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We need more research to demonstrate the impact of e-cigarettes on blood pressure, but dual smokers of e- and tobacco cigarettes certainly have a higher prevalence of hypertension [74]

Diversifications in the arrangement and quantity of axonemal microtubules and axonemal abnormalities have long been observed in heavy smokers.68 Electron microscopy revealed coiling of tail filaments within the plasma membrane and the percentage of coiled spermatozoa was significantly correlated with heavy smoking.69 The fertility index measured by sperm morphology which was assessed by transmission electron microscopy was significantly reduced in heavy smokers.70 It seems that light or moderate smoking (20 cigarettes per day) is insufficient to induce ultra-structural sperm abnormalities according to the current researches.69 Smoking and assisted reproduction outcomes Assisted reproductive technology (ART) is reproductive technology used primarily for infertility (IF) treatments