Division of Urology, Department of Surgery, University of Utah School of Medicine, Salt Lake City, Utah.
Center for Male Reproductive Medicine and Microsurgery, Department of Urology, Weill Cornell Medicine of Cornell University, New York, New York.
Fertil Steril. 2021 Apr;115(4):813-823. doi: 10.1016/j.fertnstert.2020.12.033. Epub 2021 Jan 1.
Many couples initially deferred attempts at pregnancy or delayed fertility care due to concerns about coronavirus disease 2019 (COVID-19). One significant fear during the COVID-19 pandemic was the possibility of sexual transmission. Many couples have since resumed fertility care while accepting the various uncertainties associated with severe acute respiratory syndrome coronavirus 2, including the evolving knowledge related to male reproductive health. Significant research has been conducted exploring viral shedding, tropism, sexual transmission, the impact of male reproductive hormones, and possible implications to semen quality. However, to date, limited definitive evidence exists regarding many of these aspects, creating a challenging landscape for both patients and physicians to obtain and provide the best clinical care. This review provides a comprehensive assessment of the evolving literature concerning COVID-19 and male sexual and reproductive health, and guidance for patient counseling.
许多夫妇最初因担心 2019 年冠状病毒病（COVID-19）而推迟怀孕或生育护理。在 COVID-19 大流行期间，人们非常担心性传播的可能性。此后，许多夫妇在接受与严重急性呼吸系统综合征冠状病毒 2 相关的各种不确定性的同时，恢复了生育护理，包括与男性生殖健康相关的不断发展的知识。已经进行了大量研究来探索病毒脱落、嗜性、性传播、男性生殖激素的影响以及对精液质量的可能影响。然而，迄今为止，关于许多这些方面的明确证据有限，这为患者和医生提供最佳临床护理带来了挑战。本综述全面评估了关于 COVID-19 与男性性和生殖健康的不断发展的文献，并为患者咨询提供了指导。
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