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In addition to sperm quality, smoking can lead to other reproductive complications in men, including: Hormonal imbalances Disruptions in spermatogenesis (sperm production), sperm maturation, and function Oxidative stress, caused by an increase in reactive oxygen species (ROS), which can lead to sperm DNA damage and fragmentation A higher risk of erectile dysfunction Given these adverse effects, quitting smoking can significantly improve male fertility and increase the chances of conception

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The growing percentage of women that utilize e-cigarettes during pregnancy and practitioners that prescribe NRT for smoking abstinence during pregnancy illustrate the importance of reviewing the literature on outcomes for expectant mothers and offspring