Zhonghua Nan Ke Xue. 2024 Nov;30(11):994-1001.
ABSTRACT
OBJECTIVE: To investigate the effect of spouse smoking cessation (SSC) on the pregnancy outcome of the patients with polycystic ovary syndrome (PCOS) based on a secondary analysis of the results of a large randomized clinical trial.
METHODS: Based on the inclusion and exclusion criteria, this secondary analysis included 861 female participants in the Trial of Acupuncture Combined with Clomiphene for PCOS from 2011 to 2015. According to the smoking status of their husbands, we divided the subjects into a smoking group (n = 345), a non-smoking group (n =387), and a smoking cessation group (n =129), collected their general demographics, anthropometric indexes, laboratory results and pregnancy outcomes, compared them among the three groups, and analyzed the relationship of SSC with the pregnancy outcomes of the PCOS patients.
RESULTS: The levels of total testosterone (T) and low-density lipoprotein cholesterol (LDL-C) in the smoking cessation group were similar to those in the non-smoking group, but significantly lower than those in the smoking group (P= 0.014 and P= 0.011). The contents of fasting insulin, total cholesterol, and apolipoprotein B exhibited statistically significant differences among the three groups (P= 0.029, P= 0.018 and P= 0.024), dramatically lower in the smoking cessation and non-smoking groups than in the smoking group, but similar between the former two. The ovulation rate of the smoking cessation group was similar to that of the non-smoking group, remarkably higher than that of the smoking group (P= 0.038). No statistically significant differences were observed in other indicators among the three groups (P > 0.05). Multivariate logistic regression analysis showed that SSC during pregnancy preparation was a protective factor for ovulation in the PCOS patients (OR = 1.74, 95% CI: 1.04－2.92, P= 0.035).
CONCLUSION: SSC can improve androgen and glucolipid metabolisms of infertile patients with PCOS, and thereby significantly increase the ovulation rate. It is of positive significance to encourage SSC clinically for improving the pregnancy outcomes of infertile women with PCOS.
PMID:40783868
