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Higgins and Linton, 2004)

However, it could also be argued that in some circumstances, sexual dysfunctions can be among the reasons for couple infertility: men who ejaculate before penetration or who are unable to perform sexual activity because of ED cannot achieve a natural conception

This distinction is warranted given OCDs unique neurobiology,3,4) clinical presentation and targeted cognitive behavioural therapies compared with other anxiety disorders.5) Although anxiety appears to be a prominent symptom of OCD, anxiety is ubiquitous amongst diverse psychopathologies, and is only one marker of OCD severity.6) Hoarding, excoriation and trichotillomania (TTM) were previously included in the OCD spectrum

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