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Key questions
  Human immunodeficiency virus (HIV)
Hepatitis B (HBV) Hepatitis C virus (HCV) Zika virus
Human papilloma Virus
(HPV)
Human T‐cell Lymphotropic
viruses I/II (HTLV‐I, HTLV‐II)
                                     Patients (male/female) presenting with infertility and viral infection/disease
                 Male VD + Female VD ‐
Male VD ‐ Female VD +
Male VD + Female VD +
                                                                 Prevalence viral infection/disease
 Screening
 Reducing viral load (M/F)
                                                            Natural conception
  Vaccination Pre‐exposure prophylaxis Anti‐(retro)viral therapy ??
   Anti‐(retro)viral drugs ‐ vaccination Caesarean section ‐ bottle‐feeding
MAR
Vaccination
Pre‐exposure prophylaxis Anti‐(retro)viral therapy
Sperm washing
Oocyte rinsing
PCR testing
Medical staff safety precautions
Vaccination Anti‐(retro)viral therapy
Clear of virus? Viral load (levels)
    Key questions - Background
1. Prevalence of viral infections?
2. How should testing prior to MAR be performed?
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 PRECONGRESS COURSE 12 I VIENNA, AUSTRIA – 23 JUNE 2019 99
   Post‐ Conception Pre‐ conception (MAR) conception



































































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