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Chewing Tobacco and Bladder Cancer: What's the Connection? Men! Your lifestyle shows up in your sperm. Yes sperm health reflects what you do today. Tobacco. Nicotine (vapes). Marijuana. They don't just affect your lungs, they affect fertility too. Here's what Does smoking affect fertility and assisted reproduction techniques? 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
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