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There are several ways in which smoking causes pelvic floor dysfunction, some of which include the following: Reduced Blood Flow: Nicotine and other chemicals restrict blood circulation, limiting oxygen and nutrients to pelvic tissues, which can weaken muscle tone

10.1093/eurheartj/ehz772 125 LanK.ZhangG.LiuL.GuoZ.LuoX.GuanH.et al (2020)

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Bibcode:2005PNAS..10214040L