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14 years ago
Mrs. Becker was trying to become pregnant. One of the Beckers' favorite ways of relaxation  is to soak in the hot tub while drinking wine. A year went by with no pregnancy occurring, so they visit your clinic. You conclude that the hot tub is a possible factor in Juan's infertility. Angered and insulted, both assure you that they have no difficulty having intercourse, unless Mr. Becker has had too much wine, which happens infrequently. How will you explain to them the difference between impotence and infertility? Why should you suspect the hot tub as a factor in Juan's lowered sperm count? Is the wine a factor as well?
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14 years ago
Impotence is the inability to sustain an erection; infertility in this instance is due to the inability to produce mature gametes. These are totally separate events. In this case, the elevated temperature of the hot tub may cause sperm cell production to decline or sperm maturation to cease. Alcohol can inhibit sexual performance; however, a small amount can enhance performance by decreasing inhibition.
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