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A 2016 meta analysis evaluating the impact of cigarette smoking on semen quality demonstrated a clear negative effect of tobacco exposure on male fertility. Synthesizing results from 20 studies and 5,865 men, the How smoking impacts male fertility Smoking and Male Infertility: An Evidence Based Review PMC Smoking, Caffeine, Alcohol: Impacts On Fertility FertilityIQ Tobacco and Sperm! How Smoking & Chewing Can Quadruple the Risk of Damage Healthcare Leadership, Policy & Digital Health News India
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