1988
DOI: 10.1016/0378-5122(88)90148-x
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The association of smoking with clinical indicators of altered sex steroids — A study of 50,145 women

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Cited by 7 publications
(7 citation statements)
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“…122 Some studies have shown a dose–response effect on atrophy of ovarian follicles, in that heavy smokers have an earlier natural menopause than light smokers. 61,67,69,123,124 Former smokers have only a slightly earlier age at natural menopause than those who never smoked, and increased time since quitting diminishes the difference. 123,125 The latter observation of only a slightly earlier natural menopause in former smokers is inconsistent with the presumed toxic effect of smoking on ovarian follicles, resulting in their atrophy and thus earlier menopause, because such an effect should be nonreversible so that former smokers would also experience the earlier natural menopause observed in current smokers.…”
Section: Summary Of Underlying Physiologymentioning
confidence: 99%
“…122 Some studies have shown a dose–response effect on atrophy of ovarian follicles, in that heavy smokers have an earlier natural menopause than light smokers. 61,67,69,123,124 Former smokers have only a slightly earlier age at natural menopause than those who never smoked, and increased time since quitting diminishes the difference. 123,125 The latter observation of only a slightly earlier natural menopause in former smokers is inconsistent with the presumed toxic effect of smoking on ovarian follicles, resulting in their atrophy and thus earlier menopause, because such an effect should be nonreversible so that former smokers would also experience the earlier natural menopause observed in current smokers.…”
Section: Summary Of Underlying Physiologymentioning
confidence: 99%
“…The relationship between smoking, ovulatory dysfunction, and menstrual cycle disorders or menstrual symptoms has been largely investigated in humans; the majority of observational studies suggest that smokers are at higher risk of a range of menstrual problems, including oligomenorrhea, heavy bleeding, and dysmenorrhea. A large retrospective study on women enrolled in a weight reduction program demonstrated that heavy smokers had increased risk of oligomenorrhea, with a greater risk in women approaching menopause than for younger women [88]. A prospective cohort study demonstrated that smokers have a decreased duration of bleeding, and an increased daily amount of bleeding, in particular within the first two days of menses, whereas no difference in cycle length was found; these changes were dose-dependent, with heavy smokers reporting the more severe effects [89].…”
Section: Ovulation and Menstrual Cyclementioning
confidence: 99%
“…Exposure to cigarette tobacco smoke has been previously shown to have variable effects on thyroid function, reflected by an increase or decrease in serum thyroxine (T4)=triiodothyronine (T3) concentrations (8)(9)(10)(11)(12)(13)(14)(15)(16)(17). Active and passive smoking can result in smoke-induced interference with thyroid hormone homeostasis (18,19).…”
Section: Introductionmentioning
confidence: 99%