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Since Oxymetholone causes a strong suppression of endogenous testosterone, it is recommended to start taking CHG before the end of a cycle, taking clomid and tamoxifen at the same time. Mixed-formulants Mixed-formulants like clomiphene trisethionate, estradiol and androstenedione are available to treat the symptoms of PCOS and prevent fertility problems. These are all hormones that can be converted to androstenedione and estradiol by the liver so they are not effective for preventing PMS. These products are often a mixture of other active ingredients, many of which are used in combination such as furosemide, tamoxifen, cyproterone, cyprocyanidin and cyclotriene. However it is important to check for an anti-androgen agent before using any new mix. Use a new mix as soon as possible and avoid any type of androgen before it has been studied in the clinic. Osmotic Osmotic contraceptives should only be tested together with the anti-androgens that are used in combination with these as these work synergistically against female fertility problems. A contraceptive must contain testosterone. A few OCs contain the active chemical imipenem which acts without androgen in terms of inhibiting the production of testosterone (by inhibiting androgen receptors) but increases estrogen levels (by decreasing estrogen receptors) and in some cases causes the formation of male breast tissue. Imipenem users are advised to have a urine test once a week and to continue taking this contraceptive for a year to ensure that the level of imipenem in the body has dropped or that it has been reversed. However it may take 8 weeks for the contraceptive to be fully absorbed by the body. A year of use and no imipenem is recommended before beginning any other type of OC or other form of progestogen. Imipenem may result in low sperm counts. If you feel your fertility is low, you can opt for a more permanent birth control method. This method may be referred to as an IUD or diaphragm. OCs containing low doses of testosterone as androstenediones may affect bone density and other body functions. In some cases, it may work to protect fertility. There are two main types of OC: The progestogen-only pill. This is the easiest form of contraception, but is usually reserved for younger women and those with a low level of androgen (such as postmenopausal women). This pill is very good at preventing conception, but has a short contraceptive life. Related Article: