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WJMH :: World Journal of Men's Health How smoking affects sperm Semen Quality Measures in Hookah and Cigarette Smokers Compared to Nonsmokers Hamadneh 2025 The Scientific World Journal Wiley Online Library Assessment of the toxicity effects of nicotine on sperm and IVF and the potential protective role of silymarinan experimental study in mice Middle East Fertility Society Journal Springer Nature Link 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 Prevalence of abnormal spermatozoa in tobacco chewing sub fertile males PMC
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