Up in Smoke: How Smoking Influences Fertility for Men and Women

Note:

I’m not writing this post to comment on marijuana usage as a lifestyle choice or how one spends one's recreational time. However, if faced with infertility, I encourage my patients to pay attention to the impact that smoking marijuana (and smoking in general) can have on one’s chances of conceiving. This post examines the facts—the hard science and data demonstrated across over 30 years of research into the impact of smoking marijuana and ingesting marijuana-containing products. While some might point to studies or articles that reach different conclusions about the effects of marijuana or THC, this piece draws from the medical consensus regarding these products.  

Patients often ask me about how lifestyle choices impact fertility. The decisions we make in our day-to-day lives can frequently affect not only our chances of conception but also our ability to maintain a healthy pregnancy. Just as dietary decisions, vitamin intake, and daily exercise can make the difference between a successful and failed conception, so can tobacco and marijuana.

I recommend that patients forgo tobacco and marijuana products when trying to conceive or carry a pregnancy. Research shows that these substances can create a host of adverse effects on one’s reproductive system—from weakening sperm to damaging fallopian tubes or creating developmental issues in the fetus. To understand the nature of these issues, we must first examine the specific ways in which both tobacco and marijuana alter our body chemistry.

Deadly Smoke: Tobacco’s Impact on Conception

Tobacco,  in particular, poses significant consequences for both male and female reproductive systems. It’s no secret that nicotine, a primary component of cigarettes, affects more than lung health. Alongside the other harmful ingredients in cigarette smoke, nicotine can disrupt the delicate balance required for conception. Smoking hinders egg quality in women and compromises sperm health in men, reducing the fertility potential in our reproductive systems. 

The numbers speak volumes: research indicates that smoking can decrease fertility by as much as 30%. For those yearning to become parents, this statistic is a stark reminder of the importance of mindful choices. Quitting or forgoing cigarettes can improve your fertility and overall health, making you more prepared for the physical challenges of carrying a pregnancy. 

Weeding Out Myths: Demystifying THC's Effects on Fertility

While some might think otherwise, marijuana also influences fertility. When it comes to men, the presence of THC in seminal fluid can't be overlooked. When sperm is exposed to THC, it becomes hyperactive, which can lead to exhaustion. So, instead of maintaining a healthy acceleration in the fallopian tubes, hyperactive sperm will tire themselves out prematurely, impairing their ability to fertilize an egg. 

Likewise, doctors have also found THC present in vaginal secretions and fallopian tubes, meaning it impacts fertility in women just as strongly as it does in men. THC exposure can be toxic to eggs, compromising their potential to develop into healthy embryos.

Based on rigorous study and data, THC can exert a significant toll on fertility, akin to nicotine in cigarettes. For those navigating infertility, this underscores the importance of making informed choices. Understanding the impacts of THC is an essential step on the path to growing your family. 

Q & A Section: Marijuana, Smoking, and Fertility

On the internet, you can find a host of contradictory information regarding marijuana, cigarettes, and fertility. While the scientific data here is indisputable mainly, you might have some additional questions regarding the specific impacts of these substances on our bodies. Below are some of the most common questions patients ask about smoking and pregnancy.

Q1: Can using marijuana during pregnancy lead to specific congenital disabilities or health issues for the baby?


Yes, consuming marijuana during pregnancy poses risks to a developing baby. Research suggests that exposure to marijuana during pregnancy can increase the likelihood of preterm birth, low birth weight, and other developmental issues. While the exact effects can vary from person to person, every expecting mother should avoid marijuana use during pregnancy.

Q2: Is there a connection between smoking and the development of ovarian cysts or uterine fibroids?

While there isn't any direct link between smoking and the development of ovarian cysts or uterine fibroids, smoking has been associated with various gynecologic health issues. For instance, smoking increases the risk of certain cancers, including cervical and ovarian cancer. So, while not a direct cause, smoking can contribute to an environment that may potentially promote the growth of cysts or fibroids.

Q3: What is the typical timeframe for THC or nicotine to completely clear out of the body after quitting smoking?

The elimination of substances like THC (from marijuana) and nicotine (from cigarettes) from the body can vary based on factors such as frequency of use, metabolism, and individual physiology. Generally, THC can remain detectable in the body for weeks to a few months after use, especially in regular users. Conversely, nicotine can leave the body within a few days to a few weeks. It's important to note that complete clearance depends on numerous variables unique to each patient.

Q4: Are there any differences in the effects of edibles compared to smoking or vaping marijuana?

There are notable differences in how edibles, smoking, and vaping marijuana affect the body. When marijuana is ingested through edibles, it takes longer for the effects to kick in (typically 30 minutes to 2 hours), but the consequences can be more intense and prolonged. In contrast, smoking or vaping results in a quicker onset but shorter duration of effects. It's important to use caution with edibles due to the delayed start, which can lead to unintentional overconsumption and more potent results.

Making Healthier Decisions


As seen in the data, tobacco, and marijuana can drastically alter one’s biological makeup and impact fertility across both men and women. That said, it’s never too late to improve your lifestyle choices. By avoiding cigarettes and marijuana, you can increase your chances of having a child. While making these changes can sometimes feel challenging, I’ve seen numerous examples of patients who were able to reach their fertility goals in part through healthier decision-making. 

As always, consult your doctor if you have any questions about your particular consumption habits. After all, moving towards better decisions can leave a positive impact not only on your journey towards conception but also on your long-term well-being.

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