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A study of 31 men in 2018 found that taking ibuprofen (Aleve/Motrin) at a dose of 600mg twice a day showed alterations in their testicular-pituitary axis function resulting in hypogonadism (low testosterone), though the direct impact on semen parameters was not evaluated

The main side effects men should anticipate are nausea (especially initially), possible flushing, and maybe a headache or mild dizziness