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|  |  |  Patients Who Are DES Sons
 
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 How 
            should men who were exposed to DES in utero (or who may have been 
            exposed to DES in utero) be counseled?
 Patients should be 
              reassured that the majority of men exposed to DES in utero (DES 
              Sons) will not experience DES-related health problems. However, 
              like all male patients, they should be informed about testicular 
              self-exams, and counseled to immediately report any symptoms relating 
              to the urogenital system Studies investigating the links between 
              DES exposure and testicular cancer have yielded mixed results (199,203,205,214,222,227,231). 
              Although it is not proven that DES exposure increases the risk of 
              urogenital cancer in DES Sons, any symptoms, including testicular 
              masses, hematuria, or other urogenital complaints, should be thoroughly 
              investigated. DES Sons should be encouraged to discuss the 
              issue with their mothers, and, when possible, obtain their mother's 
              obstetrical records. This is of particular importance since health 
              risks to DES Sons are still being studied. Many women prescribed 
              DES while pregnant are elderly. If their children and grandchildren 
              are not informed of their potential risk, opportunities for future 
              intervention may be lost. For more information on health risks and ongoing studies for DES 
              Mothers, DES Daughters and the Third Generation, refer to the following 
              sections: For a complete list of the numbered citations 
              on this page see DES References. Back to Top |