מידע סקירה מדעית - סטרואידים ופוריות הגבר

[Daniel Barack]

סקירה מדעית קצרה ועניינית בנושא זה

Anabolic steroids abuse and male infertility

מסקנות הכותבים:

Anabolic steroids are able to increase strength and muscle mass in some people when combined with a proper diet and an intense training program. All anabolic steroids are also androgenic. Anabolic steroids are marked with numerous side effects, some of which are potentially fatal, and some of which are permanent. However, most side effects are mild and reversible. Education alone is probably not the miracle strategy inciting stopping the abuse of anabolic steroids, but is an essential first step in the fight against this problem. The common factor in the medical literature available on the misuse of AAS is very heterogeneous. This limits objective comparisons between the different drugs and diets. The AAS abuse can disrupt the health of the person at multiple levels. The impact on male fertility is one of the least reported, but certainly one that clinicians should know better. The infertility evaluation of a AAS consumer should include a physical examination, a seminal analysis, a study of hormonal profile and genetic analysis. Immediate cessation of the use of AAS should be encouraged. A lack of awareness regarding the negative long-term effects on fertility was the primary factor related to regret of AAS use in men with anabolic-/steroid-induced hypogonadism [38]. A particular attention should be paid to dietary supplements called “without steroids”. We are lead to the conclusion that the impact of steroids on male fertility is not just a purely transitory state. In short, the best policy is to strongly discourage the use of steroids and, for consumers who persist in their abuse, to offer them an appropriate ethics and clinical uro-andrologic support.

 

[Dr Diesel*]

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[Daniel Barack]

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