Tobacco use has been considered controversial for long although scientific evidence regarding its health hazards. Consumption of tobacco is mainly in the form of bidi, followed by cigarette, hukah, chilum, chutta, etc. The habit of smokeless tobacco (also referred astobacco chewing) is also very common. Some common forms of smokeless tobacco include khaini, Mainpuri tobacco, mawa, mishri etc.
According to Global Adult Tobacco survey nearly 0.9 million tobacco-related deaths occur in India annually as compared to 5.5 million worldwide which is expected to increase to about 10 million during 2020s. The report also revealed that 8 to 10 lakh persons die of tobacco related diseases every year and this reflects a higher mortality than the combined deaths resulting from other major diseases, such as tuberculosis, HIV AIDS and malaria.
Many of us are aware about the diseases that caused by consumption of tobacco which is mainly cancer of oral cavity, larynx, oesophagus etc. But several research studies have also identified smoking or consuming tobacco in any form adds multiple risk factors of infertility especially in men; risk of osteoporosis, bone fractures and early age wrinkles also.
Male fertility is affected by a variety of lifestyle habits that include tobacco use. A large population of Indian men







