“…8 Patients receiving sGCs experience acute relief; however, chronic exposure has been shown to increase susceptibility to diabetes, hypertension, adrenal insufficiency, and various neuropsychiatric diseases. 3,5,6 Furthermore, long-term exposure to sGCs has been shown to negatively impact male fertility by impairing sperm quality, 9,10 inducing germ cell apoptosis, 11 and altering androgen production and spermatogenesis, 12 which may have implications for intergenerational transmission.…”