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Proof of direct effects on infertility is sparse and indirect

[17] Voiding symptoms include urinary hesitancy (a delay between trying to urinate and the flow actually beginning), intermittency (not continuous), [18] involuntary interruption of voiding, weak urinary stream, straining to void, a sensation of incomplete emptying, and uncontrollable leaking after the end of urination

Practical tips that tend to work: Spread fluids across the day (not all at once) Pair hydration with salt as directed (water alone may not be enough for some) Be consistent on good days, not just during flares

Irregular periods (missed periods)