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The decrease observed in this study is in agreement with earlier study that also reported a decrease in FSH with nicotine administration.[19] Primary testicular failure and hypothalamic causes have been reported to likely result in primary male infertility due to sexually transmitted diseases, trauma, environmental factors and social habits like smoking and consuming alcohol

2024/25 NZ Health Survey This Manat Hauora/Ministry of Health survey has information about tobacco use by adults over 15 across population groups such as age, sex, ethnicity and neighbourhood deprivation.