Can women get pregnant if they smoke for a long time?

Patient's question:

I've been married for two years, but my stomach hasn't reacted at all. I also don't know why I keep not getting pregnant. I like to smoke—could it be affecting it?

Doctor's answer:

Women who smoke may reduce their chances of getting pregnant, but it doesn't mean it has a definitive impact. If there is normal sexual activity and no contraception, and the couple has not been able to conceive for a year, it is considered infertility, and related tests that may lead to infertility need to be conducted. First, it is necessary to quit smoking and drinking, maintain a regular schedule and diet. It is recommended to have blood tests for six hormones on days 2-4 of the menstrual cycle, and to have a hysterosalpingogram between days 3-7 after the menstrual period is clean. Starting from day 11 of the menstrual cycle, transvaginal ultrasound can be used to monitor whether normal ovulation occurs. The male partner should abstain from sex for 2-7 days and have a routine semen analysis.

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