	Where feasible, avoid using public transportation; if there is an emergency trip, you need to know the new infection rate in the local area and destination; self-isolation should continue to be practiced as much as possible.
Resumption of reproductive surgery	Reproductive surgery can be resumed in areas where the prevalence of the disease should be low (<12%). Before any surgery that requires anesthesia, the patient should be checked for COVID-19 symptoms. Preoperative SARS-CoV-2 virus detection should also be strongly considered. If the virus test is positive, the patient needs to be rechecked for negativity before scheduling surgery.
Aerosol-generating procedures	If aerosol-generating procedures must be performed urgently during the operation, except for the anesthesiologist and the technical or circulatory nurse, the operation team should consider leaving the room immediately. Staff can wear appropriate, fully enhanced PPE. These precautions should be taken regardless of whether the patient has a negative preoperative test result, is asymptomatic, or has no test result at all.
IVF cycles	During the oocyte retrieval process, all patients should wear medical-grade surgical masks. Any planned embryo transfer should be delayed until the patient is SARS-CoV-2 negative.
Urgent surgical procedures	Staff should use enhanced respiratory PPE.