Anabolic Steroid Abuse

Mary S. Lindholm, MD Reviewed 06/2017
 


BASICS

The misuse of testosterone and closely related compounds (often in supratherapeutic dosages) to increase lean muscle mass and improve athletic performance 

DESCRIPTION

  • Anabolic-androgenic steroid...

DIAGNOSIS

  • Based on history and physical exam

  • The World Anti-Doping Association (WADA) uses the Athlete Biological Passport (ABP) as part of a comprehensive antidoping program to reveal the physiologic ...

TREATMENT

  • Treatment is limited by the fact that AAS abusers rarely seek assistance (8).

  • AAS abuse/dependence is complicated by

    • High frequency of comorbid body image disorders including muscle dysmorph...

ONGOING CARE

Follow-up with primary care and other specialists (e.g., behavioral health specialist or addiction specialist) is based on clinical factors. 

FOLLOWUP RECOMMENDATIONS

Based on side effects ...

REFERENCES

Rane A, Ekström L. Androgens and doping tests: genetic variation and pit-falls. Br J Clin Pharmacol.  2012;74(1):3–15. [View Abstract on OvidInsights]
Kersey RD, Elliot DL, Goldberg L...

ADDITIONAL READING

  • Angoorani H, Narenjiha H, Tayyebi B et al. Amphetamine use and its associated factors in body builders: a study from Tehran, Iran. Arch Med Sci.  2012;8(2):362–367. [View Abstr...

SEE ALSO

Substance Use Disorders 

CODES

ICD10

F55.3 Abuse of steroids or hormones 

ICD9

305.90 Other, mixed, or unspecified drug abuse, unspecified 

SNOMED

231458000 abuse of steroids (disorder) 

PEARLS

  • Anabolic steroid use is not limited to elite athletes.

  • Suspect anabolic steroid abuse in at-risk patients with consistent clinical features.

  • Discuss steroid use in an unbiased manner.

  • Treat sympto...

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