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In women, both active and passive smoking can have detrimental effects on reproductive organs and their function

Current smokeless tobacco use was reported by 8.2% (95% CI, 6.99.7) or 0.5 million (95% CI, 0.40.6 million), while use of other tobacco products was uncommon [pipe, 3.7% (95% CI, 2.85.0) or 0.2 million (95% CI, 0.20.3 million)

Although some older research has suggested that smoking may reduce the effectiveness of birth control and that nicotine may affect estrogen levels, there is no conclusive evidence