Fertility Questions

“The questions have changed over time, but the infertility issues remain” on the minds of pregnant service members at Fort Bragg, North Carolina, said Dr. Y. Sammy Choi, chief of the Department of Research at Womack Army Medical Center.

The science, however, backs the fact that there are no signs of harm to the fetus.

Fact: Of the more than 69,000 pregnant women vaccinated against COVID-19, there are no signs of harm to the fetus. In fact, babies born to vaccinated women are born with immune responses against the virus.

An April 22 study in the “New England Journal of Medicine” tracked 35,691 pregnant women. Compared to a control group of pregnant women pre-COVID, “women who had received the vaccine did not experience an increased rate of miscarriages or adverse neonatal outcomes,” the article states.

Fact: The vaccines have no known impact on fertility in men. The dangers of losing fertility are greater from actually getting COVID-19, especially among men who have circulatory issues that could result in erectile dysfunction (ED).

A study in the journal “Andrology” found that “there is preliminary evidence in a real-life population of ED dysfunction as a risk factor of developing COVID-19 and possibly occurring as a consequence of COVID-19.” The study was observational and does not prove causality, but it will lead to more research to delineate the effects of SARS-CoV-2, the virus that causes COVID-19, and male reproductive health, Choi said.

A research letter published in the “Journal of the American Medical Association” June 21 found that “sperm counts were not lowered in men receiving either of the mRNA vaccines.”

Fact: U.S. Surgeon General Dr. Vivek Murthy said in his July 15 report on handling health misinformation: “During the COVID-19 pandemic, health misinformation has sowed confusion, reduced trust in public health measures, and hindered efforts to get Americans vaccinated.”

There are other reasons service members are citing for not getting vaccinated, Choi said. From his discussions with soldiers at Fort Bragg, these include:

• Service members have a choice to refuse because the vaccine is not mandated as it is still under Emergency Use Authorization. That could change if and when the vaccines are fully approved.
• Some people believe that the vaccine does not really work, otherwise the president would have mandated it. It remains unclear what the president is thinking about full vaccination mandates just yet.
• Some believe that COVID-19 will have little effect on service members personally. This is generally true as the chance of severe disease is small, Choi said.
• Many unvaccinated service members believe that if they got sick, there would be little societal effect. This is false because an infection can lead to mutations, as shown by the Delta variant, Choi said.
• The vaccinated are having breakthrough cases. This is true but only in very small numbers.
• The vaccine is not working since officials are discussing boosters. This is false. Boosters are to enhance efficacy, Choi explained, adding: “If the vaccine was not really working, we would not give boosters, but a completely different vaccine.”
• Some experts, including PhD scientists and medical doctors, have told the public not to get the vaccine. Unfortunately, this is true, he noted
• If things are as bad as the CDC says, why have some states reduced mask mandates instead of increasing them (a recent argument)? Unfortunately, this is also true and depends on the viewpoints of individual state leaders rather than medical experts
• Seemingly smart elected officials, including some doctors, are providing mixed messages. This is true and happens all too often, Choi pointed out.

To counter such false reasoning, federal and state governments and the military continue to tailor their pro-vaccination messages very carefully. Already, in recent weeks there has been an uptick in Americans getting vaccinated as the number of those infected with the Delta variant increases exponentially.

Choi said “one of the appeals I am using now is that of perfection. Some are demanding the trifecta for the vaccine: 100% without serious side effects, 100% without breakthrough cases, and 100% without the need for a booster.” Choi said: “If we required that same perfection in all that we did…none of us would ever take a pill or any of the vaccines that most of us have taken or given to our children.”