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Dubai: Doctors have warned against the use of Anabolic steroids as it can lead to male infertility espcially amongst athletes, particularly those of Asian and African descent.
The British Medical Journal said they had been told by a number of doctors across the globe that Anabolic steroids can cause severe health problems especially if used in high doses.
“Although the long-term use of AAS does not appear to produce permanent male infertility, it should be avoided,” write the British and American doctors, who conducted the review of the published literature.
Dr Peter B. Kramer et al. The role of Anabolic steroids and related compounds in the development of polycystic ovary syndrome (PCOS) in men.
The journal, however, added that the link between steroids use and infertility is not universally accepted, with some studies pointing in the opposite direction.
“In general, these studies found that there is no evidence that such use adversely affects fertility, but there is some evidence to suggest that the use of anabolic steroids may increase the risk of non-invasively-induced male infertility,” wrote B.J.G. Kramlich et al.
The American Journal of Sports Medicine added that there is some evidence that a high concentration of testosterone may contribute to male infertility: “However, the overall effect on the rate at which such events occur in our research population is uncertain and further research is necessary.”
The researchers said that “long-term steroid use may result in alterations in the reproductive tract that are reversible, however, changes in the reproductive tract may be irreversible.”
They pointed out that even high doses of Anabolic steroids can result in negative side effects, resulting in weight loss and fat gain: “The increased fatness and the weight gain in men who have used steroids has been linked to the use of steroids. The increase in weight may result from a greater intake, the increased energy expended, or a greater loss of muscle, if this is taken into account.”
The experts have therefore decided to review current research on the link between the drug and the development of PCOS, and offer recommendations on how other factors, such as lifestyle choices, health care, or other factors also impact upon the severity of PCOS symptoms and signs.
“Many cases, especially among Asian and African males, may not be able to detect signs and symptoms even when a man exhibits some of the signs and symptoms of PCOS. Therefore further studies are needed, either with a larger sample size or with larger populations.”
The BMJ says that studies are currently under way to try to replicate the finding that
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