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The main adverse events reported on AIs (anastrozole, letrozole, and exemestane) were decreased libido (27%), arthralgia (24%), mood disorders (12.5%), asthenia (10%), headaches (6%), anxiety (4.5%), and palpitations (3%)

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Sperm Counts Drop but Not to Zero for Everyone A meta-analysis of studies involving men on testosterone therapy found that 65 percent of men became azoospermic, meaning no sperm appeared in the ejaculate

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Lashkaripour M, Adibi A, Mahhadi F, Dashipor A

10.1093/jxb/ers330 42 GestN.GautierH.StevensR