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Based on the above research and analysis, it has been found that the high-altitude, low-pressure and low-oxygen environment may have a significant impact on the health of the male reproductive system, resulting in a decrease in the number of sperm, reductions in sperm motility and viability, an increase in the rate of sperm abnormalities, an increase in germ cell apoptosis and increased disorders of sex hormone secretion [54, 55]

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21 PCOS is also associated with complications of both pregnancy and delivery, including miscarriage, gestational diabetes, gestational high blood pressure, preeclampsia, preterm delivery, and perinatal death, as well as increased need for labor induction and Cesarean-section