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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 Fertility Planning for Male Smokers: What You Need to Know Smoking cigarettes and the influence on sperm quality SwimCount Europe Impact Of Smoking On Sperm And Male Fertility The mutagenic effect of tobacco smoke on male fertility Environmental Science and Pollution Research Springer Nature Link Can Smoking Reduce Your Sperm Count?
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