Dear current or future patient!
During the Coronavirus pandemic we have to introduce special preventive measures to keep everyone safe. This means that for visits, when in person appearance is not essential, we will provide telemedicine services. This affects the following types of visits:
- Initial consultation (review of the previous medical history, evaluation already existing test results, setting up diagnostic/ treatment plans),
- Evaluation of the results of the tests ordered and based on them clarification of the therapeutic plan,
- Follow-up discussions after successful or unsuccessful treatments, during which tests required for a new treatment can be ordered and a new therapeutic plan can be discussed.
In order to set up a telemedicine appointment please contact us by phone (+36-1-202-2802) or email (email@example.com).
It is based on the result of these telephone consultations that in person visits can be set up. During the in person visits we will provide you with all the recommended protective equipment and will follow the recommended infection control guidelines.
Our goal is to be able to provide our full services even during the pandemic while minimizing the risk of potential infection in our facilities. Therefore the following measures will be in effect:
- Prior to coming to the clinic you will be contacted by email or phone and a standardized questionnaire will need to be completed to assess your risk of being infected by Coronavirus. Please, click here to download the questionnaire.(DOC) (PDF)
- If the risk is considered to be low we will be able to see you in the clinic. For each clinic visit (blood test, semen analysis, visit with a doctor, etc.) an appointment will need to be set up first. We will only see you in the clinic if an appointment has been previously set up! Since we have to limit the volume of patients that are seen daily if you do not show up in time for your visit a new appointment will need to be arranged for.
- If your risk is considered to be high (based on the answers to the questionnaire or symptoms) we will refer you to your general medical provider. In this case we will only be able to see you if the evaluation by your GP is negative for Coronavirus infection.
- On the day of the visit please arrive in time. Please wait outside of the building at the main door until you are called by an assistant.
- Once you have entered the building the assistant will take your temperature. If your temperature is > 37.5 C we will refer you to your general medical provider.
- Once in the clinic you will be asked to use the hand sanitizer and will be asked to use a face mask.
- The mask needs to be worn while in the clinic. As you leave the clinic you will be able to dispose it in the special disposal container.
- We will only allow the patient herself/ himself to enter the building on the day of the visit. If you arrive with an accompanying person she/ he will need to wait outside of the building. Outside of the building patients/ accompanying persons are required to maintain a min. of 1.5 m distance from each other.
- Consultations, follow-up discussions can now be performed in person but handling these visits over the phone is still an option. Those patients who come from abroad for the consultation will need to be seen in person. Starting on the 1st of September new travel regulations were introduced that control cross-border entry into Hungary. Hungarian citizens entering Hungary from abroad face 10 days of quarantine. Those in quarantine may request from the authorities to be tested for SARS-CoV-2 here in Hungary (!). Tests done abroad will no longer be accepted (first test can be done at home for those who come from the Schengen zone + USA, Canada). If they produce two negative tests at least 48 hours apart from within 5 days they can request from the authorities a release from the quarantine. We can only see those patients who have the written permit from the authorities that allows them to leave the quarantine. Foreign nationals are not allowed to enter Hungary. There are some exceptions. Those who have a letter from a medical provider stating that they come for treatment can request a permit from the police (through the police website) to enter Hungary. Upon entering Hungary they also face 10 days of quarantine or need to undergo the same testing procedure as described previously to be able to leave the quarantine sooner. This whole process takes at least 5-7 days and is associated with expenses. We can only see those patients who have the written permit from the authorities that allows them to leave the quarantine. We do recommend contacting the local consulate for updates before you plan your trip as the regulations may change.
- We will use electronic prescriptions when possible.
- Those patients (this applies to both women and men who plan on attending the clinic in person) who were infected by SARS-CoV-2 virus need to follow these steps:
If the infection was asymptomatic and was detected „only” by a positive SARS-CoV-2 PCR test, the patent can be seen in person 4 weeks after the positive test without a second, negative test. If the patient wishes to be seen within 4 weeks of a positive PCR test she/he has to do a second test and it has to be negative to be able to come.
If the patient had symptoms typical of SARS-CoV-2 infection (loss of smell/ taste, fever upper respiratory tract infection symptoms, etc.) she/he can be seen 4 weeks after the disappearance of the symptoms. If the patient wishes to be seen within 4 weeks of a positive PCR test she/he has to do a second test and it has to be negative to be able to come.
Those patients who have chronic symptoms (post COVID symptoms) after recovery from the infection will only be able to undergo fertility treatment if the proper medical evaluation has been completed to increase the chance of safe and uncomplicated pregnancy.
- These regulations will remain in effect until the end of the pandemic.
- We understand that certain aspects of these measures will be less convenient compared to our previous operations but they are of utmost importance to guarantee your safety. We do ask for your patience and cooperation these days to be able to serve you to the best of your knowledge!
Budapest, 15 December 2021.
Dr. Péter Kovács
Patient information for semen analysis during the COVID-19 pandemic
The SARS-CoV-2 virus, responsible for COVID-19 disease, belongs to the Coronavirus family. It was first identified towards the end of 2019 in Wuhan county in China. It is believed that the virus spread worldwide from here causing multiple waves of mass infections. The virus has mutated several times during its spread. The newer mutant variants are characterized by an increased ability to infect individuals and the symptoms associated appear to be more severe.
The diagnostic tests can be divided into three groups (European Centre for Disease Control):
- detection of viral RNA (RT-PCR)
- detection of viral antigens (viral surface proteins)
- antibody test (antibodies produced against SARS-CoV-2 virus)
The RT-PCR and antigen tests are used to detect an acute infection. Antibody tests can serve as proof of immune response following an acute infection. The currently available tests are not 100% accurate.
The typical symptoms of COVID-19 are similar to the symptoms of other upper respiratory tract infections (sore throat, cough, fever) and may be preceded by gastrointestinal symptoms (nausea, diarrhea). Fever, muscle pain, feeling tired, shortness of breath and loss of taste, smell are further characteristic clinical signs. The virus primarily spreads by respiratory droplets and rarely by touching contaminated surfaces.
During pregnancy the virus may spread from the mother to the fetus through the placenta. The risk of getting infected by SARS-Cov-2 is not higher among pregnant women compared to non-pregnant women. The vast majority (74-86%) of the infections is asymptomatic or is accompanied by mild symptoms only. The most common symptoms are fever and cough. The risk of developing more severe disease that may even require hospitalization is higher however among pregnant women. Fatal outcome is rare in general but is somewhat more common if the infection is caught during pregnancy. The risk of severe disease increases as the pregnancy progresses. Most cases that require hospital admissions occur in the third trimester. The risk of preterm delivery is elevated in pregnancies complicated by COVID-19 primarily due to the more frequent labor inductions and C-sections to complete the pregnancy. The risk of severe disease is higher among those over the age of 35 and with a higher BMI (>25 kg/m2) as well as among those affected by diabetes and hypertension.
According to currently available data, the risk of miscarriage, malformations and intrauterine fetal demise are not higher as a result of the infection. The disease does not seem to affect the growth of the fetus either. The risk of preterm delivery is increased but as explained above this is primarily due to the elective labor inductions for maternal indications. Over 95% of the newborns are born healthy. In a small proportion of neonates, the test produced a positive result so we assume that the virus can pass through the placenta and can infect the fetus. In almost all cases however the test turned negative within a few days indicating the end of the infection.
Various vaccines are available to prevent the disease or at least reduce the risk of severe symptoms, hospitalization. All of them appear to be effective though their efficacy is not identical. Full immunity is achieved 7-10 days after the two-dose vaccines. It is recommended for those planning a pregnancy to get vaccinated as the risk of severe disease is higher during pregnancy. The vaccines using mRNA technology (Pfizer, Moderna) can be safely administered during pregnancy as well. The vaccines due not pass through the placenta and antibodies that could compromise placental function do not form. According to currently available data the vaccines do not cause infertility. Among men sperm parameters may be reduced during or immediately after an acute infection. The risk of miscarriage is not elevated as a result of vaccination. The antibodies that are produced after vaccination do pass through the placenta and are responsible for fetal protection.
- Statement from the ESHRE COVID-19 Working Group: COVID-19 vaccination and assisted reproduction (https://www.eshre.eu/Home/COVID19WG)
- AMERICAN SOCIETY FOR REPRODUCTIVE MEDICINE (ASRM) PATIENT MANAGEMENT AND CLINICAL RECOMMENDATIONS DURING THE CORONAVIRUS (COVID-19) PANDEMIC UPDATE No. 16 – July 23, 2021 Reproductive Facts Regarding COVID-19 Vaccination