Is prenatal exposure to tobacco smoking a cause of poor semen quality? A follow-up study.

@article{RamlauHansen2007IsPE,
  title={Is prenatal exposure to tobacco smoking a cause of poor semen quality? A follow-up study.},
  author={Cecilia H{\o}st Ramlau-Hansen and Ane Marie Thulstrup and Lone Storgaard and Gunnar Toft and J{\o}rn Olsen and Jens Peter Ellekilde Bonde},
  journal={American journal of epidemiology},
  year={2007},
  volume={165 12},
  pages={
          1372-9
        }
}
A few studies indicate that exposure to maternal smoking during fetal life decreases semen quality in adult life, but the results are inconsistent and retrospectively collected smoking data were used in most studies. From a Danish pregnancy cohort established in 1984-1987, 347 of 5,109 sons were selected according to their exposure to tobacco smoke in fetal life. From February 2005 to January 2006, a semen sample from the 347 men was analyzed for conventional semen characteristics according to… 
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No major indication of long-term effects of pre-natal exposure to tobacco smoke on the levels of reproductive hormones later in life is found, but the data may suggest a shift in the hypothalamo-pituitary-gonadal axis towards higher androgenicity.
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TLDR
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Average sperm count remains unchanged despite reduction in maternal smoking: results from a large cross-sectional study with annual investigations over 21 years
TLDR
A significant decline in in utero exposure to maternal smoking, which was not reflected in an overall improvement of semen quality at the population level, suggest that other unknown adverse factors may maintain the low semen quality among Danish men.
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