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These alterations can lead to an array of health issues, including: Hormone Affected Potential Consequences Cortisol Increased stress responses Estrogen Irregular periods, fertility issues Progesterone Early onset of menopause, painful sex Prolactin Depression, difficulty in getting pregnant Thyroid hormones Altered metabolism and energy levels Gonadotropins Irregular menstrual cycles The hormonal imbalances caused by smoking may result in irregular menstrual cycles, reduced fertility in women, and in some cases, an early onset of menopause, which can lead to symptoms like hot flashes and mood swings

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