Self-imported androgens and erectile dysfunction

+Practice

In print

Sexual health

Self-imported androgens and erectile dysfunction

10 April 2024

By Massimo Giola

Wednesday 10 April 2024, 12:35 AM

Obtaining a Herculean physique by using anabolic steroids has its downsides [Image: Nathan Bartlett on Unsplash]

Sexual health specialist Massimo Giola discusses the use of anabolic steroids in a young gym-goer with hypogonadism

Key points, The use of anabolic-androgenic steroids for “muscle growth” is far more prevalent than we think. Among other risks and side effects, sexual function, Pract Green w Pale Yellow

Men's Health

References

AlShareef S, Gokarakonda SB, Marwaha R. Anabolic Steroid Use Disorder. Treasure Island (FL): StatPearls Publishing; 2023.
Basaria S. Male hypogonadism. Lancet 2014;383:1250–63.
García-Arnés JA, García-Casare N. Doping and sports endocrinology: Anabolic-androgenic steroids. Revista Clínica Española (English edition) 2022;222(10);612–20.
Grant B, Kean J, Vali N, et al. The use of post-cycle therapy is associated with reduced withdrawal symptoms from anabolic-androgenic steroid use: a survey of 470 men. Subst Abuse Treat Prev Policy 2023;18(1):66.
Rahnema CD, Lipshultz LI, Crosnoe LE, et al. Anabolic steroid–induced hypogonadism: diagnosis and treatment. Fertil Steril 2014;101(5):1271–79.
Wenbo Z, Yan Z. The uses of anabolic androgenic steroids among athletes; Its positive and negative aspects - A literature review. J Multidiscip Healthc 2023;16:4293–305.

How to Treat

+How to treat

For older people and frail people, the long-term benefit of medicines reduces and the potential for harm from adverse effects increases. When the benefit–risk balance changes in this way, medicine review and optimisation are important to simplify the therapeutic regimen, reduce inappropriate medicines and minimise risks. In this article, pharmacist prescriber Linda Bryant uses two case studies to illustrate important considerations during medicine reviews

Wednesday 28 May 2025, 12:50 AM