A man who has been using androgen therapy tells the nurse that he and his wife wish to conceive a pregnancy. The nurse will tell this patient that
a. androgen therapy will not harm the fetus.
b. he will need to increase his dose of testosterone to increase his sperm count.
c. it may take 3 months after cessation of androgen therapy to conceive.
d. there should be no problems conceiving while using androgen therapy.
ANS: C
Androgens cause decreased sperm counts and usually takes 3 months after cessation of therapy to return sperm counts to normal. During pregnancy, androgens can cross the placenta and cause masculinization of the fetus. Virilization can occur in those secondarily exposed to testosterone gel and may cause teratogenic effects in fetuses. Increasing the testosterone will not increase the sperm count.
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