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Anabolic Steroid Abuse

Mary S. Lindholm, MD Reviewed 06/2018
 


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 WADA uses the Athlete Biological Passport (ABP) as part of a comprehensive anti-doping program to reveal the physiologic effects of doping.

  • The WADA ABP ...

TREATMENT

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

  • AAS abuse/dependence is complicated by

    • High frequency of comorbid body image disorders including muscle dysmorphia

    • Few ...

ONGOING CARE

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

FOLLOW-UP RECOMMENDATIONS

Based on side effects...

REFERENCES

1
Rane A, Ekström L. Androgens and doping tests: genetic variation and pit-falls. Br J Clin Pharmacol.  2012;74(1):3–15. {L-End} [View Abstract on OvidMedline]
2
Kersey RD, Elliot DL, Go...

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.

  • Dodge T, Ho...

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) 

CLINICAL 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.

  • Tre...

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