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Description
In some patients free T4 may have to be above the reference range to achieve a normal TSH

In refractory cases characterised by persistent azoospermia, assisted reproductive techniquesincluding testicular sperm extraction (TESE) and intracytoplasmic sperm injection (ICSI)may enable conception, although success depends on residual spermatogenic capacity (80)

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In a classic negative feedback loop, elevated levels of thyroid hormones in the bloodstream then trigger a drop in production of TRH and subsequently, the production of TSH
