LARC in fertility preservation and egg donors

Long acting reversible contraceptives (LARC) include Intrauterine devices/systems (e.g. Copper coil and progestogen containing intra-uterine systems (IUS) such as Mirena IUS), subdermal progestogen implants (e.g. nexplanon) and depot progestogen injections (Depo-Provera). There is a lack of clear guidance if a LARC has to be discontinued prior to ovarian stimulation for women donating their eggs or having fertility preservation, and anecdotally, we have come across some variation in clinical practice.

We would be grateful if you could answer these questions to enable a better picture to be built of policy practices so that future guidance on this question can be developed.

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* 1. Number of egg donation treatment cycles per year at your unit?

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* 2. Number of fertility preservation cycles per year at your unit?

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* 3. Prior to controlled ovarian stimulation, would you advise egg donors for removal of: i) Copper coil

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* 4. ii) Progestogen containing IUS

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* 5. iii) Progestogen containing implant

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* 6. Prior to controlled ovarian stimulation, would you advise women having fertility preservation for removal of: i) Copper coil

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* 7. ii) Progestogen containing IUS

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* 8. iii) Progestogen containing implant

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* 9. Please use the free text box below if you would provide us additional information including rationale for your answers. All feedback would be welcomed and most valued.

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