Does e-cigarette affect having children?

Patient's question:

I am a 25-year-old woman, and my husband and I have always wanted to have children. Please ask: Does e-cigarette use affect fertility?

Doctor's answer:

The number of normal sperm in smokers increases by approximately 10%. For those who smoke 21 to 30 cigarettes daily, the incidence of abnormal sperm significantly rises; those who smoke more than 30 cigarettes have an even higher incidence of abnormal sperm. The longer the duration of smoking, the more abnormal sperm are produced, and as the number of normal sperm increases, sperm motility also weakens.
Generally, cigarettes contain some toxic components, while e-cigarettes are just a sensation. They do not cause significant interference.

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