Dear Dr Miller, myself and my wife we were trying to have baby since last 3 yrs but no success. Last month i went to doctor and had my FSH,LH,T and SA tests done. FSH – uIU/ml, LH – uIU/ml, T – ng/ml. Sperm count was M/ml. Doctor told me that LH and T are normal where as FSH is high. He suggested me to take clomid 25mg daily to increase my sperm production . After 1 month , i had done my SA tests again . i expected sperm count to increase but instead i found out that my sperm count has actually decreased to M/ml. Pls help me doctor
Flutamide acts as a selective, competitive , silent antagonist of the androgen receptor (AR).  Its active metabolite , 2-hydroxyflutamide , has between 10- to 25-fold higher affinity for the AR than does flutamide, and hence is a more powerful antiandrogen in comparison.     However, at high concentrations, unlike flutamide, 2-hydroxyflutamide is able to weakly activate the AR.   Flutamide has far lower affinity for the AR than do steroidal antiandrogens like spironolactone and cyproterone acetate, and it is a relatively weak antiandrogen in terms of potency by weight, but the large dosages at which flutamide is used appear to compensate for this.  In accordance with its selectivity for the AR, flutamide possesses no progestogenic , (direct) estrogenic , glucocorticoid , or antigonadotropic activity.   Similarly to nilutamide, bicalutamide, and enzalutamide , flutamide crosses the blood-brain-barrier and exerts central antiandrogen actions.