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Hi there! This is my area of specialty, and I have used ART with several pregnant clients (I am presenting on reproductive mental health at the conference!). I will not do it during pregnancy during the first trimester, just because the risk of loss is high inherently. If there are any medical concerns, I request that they speak with their physician/OB/CNM, and also offer to consult, if desired. With what we know about trauma, and the risk of untreated mental health during the perinatal period, there are risks of NOT doing something. It’s a benefits vs risk discussion, and if a client is hesitant, we don’t do it. It has been so wonderful to offer these clients relief, and the ability to enjoy their pregnancy!