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[Balasubramanian A Urol 2020] In terms of sperm production, night and shift work have been associated disruptions in gonadotropin secretions but there has been conflicting results regarding impacts on semen parameters

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If the patient has not adhered to the prescribed dosing schedule (missed one or more active tablets or started taking them on a day later than she should have), consider the possibility of pregnancy at the time of the first missed period and take appropriate diagnostic measures