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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 The effects of cigarette smoking on male fertility Do Smoking and Alcohol Affect Sperm Quality? Renew Healthcare How smoking impacts male fertility The mutagenic effect of tobacco smoke on male fertility Environmental Science and Pollution Research Springer Nature Link How smoking affects sperm
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