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There is a call for more comprehensive studies that explore not only the pharmacological interactions but also the long-term outcomes of combined treatment modalities
Suppression of the hypothalamicpituitarygonadal axis, impaired spermatogenesis, and reduced fertility represent particularly concerning consequences, with potential implications for the rising prevalence of infertility among young couples
The study was approved by the Hospital Universitari Sant Joan de Reus and Fundaci Jordi Gol i Gorina Ethics Committees (PI Joan D Fernndez-Ballart, CEIC 30/06/1998
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