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A study of tobacco smokers shows a link between smoking and respiratory symptoms, including sore throat, coughing, and shortness of breath

The rest of the seven come from a pelvic exam that can include any of the following areas (with or without specimen collection for smears and cultures): External genitalia, Urethral meatus, Urethra, Bladder, Vagina, Cervix, Uterus, Adnexa/parametria, Anus and perineum

And you dont have to be a heavy smoker, either: just a few cigarettes a day will do it

95% CI 0.89-1.49) and lower again and insignificant for heavy smoking (1.00