COVID-19 costing IVF patients precious time

Ottawa's Valerie and Rene Thouin have spent years and tens of thousands of dollars trying to get pregnant.

COVID-19 struck just as they were about to attempt their fourth round of an expensive, invasive, in vitro fertilization treatment, or IVF.

It's a window that's closing. It's not an opportunity that we are ever going to get back.- Valerie Thouin

"I always knew I wanted kids. I just thought ... things would be easier," said Rene Thouin, 38.Valerie Thouin has two children from a previous relationship, ages24 and 17.

After three failed IVF attempts at the Ottawa Fertility Centre, the Thouinshad sought a second opinion and possibly a parallel strategy to double their chances at a fertility clinic in Toronto.

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"I pushed and pushed and pushed to get through the wait list, and we had our consultation March 12. And then the very next day the world shut down," said Valerie Thouin, 42.

Clinics deemed non-essential

Deemed non-essential, the clinicon Green Valley Crescent shut down most of its operations March 20, laying off some 80 employees.Rene Thouin's four frozen embryos from an earlier IVF attempt are safely stored there, but can't be accessed or transferred.

As a same-sex couple, the Thouins feel IVF is their best route to a biological birth. Unlike heterosexual couples, they can't "keep trying" at home, waiting for COVID-19 to subside.

"When you're gay you can't really do that," Valerie Thouinsaid. "So the clinic is our only chance to get pregnant..... It's a window that's closing. It's not an opportunity that ... we are ever going to get back."

Beset by fruitless intrauterine insemination(IUI)treatments, an ectopic pregnancy, three failed IVFcyclesand one miscarriage each, it was starting to feel like "the universe is spitting in your face," Valerie Thouinsaid.

"When the clinics started closing there was a definite sense of, are you f--king kidding me?"

"You can't help but think, is this actually going to work out for me? I'm getting older. Maybe I should just start thinking about moving on. I don't have a bad life,"Rene Thouinadded. "With all of the things that have happened including this pandemic, it doesn't feel very hopeful."

Months-long delays

They're not the only ones whose pregnancy planshave been put on hold. The Ottawa Fertility Centre has 9,000 active clientsincluding an estimated 400 who would have justbeen starting the process were it not for COVID-19,according to Tim Skelly, the clinic's business operations director.

Fertility clinics are among the businesses and services allowed to resume duringthe first stageof the province's reopening plan. Thatcould mean a return to work bylate next week, according to Skelly, who said the Ottawa Fertility Centre is starting to re-book appointments.

But even if the clinic opened up tomorrow, "everybody else for the remainder of this year and into nextis going to face at least another three-month delay," Skellysaid. That doesn't includethe one-year waiting period just to get into the queue.

They want to get going. They want to have their families.- Tim Skelly, Ottawa Fertility Centre

"This is the real frustration for our patients," Skellysaid. "They want to get going. They want to have their families."

Clients who have already paid for procedures that had to be halted won't lose their money,Skellysaid.

"Where some patients may have challenges is if they started taking drugs which they had to pay for, and then we had to shut down. In that instance, there would be some financial loss for the patient."

It's been hard on families desperate to conceive, and hard on the clinic's bottom line, too.

"We're talking about a quarter of the year in which there is zero revenue coming in," Skellysaid. "It's a huge hit. It's horribly affected our employees, most of [whom]have been laid off because there are simply no patients and no revenue."

Reassessing their plans

Ottawa's Amanda May, 32, has been trying to conceive with her husband for more than threeyears. Hormone therapy helped them get pregnant in 2018, but May miscarried at 19 weeks. After another year of unsuccessful "medicated cycles,"they decided to try IVF.

A one-egg transfer on Valentine's Day 2020 did not work, but May was scheduled for another transfer March 24. Then COVID-19 happened.

"We gotcancelled the week before. I'd already been takingmedication for two and half weeks," May said. "I was really upset. Just not knowing when we'll be able to start again."

May said she feels like her life's been on pause for three years, and said it doesn't help when people point out she's only 32.

"I hate it, because it downplays the fact that I've been wanting a child for a very long time," May said.

The Ottawa Fertility Centre is offeringits clients virtual psychologicalcounselling during the shutdown. According to Skelly, the psychologist has been"extremelybusy."

The Thouins said they're now reassessing their plans.

"The goal was to have that fourth IVF before [Rene] turned 39. Now that's not going to happen," Valerie Thouinsaid. "So now we're at the point where we're like, do we even do that? That's another $23,000 for a 39-year-old woman."

"It's definitely taken the wind out of my sails for sure," Rene Thouinadmitted. "I'm not as motivated as I was before."

So hasCOVID-19 cost the couplea baby?

"It's quite possible that it's changed the trajectory of [our]ability to have a child, yes," Valerie Thouinsaid.