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DEFINITION

Smoking and Vape (known as ngeVape/Vaping) can affect the reproductive health of Mom and Dad and can even lead to infertility (known as barren / infertility / long time no children).[1] In Indonesia alone, in 2021 there are at least 28.9% of the Indonesian population are Smokers.[2] Smoking and Vape contains nicotine which affects the health of sperm and eggs. If Mom and Dad or someone you know is trying to conceive and smokes, there are many difficulties and problems that can occur later. [1,3]

Infertility itself is a fertility disorder characterized by the failure to get pregnant in more than 12 months even though the couple has had regular unprotected intercourse.[4]

THE DANGERS OF SMOKING AND VAPING

Smoking and vaping can increase the risk of health problems. Smoking and Vape itself can affect almost every organ in the body. Here are some of the risks of smoking in general:[5]

  1. Smoking/Vape has a high risk of developing heart and blood vessel disease.
  2. Smoking/Vape also increases the risk of stroke.
  3. Smoking/Vape can create metabolic disorders.
  4. Smoking/Vape is closely related to lung disorders.
  5. Smoking/vaping before, during, and after pregnancy can be harmful to your little one-to-be.

Smoking and Vape itself is also specifically bad for Mommy and Daddy’s fertility, where smoking can cause bad things like:[1,3,6,7]

  1. Smoking/Vape produces free radicals in the body and damages the reproductive organs of Mommy and Daddy.
  2. Smoking/Vape can cause a decrease in the quality of Dad’s sperm
  3. Smoking/Vape interferes with egg quality in mothers
  4. Smoking/Vape causes problems in fertilization of the future little one

HOW QUIT SMOKING

Quitting smoking is a challenging thing to do. In 2015, 70% of adult smokers said they wanted to quit smoking. In 2016, 55% of adult smokers had tried to quit over the past year, with only 8% successfully quitting within 6-12 months. While it may take several attempts to quit smoking for good, remember that even small successes are wins. For example, you may find that when you try to quit again, you can go longer without cigarettes/Vapes or you may find that exercise works well to prevent and reduce cravings. Whenever you try to quit smoking, remember, there is a process that goes into calling it a goal to be an “ex-smoker.”[8] Here are recommendations on how to quit smoking.

1. Setting a Strong Intention and Reason

  • Think about the main reasons why you want to quit smoking. Is it for health, family or finances? Setting this goal can help you stay motivated.

2. Create a Quit Plan

  • Set a quit date and make a plan to achieve it. Write down strategies that can help when temptations arise, such as chewing gum or exercising.

3. Use Nicotine Relief or Other Substitutes

  • There are products like nicotine gum, nicotine patches, or even nicotine replacement therapy that can help reduce nicotine withdrawal symptoms.

4. Seek Support

  • Talk about your plans to quit smoking to your family, friends or support community. Social support can help you a lot.

5. Avoid Triggers

  • Recognize situations that usually make you want to smoke, such as stress or time after a meal. Try to avoid these situations or come up with ways to distract your mind.

6. Do Healthy Activities

  • Exercise, meditation or a new hobby can help distract you and reduce the stress that can trigger smoking cravings.

7. Focus on Health Benefits

  • Notice the positive changes in your body after quitting smoking, such as increased energy, better breathing, and healthier skin.

8. Consider Professional Help

  • If you find it difficult, seek help from a counselor or therapist who is experienced in helping people quit smoking.

It’s a good idea to talk to your doctor about your plan to quit smoking as your doctor may have advice on how to quit smoking that is best for your situation. However, there are a few things to keep in mind during the first few days after quitting smoking. Mum and Dad may feel disturbed sleep, irritability, anxiety, difficulty concentrating, increased appetite. Although uncomfortable, these symptoms should only last a few weeks. One other thing to note as Mum and Dad embark on their journey to ex-smoking is that some situations enjoyed as smokers such as having a coffee, going out with friends, or a particularly stressful event; can bring on urges to smoke even after several months of quitting. Being mindful of these situations and making plans to divert Mom and Dad’s desire to smoke can help lead a truly smoke-free life. [8]

Quitting smoking is possible.

Every quit attempt is worth it.

If Mom and Dad are planning to check for a long childless condition and have a history of smoking and vaping before or even still do until now, Mom and Dad can make a reservation in advance on the Sobat Bunda application. By downloading the application and making a reservation at Sobat Bunda, you can find out the estimated queue time or turn to enter the examination, so that you don’t have to wait long at the hospital.

LITERATURE

  1. Budin S, Jia Hui K, Jia Hui L, RamaLingam A, Jubaidi F, Latif E et al. Low-dose Nicotine Exposure Induced the Oxidative Damage of Reproductive Organs and Altered the Sperm Characteristics of Adolescent Male Rats. Malaysian Journal of Medical Sciences. 2017;24(6):50-57.
  2. Central Bureau of Statistics [Internet]. Bps.go.id. 2022 [cited 22 June 2022]. Available from: https://www.bps.go.id/indicator/30/1435/1/persentase-merokok-pada-penduduk-umur-15-tahun-menurut-provinsi.html.
  3. Omolaoye T, El Shahawy O, Skosana B, Boillat T, Loney T, du Plessis S. The mutagenic effect of tobacco smoke on male fertility. Environmental Science and Pollution Research. 2021.
  4. Infertility [Internet]. Who.int. 2022 [cited 22 June 2022]. Available from: https://www.who.int/news-room/fact-sheets/detail/infertility.
  5. Public Health Education [Internet]. U.S. Food and Drug Administration. 2022 [cited 22 June 2022]. Available from: https://www.fda.gov/tobacco-products/public-health-education
  6. Penzias A, Bendikson K, Butts S, Coutifaris C, Falcone T, Gitlin S et al. Smoking and infertility: a committee opinion. Fertility and Sterility. 2018;110(4):611-618.
  7. Fertility and Vaping: Impact of E-Cigarettes on Men and Women [Internet]. One Fertility Kitchener Waterloo. 2022 [cited 22 June 2022]. Available from: https://www.onefertilitykitchenerwaterloo.com/fertility-vaping-men-women.
  8. What It’s Like to Quit Smoking [Internet]. U.S. Food and Drug Administration. 2022 [cited 22 June 2022]. Available from: https://www.fda.gov/tobacco-products/health-effects-tobacco-use/what-its-quit-smoking.