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Six years ago Sinatra announced his retirement

SMOKING AND VARICOCELE Varicocele is an abnormal enlargement of the pampiniform venous plexus in the scrotum and causes a progressive decline in male fertility.75 In population with varicocele, smokers had an incidence of oligozoospermia 10-fold greater than that of nonsmokers and was associated with altered semen quality, decreased sperm functional integrity, seminal oxidative stress,76 increased sperm DNA fragmentation, lower zinc (Zn) level,77 and increased sperm immaturity, necrosis and apoptosis percentages.78 Varicocele is present in almost 40% of infertile males and was considered as a major cause of male IF79 but the precise mechanisms remain uncertain

The question in the title above should be phrased differently: What can we do to align the tobacco industrys interests with public health

6 , S366S373 (2017)