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- Tetrahydrocannabinol acts on the endocannabinoid system, which is ubiquitous in reproductive tissues
- Marijuana use can decrease sperm count
- Marijuana use may delay or inhibit ovulation
- For most couples, smoking marijuana does not affect their ability to conceive, but for couples with subfertility or infertility, it could be a contributing factor
- More and better-quality research on the fertility implications of recreational marijuana use is needed
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