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Hepatitis B & C, HTLV-1 & 2
 Natural Conception advised
 ART only if fertility issues ‐ no additional measures  No indication to deliver by Caesarean
 Avoid Breast feeding in Hep C
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Chronic Hep B infection and fertility
 Effect on ART outcome controversial as few large studies  Retrospective case control study of 8550 HBV +ve women:
 HBV –ve controls  first cycle of IVF
 HBV associated with
 prolonged and secondary infertility  anovulatory disorders
 reduced implantation rate
 No effect of HBV on pregnancy outcomes  LBR
 Miscarriage rate
WangLet al. Fertil Steril 2019(epub)
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