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Erschienen in: Archives of Gynecology and Obstetrics 4/2012

01.04.2012 | Reproductive Medicine

Ovarian reserve and in vitro fertilization cycles outcome according to women smoking status and stimulation regimen

verfasst von: Thomas Freour, Damien Masson, Lionel Dessolle, Dalila Allaoua, Thomas Dejoie, Sophie Mirallie, Miguel Jean, Paul Barriere

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 4/2012

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Abstract

Purpose

Smoking is known to be deleterious on female fertility and in vitro fertilization (IVF) outcome, probably partly through ovarian reserve alteration. Recently, anti-Müllerian hormone (AMH) and antral follicle count (AFC) have been shown to be the most accurate ovarian reserve markers. Here, we compared ovarian reserve markers in women undergoing IVF according to smoking status and stimulation regimen.

Methods

AFC, AMH, basal FSH, LH and estradiol, and IVF outcome were compared in 277 women undergoing IVF. Smoking status and ovarian stimulation protocol (i.e. agonists or antagonists) were recorded.

Results

Active smoking women had lower AMH and modified follicles’ size repartition in AFC compared to non-smokers. They also experienced poorer IVF outcome with decreased ovarian response and lower pregnancy rate. This remained true in both antagonist and agonist stimulation protocol groups.

Conclusion

Active smoking in infertile women is associated with ovarian reserve alteration, as reflected by AFC modification and decreased serum AMH, and leads to poor prognosis in ART cycles, whatever the stimulation protocol used. Infertile women should be strongly discouraged from smoking before they start IVF cycles.
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Metadaten
Titel
Ovarian reserve and in vitro fertilization cycles outcome according to women smoking status and stimulation regimen
verfasst von
Thomas Freour
Damien Masson
Lionel Dessolle
Dalila Allaoua
Thomas Dejoie
Sophie Mirallie
Miguel Jean
Paul Barriere
Publikationsdatum
01.04.2012
Verlag
Springer-Verlag
Erschienen in
Archives of Gynecology and Obstetrics / Ausgabe 4/2012
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-011-2172-7

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