Obstructive sleep apnea increases risk of female infertility: A 14-year nationwide population-based study

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Authors
Lim, Zhu Wei
Wang, I-Duo
Wang, Panchalli
Chung, Chi-Hsiang
Huang, Song-Shan
Huang, Chien-Chu
Tsai, Pei-Yi
Wu, Gwo-Jang
Wu, Kuo-Hsiang
Chien, Wu-Chien
Issue Date
2021-12-15
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Article
Language
en_US
Keywords
Obstructive Sleep Apnea , Female Infertility
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Abstract
Objectives: To determine the risk of having OSA in a cohort of female subjects who are infertile and the odds of being infertile in women with OSA. Patients and methods: A nationwide, case-control study of female patients 20 years or older diagnosed with female infertility living in Taiwan, from January 1, 2000, through December 31, 2013 (N = 4,078). We identified women who were infertile and created a 2:1 matched control group with women who were not infertile. We used multivariable logistic regression analysis to further estimate the effects of OSA on female infertility. Results: In this 14- year retrospective study, we included 4,078 patients having an initial diagnosis of female infertility. Of those women with infertility, 1.38% had a history of OSA compared with 0.63% of fertile controls (p = 0.002). The mean ages in the study groups were 32.19 ± 6.20 years, whereas the mean ages in the control groups were 32.24 ± 6.37years. Women with OSA had 2.101- times the risk of female infertility compared to women without OSA (p<0.001). Conclusion: Our study showed that OSA is more commonly seen in infertile women and increases the odds that a woman will be infertile. More studies need to be done on the whether or not diagnosing and treating OSA can decrease the rate of infertility.
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Lim, Z. W., Wang, I. D., Wang, P., Chung, C. H., Huang, S. S., Huang, C. C., Tsai, P. Y., Wu, G. J., Wu, K. H., & Chien, W. C. (2021). Obstructive sleep apnea increases risk of female infertility: A 14-year nationwide population-based study. PloS one, 16(12), e0260842. https://doi.org/10.1371/journal.pone.0260842
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PloS One
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