I am 36 and i found out i wasn't ovulating once i came offbirth control. does the cilia in the fallopian tubes work normally again, once you quit smoking? if so, how long does it take. i have been trying to concieve for 1 1/2 years. i had 2 kids in the pa

Excellent : Excellent answer above. We do know that all of the negative reproductive effects of smoking are reversible except for the damage to the ovary that leads to diminished ovarian reserve as discussed above. Most infertility specialists want a minimum of three months of cessation of smoking before proceeding with treatments. It is unlikely that the negative effects of smoking on the fallopian tubes would persist past 12 months. There can be permanent damage to a fallopian tube after an ectopic pregnancy resolves either spontaneously or from medical or conservative surgical treatment.

I : I don't think we know what happens after you quit smoking. Much of what we know about the effect of smoking on fallopian tube cilia comes from animal experiments, such as studying hamster fallopian tubes which may be different to human tubes. See the links below. Having said that it's good for both your fertility and your long-term health to have quit. Studies shows that women who keep on smoking have worse pregnancy rates with in vitro fertilization (ivf) than women who quit before the ivf treatment. From what you say, there are two issues now - I am assuming that you got pregnant easily with your 19 and 15 year olds: first, having an ectopic (tubal) pregnancy increases your chance of another ectopic pregnancy to 10-30%. Even with the normal hsg before and after, one or both of your tubes are damaged, maybe by infection or smoking. Ivf is the best way of avoiding another ectopic pregnancy, but not a zero risk - the risk of ectopic is still about 1-3% with ivf treatment. Second you have three risk factors for low egg supply (diminished ovarian reserve) - smoking for 15 years reduces the number of eggs in your ovaries compared to a 36 year old never-smoker. Your age, at 36, gives you lower egg numbers and quality than when you had your last child at 20/21. Finally, having tubal problems including an ectopic pregnancy increases your chance of having low egg supply, as if one or both of your tubes was damaged by infections such as chlamydia, or a non-infectious disease such as endometriosis, the same process may well have damaged your ovaries at the same time. I hope that you are already seeing a reproductive endocrinology / infertility (rei) md and have had an evaluation, including checking your ovarian reserve and finding out why you aren't ovulating since you stopped birth control. I know that some non-rei physicians give injectable medications like Repronex and do iuis as well. It may be time to move on to ivf if you don't succeed after 4-6 months of iui-based treatment, especially if you do have diminshed ovarian reserve as well as fallopian tube issues. Hope this helps. Best wishes.

But we do know!: Smoking prematurely ages most tissues and we know that smokers will go into menopause earlier!