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Gamete intrafallopian transfer. Does smoking play a role?

P H Chung1, T R Yeko, J C Mayer

  • 1Department of Obstetrics and Gynecology, University of South Florida College of Medicine, Tampa, USA.

The Journal of Reproductive Medicine
|February 1, 1997
PubMed
Summary

Active smoking significantly reduces pregnancy and live birth rates in gamete intrafallopian transfer (GIFT) procedures. Passive smoking, however, showed no negative impact on GIFT outcomes compared to non-smokers.

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Area of Science:

  • Reproductive Medicine
  • Infertility Treatment
  • Environmental Health

Background:

  • Gamete intrafallopian transfer (GIFT) is an assisted reproductive technology.
  • Smoking is a known risk factor for various health issues, but its specific impact on GIFT outcomes requires further clarification.
  • Understanding the effects of both active and passive smoking is crucial for optimizing fertility treatments.

Purpose of the Study:

  • To evaluate the impact of active and passive cigarette smoking on the success rates of gamete intrafallopian transfer (GIFT).

Main Methods:

  • A retrospective analysis of 98 patients undergoing laparoscopic GIFT.
  • Data collected included patient demographics, controlled ovarian hyperstimulation (COH) details, oocyte retrieval and transfer numbers.

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  • Smoking status (active, passive, non-smoker) was determined through chart review and telephone surveys.

    • Main Results:

    • Active smokers required more human menopausal gonadotropins (hMG) for COH compared to non-smokers.
    • Pregnancy and live birth rates were significantly lower in active smokers (15.8% and 10.5%) versus passive smokers (46.2% and 23.1%) and non-smokers (45.5% and 33.3%).
    • No significant difference in outcomes was observed between passive smokers and non-smokers.

    Conclusions:

    • Active smoking negatively affects GIFT outcomes, including pregnancy and live birth rates.
    • Passive smoking does not appear to impact GIFT success rates.
    • Patients should be advised to cease smoking before undergoing GIFT, although the effect of smoking cessation on outcomes warrants further investigation.