When considering seasonal variations, an interesting trend emerges: live birth rates are significantly lower in winter compared to spring, summer, and autumn, this suggests a seasonal influence on ART outcomes, potentially linked to PM2.5 in winter, temperature and other unknown factors.
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Environmental pollution and human fertility: investigating the relationship between PM2.5 exposure and assisted reproductive technology outcomes.
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However, the exact mechanism behind this remains unclear, necessitating further research to elucidate the underlying pathways, it is worth noting that the relationship between PM2.5 and miscarriage rates did not reach statistical significance.