You appear to have normal testosterone levels. You appear to have higher than normal testosterone levels, please contact us for further investigation. Your testosterone levels appear to be in the normal range. Association between serum cotinine and total testosterone in adult males based on NHANES 2011–2016. Yes, smoking weed can reduce your sperm count, concentration, motility and viability according to various studies. However, it is important to consider TRT’s side effects as well before you start taking testosterone. Nonetheless, quitting is still strongly beneficial as it can improve your erectile function, cardiac health, blood circulation, and overall health in so many ways. Your body tissues can only use free testosterone (testosterone that’s not bound to SHBG). Another study found that male smokers had higher levels of bioavailable testosterone than non-smokers. Still, smoking has serious health risks and is not a recommended way to increase testosterone. If you have concerns about your testosterone levels or health, talk to your doctor about other options for you. SHBG is the protein that attaches to testosterone in the blood and makes it unavailable to the body. It is best to quit smoking to improve not only male fertility but also your overall health. Smoking doesn’t just impact hormone balance, but it can also cause grave problems like male infertility and low sperm count. The researchers suggested that this could be due to the toxic effects of cigarette smoke on Leydig cells, which are responsible for testosterone production. This study also observed that smokers had a higher estradiol level than non-smokers, which further disturbed hormonal balance. However, researchers observed that higher cotinine levels led to higher testosterone up to a certain threshold, beyond which the relationship reversed. The primary outcome of this study is serum total testosterone level. It is widely acknowledged that smoking can have adverse effects on male reproductive health, including reduced sperm count and diminished semen quality8–11. However, a case-control study found that smoking affects the level of bioavailable testosterone. This section explores the impact of smoking on hormonal balance and its health implications. It can also affect sex hormone-binding globulin (SHBG), which is a protein that binds to testosterone and regulates its availability to the body. However, the study also found that TT and FT levels appear negatively correlated with the dose of cigarette smoking. It is important to note that smoking has many negative health effects and should be avoided for overall health and well-being.