The hazardous effects of tobacco smoking on male fertility
Open accessAbstract
The substantial harmful effects of tobacco smoking on fertility and reproduction have become apparent but are not generally appreciated. Tobacco smoke contains more than 4000 kinds of constituents, including nicotine, tar, carbonic monoxide, polycyclic aromatic hydrocarbons, and heavy metals. Because of the complexity of tobacco smoke components, the toxicological mechanism is notably complicated. Most studies have reported reduced semen quality, reproductive hormone system dysfunction and impaired spermatogenesis, sperm maturation, and spermatozoa function in smokers compared with nonsmokers. Underlying these effects, elevated oxidative stress, DNA damage, and cell apoptosis may play important roles collaboratively in the overall effect of tobacco smoking on male fertility. In this review, we strive to focus on both the phenotype of and the molecular mechanism underlying these harmful effects, although current studies regarding the mechanism remain insufficient.
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Numerous studies have examined the impact of smoking on male reproductive hormone levels, yielding conflicting results.
“Numerous studies have examined the impact of smoking on male reproductive hormone levels, yielding conflicting results.”
From Association between serum cotinine and total testosterone in adult males based on NHANES 2011–2016 (2024) · cites this paper as [8]
Smoking can have adverse effects on male reproductive health, including reduced sperm count and diminished semen quality.
“It is widely acknowledged that smoking can have adverse effects on male reproductive health, including reduced sperm count and diminished semen quality8–11.”
From Association between serum cotinine and total testosterone in adult males based on NHANES 2011–2016 (2024) · cites this paper as [8]
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BackgroundAssociation between serum cotinine and total testosterone in adult males based on NHANES 2011–2016
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- Authors
- Qiao, Z.-D., Dai, J.-B., & Wang, Z.-X.
- Affiliations
- Shanghai Jiao Tong University (CN)
- Venue
- Asian Journal of Andrology
- Published
- 2015
- Volume
- 17
- Issue
- 6
- Pages
- 954
- ISSN
- 1008-682X (ISSN-L)
- PMC
- PMC4814952
- OpenAlex
- W1924764290
- Cited by
- 212
- References
- 5
- Citations by year
- 2026: 17 · 2025: 21 · 2024: 25 · 2023: 23 · 2022: 19 · 2021: 22 · 2020: 32 · 2019: 16 · 2018: 16 · 2017: 10 · 2016: 6 · 2015: 5
- FWCI
- 1.86
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc-sa
- Locations
- Asian Journal of Andrology (publishedVersion, cc-by-nc-sa)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-sa)
- PubMed Central (publishedVersion, cc-by-nc-sa)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Asian Journal of Andrology (cc-by-nc-sa)
- Funders
- Shanghai Jiao Tong University
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Sperm and Testicular Function
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
- Keywords
- smoking, male fertility, semen quality, spermatogenesis, oxidative stress, DNA damage, apoptosis, nicotine, polycyclic aromatic hydrocarbons, heavy metals, carbon monoxide
- MeSH terms
- Carbon Monoxide, DNA Damage, Fertility, Humans, Infertility, Male, Male, Nicotine, Polycyclic Aromatic Hydrocarbons, Smoke, Smoking, Spermatogenesis, Spermatozoa, Nicotiana, Oxidative Stress, Nicotinic Agonists, Metals, Heavy, Semen Analysis, Gasotransmitters
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