Non-steroidal anti-inflammatory drugs as a possible cause for reversible infertility

Rheumatology (Oxford, England), 39(8), 880-882

DOI 10.1093/rheumatology/39.8.880 PMID 10952743 Source

Abstract

Objective

To highlight the possible association between infertility and treatment with long-term non-steroidal anti-inflammatory drug (NSAIDs). NSAIDs act mainly through the inhibition of cyclooxygenase, the enzyme that catalyses the synthesis of prostaglandins, which are essential mediators of ovulation, implantation and placentation of the conceptus.

Methods

Case reports of four women suffering from severe arthritis, on long-term NSAIDs and undergoing extensive investigation and treatment for infertility.

Results

During the last 2 yr, four out of five women with severe arthritis and difficulty conceiving were counselled to stop NSAIDs, and they successfully conceived shortly after the withdrawal of NSAIDs.

Conclusion

NSAIDs, used largely for the treatment of rheumatological conditions, may be responsible for some cases of infertility.

Topics

nsaids cause infertility, non-steroidal anti-inflammatory drugs fertility, ibuprofen ovulation problems, diclofenac reversible infertility, prostaglandin inhibition implantation, medication-induced infertility, iatrogenic causes infertility, rheumatoid arthritis fertility drugs, ovulation suppression NSAIDs, arthritis medication pregnancy delay, cyclooxygenase inhibition conception, drug-induced anovulation reversible

Cite this article

Mendonça, L. L., Khamashta, M. A., Nelson-Piercy, C., Hunt, B. J., & Hughes, G. R. (2000). Non-steroidal anti-inflammatory drugs as a possible cause for reversible infertility. *Rheumatology (Oxford, England)*, *39*(8), 880-882. https://doi.org/10.1093/rheumatology/39.8.880

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