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Current Women`s Health Reviews

Editor-in-Chief

ISSN (Print): 1573-4048
ISSN (Online): 1875-6581

The Detrimental Effect of Smoking on Female Fertility and IVF Success

Author(s): Michael S. Neal, Warren G. Foster and Edward V. Younglai

Volume 4, Issue 1, 2008

Page: [16 - 24] Pages: 9

DOI: 10.2174/157340408783572088

Price: $65

Abstract

Tobacco smoking is a widely recognized health hazard and a major cause of preventable morbidity and mortality, but smoking remains prevalent in our society. Approximately 30% of women and 35% of men of reproductive age smoke. But more importantly, the incidence of smoking is increasing among adolescents and specifically teenage girls. Recently, substantial harmful effects of cigarette smoke on the ability to become pregnant have become apparent. Women who smoke take longer to achieve a natural pregnancy, require more hormonal stimulation during IVF treatment with reduced success, and reach menopause earlier than their non-smoking counterparts. Cigarette smoke constituents have been isolated at higher levels in the serum and follicular fluid of women exposed to mainstream (MS) and passive or sidestream (SS) smoke compared to non-smokers implying that cigarette smoke may act as an ovarian toxicant as one mechanism to disrupt female fertility. Cigarette smoke exposure may induce toxic effects and compromise fertility through several direct or indirect mechanisms.

Keywords: Nicotine, Oogenesis, Cumulus Oocyte Complex, DNA adduct, Spermatogenesis


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