Procrea Fertility and Coronavirus (COVID-19)

April 27th 2021 : Statement on the 3rd Pandemic Response from the Ontario fertility medical directors

The Ontario fertility medical directors recognize the impact of Covid-19 infection in pregnancy. We share in the acute concerns of our frontline colleagues and health care policy planners across the province.

Fertility service providers have successfully dealt with the pandemic over the past year, screening staff and patients before entering, seeing patients in PPE, maintaining social distancing, and minimizing patient/health care provider encounters to only those that are essential to provide care; and this has resulted in no known outbreaks of spread among staff and patients within our clinics.  In addition, virtually all of our staff have been either fully vaccinated or have received the first dose.  We have demonstrated that following PPE guidelines our practices can run safely with minimal risk to patients and staff.

There is an extremely low risk of significant complications from fertility treatment requiring care in a hospital, and thus our treatments pose no significant burden on the human and health resources needed to deliver essential and urgent health services across Ontario.

All regulatory bodies, including the SOGC, continue to endorse pregnancy, without restriction. But unlike the broader population, fertility patients require timely access to fertility procedures to achieve their family planning goals. It is also important to note that pregnancies resulting from infertility treatment make up less than 2% of all pregnancies in Ontario.  

It is widely recognized that access to fertility care is a reproductive right and an essential service.  In this context, we have carefully considered the question of continuing to provide fertility treatment services in the context of Dr William’s CMOH Directive #2 update, distributed last week.

Proportionality. “Decisions to postpone non-emergent and non-urgent surgeries and procedures should be proportionate to the real or anticipated capacity needed to maintain the health and human resources to deliver essential and urgent health services across the system.”

It is our collective assessment that the real or anticipated impact that fertility services have on the health care system overall is insignificant. It is exceedingly rare for an infertility patient to experience a treatment related complication that would necessitate hospitalization or management by the health care system.  Simply put, our patients are not a burden to the health care system, our facilities do not draw resources away from the health care system, and our human resources, and competency, are likely not useable in acute care settings.  

Minimizing Harm to Patients. Decisions should strive to limit harm to patients. Surgeries and procedures that have higher implications for morbidity/mortality if delayed for longer periods of time should be prioritized over those with fewer implications for morbidity/mortality if delayed for a longer period of time. This requires considering the differential benefits and burdens to patients and patient populations as well as available alternatives to manage symptoms and relieve pain and suffering.

The emotional issues surrounding reproduction are extremely complex and further complicated by the physiologic limitations of female age and declining fertility. The emotional burden of delaying fertility treatments in fertility patients is substantial and long lasting. The frustration of time lost and opportunities lost is beyond measure. Based on real data from studies carried out when services were abruptly stopped in early 2020, another cessation of the provision of fertility services will cause significant emotional and psychological harm to the fertility community, without any measurable impact on relieving burdens to our health care system

Equity. Equity requires that all persons with the same clinical needs shouldbe treated in the same way unless relevant differences exist (e.g., different levels of clinical urgency), and that special attention is paid to actions that might further disadvantage the already disadvantaged or vulnerable.

Patients suffering from infertility have long been marginalized by the health care system and society at large. Through the work of countless fertility organizations we have made tremendous improvements in access to care and social acceptance of infertility. However negative perceptions still persist. Cessation of care to this vulnerable population would further disadvantage our patients with no clear anticipated benefit to our health care system.

Reciprocity. Certain patients and patient populations may be particularly burdened as a result of deferring non-emergent and non-urgent surgeries and procedures. Patients should have the ability to have their health monitored, receive appropriate alternative care, and receive surgical or procedural care if their medical condition changes and their need becomes urgent or emergent.

To use the language of the directive our “patients would be particularly burdened by deferring” fertility services. Our patients are clear that continuing to have access to care is a priority for them.  Each case is unique, and every patient deserves to make informed choices. Urgency, however, is a defining condition of the infertile patient, as the diagnosis is based on the passage of time

All four elements of the suggested rubric support ongoing access to fertility-related procedures.

In summary, access to fertility care remains an essential service. Through the past year there have been no outbreaks of Covid in any fertility setting. We will continue to offer best practices for the safety of all our patients and staff.

The overwhelming sentiment from our fertility patients is that they wish to continue treatment for family planning and building.   Ceasing treatment will certainly cause significant distress and can have long-lasting implications. As stated above, treating our patients is not a burden to the health care system and our facilities do not draw resources away from the health care system.

We feel that the most significant opportunity we can provide for our patients is access to vaccination prior to, and during pregnancy…at the earliest stage of pregnancy possible. We are well resourced to provide testing access, as well as promote vaccination services for all of our active patients.

We recognize too that unvaccinated patients with pre-existing conditions now face specific risks within a strained healthcare system. For some, fertility preservation (rather than pregnancy) may be the right choice. In addition, clinics may decide at this time, and/or in the future, to limit access to certain procedures, or to certain patient groups, based on clinical assessment and medical judgement.

In this way, working together, the fertility clinics of Ontario will continue in our support of essential reproductive care for all Ontarians.


January 12th 2021 : Procrea Vaughan and Newmarket REMAIN OPEN following the announcement from Doug Ford on January 12th 2021 !

IN RESPONSE TO DOUG FORDS ANNOUNCEMENT January 12, 2021, PROCREA ONTARIO IS OPEN AND CONTINUES TO PROVIDE TREATMENT TO PATIENTS AS AN INDEPENDENT HEALTH FACILITY, AS WE ARE REGULATED TO DO SO.

During the province-wide State of Emergency, Procrea remains open with strong screening and safety protocols in place in order to provide essential fertility treatment to our patients. Please continue your monitoring, medications and appointments with Procrea as directed by your healthcare team. 

But please, stay home as much as possible. We can’t stress how important it is to be extra cautious. So, for example, order groceries online if you can. And only go out for essential reasons, such as medical appointments. We are asking you to please follow all provincial public health guidelines, including the directive to stay home and stay safe.  


January 5th 2021 : Procrea Montreal, Gatineau and Quebec City

Procrea Fertility is open!

Because supporting you is essential, know that our clinics currently remain open, with the information we presently have. Our social media pages will continue to be updated as more news is published.


November 26th 2020 : Procrea Vaughan and Newmarket Remain Open

Procrea Vaughan and Newmarket remain open. The lockdown on November 23rd doesn’t include fertility clinics or doctors offices.

Please continue your monitoring, medications and appointments as directed with your healthcare team.

Your safety and well being are of utmost importance to us.

October 11th 2020 : Procrea Gatineau now declared Red Alert

Rest assured, the ministry has been very clear. A table on their site confirms that we are authorized to continue our activities.

Thus, no major changes should be noted on your part. You may be asked to wait in your vehicle to limit the number of people in the clinic. It is also very likely that we will extend the time slot for morning ultrasounds. This will not have a major consequence but could reduce the number of new consultations and follow-ups available.

Good news for obstetrical ultrasounds – one partner is permitted to attend. The same sanitation rules apply.

We are all affected by the pandemic, but your treatment shouldn’t be.


September 28th 2020 –

At Procrea Fertility your security as well as our staff’s security is of utmost importance. Rest assured that the safety and sanitation rules will be respected. **Following the announcement that Montreal and Quebec City are at a critical level and have reached the maximum red alert no partners or children will be authorized in the Montreal or Quebec City Clinics)


September 24th 2020 Revision of guidelines

At Procrea Fertility your security as well as our staff’s security is of utmost importance. Rest assured that the safety and sanitation rules will be respected. Here is a reminder about our measures in place for our Quebec clinics (Montreal , Québec and Gatineau).

✔️ A COVID-19 symptom screening questionnaire will have to be filled out prior to treatment and a waiver will be signed; 
✔️ As soon as you arrive, you will have to register at the reception desk and notify us when you leave the clinic. 
✔️ You will be required to clean your hands with disinfectant when you enter the clinic;
✔️ Wearing a mask will be mandatory; we invite you to bring your own mask; 
✔️ No waiting room will be open in Montreal. You will have to wait for the examination in your vehicle in the parking lot. We will inform you as soon as the staff is ready to receive you

*** These regulations can be changed or modified according the evolution of COVID-19 ***

You can consult the map of COVID-19 alert levels by region here


16th September 2020 – Update Procrea Montreal

Please note that partners are permitted during an egg retrieval and must follow the rules and sanitation measures in place at the clinic. This access may be modified at any time following the evolution of COVID-19.


25th July 2020 – Update Procrea St.Hubert

We would like to inform you that Procrea St.Hubert will not be reopening following the pandemic. We have put everything in place , including transferring your file , to welcome you to our Montreal clinic from now on. You will continue to see the treating physician whom you had consulted as all consultations remain via telephone .

Contact us for more information and we will be happy to discuss it with you by phone or by message .

Looking forward to continuing to help you fulfill your dream of family.


23rd June 2020 – Update Procrea St.Hubert

Reminder : Due to COVID-19 our Procrea St.Hubert clinic is not yet reopen. Please note patients will be taken over at our Montreal clinic in the meantime (consults are by telephone).

Thank you for your understanding ,


12th June 2020 – Update Procrea Montreal

  • Procrea Fertility Clinic of Montreal
    ? Good news as of June 15!
    Spouses will be allowed to participate in obstetrical ultrasound consultations starting Monday, June 15, 2020 at Procrea Montreal.

This measure is only valid for spouses and only at the Montreal and Gatineau (already in effect in Gatineau) clinics; for now, we will keep you informed daily of all new measures taken for the other clinics!


11th June 2020 – Update – Procrea Vaughan available services

✔️Consultations with all our specialists will be done virtually
✔️ Ultrasounds
✔️ Diagnostic tests
✔️ Semen analysis
✔️ Cycle monitoring for IVF
✔️ IUI , TIC, IVF cycles (freeze all, fresh embryo transfer, frozen embryo transfer) and all other cycles (non IVF)


June 8th 2020 – Procrea Newmarket reopens on June 10th !

? We are pleased to reopen our Procrea Newmarket clinic on Wednesday June 10th.
In order to protect you and our staff we ask that you arrive alone (no partners or children) and wear a mask. Our staff will also proceed with a questionnaire issued to you via telephone 48 hours prior to your appointment and again at your arrival at the clinic.

At this time we will be offering the following services:
✔️Consultations with all our specialists will be done virtually
✔️ Ultrasounds
✔️ Diagnostic tests
✔️ Semen analysis
✔️ Cycle monitoring for IVF
✔️ IUI and TIC starting week of June 15th

To make an appointment, please contact us at +1 (905) 967-0852 or by form


June 7th 2020 – Procrea Gatineau ONLY – Partners permitted – Obstetrical ultrasounds

After verification with public health it is now permitted to have a partner accompany the pregnant woman during an obstetrical ultrasound at Procrea Gatineau ONLY . This person will be subjected to the same rules and regulations (wearing a mask, social distancing, and answering a questionnaire).

June 3rd 2020 – Update on Procrea Vaughan Calendar


As you may know, we were pleased to reopen the doors of our clinic in Vaughan and resume IVF cycles.


Here are the next two dates to keep in mind :
June 8th, start IVF cycles with freeze all or fresh embryo transfer.
? June 15th, start all non-IVF cycles.


May 19th 2020- Reopening of Procrea Vaughan

It’s the turn of the Vaughan clinic to reopen on May 25th!
Here’s how the clinic services will be launched: 

Starting May 25th: diagnostic tests including blood tests, pelvic ultrasound, and sonohysterogram.
Starting June 1: ovarian stimulation for IVF for patients that intend to freeze-all embryos and plan future frozen embryo transfer. Semen analysis and semen freezing.

The rest of the services will follow in the coming weeks, we will keep you informed. 

***Any individual that would normally go to the Newmarket office is welcome to come to the Vaughan office for their monitoring until the Newmarket office reopens. We are hoping to re-open the Newmarket office in the next 2-4 weeks. We will publicize this date as soon as it becomes available.

To make a new appointment, call us at (289) 357-0100. 

If you are interested in beginning / resuming treatment or investigations / fertility testing please email Vaughan Nurses ( nurses@procreafertility.com ) or Newmarket Nurses ( nurses@procrea.com ) to report “day 1” or your menstrual period.

If you would like to book a follow-up appointment or if you have questions for your doctor, please email receptionvaughan@procrea.com or receptionnewmarket@procrea.com and we will arrange a telephone appointment for you.

Please note, all patients will receive an email prior to their appointment / procedure / monitoring appointment with COVID-19 screening questions to ensure that they are eligible to enter the clinic. There will also be screening at the door of the clinic prior to entering.
If you have any questions about our current COVID-19 policies please let us know and someone will get back to you to discuss these further.

Thank you for your patience and understanding during this challenging time. 

Looking forward to seeing you again!


May 14th 2020 – Reopening of Procrea Montreal, Quebec and Gatineau

We are delighted to announce that we are going to proceed with a gradual opening of our Quebec centers (Montreal, Quebec, Gatineau) following the recommendations of the MSSS and applying all the preventive measures necessary for your safety and that of our staff.

The MSSS is asking us to resume our activities in the following sequence:

o Week of May 18: diagnostic examinations;
**** (closed May 18)

o Week of May 25: laboratory diagnostic services in andrology and resumption of the calendar of ovarian stimulation for in vitro fertilization (IVF);

o Week of June 8: ovarian puncture, IVF with freezing of all embryos;

o Week of June 22: ovarian stimulation excluding IVF, intrauterine insemination (IUI), frozen embryo transfer (FET), fresh embryo transfer.

**** We are just as excited as you and we expect a high volume of calls, so there may be a short delay before we can answer you but rest assured that we will return your calls and emails as soon as possible and can confirm your appointments. *****

We look forward to seeing you again!
The Procrea Fertility team


May 14th 2020 – New safety rules in effect

In preparation for the reopening of our Montreal clinic, we would like to inform you of the new safety rules that will be in effect:
✔️ A COVID-19 symptom screening questionnaire will have to be filled out prior to treatment and a waiver will be made for you to sign; 
✔️ As soon as you arrive, you will have to register at the reception desk and notify us when you leave the clinic. 
✔️ You will be required to clean your hands with disinfectant when you enter the clinic;
✔️ Wearing a mask will be mandatory; we invite you to bring your own mask; 
✔️ No waiting room will be open. You will have to wait for the examination in your vehicle in the parking lot. We will inform you as soon as the staff is ready to receive you.
✔️ Accompanying persons will not be accepted (spouse, companion and children).


May 13th 2020 – Resumption of Urology consults – Procrea Montreal

We are delighted to announce the resumption of consultations with our urologists at the Procrea Fertility Clinic in Montreal as of Tuesday, May 19th!
? For more information or to make an appointment, please contact the : (514) 345-8535


May 8th 2020

Procrea Montreal :

We are pleased to announce that as of May 25th, Procrea Fertility Clinic of Montreal will gradually resume prenatal ultrasounds and NIFTY tests.
The safety of our patients and medical staff remains our priority. Rest assured that all standards of hygiene and vigilance will be respected. 
To make an appointment, please contact (514) 345-8535

We look forward to welcoming you!

Procrea Quebec :

As of May 11, the Procrea Fertility Clinic in Quebec City will resume the first infertility telephone consults and fertility check-ups will also continue via telephone, including those that had been cancelled. For more information, please contact our switchboard at : (514) 345-8535

No other service is available. We are extremely vigilant to ensure your safety and that of our personnel as well as to follow the regulations relating to COVID-19.

Thank you for your understanding.


28th April 2020

⚠️ The Procrea Fertility Clinic in Quebec City is gradually restarting telephone consultations. At the moment, we are contacting people whose appointments have been cancelled and those who are already patients on the waiting list for follow-up fertility visits (VCF)? For all information, please contact us at (514) 345-8535

*** Please note at this time we are not doing any inseminations, IVF or frozen/fresh transfers as we are following the CFAS guidelines ***


21st April 2020

We understand that there have been many posts in the last month in regards to how our services are affected at Procrea Fertilité following the evolution of COVID-19. For this reason here is an all inclusive update.

Procrea Montreal

  • Will be closed on April 24th 2020. The call centre and telephone consultation service will also be closed on these dates.
  • Fertility consultations will be done by phone
  • Procréa Fertilité is still open for NIFTY prenatal test analysis but due to the current situation with COVID-19 our Montréal office is closed for obstetrical ultrasounds and NIFTY blood draws until further notice
  • Our partner clinics all over Canada (click here for Biron centres and here for all other centres) are continuing to draw blood for NIFTY testing and sending them to us for analysis.  You may contact these partner clinics directly to arrange for your NIFTY test to be drawn and sent to Procrea Fertilité.
  • For those patients wishing to have an obstetrical ultrasound you may contact Imagix.  Please take note that Imagix offers dating ultrasounds (covered by the RAMQ) as well as nuchal translucency ultrasounds (160$ singleton, 190$ twin pregnancy) .  Only these three locations offer nuchal translucency ultrasounds : Boucherville, Brossard and Laennac (Montreal). 
  • Cancer cases : Patients who wish to freeze sperm or eggs are encouraged to contact the MUHC Reproductive Center at 514-843-1560. 

Procrea Vaughan and Newmarket:

  • All fertility consultations will be done by phone
  • Cancer cases : For patients located in the Ontario region who wish to freeze sperm can contact our Procrea Vaughn clinic at 1-289-357-0100. For those wishing to preserve oocytes in Ontario they can contact Mount Sinai at 416-586-4800.

Procrea Gatineau

  • All fertility consultations will be done by phone 
  • Prenatal testing (NIFTY) will continue 
  • Obstetrical ultrasounds will continue (1st trimester dating/viability, 2nd/3rd trimester only)

Procrea Quebec

  • NIFTY testing our partner clinics INFIRMIA are ready to accommodate Procrea Fertilité patients at one of their centres. You may consult our list of Biron partner clinics here for and here for all other centres)

Procrea Vaudreuil/ St.Hubert – Remains Closed


16th April 2020 – Update from The Canadian Fertility and Andrology Society (CFAS)

At Procrea Fertilité we are constantly following the evolution of COVID-19 and hope to resume activities as quickly as possible. Please see below the update from The Canadian Fertility and Andrology Society which recommends that all members honour the rules and regulations of their provincial bodies. At this time, most guidelines are unchanged.

Given that the number of total cases of COVID-19 (confirmed and probable) continues to rise in Canada, our recommendations remain to:

• Conduct consultations by telemedicine or phone
• Complete current IVF cycles utilizing freeze-all only
• Suspend all diagnostic and elective procedures and surgeries
• Postpone any new cycle starts (IUI, IVF, FET), aside from urgent cryopreservation for oncology, until further notice

You can see the full CFAS update here.


8 April 2020

Please note our Procrea Fertilité Montreal location will be closed the following four Fridays (April 10th, 17th, 24th and May 1st).

We would like to remind our future patients and current ones that telephone consults are available and continuing in the following locations :

Procrea Vaughan and Newmarket:

  • All fertility consultations will be done by phone

Procrea Gatineau

  • All fertility consultations will be done by phone 

Procrea Montreal

  • All fertility consultations will be done by phone

30th March 2020

Procréa Fertilité is still open for NIFTY prenatal test analysis but due to the current situation with COVID-19 our Montréal office is closed for obstetrical ultrasounds and NIFTY blood draws until further notice

Our partner clinics all over Canada (click here for Biron centres and here for all other centres) are continuing to draw blood for NIFTY testing and sending them to us for analysis.  You may contact these partner clinics directly to arrange for your NIFTY test to be drawn and sent to Procrea Fertilité.

For those patients wishing to have an obstetrical ultrasound you may contact Imagix.  Please take note that Imagix offers dating ultrasounds (covered by the RAMQ) as well as nuchal translucency ultrasounds (160$ singleton, 190$ twin pregnancy) .  Only these three locations offer nuchal translucency ultrasounds : Boucherville, Brossard and Laennac (Montreal). 

Please note that our Procrea Fertilité clinic in Gatineau continues to offer obstetrical ultrasounds and NIFTY tests  (except nuchal translucency)

See below for more information on each clinic.

Procrea Montreal – NIFTY and obstetrical ultrasound services suspended but our partner clinics/Imagix  are ready to accommodate Procrea Fertilité patients at one of their centers.

Procrea Gatineau – Service maintained NIFTY and obstetrical ultrasounds (except N/T)

Procrea Vaudreuil/ St.Hubert – Closed

Procrea Quebec – Closed but our partner clinics INFIRMIA are ready to accommodate Procrea Fertilité patients at one of their centres.

Sincerely 

The Procrea Fertilité Team 

  • For more information contact us at 514-345-8535 

27th March 2020

Update -NIFTY/ Ultrasounds – Procrea Fertilité – ALWAYS IN SERVICE !

During these uncertain and unprecedented times of COVID-19 we at Procrea Fertilité wanted to update you on our NIPT test , the NIFTY, as well as our ultrasound services. 

Procrea Montreal – Service maintained NIFTY and obstetrical ultrasounds 

Procrea Gatineau – Service maintained NIFTY and obstetrical ultrasounds (except N/T)

Procrea Vaudreuil/ St.Hubert – Closed

Procrea Quebec – Closed but our partner clinics INFIRMIA are ready to accomodate Procrea Fertilité patients at one of their centers.

For all other locations please refer to our partner clinic list here (laboratory services – NIFTY – list by province)

Sincerely 

The Procrea Fertilité Team 

  • For more information contact us at 514-345-8535 

26th March 2020 – Fertility Preservation Cases – Cancer

We at Procrea Fertilité understand that receiving a cancer diagnosis is stressful at any moment in your life.  Know that it is possible for you to still preserve your fertility even during these uncertain times of COVID-19.  Patients located in and around Quebec who wish to freeze sperm or eggs are encouraged to contact the MUHC Reproductive Center at 514-843-1560. For patients located in the Ontario region who wish to freeze sperm can contact our Procrea Vaughn clinic at 1-289-357-0100.  For those wishing to preserve oocytes in Ontario they can contact Mount Sinai at 416-586-4800.


Update March 20th 2020

At Procrea Fertility your safety and well being are of utmost importance to us. That is why during this unprecedented COVID-19 situation we have adhered to guidelines and recommendations issued by professional bodies as well as our ministry of health. 

Following the recommendations issued by the CFAS (Canadian Fertility and Andrology Society) on March 18th 2020 the following recommendations will be followed by Procrea Fertility. Please see the list below

Procrea Vaudreuil * Closed as of March 20th 2020

Procrea St.Hubert * Closed as of March 16th 2020

  • Please note if you had an appointment  scheduled with our fertility specialists you will be contacted to have that consultation done by phone.

Procrea Vaughan et Newmarket:

  • All fertility consultations will be done by phone
  • All cycles currently underway will continue , but no new cycles will be started
  • All other fertility investigations/treatments are suspended, including sonohysterograms

Procrea Québec

  • All cycles currently underway will continue , but no new cycles will be started
  • All other fertility investigations/treatments are suspended, including sonohysterograms
  •  Prenatal testing (NIFTY) patients are encouraged to go one of our partner clinics in the region * for a complete list of clinics in the province of Quebec – click here

Procrea Gatineau

  • All fertility consultations will be done by phone 
  • All cycles currently underway will continue (superovulation) , but no new cycles will be started
  • No inseminations
  • All other fertility investigations/treatments are suspended, including sonohysterograms
  • Prenatal testing (NIFTY) will continue 
  • Obstetrical ultrasounds will continue (1st trimester dating/viability, 2nd/3rd trimester only)

Procrea Montreal

  • All fertility consultations will be done by phone
  • All cycles currently underway will continue, but no new cycles will be started
  • All other fertility investigations and treatments are suspended, including hysterographies.
  • Prenatal testing (NIFTY) will continue
  • Obstetrical ultrasounds will continue (1st trimester dating/viability, nuchal translucency, 2nd/3rd trimester)

    

          


Update : March 15th 2020

At Procrea Fertility we are committed to protecting our patients and staff. Like all of you, we have been monitoring the impact and updates on Coronavirus (COVID-19) and are constantly surveilling the recommendations from the DSQ (Direction régionale de santé publique) and the (MSSS) Le ministère de la Santé et des Services sociaux.

We are asking that all patients present themselves solo unless a partner is required for a treatment scheduled that day or as a translator due to a language barrier. Absolutely no children allowed.

You will be required to answer triage questions at the moment you take the appt as well as at the confirmation of the appointment. You will also be required to answer a questions/questionnaire upon entering the clinic.

We ask that you do not present yourself at the clinic if you have travelled outside of Canada in the last 4 weeks, exhibit respiratory symptoms or have been in contact with a person who has travelled outside of Canada, or has confirmed case of COVID-19/ CORONAVIRUS.