Anabolic steroid abuse

Steven denies using steroids but comes in complaining of decreased sex drive and an inability to maintain erections. His testosterone level is 98. Normal for a healthy 40-year-old male should be between 400- 500.

Using a trick I learned from Oprah, I lean in; and while maintaining direct eye contact I ask, “Are you sure you haven’t used any anabolic steroids?”

Steven stares back at me nervously and offers a weak smile. “Well, I did do a short cycle of Winstrol two months ago, but Winstrol isn’t a steroid.”

“Oh really? What is it then?”

“It cuts you up and makes you lean. I wanted to look good for the summer.”

Muscular Dysmorphia or Reverse Anorexia Nervosa is a particular psyche issue that predisposes some men into chronic androgen abuse and addiction. These men perceive themselves as small even when they’re muscular and hold unrealistic goals about size and strength. After a cycle of steroids, these men go into androgen withdrawal. This period can last months to years, with accompanying depression, emotional lability and loss of libido.

Chronic androgen use may ultimately lead to permanent suppression of normal testicular testosterone production.

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