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Before A team  of urologists at the University of California, San Francisco, discovered that regular exposure to hot tubs could adversely impact male fertility. After A team  of urologists at the University of California, San Francisco, discovered that regular exposure to hot tubs could have an adverse impact on male fertility.  Notes: Please avoid using "impact" as a verb.

Before --> It’s time to bring this topic out in the open to help couples cope better with this potential complication in a woman’s pregnancy that, if neglected, could even impact her overall reproductive health. After --> --> It’s time to bring this topic out in the open to help couples cope better with miscarriage, which could have an impact on a woman’s overall reproductive health. Notes. Removed long-winded euphemisms to make writing crisp. The use of impact as a verb is not recommended in good writing.