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Effects of cigarette smoking on erectile dysfunction Kovac 2015 Andrologia Wiley Online Library SMOKING AND IMPOTENCE Fertility Facts: Smoking and Male Infertility Shady Grove Fertility Smoking and alcohol directly affect sexual performance by reducing blood flow, disturbing hormone balance, and lowering stamina. Long term use can lead to erectile issues, low libido, and poor overall sexual health. Healthy Smoking: Effects, Risks, Diseases, Quitting & Solutions Smoking causes impotence
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