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To view a copy of this licence, visit About this article Cite this article Umphres, S.S., Badejo, P.O., Khasawneh, F.T

This is due to the numerous ways in which tobacco use can impact the male reproductive system, including: Reduced sperm quality and quantity Increased oxidative stress can damage sperm DNA Hormonal imbalances that can interfere with fertility Furthermore, the adverse effects of tobacco use on fertility can be compounded by other lifestyle factors, such as poor diet, sedentary lifestyle, and stress

Willett WC, Colditz GA, Hiatt RA

(eds) Lyon, France: IARC pp 291301 Moolgavkar S, Luebeck G