Smoking and infertility A committee opinion

Smoking interferes with fertility of both males and females and can decrease the effectiveness of assisted reproductive technologies.

The Practice Committee of the American Society for Reproductive Medicine

Volume 98, Issue 6, Pages 1400-1406, December 2012


Approximately 30% of reproductive age women and 35% of reproductive age men in the United States smoke cigarettes. Substantial harmful effects of cigarette smoke on fecundity and reproduction have become apparent but are not generally appreciated. This document replaces the 2008 ASRM Practice Committee document of the same name.

  • Sérgio Soares

    An ASRM committee opinion is a document to which much attention is paid. It is a great opportunity to send to the medical community messages that may be latter spread to society as a whole. When the negative effects of cigarette smoke exposure on reproduction are on focus, I wouldn’t want to miss the opportunity to emphasize the vast and rapidly growing scientific knowledge on the effects of preconception and prenatal parental smoking on the health of progeny. As stated by the authors, such effects really do add substantially to the overall adverse reproductive burden from smoking. Therefore, apart from the well known impact of maternal smoking during pregnancy on placental function, the association between paternal smoking and the risk of childhood cancer and maternal smoking and the risk of malformations, neurobehavioral development abnormalities, obesity in childhood and reproductive limitations in the adult life of both genders must be borne in mind by those who work with infertile couples.

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