Conclusion

Fertility in men with congenital adrenal hyperplasia can be impaired. Testicular tumors are the most frequent cause of impaired fertility. They arise from aberrant adrenal cells in the testes that are stimulated by ACTH. Their location adjacent to the mediastinum and their steroid-producing properties may interfere with spermatogen-esis and Leydig cell function. Secondary hypogonadotropism is a second cause of impaired fertility, resulting from suppression of the hypothalamic-pituitary-gonadal axis by adrenal androgen excess or by production of steroids by testicular tumors. Other testicular abnormalities and psychological factors may also contribute to impaired fertility.

Eliminating Stress and Anxiety From Your Life

Eliminating Stress and Anxiety From Your Life

It seems like you hear it all the time from nearly every one you know I'm SO stressed out!? Pressures abound in this world today. Those pressures cause stress and anxiety, and often we are ill-equipped to deal with those stressors that trigger anxiety and other feelings that can make us sick. Literally, sick.

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