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More than five million Canadians still use tobacco, and Health Canada estimates its use costs the economy almost $4.4 billion in direct health-care costs each year

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Some people will also make their own cigarettes, using tobacco they have obtained or their own

Options such as Nicotine Replacement Therapy, smokeless tobacco, and heated tobacco products all contain harmful substances, including nicotine

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