How does tobacco use negatively affect a man's fertility?

How does tobacco use negatively affect a man's fertility?

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Robert Brannigan, M.D. Professor, Urology 
Oncofertility Consortium  
Feinberg School of Medicine, Northwestern University

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What about tobacco use? This is another question that patients often ask about. Any use of tobacco, even small amounts, has a negative effect on sperm production and sperm function, and so all tobacco use, while it may not be easy to do, all tobacco use should be stopped for couples who are trying to achieve a pregnancy.