Am J Epidemiol. 2023 Feb 1;192(2):154-157. doi: 10.1093/aje/kwac147.
In a recent issue of the Journal, Wesselink et al. (Am J Epidemiol. 2022;191(8):1383-1395) presented findings that indicate that the coronavirus disease 2019 (COVID-19) vaccine does not cause any reduction in fertility in either men or women, while COVID-19 infection may reduce fertility temporarily among men. These are reassuring findings for those seeking pregnancy, as well as for clinicians and the public. There was no scientific reason to be concerned about effects of the COVID-19 vaccine on fertility, so some of the psychological, ethical, and historical reasons for concern are discussed. These include perceptions of risk around "unnatural," unusual, or dreaded outcomes; vaccine resistance as part of a social and political identity; and the tendency for moral panics to occur around women's reproductive capacity. On this and other topics, there is a broad need for reproductive health to be better incorporated into clinical trials, and for fertility research to advance in measurement and include a more diverse and global population.
在最近一期的《美国流行病学杂志》上，Wesselink 等人发表的研究结果表明，新冠病毒疾病 2019（COVID-19）疫苗不会降低男性或女性的生育能力，而 COVID-19 感染可能会使男性的生育能力暂时下降。这些发现对于那些正在寻求怀孕的人、临床医生和公众来说都是令人安心的。没有科学理由担心 COVID-19 疫苗对生育能力的影响，因此，人们讨论了一些出于心理、伦理和历史原因的担忧。这些担忧包括对“非自然”、不寻常或可怕结果的风险感知；作为社会和政治认同一部分的疫苗抵制；以及围绕女性生殖能力的道德恐慌倾向。在这一问题和其他问题上，人们广泛需要将生殖健康更好地纳入临床试验，并推进生育力研究，以提高测量水平并纳入更多样化和全球化的人群。
