What impact has, or could COVID-19 have, on your practice and patients?  What adjustments have you made in your practice and how has your life been impacted? Review the current medical knowledge regarding the effects of COVID-19 on the reproductive system (including genitourinary symptoms, pregnancy outcome by gestational age at transmission and maternal-fetal transmission rates) and examine how COVID19 has affected patient fertility and mental health, as well as adjustments in intention to conceive and menstrual cycle variation.