The possible effects of COVID-19 on the human reproductive system
1. Adiga SK, Tholeti P, Uppangala S, Kalthur G, Gualtieri R, Talevi R. Fertility preservation during the COVID-19 pandemic: mitigating the viral contamination risk to reproductive cells in cryostorage. Reprod Biomed Online 2020;41:991-97.
2. Ai T, Yang Z, Hou H, Zhan C, Chen C, Lv W, et al. Correlation of chest CT and RT-PCR testing in Coronavirus disease 2019 (COVID-19) in China: a report of 1014 cases. Radiology 2020;296:E32-40.
3. Aitken RJ. COVID-19 and human spermatozoa-Potential risks for infertility and sexual transmission? Andrology 2021;9:48-52.
4. Al-Lami RA, Urban RJ, Volpi E, Algburi AMA, Baillargeon J. Sex hormones and novel corona virus infectious disease (COVID-19). Mayo Clin Proc 2020;95:1710-14.
5. Balaman F, Tiryaki Hanbay S. [The Opinions of teachers about compulsory distance education due to Corona Virus (Covid-19)]. J Human Soc Sci Res 2021;10:52-84. [Article in Turkish]
6. Baratchian M, McManus JM, Berk M, Nakamura F, Mukhopadhyay S, Xu W, et al. Androgen regulation of pulmonary AR, TMPRSS2 and ACE2 with implications for sex-discordant COVID-19 outcomes. Sci Rep 2021;11;11130.
7. Brewster UC, Perazella MA. The renin-angiotensin aldosterone system and the kidney: effects on kidney disease. Am J Med 2004;116:263-72.
8. Carluccio M, Soccio M, De Caterina R. Aspects of gene polymorphisms in cardiovascular disease: the renin-angiotensin system. Eur J Clin Invest 2001;31:476-88.
9. Cetintepe SP, İlhan MN. [Risk reduction in healthcare workers in the COVID-19 outbreak]. J Biotechnol Strategic Health Res 2020;1:50-4. [Article in Turkish]
10. Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet 2020;395:507-13.
11. Dolanbay EG, Yıldız A, Aydemir H, Acar S, Ersan H, Akar Y, et al. [COVID-19 threat to human reproductive system]. Acta Medic Nicomed 2022; 5:36-42. [Article in Turkish]
12. Guan WJ, Ni ZY, Hu Y, Deng L, Zhao Q, Wang H, et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med 2020;382:1708-20.
13. Hagaman JR, Moyer JS, Bachman ES, Sibony M, Maggar PL, Welch JE, et al. Angiotensin-converting enzyme and male fertility. P Natl A Sci 1998;95:2552-57.
14. Haghpanah A, Masjedi F, Alborzi S, Hosseinpour A, Dehghani A, Malekmakan L, et al. Potential mechanisms of SARS-CoV-2 action on male gonadal function and fertility: Current status and future prospects. Andrologia 2021;53:e13883.
15. Harmer D, Gilbert M, Borman R, Clark KL. Quantitative mRNA expression profiling of ACE 2, a novel homologue of angiotensin converting enzyme. FEBS Lett 2002;532(1-2):107-10.
16. Henarejos-Castillo I, Sebastian-Leon P, Devesa-Peiro A, Pellicer A, Diaz-Gimeno P. SARS-CoV-2 infection risk assessment in the endometrium: viral infection-related gene expression across the menstrual cycle. Fertil Steril 2020; 114:223-32.
17. Hoffmann M, Kleine-Weber H, Schroeder S, Krüger N, Herrler T, Erichsen S, et al. SARS-CoV-2 cell entry depends on ACE2 and TMPRSS2 and blocked by a clinically proven protease inhibitor. Cell 2020;181:271-80.e8.
18. Huang HH, Wang PH, Yang YP, Chou SJ, Chu PW, Wu GJ, et al. A review of severe acute respiratory syndrome coronavirus 2 infection in the reproductive system. J Chin Med Assoc 2020;83:895-97.
19. Hyashi K, Acosta T, Tetsuka M, berisha B, Matsui M, Schams D, et al. Involvement of angiopoietin-Tie system in bovine follicular development and atresia: messenger RNA expression in theca interna and effect on steroid secretion. Biol Reprod 2003;69:2078-84.
20. Jing Y, Run-Qian L, Hao-Ran W, Hao-Ran C, Ya-Bin L, Yang G, et al. Potential influence of COVID-19/ACE2 on the female reproductive system. Mol Hum Reprod 2020;26:367-73.
21. Kyrou I, Karteris E, Robbins T, Chatha K, Drenos F, Randeva HS. Polycystic ovary syndrome (PCOS) and COVID-19: an overlooked female patient population at potentially higher risk during the COVID-19 pandemic. BMC Med 2020; 18:220.
22. Li MY, Li L, Zhang Y, Wang XS. Expression of the SARS-CoV-2 cell receptor gene ACE2 in a wide variety of human tissues. Infect Dis Poverty 2020;9:23-9.
23. Li N, Wang T, Han D. Structural, cellular and molecular aspects of immune privilege in the testis. Front Immunol 2012;3:152.
24. Liu Y, Gayle AA, Wilder-Smith A, Rocklov J. The reproductive number of COVID-19 is higher compared to SARS coronavirus. J Travel Med 2020;27:taaa021.
25. Lonsdale J, Thomas J, Salvatore M, Phillips R, Lo E, Shad S, et al. The genotype-tissue expression (GTEx) project. Nat Genet 2013;45:580-5.
26. Madjunkov M, Dviri M, Librach C. A comprehensive review of the impact of COVID-19 on human reproductive biology, assisted reproduction care and pregnancy: a Canadian perspective. J Ovarian Res 2020;13:140.
27. Roy S, Kusari J, Soffer R, Lai C, Sen G. Isolation of cDNA clones of rabbit angiotensin converting enzyme: identification of two distinct mRNAs for the pulmonary and the testicular isozymes. Biochem Bioph Res Commun 1988;155:678-84.
28. Singh B, Gornet M, Sims H, Kisanga E, Knight Z, Segars S. Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and its effect on gametogenesis and early pregnancy. Am J Reprod Immunol 2020;84:e13351.
29. Mohammadi S, Abouzaripour M, Shariati NS, Shariati MBH. Ovarian vein thrombosis after coronavirus disease (COVID-19) infection in a pregnant woman: case report. J Thromb Thrombolysis 2020;50:604-7.
30. Speth RC, Daubert DL, Grove KL. Angiotensin II: a reproductive hormone too? Regul peptides 1999;79:25-40.
31. Sun J. The hypothesis that SARS-CoV-2 affects male reproductive ability by regulating autophagy. Med Hypotheses 2020;143:110083.
32. Tyrrell DA, Bynoe ML. Cultivation of viruses from a high proportion of patients with colds. Lancet 1966;1:76-7.
33. Vaz-Silva J, Carneiro MM, Ferreira MC, Pinheiro SVB, Silva DA, Silva-Filho AL, et al. The vasoactive peptide angiotensin-(1-7), its receptor Mas and the angiotensin-converting enzyme type 2 are expressed in the human endometrium. Reprod Sci 2009; 6:247-56.
34. Velavan TP, Meyer CG. The COVID-19 epidemic. Trop Med Int Health 2020;25:278-80.
35. Wang L, Wang Y, Ye D, Liu Q. A review of the 2019 Novel Coronavirus (COVID-19) based on current evidence. Int J Antimicrob Agents 2020;55:105948.
36. Wang Z, Xu X. scRNA-seq profiling of human testes reveals the presence of the ACE2 receptor, a target for SARSCoV-2 infection in spermatogonia, Leydig and Sertoli cells. Cells 2020;9:920.
37. Gagliardi L, Bertacca C, Centenari C, Merusi I, Parolo E, Ragazzo V, et al. Orchiepididymitis in a boy with COVID-19. Pediatr Infect Dis J 2020;39:e200-2
38. Zhang Y, Geng X, Tan Y, Li Q, Xu C, Xu J, et al. New understanding of the damage of SARS-CoV-2 infection outside the respiratory system. Biomed Pharmacother 2020;127:110195.
39. Zhou P, Yang XL, Wang XG, Hu B, Zhang L, Zhang W, et al. A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature 2020;579:270-3.

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Article Information
- Article Type Review
- Submitted February 21, 2026
- Published November 3, 2023
- Issue Vol. 9 No. 6 (2023)
- Section Review