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In some cases, additional investigations such as hormonal profiling, genetic testing, or imaging studies may be necessary to identify underlying conditions or abnormalities that affect fertility

however, the most used and most frequently cited are tunical plication, enlargement of the tunica albuginea (incision or excision) and the use of penile prosthesis 2

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Vomiting occurs less frequently than nausea but can be problematic when it does occur, particularly if it leads to dehydration or interferes with nutrition and medication absorption