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Hum. Reprod. Advance Access originally published online on May 26, 2005
Human Reproduction 2005 20(9):2531-2535; doi:10.1093/humrep/dei080
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© The Author 2005. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions{at}oupjournals.org

Sidestream smoking is equally as damaging as mainstream smoking on IVF outcomes

Michael S. Neal1,2,3, Edward G. Hughes1,2, Alison C. Holloway1 and Warren G. Foster1,2

1 Reproductive Biology Division, Department of Obstetrics and Gynecology, McMaster University, 1200 Main Street West, Hamilton, Ontario, L8N 3Z5 and 2 Centre for Reproductive Care, Hamilton Health Sciences, 690 Main Street West, Hamilton, Ontario, L8S 1A4, Canada

3 To whom correspondence should be addressed at: Centre for Reproductive Care, Hamilton Health Sciences, 690 Main Street West, Hamilton, Ontario, Canada, L8S 1A4. Email: nealm{at}hhsc.ca

BACKGROUND: Cigarette smoking (CS) is a widely recognized health hazard, yet it remains prevalent in society and the effects of environmental tobacco smoke exposure on fertility are unknown. Our objective was to measure the effects of CS on the fertility of mainstream (MS) or sidestream (SS) smoke-exposed women compared to their non-smoking (NS) counterparts. METHODS: This retrospective study investigated 225 female patients undergoing IVF (n=97) or ICSI (n=128). Patients were grouped based on their smoking status for comparison. This included: 39 MS (18 IVF and 21 ICSI); 40 SS (16 IVF and 24 ICSI); and 146 NS (63 IVF and 83 ICSI) women. Fertility treatment outcomes including embryo quality, implantation and pregnancy rate were measured. RESULTS: No difference in embryo quality between the three groups was observed. However, there was a significant difference in implantation rate (MS=12.0%, SS=12.6%, and NS=25.0%) and pregnancy rate (MS=19.4%, SS=20.0%, and NS=48.3%) per embryo transfer. CONCLUSIONS: Despite similar embryo quality there was a striking difference in implantation and pregnancy rates of MS and SS smokers when compared with NS. Our data demonstrate that the effects of SS smoking are equally as damaging as MS smoke on fertility.

Key words: infertility/ovarian function/smoking/toxicants


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