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Couple infertility can have a significant detrimental effect on the couples health and stability and can have a devastating psychological burden, which can often lead to clinical complications, among which, undoubtedly, sexual dysfunctionsto the point that the effects of infertility (and, by extension, of medically assisted reproduction) on sexual health have been defined as a full-fledged Inferto-Sex Syndrome [203]

Therefore, because the applicant has not provided sufficient information to demonstrate that the NUsurface Meniscus Implant meets the cost criterion, we are proposing to disapprove new technology add-on payments for the NUsurface Meniscus Implant for FY 2024