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• Psychological stress due to feeling of being “guilty”
– “Impaired semen quality” is not necessarily associated with infertility (e.g. Kallmann’s syndrome patients treated with gonadotropins)
– “Normal semen quality” is not a guarantee of fertility (e.g. high DNA Fragmentation Index)
• and not sufficiently “masculine”*:
– 5 x increased Odds Ratio of “low libido”
– 2 x increased Odds Ratio of erectile dysfunction
– 2 x increased Odds Ratio of dissatisfaction with the size and shape of sex organs
Lund University / Faculty / Department / Unit / Document / Date * Kruljac et al, unpublished data
• Psychological stress (being “guilty” and not sufficiently “masculine”)
• Risk of short and long-term morbidity and mortality
Lund University / Faculty / Department / Unit / Document / Date
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