Public Enemy #1 for Male Fertility: Anabolic SteroidsThe case of the month is a patient of The Turek Clinic. This week, it highlights my recent lecture to the Northern California Chapter of the American Association of Clinical Endocrinologists in San Francisco view presentation at the bottom of this post or on Slideshare. This year old man is guessing that he is sterile when he sees me. He is engaged to be married but shows up snabolic the office alone. Do anabolic steroids cause infertility very muscular man, he has been bodybuilding for years.
Steroids and Male Fertility | Don't Cook your Balls
Men who wish to father a child should talk to their doctor before starting a new medication or having any treatments. Non-FDA approved male fertility supplements may be widely advertised as fertility enhancers but they have not been scientifically evaluated and may cause harm. Before you take any supplements it is important to discuss it with a healthcare provider.
Men who are having trouble fathering a child should speak to their doctor about the medications they are taking, and the possible need for semen tests. Some men may have an unexpected side effect from a medication that can harm their fertility. If your doctor thinks that this may be the case, it may be a good idea to stop the medication or try a different one.
You should always discuss this decision with the doctor who prescribed the medication. This effect can be reversed for most men; however, it may take months or more for sperm production to return to normal. In general, men who are trying to cause a pregnancy should not use any form of testosterone. Because of the strong negative impact of anabolic steroids on male fertility and the other health concerns related to these substances, men should not use these drugs. And finally, children are more likely to smoke if their parents are smokers.
The entire family can benefit when a family member stops smoking. Smoking also has a negative impact on your sperm production and the movement of sperm. For these reasons, couples who are trying to conceive should stop smoking.
Because of the negative effects of marijuana on male fertility, couples considering pregnancy should stop all marijuana use. Men taking opiates to treat addiction should speak with their addiction counselor about the impact of their medications on fertility, as some treatments are less harmful than others. There is no evidence that the short-term use of opiates has a negative effect on male fertility.
Therefore, men taking a short course of opiates, for instance to control pain after surgery or a broken bone, should take these medications according to the instructions. Men taking opiates for weeks or months should speak to their doctor about how to cut back on opiate use.
Most men taking this medication to treat hair loss will not have a serious change in their sperm numbers. For that reason, we recommend men stop these medications if they are having trouble creating a pregnancy. These medications can also cause a decrease in sex drive, which, in most cases, should go back to normal when the medication is stopped.
Men who are taking an alpha blocker or having urinary symptoms should see a urologist to discuss the possible impact of the alpha blockers on fertility, and the treatment options for urinary symptoms. Men who take SSRIs and who are having trouble fathering a child should see a urologist for semen testing, and talk with their mental health provider about other medications.
Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. This article lists the most common substances that affect male fertility. Listed below are the most common substances that affect male fertility. Drugs that may affect male fertility Testosterone: Replacement testosterone also called supplemental testosterone has a strong negative effect on sperm production.
This causes the level of testosterone in the testicles to drop sharply--too low to support strong sperm production. The most likely outcomes are a very low sperm concentration or a complete absence of sperm from the semen. Testosterone is an anabolic steroid. The use of these drugs is increasing among non-competitive athletes and non-athletes.
Unfortunately, fitness and muscle-building dietary supplements from less reputable sources may be tainted with anabolic steroids. Anabolic steroids harm male fertility the same way that testosterone does: Just how much damage is done depends on the drugs s , dose s , and how long the man takes them. Most men will recover sperm production 3 to 12 months after they stop taking the drug. Light to moderate alcohol drinking does not appear to affect male fertility.
All of this can cause a lower testosterone level, which can harm sperm production. Men who drink four or more alcoholic beverages on a regular basis should consider drinking less. Tobacco use in general, and smoking in particular, is linked to serious health conditions. Babies in households with people who smoke are much more likely to have serious respiratory illness such as severe asthma, pneumonia, and repeated ear infection.
THC, the active ingredient in marijuana, decreases sperm production and weakens sexual drive by interfering with the production of testosterone. THC also has a direct harmful effect on the movement of sperm. Marijuana may also be laced with heavy metals such as lead to increase its weight or more addictive illicit drugs, such as cocaine.
Opiates include both prescription medications for treating pain and addiction and illegal street drugs. Long-term use of opiates can disrupt the signals that control testosterone production, which can cause low testosterone and decrease the quantity and quality of the sperm.
The extent of the impact depends on the opiates being used, the dose, and how long the man is using the opiates. The recreational illegal use of any opiates is strongly discouraged. These medications are used to treat prostate enlargement and hair loss.
The impact of these medications is mild and will reverse once the medication is stopped. Men who use these drugs to treat prostate enlargement will have a decrease in the volume of the semen and the total number of sperm in the semen, which may make it harder to cause a pregnancy.
Alpha blockers are used to treat urinary symptoms caused by an enlarged prostate. These medications affect male fertility in different ways, depending on which way each medication works. Silodosin and Tamsulosin can both cause a sharp decrease in the volume of ejaculation or may inhibit ejaculation completely. PDE5 inhibitors are used to treat erectile dysfunction. These medications do not appear to have a negative effect on male fertility.
Selective serotonin reuptake inhibitors SSRIs: These medications are commonly prescribed in the United States for the treatment of depression and anxiety. These medications may prevent the proper movement of sperm through the reproductive tract or otherwise harm the sperm.
This medication is used to treat fungal infections. It is commonly applied to the skin as a cream, ointment, or powder. There is no evidence to suggest that applying ketoconazole to the skin harms male fertility. When it is taken as a pill, ketoconazole hurts testosterone production and decreases sperm production. All chemotherapy medications used to treat cancer will inhibit sperm production.
Depending on the type of chemotherapy and the duration of treatment, men may have return of sperm production within two years. Occasionally, sperm production never returns and the man becomes infertile. If you are preparing to go on chemotherapy, talk to your doctor about freezing sperm before starting the chemotherapy. The following medications may cause male fertility problems: If you are having trouble creating a pregnancy and are taking these medications, talk to your doctor and see a urologist for semen testing.
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