Does the SARS-CoV-2 mRNA vaccine and its serum IgG levels affect fertility treatments and obstetric outcomes? An observational cohort study

Clin Exp Med. 2024 Apr 23;24(1):81. doi: 10.1007/s10238-024-01345-9.

Abstract

Background: Although there are some data regarding the COVID-19 vaccine and in in vitro fertilization (IVF) treatments, its potential impact in terms of serum immunoglobulin G (IgG) levels has not been evaluated prospectively. This study aimed to assess the effect of COVID-19 vaccine and IgG levels on IVF outcomes.

Methods: This observational, cohort study was conducted at a referral IVF unit. Couples undergoing IVF treatment during the COVID-19 vaccination period were recruited from March-April 2021. The study compared 38 women who had received the Pfizer mRNA COVID-19 vaccination to 10 women who had not and were not infected by the virus. We also compared pre- and post-vaccination IVF treatments for 24 women. The relation between serologic titers and IVF treatment outcomes was also assessed.

Results: No significant difference was found between the vaccinated and unvaccinated/uninfected groups regarding the main outcome measures. However, there was a trend toward a higher pregnancy rate for the unvaccinated group (57% vs. 23%, p = 0.078) but no difference in delivery rate (p = 0.236), gestational week (p = 0.537) or birth rate (p = 0.671).

Conclusion: We cautiously state that the COVID-19 mRNA vaccine does not affect fertility outcomes, including fertilization, pregnancy and delivery rates, obstetric outcomes, and semen parameters, regardless of measured IgG levels.

Keywords: Corona virus; In vitro fertilization; Semen; mRNA COVID-19 vaccine.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Antibodies, Viral / blood
  • COVID-19 Vaccines* / administration & dosage
  • COVID-19 Vaccines* / immunology
  • COVID-19* / immunology
  • COVID-19* / prevention & control
  • Cohort Studies
  • Female
  • Fertilization in Vitro*
  • Humans
  • Immunoglobulin G* / blood
  • Male
  • Pregnancy
  • Pregnancy Rate
  • SARS-CoV-2* / immunology
  • mRNA Vaccines

Substances

  • Immunoglobulin G
  • COVID-19 Vaccines
  • Antibodies, Viral
  • mRNA Vaccines