Does radiation exposure affect egg quality?
I underwent abdominal, chest, and lumbar X-rays once each in August this year during a health check-up.
From September to December, I had full mouth X-rays three times and single tooth X-rays four times at the dental clinic.
Due to suspected myocardial ischemia, I underwent a cardiac myocardial perfusion scan (with contrast agent) in November and a cardiac CT scan in December.
I plan to undergo in vitro fertilization (IVF) in early January next year.
Will the radiation exposure from the above procedures affect my eggs? Thank you.
Xiao Hua, 30~39 year old female. Ask Date: 2020/12/17
Dr. Wang Yifen reply Radiology
Hello, in most cases, the reasons affecting ovarian reserve are unclear, with aging being the primary factor related to reproductive age.
Other factors that may influence ovarian reserve include smoking, lifestyle habits, medical history, previous ovarian surgeries, systemic chemotherapy, pelvic radiation, and certain genetic abnormalities.
The X-ray examinations you mentioned have a low impact on oocytes, and the primary areas exposed are not the pelvic cavity.
Following your doctor's instructions for radiation-related examinations is advisable, as the health benefits outweigh the effects of radiation.
If you have concerns, it is recommended to communicate further with your physician before undergoing any examinations.
Do not avoid tests out of fear of radiation, as this could lead to missing opportunities for disease treatment.
Please take this into consideration, and I wish you good health and safety.
Reply Date: 2020/12/17
More Info
Radiation exposure from medical imaging, such as X-rays, is a common concern for individuals considering assisted reproductive technologies like in vitro fertilization (IVF). Based on the information provided, you have undergone several imaging procedures, including abdominal, chest, and lumbar X-rays, as well as dental X-rays and cardiac imaging. It is understandable to be concerned about how these exposures might affect egg quality and overall fertility.
Firstly, it is important to note that the amount of radiation exposure from standard X-ray procedures is relatively low. The radiation dose from a single X-ray is typically measured in millisieverts (mSv), and most diagnostic X-rays deliver doses well below the threshold that is known to cause biological harm. For example, a single chest X-ray may expose a person to about 0.1 mSv, while a CT scan of the abdomen can range from 5 to 10 mSv. In comparison, the average annual background radiation exposure from natural sources is about 3 mSv.
Research indicates that low levels of radiation exposure, such as those from the types of X-rays you mentioned, do not have a significant impact on egg quality or fertility. The primary concern regarding radiation exposure and reproductive health is typically associated with higher doses, such as those received during radiation therapy for cancer treatment or prolonged exposure to radioactive materials. In your case, the imaging procedures you underwent are unlikely to have any detrimental effects on your eggs or your ability to conceive through IVF.
Moreover, the ovaries, where eggs are stored and matured, are located in the pelvic region, and the X-rays you received primarily targeted areas outside of this region. This further reduces the likelihood of any adverse effects on egg quality. Medical professionals often weigh the benefits of necessary imaging against the potential risks of radiation exposure, and in most cases, the health benefits of diagnosing and treating medical conditions outweigh the risks associated with low-level radiation.
It is also worth mentioning that factors affecting egg quality are multifaceted and can include age, lifestyle choices (such as smoking and diet), medical history, and genetic factors. If you have concerns about your egg quality, it may be beneficial to discuss these with a fertility specialist who can provide personalized advice and possibly recommend tests to assess your ovarian reserve and egg quality.
In summary, the radiation exposure from the medical imaging you have undergone is unlikely to affect your egg quality or your chances of success with IVF. It is always advisable to communicate openly with your healthcare providers about any concerns you may have regarding your health and fertility. They can provide you with the most accurate information and guidance tailored to your specific situation. Good luck with your upcoming IVF journey!
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