The impact of smoking on male and female reproductive health


By prioritizing women's reproductive health and implementing evidence-based strategies, we can empower women to live healthier lives and contribute to the overall well-being of society.

Dr. Anindita Singh, Fertility Consultant, Nova IVF Fertility, Kolkata, explains the impact of smoking on reproductive health

While many are familiar with the harmful impacts of smoking, including cancer, stroke, lung disease, diabetes, heart disease, and chronic obstructive pulmonary disease (COPD), which encompasses chronic bronchitis and emphysema, there are a crucial aspect that is often overlooked: the effects of smoking. on male and female reproductive health. It is essential to recognize that regardless of whether one intends to conceive, smoking can still significantly impact one's reproductive well-being.

Studies reveal that people with a history of smoking have a 14% risk of infertility compared to non-smokers. Additionally, people exposed to substantial levels of secondhand smoke experience an 18% increased chance of infertility. Additionally, for women, residing with a partner who smokes 20 or more cigarettes a day decreases the chances of conception by 34%. These statistics underscore the significant impact of smoking on male and female reproductive health in recent years.

Its Effect on Male Reproductive Health

  1. Erectile difficultiesTobacco smoke contains chemicals that damage blood vessels and hinder blood flow to the penis, often leading to erectile dysfunction.
  2. Reduced sperm countSmoking has been correlated with decreased sperm count, as well as abnormalities in sperm motility and morphology, thus decreasing fertility potential.
  3. Hormonal imbalanceSmoking disrupts hormonal balance in men, including testosterone levels, which are critical for sperm production and overall sexual health.Its Effect on Female Reproductive Health
  4. Deterioration of egg count and qualitySmokers usually have a decreased ovarian reserve, characterized by fewer viable eggs for fertilization. Additionally, smoking can compromise egg quality, increasing the likelihood of chromosomal abnormalities and miscarriages.
  5. Premature menopauseWomen who smoke are predisposed to experience early-onset menopause, which not only decreases fertility but also increases the risk of health complications associated with hormonal fluctuations.
  6. Increased risk of ectopic pregnancySmoking amplifies the risk of ectopic pregnancy, a dangerous condition in which the fertilized egg implants outside the uterus, usually inside the fallopian tubes.

    Effect on women undergoing IVF

  1. Reduced success ratesSmokers who undergo IVF often face lower chances of conception and lower success rates compared to non-smokers. The harmful effects of smoking extend to embryo quality, resulting in reduced implantation and increased miscarriage rates.
  2. Delayed response to ovarian stimulationSmoking can impede ovarian function and responsiveness to fertility medications, prolonging the IVF process and decreasing the likelihood of a favorable outcome.
  3. Increased risk of pregnancy complicationsPregnancies achieved through IVF in smokers are predisposed to a higher incidence of complications such as premature birth, low birth weight, and neonatal health problems.Complications associated with smoking and sexual health
  1. sexual dysfunctionBoth smokers and women are prone to sexual dysfunctions, including decreased libido and difficulties with arousal and orgasm.
  2. SterilitySmoking exacerbates infertility problems in both sexes, presenting obstacles to natural conception and assisted reproductive technologies.
  3. Increased risk of sexually transmitted infections (STIs)Smoking increases susceptibility to contracting STIs, including HIV, through compromised immune function and alterations in sexual behavior.

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