COVID-19 and Fertility in Canada: a Commentary

Fostik, Ana Laura

doi:10.1007/s42650-021-00054-y

Cited by 13 publications

(14 citation statements)

References 14 publications

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“…The uncertainty about the present and the negative expectations about the future have led many families to postpone birth plans until “better” times. However, it should be noted that some of these “delayed” births may not materialize due to illness, family deaths or impact on the reproductive system [ 36 , 37 , 38 , 39 ]. Contrary to these facts, Anser et al, in their study showed an increase in fertility rates and also in the incidence of sexually transmitted diseases (STDs), putting it all on the lockdown of the cities [ 37 ].…”

Section: Covid-19 and The Impact On Fertilitymentioning

confidence: 99%

Impact of COVID-19 on fertility and assisted reproductive technology (ART): a systematic review

Săndulescu

Văduva²,

Siminel³

et al. 2022

Rom J Morphol Embryol

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The appearance of coronavirus disease 2019 (COVID-19) caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has been a major obstacle for the performing of current medical activities throughout the world. COVID-19 has affected humanity in many ways, thus causing a great medical, social, economic, and political instability. The aim of this study was to make an analysis of the scientific data obtained by so far to highlight the impact that COVID-19 has had on fertility and assisted reproductive technology (ART). Infection with SARS-CoV-2 alters the normal immune response by local and systemic damage to tissues and organs. After the virus enters the body, the first lesions are produced in the respiratory tract. Extrapulmonary lesions specific to COVID-19 include acute renal lesions/acute kidney damage, hepatocellular lesions, neurological diseases, myocardial dysfunction and arrhythmia, gastrointestinal diseases but also genital impairment. The possible impairment of the male reproductive system is because angiotensin-converting enzyme 2 (ACE2) receptors are in an increased number in the testes, seminiferous duct cells, spermatogonia, Leydig cells and Sertoli cells. Many published studies to date have pointed out that COVID-19 could also affect female fertility and disrupt the functions of the female reproductive system. The theory that this virus can also be transmitted sexually and can cause infertility or testicular damage is supported by the fact that the virus can be isolated in the semen of COVID-19 patients but only during the disease. Choosing the best method of treating infertility during the COVID-19 pandemic is multifactorial, but the risk of infection and compliance with specific ART hygiene protocols must always be considered. Currently, there is no scientific basis regarding the fact that the COVID-19 vaccination would influence fertility.

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Section: Covid-19 and The Impact On Fertilitymentioning

confidence: 99%

Impact of COVID-19 on fertility and assisted reproductive technology (ART): a systematic review

Săndulescu

Văduva²,

Siminel³

et al. 2022

Rom J Morphol Embryol

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“…Voicu and Bădoi ( 69 ) theoretically show that the COVID-19 pandemic significantly affects fertility decisions due to economic uncertainty, health emergency, and social distancing measures. Fostik ( 70 ) also reviews the previous papers and indicates that COVID-19 is expected to decrease the fertility rate in Canada. Berrington et al ( 71 ) document that the COVID-19 pandemic is negatively associated with the fertility rate in the United Kingdom.…”

Section: Literature Review On Fertility Decisionsmentioning

confidence: 99%

Effects of pandemics uncertainty on fertility

Wang¹,

Gözgör

Lau

2022

Front. Public Health

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The COVID-19 pandemic has affected various dimensions of the economies and societies. At this juncture, this paper examines the effects of pandemics-related uncertainty on fertility in the panel dataset of 126 countries from 1996 to 2019. For this purpose, the World Pandemics Uncertainty Indices are used to measure the pandemics-related uncertainty. The novel empirical evidence is that pandemics-related uncertainty decreases fertility rates. These results are robust to estimate different models and include various controls. We also try to explain why the rise in uncertainty during the COVID-19 pandemic has resulted in the fertility decline.

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“… 15 , 16 , 17 , 18 , 19 , 20 Irrespective of ART use, women may have chosen to postpone conception and childbirth due to pandemic‐related uncertainty and financial instability, lack of support from family members due to travel restrictions, and anxiety about the unknown, potentially harmful effects of SARS‐CoV‐2 infection. 21 …”

Section: Introductionmentioning

confidence: 99%

Early coronavirus disease 2019 restrictive measures and changes in maternal characteristics, use of assisted reproductive technology, and stillbirth

Lisonkova

Bone

Muraca

et al. 2022

Paediatric Perinatal Epid

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Background The initial COVID‐19 pandemic response−related effects on conceptions following the use of assisted reproductive technologies (ART), and on changes in the maternal characteristics of women who conceived during the early vs. pre‐pandemic period, have been understudied. Objectives To examine the effects of ART clinic closures in the United States (US) in March 2020 on the frequency of ART‐conceived live births, multiple births and stillbirths; and to describe changes in the characteristics of women who conceived in the early pandemic period. Methods Population‐based cohort study including all births in the US from January 2015 to December 2020 (22,907,688 live births; 134,537 stillbirths). Interrupted time series (ITS) methodology was used to estimate rate ratios (RR) of expected versus observed rates in December 2020 (i.e., among births conceived mainly in March 2020). Demographic and clinical characteristics were compared between mothers who conceived in March 2020 versus March 2015–2019. Results Overall, 1.1% of live births and 1.7% of stillbirths were conceived by ART. ART‐conceived live births decreased by 57.0% in December 2020 (observed vs. expected RR 0.43, 95% confidence interval [CI] 0.40, 0.45), and these declines occurred in all subgroups of women. Multiple births also declined in December 2020. Stillbirth rates increased in December 2020 in ART‐conceived births (RR 2.55, 95% CI 1.63, 3.92) but remained unchanged in the non‐ART group. Maternal characteristics of women who conceived in the early pandemic versus pre‐pandemic period differed and included an increased prevalence of pre‐pregnancy obesity class 3 and chronic hypertension. Conclusions The early pandemic closure of ART clinics resulted in a substantial decline in ART‐conceived live births and multiple births in December 2020 and an increase in the proportion of stillbirths among ART‐conceived births. Women who conceived in the early pandemic period also had an increased prevalence of obesity and chronic hypertension.

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COVID-19 and Fertility in Canada: a Commentary

Cited by 13 publications

References 14 publications

Impact of COVID-19 on fertility and assisted reproductive technology (ART): a systematic review

Impact of COVID-19 on fertility and assisted reproductive technology (ART): a systematic review

Effects of pandemics uncertainty on fertility

Early coronavirus disease 2019 restrictive measures and changes in maternal characteristics, use of assisted reproductive technology, and stillbirth

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