Drug-induced infertility

Drug intelligence clinical pharmacy, 1984


Primary infertility may result from the use of various drugs. This phenomenon may be the result of an effect on the hypothalamic-pituitary-gonadal axis or a direct toxic effect on the gonads.

Some of the drugs considered in this article demonstrate sex-related differences in their ability to cause infertility; there also may be age-related differences.

The drugs described in this review, in regard to their association with the development of infertility, include various individual antineoplastic agents (cyclophosphamide, chlorambucil, busulphan, and methotrexate) and combinations of these chemotherapeutic drugs, glucocorticosteroids, hormonal steroids (diethylstilbestrol, medroxyprogesterone acetate, estrogen, and the constituents of oral contraceptives), antibiotics (sulfasalazine and co-trimoxazole), thyroid supplements, spironolactone, cimetidine, colchicine, marihuana, opiates, and neuroleptic agents.


  • Drug-induced infertility, Drug intelligence clinical pharmacy, NCBI PubMed, PMID: 6141923, 1984 Feb 18.
  • Image credit babymakerbook

Have your say! Share your views