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(Melbourne University Press, 1984)

They found smokers had lower sperm volume and total sperm count

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Your doctor will use several methods: Otoscopy : Visual examination of the ear canal and eardrum with a lighted instrument Tympanometry : A test that measures how your eardrum responds to pressure changes, helping identify fluid behind it Acoustic reflectometry : Uses sound waves to detect fluid in the middle ear Hearing tests : Audiometry can determine if the fluid is affecting your hearing These painless tests help your ENT specialist assess the severity of the condition and determine the best treatment approach

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Furthermore, we only included live births and did not account for congenital anomalies in aborted fetuses and stillbirths, which may lead to selection bias (i.e., newborns with malformations among maternal smokers may be underrepresented in a study of live births)