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Anybody who has cancer or another condition that requires this agent, we ask to bank sperm before they go on those agents, and not try and conceive while on those agents. Finally, the class of compounds known as calcium channel blockers may impair the fertilizing ability of sperm without impairing count or mobility. The data is limited, but since there are so many other anti-hypertensive medications used then we ask the patient to check with his internist to see if he can be switched.
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