RT Journal Article SR Electronic T1 Association of obstructive sleep apnea with female infertility - A 13-year nationwide population-based retrospective study JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP PA901 DO 10.1183/13993003.congress-2019.PA901 VO 54 IS suppl 63 A1 I-Duo Wang A1 Pei-Yi Tsai A1 Chung-Kan Peng A1 Chi-Hsiang Chung A1 Feng-Cheng Liu A1 Shan-Yueh Chang A1 Wu-Chien Chien YR 2019 UL http://erj.ersjournals.com/content/54/suppl_63/PA901.abstract AB Study Objectives: Obstructive sleep apnea (OSA) increases the risk of hypertension, type 2 diabetes mellitus (DM), cardiovascular diseases and stroke. In the previous study, we have shown that non apnea sleep disorder associates with increased risk of female infertility. However, the risk of OSA to female infertility has not been thoroughly understood. Our study aimed to determine whether OSA increases subsequent risk of female infertility.Methods: Our study utilized the outpatient and inpatient data from Taiwan’s National Health Insurance Research Database between 2000 and 2013. We enrolled 4,078 females aged 20 to 45 years old and diagnosed with female infertility in the end. 1,946 of them who matched our criteria were assigned to the study group. We retrospectively investigated those who had previous exposure to OSA. We used multivariable logistic regression analysis to estimate the effects of OSA on female infertility.Results: The OSA cohort had an adjusted hazard ratio (HR) of female infertility 2.154-fold higher than that of the cohort without sleep disorders. In the stratified age group, the OSA group had the highest impact on 31- to 35-year-olds, with an adjusted HR of 2.690 (p=0.049).Conclusions: Our study provides a nationwide, population based, 13-year retrospective data demonstrating that OSA patients are at a higher risk of female infertility.Keywords: Obstructive sleep apnea; Female infertility; Taiwan National Health Insurance Research Database; Longitudinal Health Insurance DatabaseFootnotesCite this article as: European Respiratory Journal 2019; 54: Suppl. 63, PA901.This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).