“…While most users report a positive effect of Khat, which is comparable to that of coffee and also enhances sexual desire, researchers report diverging effects of Khat on male reproductive capabilities (Al‐Mamary et al., 2002; Islam et al. 1990; Balint et al., 1991; Elmi, 1983; Granek et al., 1988; Halbach, 1972; Kalix & Braenden, 1985; Krikorian, 1984; Mekasha et al., 2007; Mwenda et al., 2006; Nyachieo et al., 2013; Pantelis et al., 1989; Tariq et al., 1987; Wabe, 2011). In general, most of the available literature investigating the effect of Khat on humans suggest that chronic use may cause spermatorrhea and may lead to decreased sexual functioning and even impotence (Halbach, 1972; Mwenda et al., 2003).…”