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Anabolic-androgenic steroids (aas) are synthetically produced variations of the male sex hormone testosterone. Symptoms of hypogonadism (depressive symptoms, fatigue, decreased libido and erectile dysfunction) were recorded systematically. Anabolic steroids are synthetic, or human-made, variations of the male sex hormone testosterone. The proper term for these compounds is anabolic-androgenic steroids. "anabolic" refers to muscle building, and "androgenic" refers to increased male sex characteristics. Some common names for anabolic steroids are gear, juice, roids, and stackers. Health consequences associated with anabolic steroid abuse include: in boys and men, reduced sperm production, shrinking of the testicles, impotence, difficulty or pain in urinating, baldness, and irreversible breast enlargement (gynecomastia). Non-athletic people misuse anabolic steroids to increase body weight and lean muscle mass without increasing fat mass in the body. [1][2][3][4] the potential side effects from anabolic steroid abuse are significant, and health care providers should be aware of patients at risk of anabolic-androgenic steroid misuse. Since the 1970s anabolic androgenic steroids (aas) have been abused at ever increasing rates in competitive athletics, in recreational sports and in bodybuilding. Illegal steroids are typically taken by sports players, teens, and body builders but can also be taken by females and business men. Signs/symptoms of anabolic steroids. Anabolic steroids can cause a variety of symptoms in users. These symptoms may change the body and severely reduce levels of self-esteem. Signs and symptoms of withdrawal. Though uncommon, anabolic steroids use can lead to dependence 6, 7. Unlike other drugs like cocaine or opiates, steroids do not directly impact the reward pathways in the brain—processes that are more commonly believed to motivate a substance abuser to continue using a drug and further fueling a developing addiction. The symptoms of anabolics abuse are not as pronounced as the effects of recreational drugs are. However, it is important to look out for these signs and get help if someone notices them in their friend or relative. The most common symptoms of anabolic steroids abuse include: a sudden and abnormal increase in muscle mass. Abstract the psychiatric effects of anabolic-androgenic steroids (ie, testosterone and its derivatives) have been less well studied than their physical effects but are reported to include depression, mania, psychosis, and aggression. Dependence can also occur, with withdrawal involving psychiatric and physical symptoms. Recognizing steroid abuse physicians should be alert to the signs and symptoms of steroid abuse and should consid-er the problem in patients at high risk. Early recognition and intervention may prevent adverse and potentially irreversible conse-quences. Clues to possible anabolic-androgenic steroid abuse are listed in table 2. The term anabolic refers to the muscle-building properties of these manmade substances. Available legally only by prescription, anabolic steroids are sometimes prescribed by doctors to treat conditions in which testosterone levels are abnormally low, or in certain chronic conditions such as aids that are associated with loss of muscle mass

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