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Referral to specialist services may be appropriate in certain circumstances, such as confirmed hormonal abnormalities requiring endocrinology input, complex or refractory cases requiring urology or andrology assessment, or psychological factors requiring psychosexual therapy

It has no FDA approval for any indication and carries significant side effects requiring careful management

10.1159/000526947 461 WangA.LingZ.YangZ.KielaP

McLachlan et al., 1993

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