I. See Also

II. Causes: Recreational and Illicit Drug use

  1. Anti-androgen
    1. Marijuana
    2. Alcohol (also contains Phytoestrogens)
  2. Miscellaneous
    1. Amphetamines
    2. Heroin
    3. Methadone
    4. Anabolic Steroids (see below under hormonal agents)

III. Causes: Chemotherapy

  1. Anti-androgens
    1. Alkylating Agents
    2. Methotrexate
    3. Penicillamine (Cuprimine)
    4. Cisplatin
    5. Vinca alkaloids

IV. Causes: Antimicrobial

V. Causes: Gastrointestinal

  1. Anti-androgens
    1. Cimetidine (Tagamet)
    2. Ranitidine (Zantac)
    3. Omeprazole (Prilosec)
  2. Hyperprolactinemia
    1. Metoclopramide (Reglan)
    2. Phenothiazines

VI. Causes: Hormonal agents

  1. Anti-androgens
    1. Bicalutamide (Casodex)
    2. Flutamide (Eulexin)
  2. Estrogenic agents
    1. Estrogens (including Topical Estrogen exposure from sexual partner)
    2. Gonadotropin-releasing Hormone Agonists
    3. Human chorionic gonadotropins
    4. Phytoestrogens
    5. Tamoxifen
    6. Anabolic Steroids
      1. Suppress endogenous testosterone production
      2. Allows for Estrogen predominance between Anabolic Steroid injections

IX. Causes: Herbals

  1. Lavender
  2. Tea tree oil
  3. Dong Quai
  4. Tribulus terrestris
  5. Soy Protein (>300 mg/day)

X. Causes: Miscellaneous agents

  1. Finasteride
  2. Theophylline
  3. Sulindac (Clinoril)
  4. Etomidate (Amidate)

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