can the medications typically taken for ulcerative colitis (remicade, 6mp) effect male infertility?

Question

When do I decide that it is time for remicade (infliximab) for ulcerative colitis?

Answer 1

Usually not: Remicade (infliximab) has lot of other side effects but not male infertility.

Answer 2

Perhaps: Infliximab may decrease sperm motility and the number of normal oval forms. Whether these changes translate into impaired fertility is unknown. 6mp has been rarely associated with birth defects even when the father takes the medication. The benefits, however, often outweigh the risks and you need to discuss this with your doctor.

Answer 3

Bank sperm: Before starting any treatment protocol that may have an effect on fertility, consider banking a few ejaculations. It's not that expensive and provides peace of mind.

Answer 4

Caution: Remicade (infliximab) has not been associated with male infertility. Also women being treated for a disease with remicade, (infliximab) it can be continued if the concern for disease control is high.6\mp is a different type of drug and works differently. Cases of infertility exist when the drug is used in higher cancer dosages. It appears in may have less of an affect on fertility at lower dosages. Talk with ur doctor.

Answer 5

Length of urethra: Females have shorter distance for bacteria to travel to get into bladder and start colonizing.

Answer 6

Anatomy: The male and female urinary tract is different when it comes to anatomy. Females have shorter urethras than their male counterparts. A shorter urethra makes it easier for bacteria to travel up the urethra to the bladder. The urethra in a female is also closer to the rectum allowing for a shorter distance for bacteria to travel. This is why proper hygiene is recommended for females to prevent uti.

Answer 7

Anatomy: 1)women have much shorter urthras than men. 2urine can be trapped behind labia if women do not spread thighs widely enough to seperate labia. 3)soapy bathwater/bubble bath can enter bladder via urethra, cause irritation permitting bacteria to adhere & penetrate lining. 4)rectum is closer to urethra. 5)sex act pumps bacteria from meatus up to bladder.5)thong underwear rub & push bacteria up urethra.

Answer 8

More women diagnosed: Women 24 and younger, as well as women with risk factors for a sexually transmitted infection (such as new/multiple sexual partners, unprotected sex) should be routinely screened for chlamydia infection. There is no screening recommendation for men. Because of this routine screening of women, more women are diagnosed with chlamydia infection than men. This may not reflect the true incidence rates.

Answer 9

Unknown: Many statistics show a higher rate of chlamydia in women than men, however, that may be due to women being more likely to be tested and a higher rate of reinfection in women from untreated partners. Chlamydia is known as the silent epidemic, as many do not have symptoms until there are complications.

Answer 10

Depends on Bloodflow: If the skin around necrotic area is still healthy only a small portion is necrotic then you can start locally the first week with antibiotic cream to reduce bioburden and keep using local debridement - removedead tissue off the wound site and try to heal the area. Diabetic ulcers respond to oral vitamin k2 - you can read http://vitamink2.Org. I use 10% Phenytoin cream locally http://drbrown.Us.

Answer 11

Diabetic foot: You need to seek care from wound center or podiatrist as soon as possible. The evaluation of a diabetic foot ulcer requires a careful history, investigation of your neurological status of your feet, an assessment of the blood flow, and a comprehensive treatment plan that may include debridement, cultures, offloading (which is the most important issue most of the time), and testing. Do not delay!

Answer 12

Wound Care Center: If you suffer from any diabetic foot wound you need to see help with a certified wound care specialist and podiatric surgeon. Wound care centers specialize in treating all kinds of complicated diabertic and non diabetic wounds. If you are suffering with a necrotic wound seek medical attention, dont delay becuase a wound untreated can lead to limb loss.

Answer 13

Team approach: Depends on what is meant by necrotic. Is there blood flow to the extremity or wound? If not, a vascular or interventional cardiologist need to increase the blood flow to the extremity. A podiatrist is needed to get any bony prominence resected and to offlaod the wound. An endocrinologist is needed to get the diabetes under control if out of control.

Answer 14

Medical care: Best care would imply you are seeing the appropriate people to best deal with this condition. A team approach responsible for keeping your sugar under control, making sure your bloodflow is adequate, offloading the foot if the ulcer is on the bottom of the foot and taking care of all other comornidities. This is not something to do without proper medical attention.

Answer 15

Multiple factors: It’s changing every day. Wound care requires multi-discipline input for proper wound healing. There are multiple modalities and multiple strategies to get a wound closed but it takes a knowledgeable well trained specialist to know when to implement the appropriate treatment during the course of wound healing using evidence based medicine.

Answer 16

See a professional: Successful treatment of diabetic foot ulcers consists of addressing these three basic issues: debridement, offloading, and infection control. Seek professional assistance.

Answer 17

Maggot therapy: If the wound is necrotic this needs to be removed. Apply maggots to debride the wound. Must make sure the blood supply is adequate for healing. Need to off load the wound. See a wound care specialist.

Answer 18

Breast ca: Yes. Both men and women get breast cancer. The shutting off of the ovaries will decrease the estrogen production but the testosterone shots have their own issues. Regardless, the risk is still there.

Answer 19

Possibly: I would imagine risk is much lower because of the mastectomies and removal of ovaries, depending on stage of transformation.

Answer 20

Not aware: I am not aware that vitamin or mineral supplements help in ulcerative colitis.

can the medications typically taken for ulcerative colitis (remicade, 6mp) effect male infertility?

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