Oliveira Fernanda Godoy Cabral de, Oliveira Renato de, Bianco Bianca, Soane Michel, Fideles Cláudia, Saraiva Nathalia, Christofolini Denise, Barbosa Caio Parente
Pós-Graduação em Ciências da Saúde do Centro Universitário FMABC, Santo André, Brazil.
Disciplina de Saúde Sexual, Reprodutiva e Genética Populacional, Departamento de Saúde da Coletividade, Centro Universitário FMABC, Santo André, Brazil.
JBRA Assist Reprod. 2025 Feb 21;29(2):219-27. doi: 10.5935/1518-0557.20240098.
To evaluate the effects of COVID-19 vaccination (AstraZeneca® and CoronaVac®) on anti-Müllerian hormone (AMH) levels in threatened women.
Retrospective cohort study evaluating serum AMH before and up to three vaccination doses against COVID-19 between 2021 and 2022 at FMABC. Statistical analysis presented in Stata 14. Clinical variables were described by absolute and relative frequency, in addition to measures of central tendency and dispersion. Shapiro-Wilk test for normality. Continuous variables compared within the group using the Friedman test and, between groups, Mann-Whitney U tests (non-parametric); Chi-square and Fisher's exact tests, for categorical variables, with p<0.05.
Median age of the 38 volunteers was 24 years (p25-75: 22-30) and AMH levels (ng/dl) at times 0, 1, 2 and 3 median (95% CI) were, respectively, 4.6(3.5-6); 4(2.3-5); 4.3(3-5); 4.9(2.6-6.3), p=0.726. Likewise, there was no statistically significant difference in the assessments between subgroups aged <35 and ≥35 years old and with and without exposure to COVID-19 in relation to AMH values.
The vaccination against COVID-19 with the AstraZeneca® and CoronaVac® vaccines did not indicate any damage to anti-Müllerian hormone values in women of reproductive age.
评估新冠病毒疫苗(阿斯利康疫苗和科兴疫苗)对有生育风险女性抗苗勒管激素(AMH)水平的影响。
回顾性队列研究,评估2021年至2022年在FMABC接种新冠病毒疫苗前及接种三剂疫苗期间的血清AMH水平。使用Stata 14进行统计分析。临床变量通过绝对和相对频率描述,同时给出集中趋势和离散度指标。采用Shapiro-Wilk正态性检验。组内连续变量比较采用Friedman检验,组间比较采用Mann-Whitney U检验(非参数检验);分类变量采用卡方检验和Fisher精确检验,p<0.05。
38名志愿者的中位年龄为24岁(第25-75百分位数:22-30岁),第0、1、2和3次时的AMH水平(ng/dl)中位数(95%可信区间)分别为4.6(3.5-6);4(2.3-5);4.3(3-5);4.9(2.6-6.3),p=0.726。同样,在年龄<3岁和≥35岁的亚组以及有和无新冠病毒暴露史的亚组之间,AMH值评估无统计学显著差异。
接种阿斯利康疫苗和科兴疫苗进行新冠病毒疫苗接种,未显示对育龄期女性抗苗勒管激素值有任何损害。