GI toxicity of these drugs and seem to tolerate ulceration and bleeding less well than younger, healthier individuals. Whenever possible, especially if prolonged use is anticipated, treatment with non-ulcerogenic agents should be attempted first. Jager R, Purpura M, Shao A, et al. Analysis of the efficacy, safety, and regulatory status of novel forms of creatine. Juhn MS, Tarnopolsky M. Potential side effects of oral creatine supplementation: a critical review. Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of indomethacin rectal suppositories in the elderly. However, elderly patients may be more sensitive to the effects of indomethacin than younger adults, and are more likely to have unwanted effects eg, stomach ulcers, confusion, psychosis and age-related kidney problems, which may require caution and an adjustment in the dose for patients receiving indomethacin rectal suppositories. xmox.info budecort
Burke, L. Acute creatine supplementation and performance during a field test simulating match play in elite female soccer players. Int J Sport Nutr. Urticaria, other skin rashes, diaphoresis. Do not use more than 2 doses in a 24-hour period or treat more than 4 headaches within 30 days without checking with your doctor.
Hespel, P. Effects of creatine supplementation and exercise training on fitness in men 55-75 yr old. J Appl. Heart failure. Some early research shows that taking creatine daily for 5-10 days improves muscle strength and endurance but does not improve symptoms of heart failure. Taking lower doses of creatine daily for 6 months does not improve exercise capacity or heart failure symptoms in men. Poets, C. F. Randomized, controlled trial of oral creatine supplementation not effective for apnea of prematurity.
INDOCIN SR affords relief of symptoms; it does not alter the progressive course of the underlying disease. Prostate ultrasound involves a probe about the size of a finger that is inserted a short distance into the rectum. This probe produces harmless high-frequency sound waves, inaudible to the human ear, that bounce off the surface of the prostate. To avoid getting bitten, wear pants and socks in the woods, areas with lots of trees, and while handling fallen leaves. Wear a tick repellent on your skin and clothing that has DEET, lemon oil, or eucalyptus.
Avoid the use of INDOCIN SR in patients with a recent MI unless the benefits are expected to outweigh the risk of CV thrombotic events. Ziegenfuss, T. Effects of creatine on thermoregulatory responses while exercising in the heat. More evidence is needed to rate the effectiveness of mastic for these uses. Cooke, C. B. Effects of acute creatine loading with or without carbohydrate on repeated bouts of maximal swimming in high-performance swimmers. J Strength. NSAIDs that is written for health professionals. Hespel, P. Creatine loading does not impact on stroke performance in tennis. Gualano B, Ugrinowitsch C, Novaes RB, et al. Effects of creatine supplementation on renal function: a randomized, double-blind, placebo-controlled clinical trial. Long-term administration of NSAIDs has resulted in renal papillary necrosis and other renal injury. Renal toxicity has also been seen in patients in whom renal prostaglandins have a compensatory role in the maintenance of renal perfusion. In these patients, administration of a non-steroidal anti-inflammatory drug may cause a dose dependent reduction in prostaglandin formation and, secondarily, in renal blood flow, which may precipitate over renal decompensation. Patients at greatest risk of this reaction are those with impaired renal function, heart failure, liver dysfunction, those taking diuretics and ACE inhibitors, patients with volume depletion, and the elderly. Discontinuation of NSAID therapy is usually followed by recovery to the pretreatment state. Haan, A. No acute effects of short-term creatine supplementation on muscle properties and sprint performance. Eur. Lung disease Chronic obstructive pulmonary disease. Early research on the effects of creatine in people with chronic obstructive pulmonary disease COPD is inconsistent. Some research suggests that taking creating daily does not improve lung function. However, other research suggests that taking creatine may improve lung function or exercise capacity. Indomethacin, like other NSAIDs, can cause GI discomfort and, rarely, serious GI side effects, such as ulcers and bleeding, which may result in hospitalization and even death. Although serious GI tract ulcerations and bleeding can occur without warning symptoms, patients should be alert for the signs and symptoms of ulcerations and bleeding, and should ask for medical advice when observing any indicative signs or symptoms including epigastric pain, dyspepsia, melena, and hematemesis. Green AL, Hultman E, Macdonald IA, et al. Carbohydrate ingestion augments skeletal muscle creatine accumulation during creatine supplementation in humans. Indomethacin suppresses inflammation in rheumatoid arthritis as demonstrated by relief of pain, and reduction of fever, swelling and tenderness. Improvement in patients treated with indomethacin for rheumatoid arthritis has been demonstrated by a reduction in joint swelling, average number of joints involved, and morning stiffness; by increased mobility as demonstrated by a decrease in walking time; and by improved functional capability as demonstrated by an increase in grip strength. Indomethacin may enable the reduction of steroid dosage in patients receiving steroids for the more severe forms of rheumatoid arthritis. In such instances the steroid dosage should be reduced slowly and the patients followed very closely for any possible adverse effects. Matthews RT, Yang L, Jenkins BG, et al. Neuroprotective effects of creatine and cyclocreatine in animal models of Huntington's disease. Tell your doctor if you are or if you plan to become pregnant. During concomitant use of INDOCIN SR and methotrexate, monitor patients for methotrexate toxicity.
Schimmel MS, Inwood RJ, Eidelman AI, Eylath U. Toxic digitalis levels associated with indomethacin therapy in a neonate. The blood sample is taken from a vein in your arm. An elastic band is wrapped around your upper arm. It may feel tight. You may feel nothing at all from the needle, or you may feel a quick sting or pinch. Fluid retention and edema have been observed in some patients taking NSAIDs. Indomethacin should be used with caution in patients with fluid retention or heart failure. If these occur, patients should be instructed to stop therapy and seek immediate medical therapy. Quattrocchi FP, Robinson JD, Curry RW Jr, Grieco ML, Schulman SG. The effect of ibuprofen on serum digoxin concentrations. Side effects and risks. People with asthma should not use ibuprofen if they have an alternative. In one out of five people with asthma, it can cause worsening symptoms, which may need immediate treatment. If you have a bad reaction to ibuprofen, you should not use it or any other NSAID without your doctor's permission. Some people may develop hives and facial swelling. Tell your doctor if you are taking an antidepressant such as citalopram Celexa duloxetine Cymbalta escitalopram Lexapro fluoxetine Prozac, Sarafem, Symbyax fluvoxamine Luvox paroxetine Paxil sertraline Zoloft or venlafaxine Effexor. Taking any of these drugs with indomethacin may cause you to bruise or bleed easily. In animal studies, administration of prostaglandin synthesis inhibitors such as indomethacin, resulted in increased pre- and post-implantation loss. NSAIDs, including INDOCIN SR, can lead to new onset of or worsening of preexisting hypertension, either of which may contribute to the increased incidence of CV events. Tarnopolsky, M. A. Creatine monohydrate supplementation does not improve functional recovery after total knee arthroplasty. anafranil
Kuno, S. Y. Short-term creatine supplementation does not improve muscle activation or sprint performance in humans. Have any necessary blood tests done. Giles W, Bisits A; Bisits October 2007. "Preterm labour. The present and future of tocolysis". Best Pract Res Clin Obstet Gynaecol. Zachariadis, G. A. and Spanou, E. A. Microwave-assisted acid extraction methodology for trace elements determination in mastic gum of Pistacia lentiscus using inductively coupled plasma atomic emission spectrometry. Phytochem. Andrikopoulos, N. K. Pistacia lentiscus Resin Regulates Intestinal Damage and Inflammation in Trinitrobenzene Sulfonic Acid-Induced Colitis. J Med Food 5-25-2011; View abstract. Careful instructions to, and observations of, the individual patient are to the prevention of serious, irreversible, including fatal, adverse reactions. Tennekoon KH, Jeevathayaparan S, Kurukulasooriya AP, Karunanayake EH. Possible hepatotoxicity of Nigella sativa seeds and Dregea volubilis leaves. Respiratory depression is the chief hazard of Hydromorphone hydrochloride tablets. Respiratory depression is more likely to occur in the elderly, in the debilitated, and in those suffering from conditions accompanied by hypoxia or hypercapnia when even moderate therapeutic doses may dangerously decrease pulmonary ventilation. Gilliam JD, Hohzorn C, Martin D, Trimble MH. Effect of oral creatine supplementation on isokinetic torque production. Safety and effectiveness in pediatric patients 14 years of age and younger have not been established. Devaraj S, Jialal I. Low-density lipoprotein postsecretory modification, monocyte function, and circulating adhesion molecules in type 2 diabetic patients with and without macrovascular complications: the effect of alpha-tocopherol supplementation. Nadelman RB, Arlin Z, Wormser GP "Life-threatening complications of empiric ceftriaxone therapy for seronegative Lyme disease. Indocin suspension should be used with extreme caution in CHILDREN younger than 15 year old; safety and effectiveness in these children have not been confirmed. Chernecky CC, Berger BJ 2013. Laboratory Tests and Diagnostic Procedures, 6th ed. St. Louis: Saunders. mail order cheap podophyllotoxin pharmacy podophyllotoxin
It should help simplify your choices the next time you're in the drugstore. The mean minimum lithium concentration increased 15%, and the renal clearance decreased by approximately 20%. This effect has been attributed to NSAID inhibition of renal prostaglandin synthesis. Syrotuik, D. G. and Bell, G. J. Acute creatine monohydrate supplementation: a descriptive physiological profile of responders vs. nonresponders. J Strength. If you miss a dose of Indocin and you are taking it regularly, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once. Keep this product out of the reach of children and away from pets. Ask your health care provider how to dispose of sumatriptan after use. Follow all local rules for disposal. This medicine may cause some people to become dizzy, lightheaded, drowsy, or less alert than they are normally. Even if used at bedtime, it may cause some people to feel drowsy or less alert on arising. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are not alert. Medicines that may increase bilirubin levels. Get emergency medical help if you have signs of an allergic reaction: sneezing, runny or stuffy nose; wheezing or trouble breathing; hives; swelling of your face, lips, tongue, or throat. Once the total daily dosage of Hydromorphone hydrochloride has been estimated, it should be divided into the desired number of doses. cheapest protonix purchase pharmacy
Reports of mild to severe seizures and myoclonus have been reported in severely compromised patients, administered high doses of parenteral Hydromorphone, for cancer and severe pain. Opioid administration at very high doses is associated with seizures and myoclonus in a variety of diseases where pain control is the primary focus. Attach a tube to the needle to fill it with blood. This information should not be used to decide whether or not to take sumatriptan or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about sumatriptan. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to sumatriptan. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your health care provider for complete information about the risks and benefits of using sumatriptan. Pantazis, P. Antiproliferative activity and induction of apoptosis in human colon cancer cells treated in vitro with constituents of a product derived from Pistacia lentiscus L. var. chia. Phytomedicine. If a decision is made to use indomethacin for pediatric patients two years of age or older, such patients should be monitored closely and periodic assessment of liver function is recommended. Concomitant use of INDOCIN and cyclosporine may increase cyclosporine's nephrotoxicity. Elevations of ALT or AST less than three times ULN may occur in up to 15% of patients treated with NSAIDs including indomethacin. Moderate to severe osteoarthritis. Hydromorphone hydrochloride tablets have been reported as being abused by crushing, chewing, snorting, or injecting the dissolved product. Conditions of Use and Important Information: This information is meant to supplement, not replace advice from your doctor or healthcare provider and is not meant to cover all possible uses, precautions, interactions or adverse effects. This information may not fit your specific health circumstances. Never delay or disregard seeking professional medical advice from your doctor or other qualified health care provider because of something you have read on WebMD. You should always speak with your doctor or health care professional before you start, stop, or change any prescribed part of your health care plan or treatment and to determine what course of therapy is right for you. Take Indocin by mouth with food. This may not lower the risk of stomach or bowel problems eg, bleeding, ulcers. Talk with your doctor if you have persistent stomach upset. Check with your doctor immediately if blurred vision, difficulty in reading, or any other change in vision occurs during or after treatment. Your doctor may want you to have your eyes checked by an ophthalmologist eye doctor. Greenhaff PL, Bodin K, Harris RC, and et al. The influence of oral creatine supplementation on muscle phosphocreatine resynthesis following intense contraction in man. The use of nonsteroidal anti-inflammatory drugs NSAIDs may be associated with an increased risk of cardiovascular thrombotic events such as myocardial infarction and stroke, which can be fatal. The risk may increase with duration of use. Clinical trials of several cyclooxygenase-2 COX-2 selective and nonselective NSAIDs of up to three years duration have supported this association. Although not all NSAIDs have been studied, investigators believe it may be a class effect, and that the risk may be similar for all NSAIDs, both COX-2 selective and nonselective. Therapy with NSAIDs should be administered cautiously in patients with a history of cardiovascular or cerebrovascular disease. Patients should be treated with the lowest effective dosage for the shortest duration necessary. Appropriate antiplatelet therapy should be administered to patients requiring cardioprotection. However, there is no consistent evidence that concurrent use of aspirin mitigates the increased risk of serious cardiovascular thrombotic events associated with NSAID use, while the risk of serious GI events is increased. Patients should be advised to promptly seek medical attention if they experience symptoms that could indicate a cardiovascular thrombotic event such as chest pain, shortness of breath, weakness, and slurring of speech. How do you dispose of a tick? They may already may be aware of this interaction and may be monitoring you for it. If your doctor prescribes these medicines together, you may need to check your bleeding times more often. Do not start, stop, or change the dosage of any medicine before checking with them first. Let your doctor know right away if you have any symptoms of bleeding.
See USP for Controlled Room Temperature. The pharmacological activity of INDOCIN SR in reducing inflammation, and possibly fever, may diminish the of diagnostic signs in detecting infections. The frequency and severity of side effects and the availability of better tolerated alternatives make indometacin today a drug of second choice. Its use in acute attacks and in is well-established because in these indications the duration of treatment is limited to a few days only, therefore serious side effects are not likely to occur. What are the possible side effects of NSAIDs? Gender has little effect on the pharmacokinetics of Hydromorphone. Females appear to have higher C max 25% than males with comparable AUC 0-24 values. The difference observed in C max may not be clinically relevant. Therapy with NSAIDs should be administered cautiously in such patients, and hypovolemia and hyponatremia should be corrected prior to initiating treatment. Orally administered indomethacin immediate-release capsules are virtually 100% bioavailable, with 90% of the dose absorbed within 4 hours. A single 50 mg dose of INDOCIN oral suspension was found to be bioequivalent to a 50 mg INDOCIN Capsule when each was administered with food. Allergic dermatitis and urticaria have also been reported during postmarketing experience. Indomethacin may aggravate depression or other psychiatric disturbances, epilepsy, and parkinsonism, and should be used with considerable caution in patients with these conditions. If severe CNS adverse reactions develop, indomethacin should be discontinued. Tell your doctor if your condition worsens. NSAIDs cause an increased risk of serious gastrointestinal GI adverse events including bleeding, ulceration, and perforation of the stomach or intestines, which can be fatal. These events can occur at any time during use and without warning symptoms. Elderly patients are at a greater risk for serious GI events. Mancini, G. M. Long-term follow-up and treatment in nine boys with X-linked creatine transporter defect. Concomitant use of INDOCIN SR and pemetrexed may increase the risk of pemetrexed-associated myelosuppression, renal, and GI toxicity see the pemetrexed prescribing information. Zange, J. Creatine has no beneficial effect on skeletal muscle energy metabolism in patients with single mitochondrial DNA deletions: a placebo-controlled, double-blind 31P-MRS crossover study. More evidence is needed to rate the effectiveness of creatine for these uses. gefitinib canada pharmacy online
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. Indocin comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Indocin refilled. Poortmans, J. R. and Francaux, M. Renal dysfunction accompanying oral creatine supplements. Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. What should I discuss with my healthcare provider before taking indomethacin Indocin? Drink six to eight glasses of water every day for three days after the procedure to help flush your urinary system. Giannikopoulos, G. The effect of mastic gum on Helicobacter pylori: a randomized pilot study. Phytomedicine. Beck, J. J. Survey of ex situ fruit and leaf volatiles from several Pistacia cultivars grown in California. J Sci Food Agric. 1-11-2011; View abstract. One suppository inserted into the rectum 3 to 4 times a day. Indomethacin may cause confusion or, rarely, psychosis see ; physicians should remain alert to the possibility of such adverse effects in the elderly. Hydromorphone hydrochloride is a pure opioid agonist with the principal therapeutic activity of analgesia. A significant feature of the analgesia is that it can occur without loss of consciousness. Opioid analgesics also suppress the cough reflex and may cause respiratory depression, mood changes, mental clouding, euphoria, dysphoria, nausea, vomiting and electroencephalographic changes. Many of the effects described below are common to this class of mu-opioid agonist analgesics which includes morphine, oxycodone, hydrocodone, codeine and fentanyl. In some instances, data may not exist to distinguish the effects of Hydromorphone hydrochloride tablets from those observed with other opioid analgesics. However, in the absence of data to the contrary, it is assumed that Hydromorphone hydrochloride tablets would possess all the actions of mu-agonist opioids. Carefully consider the potential benefits and risks of INDOCIN and other treatment options before deciding to use INDOCIN. Patients should be advised to report pain and adverse experiences occurring during therapy. Individualization of dosage is essential to make optimal use of this medication. cheap enalapril purchase pharmacy europe enalapril
Indomethacin may cause premature closure of the fetal ductus arteriosus. Remain lying down for about 15 minutes to keep the suppository from coming out before it melts. NSAID medicines can cause ulcers and bleeding in the stomach and intestines at any time during treatment. Kneessi, R. J. Is running performance enhanced with creatine serum ingestion? The information contained in the Truven Health Micromedex products as delivered by Drugs. Journal of Ultrasound in Medicine. Saremi A, Gharakhanloo R Sharghi S Gharaati MR Larijani B Omidfar K. Effects of oral creatine and resistance training on serum myostatin and GASP-1. Mol Cell Endocrinol. Prostaglandins are -like molecules normally found in the body, where they have a wide variety of effects, some of which lead to pain, fever, and inflammation. You may receive a small dose of a sedative just prior to the procedure. Pediatric patients: There have been cases of hepatotoxicity, including fatalities, in pediatric patients with juvenile rheumatoid arthritis. Indomethacin is available as 75 mg capsules. Kim, H. J. and Neophytou, C. Natural anti-inflammatory compounds for the management and adjuvant therapy of inflammatory bowel disease and its drug delivery system. Arch. Optimal rate of IV injection has not been established, however, published literature suggests an IV infusion rate of 20 to 30 minutes. atopex
Bergnes G, Yuan W, Khandekar VS, et al. Creatine and phosphocreatine analogs: anticancer activity and enzymatic analysis. Muscular dystrophy. Early research on the use of creatine by mouth in people with muscular dystrophy is not clear. Some evidence shows that muscle strength and fatigue seem to improve after taking creatine daily for 8-16 weeks. However, other research suggests that creatine provides no benefit for people with muscular dystrophy. INDOCIN SR immediately, and perform a clinical evaluation of the patient. NSAIDs, even in some patients without renal impairment. In patients with normal renal function, these effects have been attributed to a hyporeninemic-hypoaldosteronism state. When indomethacin is administered with aspirin, its protein binding is reduced, although the clearance of free indomethacin is not altered. The clinical significance of this interaction is not known. Unsourced material may be challenged and removed.
Pharmacokinetics of Hydromorphone have not been evaluated in children. Use of NSAIDs, including INDOCIN SR, during the third trimester of pregnancy increases the risk of premature closure of the fetal ductus arteriosus. Avoid use of NSAIDs, including INDOCIN SR, in pregnant women starting at 30 weeks of gestation third trimester. Plasma concentrations of indomethacin fluctuate less and are more sustained following administration of indomethacin extended-release capsules than following administration of 25 mg indomethacin immediate-release capsules given at 4-6 hour intervals. In multiple-dose comparisons, the mean daily steady-state plasma level of indomethacin attained with daily administration of indomethacin extended-release capsules 75 mg was indistinguishable from that following indomethacin immediate-release capsules 25 mg given at 0, 6 and 12 hours daily. However, there was a significant difference in indomethacin plasma levels between the two dosage regimens especially after 12 hours. Indomethacin may also cause stomach or intestinal bleeding, which can be fatal. These conditions can occur without warning while you are using indomethacin, especially in older adults. Aspirin can also cause ulcers in the stomach and intestines. The physician inserts a tube called a catheter into a vein in the neck and guides it to the liver. A biopsy needle is placed into the catheter and then into the liver to obtain a sample. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. Avoid taking aspirin while you are taking indomethacin. Cotton, M. M. Creatine supplementation during pulmonary rehabilitation in chronic obstructive pulmonary disease. generic cordarone brazil
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Dosage Recommendations for Active Stages of the Following: 1. Moderate to severe rheumatoid arthritis including acute flares of chronic disease; moderate to severe ankylosing spondylitis; and moderate to severe osteoarthritis. There are no adequate and well-controlled studies of INDOCIN SR in pregnant women. Data from observational studies regarding potential embryofetal risks of NSAID use in women in the first or second trimesters of pregnancy are inconclusive. Eichmann A, Weidmann G, Havas L "One-dose treatment of acute uncomplicated gonorrhoea of male patients with ceftriaxone Ro 13-9904, a new parenteral cephalosporin: a dose-range finding pilot study. budesonide manufacturer discount
Trappe, T. A. Influence of creatine monohydrate ingestion on muscle metabolites and intense exercise capacity in individuals with multiple sclerosis. Arch Phys Med Rehabil. Cosford, D. J. The effects of oral creatine supplementation on performance in single and repeated sprint swimming. J Sports Sci. Patients should be advised not to adjust the dose of Hydromorphone hydrochloride tablets without consulting the prescribing professional. Place it in soapy water or alcohol, stick it to a piece of tape, or flush it down the toilet. When should you see a doctor if you suspect you have Lyme? Some possible warning signs of serious side effects that can occur during treatment with this medicine may include black, tarry stools, decreased urination, severe stomach pain, skin rash, swelling of the face, fingers, feet, or lower legs, unusual bleeding or bruising, unusual weight gain, vomiting of blood or material that looks like coffee grounds, or yellow skin or eyes. Also, signs of serious heart problems could occur, such as chest pain, tightness in chest, fast or irregular heartbeat, unusual flushing or warmth of the skin, weakness, or slurring of speech. Stop using this medicine and check with your doctor right away if you notice any of these warning signs. careprost
When indomethacin is given to patients receiving probenecid, the plasma levels of indomethacin are likely to be increased. The respiratory depressant effects of Hydromorphone hydrochloride tablets with carbon dioxide retention and secondary elevation of cerebrospinal fluid pressure may be markedly exaggerated in the presence of head injury, other intracranial lesions, or preexisting increase in intracranial pressure. Opioid analgesics including Hydromorphone hydrochloride tablets may produce effects on pupillary response and consciousness which can obscure the clinical course and neurologic signs of further increase in intracranial pressure in patients with head injuries. actonel suppositories price south africa
Unlike aspirin and other NSAIDS, acetaminophen seems to be safer for people with asthma. Based on the mechanism of action, the use of prostaglandin-mediated NSAIDs, including INDOCIN SR, may delay or prevent of follicles, which has been associated with reversible in some women. Published animal studies have shown that administration of prostaglandin synthesis inhibitors has the potential to disrupt prostaglandin-mediated follicular rupture required for ovulation. Small studies in women treated with NSAIDs have also shown a reversible delay in ovulation. Consider withdrawal of NSAIDs, including INDOCIN SR, in women who have difficulties conceiving or who are undergoing investigation of infertility.