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Collected data were searched for the presence of potential duplicates (based on reported country of residency, sociodemographics, date and time of questionnaire completion) but none were identified

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Studies report: 10 to 20 percent improvement in sperm count within 90 days of cessation Meaningful recovery in motility and morphology scores Reduction in sperm DNA fragmentation index often the most clinically significant improvement for IVF purposes Restoration of seminal antioxidant levels This means that for a couple planning IVF 3 to 6 months from now, the male partner quitting tobacco today is a clinical intervention not just a lifestyle suggestion

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Consulting with a health care professional and considering nicotine replacement therapy 72 Wadgave, U., & Nagesh, L