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These results propose that heavy smoking causes to a significant deterioration in semen quality (sperm concentration, vitality, motility and membrane integrity not only by subnormospermia but also by normospermia men), thus smoking may negatively affect the fertilization efficiency

In addition to the modifications to the survey, we are collaborating with Breathe California to expand the Smoke Free Media Onscreen Tobacco Database and improve data collection and codebooks

There is a massive increase in the use of these devices and so it is likely that this problem is hugely under reported and a growing issue

Ensure high levels of sanitation

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