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Some genetic alterations are chromosomal numerical or structural abnormalities, Y chromosomal deletions, azoospermia factor (AZF) deletions, androgen receptor (AR) gene mutations, cystic fibrosis transmembrane conductance regulator (CFTR) gene mutations ( Some acquired conditions that affect male fertility are obesity, pesticide exposure, smoking and medications ( Similarly, other environmental pollutants that have shown to affect male fertility are heavy metals, microplastics and endocrine-disrupting chemicals such as bisphenols, phthalates, and parabens

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