“…Acetaminophen influenced the semen quality by reducing testosterone synthesis, inducing oxidative stress, provoking the apoptosis of spermatocytes, suppressing nitric oxide production, and inhibiting prostaglandin synthesis (Banihani, 2018). Many studies showed that overdoses and longterm acetaminophen increased the risk of oxidative stress, damaging hepatocytes, renal tubules, testicular tubules, and blood cells, and causing hypertension and heart infarction (Olaleye & Rocha João, 2008;Luangpirom et al, 2012;Oyedeji et al, 2013;Banihani, 2018;Khayyat, 2021).…”