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For example, one recent Danish study of more than 64, children found that those whose mothers took the OTC pain reliever acetaminophen Tylenol and generic during pregnancy may be at higher risk for attention deficit disorder and behavior problems.

Risks were negligible for women who used the drug occasionally less than seven days total or only during the first trimester only, but increased the longer women used the drug and were much higher for women using the drug during both the second and third trimesters.

All women face a 3 to 4 percent chance of having a baby with a birth defect. Oftentimes the added risk of a birth defect associated with use of a medication is still very low.

The study cited above, for example, found double the risk of neural tube defects in infants whose mothers took opioids, but the absolute risk remained small: for every 10, pregnant women taking the prescription painkillers, an estimated 6 babies would be affected.

Before the FDA approves a new drug, the manufacturer has to submit data showing that it is safe and works as intended.

But women who are pregnant or may become pregnant are almost always excluded from clinical drug trials because of concerns about safety and liability.

Instead, drugs are tested to see whether they cause birth defects in pregnant animals, but those results are not entirely accurate at predicting any effects on the human fetus.

However, in Congress gave the FDA the authority to require drug makers to study the effects of newly approved medications in pregnant and nursing women who take them.

Pregnant or nursing women who take medications can sign up for a registry, and researchers can then compare the information they provide to the effects of the drug in women who are not pregnant.

For example, Massachusetts General Hospital in Boston maintains a national registry for women who take anti-epileptic drugs. If you would like to add your experience to the growing body of data, your health-care provider or pharmacist can likely refer you to an appropriate registry.

In addition, you can contact OTIS at www. Not necessarily. It does make sense to be cautious and try nondrug measures for many minor, short-term health problems.

For example, instead of reaching for antihistamines and decongestants when you have a cold, try safer alternatives first: get extra rest; drink liquids; gargle with warm saltwater; and suck on nonmedicated lozenges.

However, for more serious ailments, treating it with medication is often better for both you and your baby. Asthma is a perfect example. Uncontrolled asthma can lead to pregnancy complications such as high blood pressure , problems with the placenta, an increased risk of delivering the baby too early, and infants with low birth weights.

Women with other chronic health conditions such as diabetes , depression , epilepsy, and high blood pressure should work closely with their health care providers to find the safest way to manage their symptoms, keeping in mind that may mean taking a medication.

See the following question. You should also promptly report illnesses that crop up during your pregnancy to your provider and treat them as necessary.

A sustained elevated body temperature during pregnancy can slightly increase the risk of birth defects; a study found that using acetaminophen to lower fever might reduce or eliminate that risk.

The decision about whether to continue a medication during pregnancy depends on several factors such as the condition being treated, the severity of your symptoms, the type of medication you take, and the degree of risk to the fetus.

And the ideal time to discuss it is before you become pregnant. In some cases, it may make sense to continue your current regimen unless something changes during pregnancy.

While the diabetes drug metformin and generic appears to pose little risk to the fetus, for example, uncontrolled blood sugar can increase your risk of birth defects, miscarriage, and stillbirth.

Sometimes switching to a different drug may be the best choice. In general, older drugs with a history of safe use during pregnancy are preferred to newer drugs that may be slightly more effective, but whose safety is uncertain.

For example, older high blood pressure drugs such as labetalol Trandate and generic and methyldopa are preferred over newer ACE inhibitors such as enalapril Vasotec and generic and lisinopril Prinivil, Zestril, and generic.

If there are no good alternatives or the risks are not well known, you should consider other options. You may be able to reduce your dose or discontinue the drug for the period during pregnancy when it is most likely to cause a problem—say, the first trimester.

Or ask your provider if you can wean off certain medications before becoming pregnant. For example, if you take a drug for mild depression you might be able to substitute nondrug measures such as cognitive behavior therapy and increased physical activity.

However, you need to be monitored closely and if symptoms return, it may be better for both you and your baby to treat them with medication. By themselves, poorly managed anxiety, depression, and other mental disorders have been linked to increased risks, including premature birth and low-birth weight.

Not always. Some common OTC medications such as aspirin could harm you or your baby if you take them while pregnant. For further advice, read our latest report on 10 OTC drugs to avoid during pregnancy.

You should also talk to your health-care provider before using any vitamins, minerals, or herbal preparations.

While prenatal vitamins can help you meet the extra nutritional needs of pregnancy, other supplements may not be safe. Mitchell is accused of "engaging in sexual conduct" with a thenyear-old female congregant at the church where he served as a youth pastor, court documents show.

Mitchell was arrested on Feb. The 10 counts of the indictment represent the occasions between August 15 and September 25, that Mitchell is accused of having sexual contact with the girl, records state.

However, the church makes no mention of him on its website, and a message left with the church was not immediately returned. Note to readers: if you purchase something through one of our affiliate links we may earn a commission.

All rights reserved About Us. There may also be:. What causes pain in the testicles? Learn more here.

Most testicular cancers start in the germ cells. These are the cells in the testicles that produce immature sperm.

Doctors do not know why testicular cells become cancerous, but some genetic factors may increase the risk.

Testicular cancer is more likely to occur in people with the following risk factors :. Having HIV might increase the risk. Having a vasectomy does not increase the risk.

It is not possible to prevent testicular cancer, as doctors do not know what causes it, and because genetic factors may play a role.

A person cannot change these factors. What should a male consider before undergoing a vasectomy? Find out more. Testicular cancer is highly treatable, especially in the early stages.

Most males with a diagnosis of testicular cancer will live at least another 5 years following diagnosis. Treatment will usually involve a combination of the following:.

A surgeon will remove one or both testicles to prevent the tumor from spreading. The person will receive a general anesthetic.

The surgeon will then make a small incision in the groin and remove the testicle through the incision.

However, other fertility options are available. For example, the doctor might suggest banking sperm for future use, if necessary.

Other effects of removing the testicles may include:. A doctor may prescribe testosterone supplements — as a gel, a patch, or an injection — to help with these issues.

It is also possible to restore the appearance of testicles by having a prosthesis. A surgeon will implant this in the scrotum.

It is filled with salt water. If cancer has reached the lymph nodes, usually those around the large blood vessels at the back of the abdomen, a surgeon will need to remove these.

A surgeon can do this as open or laparoscopic surgery. This procedure will not impact fertility directly, but any nerve damage may affect ejaculation.

This may mean that sperm does not come out through the urethra but goes to the bladder instead. Radiation therapy damages the DNA inside the tumor cells and destroys their ability to reproduce.

In this way, it can remove cancer and may prevent it from spreading or coming back. A person who has surgery may need radiation therapy to ensure that treatment removes any remaining cancer cells.

If cancer has spread to the lymph nodes, a doctor may also recommend radiation therapy. A doctor may recommend chemotherapy if a person has testicular cancer that has spread to other parts of the body.

A doctor will give the treatment either orally or as an injection. Chemotherapy attacks healthy cells as well as cancerous ones, which may lead to the following side effects:.

In some cases, stem cell therapy can enable a person to receive higher doses of chemotherapy that would otherwise be too dangerous to administer. Healthcare professionals will freeze and store these cells.

The person receives a high dose of chemotherapy, and they will then receive the stem cells into a vein as in a transfusion.

These cells establish themselves in the bone marrow and start making new blood cells.

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