Royal College of Surgeons in Ireland
A picture of medically assisted reproduction activities during the COVID-19 pandemic in Europe.pdf (933.72 kB)

A picture of medically assisted reproduction activities during the COVID-19 pandemic in Europe

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journal contribution
posted on 2022-05-13, 10:03 authored by The ESHRE COVID-19 Working Group, Nathalie Vermeulen, Baris Ata, Luca Gianaroli, Kersti Lundin, Edgar MocanuEdgar Mocanu, Satu Rautakallio-Hokkanen, Juha S Tapanainen, Anna Veiga

Study question: How did coronavirus disease 2019 (COVID-19) impact on medically assisted reproduction (MAR) services in Europe during the COVID-19 pandemic (March to May 2020)?

Summary answer: MAR services, and hence treatments for infertile couples, were stopped in most European countries for a mean of 7 weeks.

What is known already: With the outbreak of COVID-19 in Europe, non-urgent medical care was reduced by local authorities to preserve health resources and maintain social distancing. Furthermore, ESHRE and other societies recommended to postpone ART pregnancies as of 14 March 2020.

Study design size duration: A structured questionnaire was distributed in April among the ESHRE Committee of National Representatives, followed by further information collection through email.

Participants/materials setting methods: The information was collected through the questionnaire and afterwards summarised and aligned with data from the European Centre for Disease Control on the number of COVID-19 cases per country.

Main results and the role of chance: By aligning the data for each country with respective epidemiological data, we show a large variation in the time and the phase in the epidemic in the curve when MAR/ART treatments were suspended and restarted. Similarly, the duration of interruption varied. Fertility preservation treatments and patient supportive care for patients remained available during the pandemic.

Large scale data: N/A.

Limitations reasons for caution: Data collection was prone to misinterpretation of the questions and replies, and required further follow-up to check the accuracy. Some representatives reported that they, themselves, were not always aware of the situation throughout the country or reported difficulties with providing single generalised replies, for instance when there were regional differences within their country.

Wider implications of the findings: The current article provides a basis for further research of the different strategies developed in response to the COVID-19 crisis. Such conclusions will be invaluable for health authorities and healthcare professionals with respect to future similar situations.



The original article is available at

Published Citation

The ESHRE COVID-19 Working Group, et al. A picture of medically assisted reproduction activities during the COVID-19 pandemic in Europe. Hum Reprod Open. 2020;2020(3):hoaa035

Publication Date

17 August 2020

PubMed ID



  • Obstetrics and Gynaecology


Oxford University Press


  • Published Version (Version of Record)