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Anabolic Steroid Abuse

Mary S. Lindholm, MD Reviewed 06/2021
 


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. [View Abstract on OvidMedline] ...

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.  ...

SEE ALSO

Substance Use Disorders 

CODES

ICD10

F55.3 Abuse of steroids or hormones 

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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