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Along with these effects, nicotine also lowers women's fertility and causes irregular menstruation [12] and may also lead to premature ovarian failure, which can cause infertility [18] as well as increased time to pregnancy [19]

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Though nicotine has been associated with negative health implications, the long-term effects of ENDS containing nicotine consumption are still presently unknown [25]

She agrees to call a stop smoking telephone helpline (1-800-QUIT NOW) for counseling help