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Mio Fertility › Station I · Foundation
Tobacco

Smoking and fertility
Stop at least 3 months before.

Short answer

Smoking is one of the best-documented factors in reduced fertility. It affects egg quality, brings menopause forward, lowers sperm quality and increases the risk of miscarriage. The book's recommendation is to stop at least 3 months before trying, with professional support, and electronic cigarettes are not a safe alternative.

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Built on ESHRE · ASRM · NICE · CDC guidelinesReferences in every chapter
The effects

What tobacco does to fertility

EffectWhat the book reports
Egg qualityAffected
MenopauseBrought forward by up to 1 to 4 years
Sperm qualityReduced by up to 30%
Miscarriage riskIncreased by 30%

From Chapter 10 of Map to the Positive.

That is why tobacco is one of the four substances in the book's “real detox”, the four with proven impact on fertility. And yes, the detox applies to him too.

Vapes

Electronic cigarettes are not the way out

Switching to a vape is not a safe alternative. Electronic cigarettes are less studied, but they contain nicotine and other substances with the potential to affect fertility. The book's self-assessment reflects this: the item to check is “I don't smoke (conventional or electronic cigarettes)”, and the same question is asked about your partner.

Timing

Why 3 months before trying

The recommendation is to stop at least 3 months before trying. The book's 90-day logic explains why that window matters: it is roughly the time for the full maturation of an egg (about 90 days from recruitment to ovulation) and for the production of a complete batch of sperm (72 to 90 days). The eggs and sperm of your first attempts are being formed now.

Don't do it alone

Professional support dramatically increases the success rate of quitting. The book's summary is clear: complete cessation, with professional support.

For him

Both of you, completely

The first of the book's “10 commandments of male fertility” is to quit smoking, conventional cigarettes and vapes. In men, smoking reduces sperm concentration and motility by up to 22% and increases DNA fragmentation. Since sperm quality reflects his habits over the last three months, his quit date matters as much as yours.

There is good news in the book for him: unlike eggs, which are finite, sperm is produced continuously, and habit changes show a measurable effect in 90 days. In up to 30% of cases of difficulty conceiving the factor is exclusively male, and smoking is one of the causes the book names for the global drop in sperm concentration.

  • Month 1 of the book's 90-day plan: cut out tobacco completely (both of you)
  • Station I final checklist: tobacco stopped (if applicable)
  • In early pregnancy: avoid tobacco in any form
Where this fits

This is one chapter. The map has 42.

Tobacco is part of Chapter 10 of Map to the Positive, “The real detox”, in Station I (Foundation), together with alcohol, caffeine, recreational drugs and the medications to review with your doctor. Station I also includes a 20-minute self-assessment for you and your partner, the 11 preconception tests and smart supplementation. Station III later dedicates a full chapter to his fertility and turns everything into an integrated 90-day plan.

IFoundation
IIAttunement
IIIOptimization
IVSigns
VPositive
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