Al-Bdairi Adnan A, Makki Hayder A, Shawki Osama, Alkhudair Sallama H, Al-Hilli Nadia M, Alkhalidi Batool A, Alkadhim Hanan K, Shweliyya Ashwaq A
Infertility, Assisted Reproductive Technologies, Teba IVF and Genetic Center, Babylon, IRQ.
Pharmacology and Toxicology, College of Pharmacy, University of Babylon, Babylon, IRQ.
Cureus. 2024 Apr 9;16(4):e57944. doi: 10.7759/cureus.57944. eCollection 2024 Apr.
Concerns about the SARS-CoV-2 pandemic's possible impact on sexual and reproductive health have grown significantly. In this narrative review, the latest research on the effects of SARS-CoV-2 infection on several facets of sexual and reproductive health is reviewed. The review starts initially by going through the possible consequences of SARS-CoV-2 on female menstrual cycles. The virus may interfere with the menstrual cycle, which could affect hormone synthesis and endometrial reactions, according to newly available evidence. Menstrual blood loss may be impacted by COVID-19's potential to influence endothelial cell function and systemic hemostasis. Hypothalamic amenorrhea may be brought on by severe COVID-19 disease. There is little research on this subject, although most women resume their regular menstrual cycles after 1-2 months of recuperation. The review also examines how SARS-CoV-2 infection may affect assisted reproductive technology (ART) treatments. There are few clinical data, although some research points to potential effects on embryo quality. Overall, ART results, however, did not materially change from the time before the epidemic. Obstetric problems are more likely when SARS-CoV-2 infection occurs during pregnancy, especially in the third trimester. Even though the maternal death rate is still low, pregnant women, especially those with comorbidities, are more likely to experience serious sickness. The review emphasizes how the COVID-19 vaccine affects menstrual cycles, showing brief, modest modifications without serious health hazards. Also included are the psychological effects of family planning choices during the pandemic. In conclusion, this narrative review offers a thorough assessment of the complicated and changing effects of SARS-CoV-2 on sexual and reproductive health. The different requirements of people and couples during and after the pandemic are highlighted, underscoring the necessity for ongoing study and specialized healthcare practices.
对严重急性呼吸综合征冠状病毒2（SARS-CoV-2）大流行可能对性健康和生殖健康产生的影响的担忧显著增加。在这篇叙述性综述中，回顾了关于SARS-CoV-2感染对性健康和生殖健康多个方面影响的最新研究。综述首先探讨了SARS-CoV-2对女性月经周期的可能影响。根据最新证据，该病毒可能干扰月经周期，这可能会影响激素合成和子宫内膜反应。新冠病毒影响内皮细胞功能和全身止血的可能性可能会影响月经量。严重的新冠疾病可能导致下丘脑性闭经。关于这个主题的研究很少，不过大多数女性在 recuperation 1 - 2个月后恢复正常月经周期。综述还研究了SARS-CoV-2感染可能如何影响辅助生殖技术（ART）治疗。临床数据很少，尽管一些研究指出了对胚胎质量的潜在影响。然而，总体而言，ART的结果与疫情前相比没有实质性变化。怀孕期间感染SARS-CoV-2时，尤其是在孕晚期，产科问题更有可能出现。尽管孕产妇死亡率仍然很低，但孕妇，尤其是那些有合并症的孕妇，更有可能患上严重疾病。综述强调了新冠疫苗对月经周期的影响，显示出短暂、适度的变化且没有严重健康危害。还包括了疫情期间计划生育选择的心理影响。总之，这篇叙述性综述全面评估了SARS-CoV-2对性健康和生殖健康的复杂且不断变化的影响。强调了疫情期间及之后人们和夫妇的不同需求，突出了持续研究和专业医疗实践的必要性。 （注：原文中“recuperation”可能有误，结合语境推测可能是“recovery”，但按要求未修改）
