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Short term Sperm and semen quality suffer Egg cells damage Affects the menstrual cycle making it more irregular Long term Decrease the sperm count Reduction in the volume of sperm Changes to cervical mucus (affects how sperm reaches the egg) Problems with fallopian tubes Increased risk of cervical cancer Infertility in both men and women Pregnancy complications Lung disease The smoke inhaled into the lungs together with the chemicals and nicotine all have damaging effects on the lungs

doi: 10.1289/ehp.9281

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