From the Department of Obstetrics and Gynecology, Dr. Sami Ulus Women's and Children's Health Teaching and Research Hospital, Ankara, Turkey.
Saudi Med J. 2022 May;43(5):486-490. doi: 10.15537/smj.2022.43.5.20220007.
To Evaluate the effect of messenger ribonucleic acid (mRNA) vaccines developed for the coronavirus disease-19 (COVID-19) on ovarian reserve.
This prospective cross sectional study was carried out between June and September 2021, in the Gynecology Polyclinics of a tertiary hospital, Ankara, Turkey, with 60 patients. Patients between the ages of 25-30 years old, who applied to the gynecology outpatient clinic and who were considering mRNA vaccination against severe acute respiratory syndrome coronavirus 2 were included in the study group, and those who did not plan to be vaccinated were included in the control group. Anti-müllerian hormone (AMH) was examined before vaccination (1-5 days before vaccination) and within 60-90 days after vaccination. In the unvaccinated group, AMH was examined once.
The mean age of the study group was 27.30±1.66 and of the control group was 27.40±1.69 (<0.05). Post-vaccine AMH values of the study and control groups were similar (>0.05). There was no statistically significant difference between pre-vaccine and post-vaccine AMH values in the study group (>0.05).
It is of great value that people who are planning pregnancy and who have hesitation regarding the effect of vaccines on ovarian reserve should be carefully informed that vaccines, which are one of the most important means of fighting against COVID-19 infection, have no effect on AMH levels. Prospective larger studies with a longer follow-up period are needed to confirm our results.
评估针对新型冠状病毒肺炎(COVID-19)开发的信使核糖核酸(mRNA)疫苗对卵巢储备的影响。
这是一项前瞻性的横断面研究,于 2021 年 6 月至 9 月在土耳其安卡拉的一家三级医院的妇科门诊进行,共有 60 名患者。研究组纳入了年龄在 25-30 岁之间、拟向妇科门诊接种针对严重急性呼吸综合征冠状病毒 2 的 mRNA 疫苗且计划接种疫苗的患者,对照组纳入了未计划接种疫苗的患者。在接种疫苗前(接种前 1-5 天)和接种后 60-90 天内检查抗苗勒管激素(AMH)。未接种疫苗组仅检查一次 AMH。
研究组的平均年龄为 27.30±1.66 岁,对照组为 27.40±1.69 岁(<0.05)。研究组和对照组接种后 AMH 值相似(>0.05)。研究组接种前后 AMH 值无统计学差异(>0.05)。
对于计划怀孕且对疫苗对卵巢储备的影响犹豫不决的人,应该向他们详细说明,疫苗是对抗 COVID-19 感染的最重要手段之一,不会影响 AMH 水平,这是非常有价值的。需要进行前瞻性的、随访时间更长的更大规模研究来证实我们的结果。