Survey of endocrinologists managing recovery from anabolic androgenic steroid induced hypogonadism

Reprod Fertil. 2023 Feb 27;4(1):e220097. doi: 10.1530/RAF-22-0097. Print 2023 Jan 1.

Abstract

Anabolic steroids (also known as 'steroids') are banned drugs like testosterone, which make muscles bigger in men. These drugs are dangerous because they stop the testes from making natural testosterone and can cause heart attacks. Men stopping steroids have very low testosterone, which makes them feel weak, depressed, suicidal, infertile, and unable to have erections. We surveyed over 100 doctors to find out how they treat men giving up steroids. We report that doctors differ widely in the way they treat these men. Most doctors simply advise men to wait for the natural recovery of testosterone levels to happen. But 20% of doctors give men drugs to boost testosterone and make men feel better. Unfortunately, many patients had not recovered by the time of our survey. In summary, our survey highlights differences and limitations in the treatment of men giving up steroids. The use of steroids is increasing rapidly among young men, so we recommend further work to improve the treatment of men who are motivated to give up steroids.

Keywords: anabolic-androgenic steroids; hypogonadism; testosterone; withdrawal.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anabolic Agents* / adverse effects
  • Anabolic Androgenic Steroids
  • Androgens / adverse effects
  • Animals
  • Endocrinologists
  • Humans
  • Hypogonadism* / chemically induced
  • Hypogonadism* / veterinary
  • Steroids / adverse effects
  • Testosterone / adverse effects
  • Testosterone Congeners / adverse effects

Substances

  • Anabolic Androgenic Steroids
  • Androgens
  • Anabolic Agents
  • Testosterone Congeners
  • Testosterone
  • Steroids