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For women, additional considerations include effects on menstrual cycles and the important question of fertility changes while on the medication

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Alcohol use often gets in the way of these changes when aiming to improve long-term metabolic health
Like orgasmic difficulties in women, these effects likely stem from altered serotonergic activity in brain regions that regulate ejaculatory reflexes

They also saw improvements in their waist circumference, blood pressure and bad cholesterol levels

Know when to seek medical attention
