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The interaction of female age and active male smoking has negative influence on success rates of the in vitro fertilization treatments Cover

The interaction of female age and active male smoking has negative influence on success rates of the in vitro fertilization treatments

Open Access
|Aug 2020

Figures & Tables

Demographic characteristics of patients in relation to male smoking status_

ParametersMale Non SmokersMale Smokersp Value
Number of patients329 (46.87%)373 (53.13%)
Males (age) (mean±SD)36.5±5.235.1±4.50.00015

Ap value of <0.05 was considered to be statistically significant.

Females (age) (mean±SD)31.5±3.932.2±4.40.027

Ap value of <0.05 was considered to be statistically significant.

Number of Female smokers (%)117 (35.56%)132 (35.39%)0.96
Female BMI (mean±SD)24.3±4.0524.6±3.900.36

parameters_

Male Variables (mean±SD)Male Non Smokers Male SmokersMann-Whitney U Testp Value

Significant p value.

Number of retrieved oocytes (median)10.8±6.6 (10)11.1±16.9(10)Z=0.170.86
Number of mature oocytes (median)9.0±5.7 (8)9.2±15.9 (8)Z=0.020.98
Number of fertilized oocytes (median)6.8±4.2 (6)6.8±14.5 (6)Z=0.40.67
Fertilization rate0.8±0.20.8±0.2Z=0.190.85
Number of excellent quality transferred embryos (median)2.3±0.7 (2)2.3±0.8 (3)Z=0.90.35
Number of transferred embryos (median)2.6±0.6 (3)2.6±0.7 (3)Z=0.20.8

Clinical results in correlation to smoking status of male patients of all ages per embryo transfer_

Clinical ParametersNon Smokers n (%)

In the group of non smokers we had one patient with late pregnancy loss at 18 weeks of pregnancy.

Smokers n (%)

In the group of smokers, we had two patients with late pregnancy loss, one at 15 weeks of pregnancy and one at 17 weeks of pregnancy. We also had one patient with deliver a fetus mortus in utero at 25 weeks of pregnancy.

Pregnancy rate173 (52.6)192(51.5)
Clinical pregnancy rate160 (48.6)164 (43.9)
Biochemical pregnancy rate13 (7.69)28 (13.4)
Ongoing pregnancy rate151 (45.9)134 (35.9)

A p value of <0.05 was considered to be statistically significant.

Live birth rate150 (45.6)131 (35.1)

A p value of <0.05 was considered to be statistically significant.

Early pregnancy loss rate9 (5.63)30 (18.3)

A p value of <0.05 was considered to be statistically significant.

Binary logistic regression: Overall relative chance of live birth in IVF process according to male passive smoking status_

Women’s AgeMale SmokersnOR (crude)OR (adjusted for athernozoospermia)
All agesNon smokers (both partners)212
Male passive smokers1171.302 (0.828-2.047)1.260 (0.798-1.991)
All agesNon smokers (both partners)212
Female passive smokers2411.543 (1.441-1.653)1.599 (1.492-1.714)

Binary logistic regression: Overall relative chance of clinical pregnancy in IVF process, according to male smoking status_

Women’s AgeMale SmokersnOR (crude)OR (adjusted for athernozoospermia)OR (adjusted for female smokers)
All agesNon smokers329
Smokers3731.21 (0.89-1.62)1.22(0.91-1.64)1.201 (0.90-1.62)
Women <35 yearsNon smokers239
Smokers2340.96 (0.67-1.37)0.99 (0.69-1.42)0.96 (0.67-1.37)
Non smokers90
Women >35 yearsSmokers1391.69 (0.97-2.93)1.63 (0.93-2.85)1.34 (0.75-2.37)

Binary logistic regression model: Overall relative chance of live birth in ICSI process, according to male smoking status and age of the female_

VariableBSEWaldSignificant p Value
Women (<35 years

Referent category: age/women <35 years.

/>35 years)
0.820.1721.80.000
Men (non smokers

Referent category: non smoker.

/smokers)
0.360.165.230.022
Constant-0.060.120.270.601

Binary logistic regression: Overall relative chance of live birth in IVF process according to male smoking status_

Women’s AgeMale SmokersnOR (crude)OR (adjusted for athernozoospermia)OR (adjusted for female smokers)
Non smokers329
All agesSmokers3731.53 (1.13-2.07)1.56 (1.15-2.12)1.53 (1.13-2.07)
Women <35 yearsNon smokers239
Smokers2341.15 (0.81-1.661.21 (0.84-1.75)1.16 (0.81-1.66)
Non smokers90
Women >35 yearsSmokers1392.52 (1.39-4.56)2.42 (1.33-4.41)2.53 (1.40-4.59)
Language: English
Page range: 57 - 62
Published on: Aug 26, 2020
In partnership with: Paradigm Publishing Services
Publication frequency: 2 issues per year

© 2020 E Petanovska Kostova, published by Macedonian Academy of Sciences and Arts
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.