Female asthma and atopy – impact on fertility: A systematic review
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Female asthma and atopy – impact on fertility : A systematic review. / Bláfoss, Joan; Hansen, Anne Vejen; Lauesgaard, Sara S.Malchau; Ali, Zarqa; Ulrik, Charlotte Suppli.
In: Journal of Asthma and Allergy, Vol. 12, 2019, p. 205-211.Research output: Contribution to journal › Review › Research › peer-review
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TY - JOUR
T1 - Female asthma and atopy – impact on fertility
T2 - A systematic review
AU - Bláfoss, Joan
AU - Hansen, Anne Vejen
AU - Lauesgaard, Sara S.Malchau
AU - Ali, Zarqa
AU - Ulrik, Charlotte Suppli
PY - 2019
Y1 - 2019
N2 - Background and objective: Asthma is one of the most common chronic diseases among women of reproductive age, and previous studies have suggested a link between female asthma and infertility. The aim of the present review is to provide an update on current knowledge of the association between female asthma and/or atopy and a reduction in fertility, ie, number of offspring, time to pregnancy (TTP) and need for fertility treatment. Methods: Systematic review performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses-guidelines. Results: A total of 14 studies fulfilled the predefined criteria for inclusion in the present review. Six studies investigated the association between female asthma and/or atopy and number of offspring, of which one reported a positive, two a negative, and three no association. Three studies addressed the association between asthma and TTP and found that TTP was significantly prolonged in asthmatic women compared to non-asthmatic women. Five studies investigated subfertility and the need for fertility treatments of which two studies found a higher prevalence of infertility among women prescribed anti-asthma medication. One study found no difference in the number of fertility treatments of asthmatic women compared to non-asthmatic women, whereas three studies reported that female asthma was associated with significantly more fertility treatment compared to non-asthmatic women. Conclusion: Although the available evidence is conflicting, there is a clear trend toward an association between female asthma and a reduction in fertility, and by that a larger proportion requiring fertility treatment, even though female asthma might not negatively affect total number of offspring.
AB - Background and objective: Asthma is one of the most common chronic diseases among women of reproductive age, and previous studies have suggested a link between female asthma and infertility. The aim of the present review is to provide an update on current knowledge of the association between female asthma and/or atopy and a reduction in fertility, ie, number of offspring, time to pregnancy (TTP) and need for fertility treatment. Methods: Systematic review performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses-guidelines. Results: A total of 14 studies fulfilled the predefined criteria for inclusion in the present review. Six studies investigated the association between female asthma and/or atopy and number of offspring, of which one reported a positive, two a negative, and three no association. Three studies addressed the association between asthma and TTP and found that TTP was significantly prolonged in asthmatic women compared to non-asthmatic women. Five studies investigated subfertility and the need for fertility treatments of which two studies found a higher prevalence of infertility among women prescribed anti-asthma medication. One study found no difference in the number of fertility treatments of asthmatic women compared to non-asthmatic women, whereas three studies reported that female asthma was associated with significantly more fertility treatment compared to non-asthmatic women. Conclusion: Although the available evidence is conflicting, there is a clear trend toward an association between female asthma and a reduction in fertility, and by that a larger proportion requiring fertility treatment, even though female asthma might not negatively affect total number of offspring.
KW - Asthma
KW - Fertility
KW - Fertility treatment
KW - Offspring
KW - Time to pregnancy
U2 - 10.2147/JAA.S203576
DO - 10.2147/JAA.S203576
M3 - Review
C2 - 31440063
AN - SCOPUS:85071497802
VL - 12
SP - 205
EP - 211
JO - Journal of Asthma and Allergy
JF - Journal of Asthma and Allergy
SN - 1178-6965
ER -
ID: 232098413