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Viral Hepatitis and Assisted Reproduction.

Gautam N Allahbadia1

  • 1Rotunda-The Center for Human Reproduction, Mumbai, India.

Journal of Obstetrics and Gynaecology of India
|November 9, 2016
PubMed
Summary
This summary is machine-generated.

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Couples undergoing infertility treatment with hepatitis B (HBV) or hepatitis C (HCV) require safety protocols to prevent transmission. Testing and specific procedures like sperm washing are crucial for safe assisted reproductive technology (ART).

Area of Science:

  • Reproductive Medicine
  • Infectious Diseases
  • Public Health

Background:

  • Infertility treatment in hepatitis-infected couples poses risks of viral transmission to partners, offspring, and laboratory personnel.
  • Hepatitis B virus (HBV) and hepatitis C virus (HCV) infections raise concerns regarding gamete/embryo contamination and potential adverse pregnancy outcomes.

Discussion:

  • Management strategies for infertility in HBV/HCV-positive individuals involve stringent safety measures to prevent disease spread.
  • Standard Operating Procedures (SOPs) for detection, segregation, and specialized techniques like sperm washing are vital for minimizing transmission risks.

Key Insights:

  • Discordant hepatitis status within a couple presents a transmission risk, necessitating careful management.
  • HBV infection can negatively impact embryo development and pregnancy, while HCV transmission via sex is low but requires sperm washing before ART.
Keywords:
ARTAssisted reproductionIVFViral hepatitis

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Outlook:

  • Pre-treatment screening for HIV, HBsAg, and HCV is recommended for infertile couples, especially before gamete or embryo cryopreservation.
  • Implementing robust safety protocols in fertility clinics is essential for protecting virus-free individuals and materials.