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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 affects sperm Chewing Tobacco Invites Cancer Los Angeles Cosmetic Dentist Prevalence of abnormal spermatozoa in tobacco chewing sub fertile males PMC Smoking and Male Infertility: An Evidence Based Review PMC does chewing tobacco decrease sperm count Smoking and Infertility: Does Smoking Affect Sperm?
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