Sperm quality may improve within months, hormone balance can gradually stabilise, and pregnancy outcomes may become healthier over time.The earlier the change happens, the better the chances of protecting long-term reproductive health.Medical experts consultedThis article includes expert inputs shared with TOI Health by:Dr Sahana K P, Consultant Obstetrician and Gynaecologist, Apollo Hospitals, Sheshadripuram, Bangalore.Dr Vishwanath Sathyanarayanan, Senior Consultant Medical Oncologist & Academic Advisor, Apollo Hospitals Bangalore.Dr Preeti Prabhakar Shetty, MBBS, MD - Obstetrics & Gynaecology, Senior Consultant Obstetrician,Gynecologist, Apollo Hospitals, Bannerghatta Road, Bangalore.Inputs were used to explain how smoking quietly impacts male and female fertility, affects pregnancy outcomes, and increases health risks linked to birth control, while experts highlighted why quitting early and seeking medical guidance can significantly improve reproductive health.

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"Im 31 and have been doing it since I was 15, 16-years-old." The National Cancer Institute says at least 28 chemicals in chewing tobacco are known to cause cancer, it and smokeless tobacco been linked to oral, esophageal, and pancreatic cancers