{"id":2242,"date":"2021-04-26T18:48:39","date_gmt":"2021-04-26T18:48:39","guid":{"rendered":"https:\/\/givelegacy.com\/?post_type=resource&#038;p=2242"},"modified":"2023-06-14T13:44:15","modified_gmt":"2023-06-14T13:44:15","slug":"steroids-and-male-fertility","status":"publish","type":"post","link":"https:\/\/www.givelegacy.com\/resources\/steroids-and-male-fertility\/","title":{"rendered":"Steroids and male fertility"},"content":{"rendered":"<hr>\n<p><span style=\"font-weight: 400;\">Lifestyle factors play a big role when it comes to fertility and <\/span><a href=\"https:\/\/givelegacy.com\/sperm-improvement-guide\/\"><span style=\"font-weight: 400;\">sperm improvement<\/span><\/a><span style=\"font-weight: 400;\">. And drug use, including the misuse of steroids, is one of those factors that can have a big impact. Do anabolic steroids affect male fertility? What about corticosteroids prescribed for chronic or short-term illness? Let\u2019s find out.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">What are anabolic steroids, and how are they used?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">A \u201csteroid\u201d is a type of compound with a specific chemical structure, including many hormones, alkaloids, and vitamins. \u201cAnabolic\u201d refers to the process of building up (muscle or bone), also known as biosynthesis.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Anabolic steroids are natural or synthetic versions of testosterone. Anabolic steroids may be prescribed to address hormone deficiencies or help certain kinds of patients gain weight or muscle mass, such as those with cancer or AIDS. But because testosterone increases muscle mass, anabolic steroids may be misused by athletes and bodybuilders to help build muscle, lower body fat percentage, or gain strength and endurance in an attempt to quickly increase athletic performance.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In these <\/span><a href=\"https:\/\/www.nhs.uk\/conditions\/anabolic-steroid-misuse\/\"><span style=\"font-weight: 400;\">cases of misuse<\/span><\/a><span style=\"font-weight: 400;\">, individuals are often aware of the dangers, and experiment with &#8220;cycling,&#8221; &#8220;stacking,&#8221; or &#8220;pyramiding&#8221; administration methods to try to bypass side-effects. However, there is <\/span><b>no<\/b><span style=\"font-weight: 400;\"> scientific evidence that proves any of these methods help reduce the probable short-term and long-term negative side effects\u2014including the detrimental impact on <a href=\"https:\/\/www.givelegacy.com\/sperm-quality\/\">sperm quality<\/a> parameters and overall fertility.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">How anabolic steroids affect fertility<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">From sperm quality parameters to testicular function, the misuse of anabolic steroids can have lasting effects on male fertility. Here&#8217;s what you need to know:<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-2243\" src=\"https:\/\/givelegacy.com\/wp-content\/uploads\/2021\/04\/56-male-hormones-500x333.jpg\" alt=\"Steroids affect male fertility hormones\" width=\"500\" height=\"333\"><\/p>\n<h3><span style=\"font-weight: 400;\">Sperm production<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Certain hormones help regulate the male reproductive system. Testosterone, follicle-stimulating hormone (FSH), and luteinizing hormone (LH), are three key <\/span><a href=\"https:\/\/givelegacy.com\/resources\/the-hormones-that-drive-male-fertility\/\"><span style=\"font-weight: 400;\">hormones that drive male fertility<\/span><\/a><span style=\"font-weight: 400;\">. A <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4744441\/\"><span style=\"font-weight: 400;\">study<\/span><\/a><span style=\"font-weight: 400;\"> that observed anabolic steroid use determined that intake of synthetic testosterone, like anabolic steroids, inhibits the secretion of both FSH and LH, which are fundamental to producing <a href=\"https:\/\/www.givelegacy.com\/what-is-sperm\/\">sperm<\/a>. With these hormones inhibited, the body is unable to properly produce sperm. As a result, men taking anabolic steroids saw quality parameters, such as sperm count and concentration, plummet.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In most cases, these negative effects on sperm production were temporary, and could be reversed if the individual stopped taking anabolic steroids. Sperm quality parameters could be expected to normalize after 4 to 12 months of ending steroid use. However, in some cases, patients experienced up to 5 years of azoospermia, a medical condition where a male is unable to produce any sperm.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Multiple studies conclude that the use of anabolic steroids significantly decreased quality sperm parameters. One <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/2512180\/\"><span style=\"font-weight: 400;\">study<\/span><\/a><span style=\"font-weight: 400;\"> compared 41 bodybuilders using anabolic steroids with 41 volunteers who did not use steroids or other drugs. Over half of the bodybuilders showed dramatically low sperm quality values, compared to just 12% of the male volunteers.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In a similar <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11270623\/\"><span style=\"font-weight: 400;\">study<\/span><\/a><span style=\"font-weight: 400;\"> of steroid-using bodybuilders, researchers found that only 17.7% of men with a history of using steroids had any morphologically normal sperm. And another <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/18004690\/\"><span style=\"font-weight: 400;\">study<\/span><\/a><span style=\"font-weight: 400;\"> that followed 20 male bodybuilders using anabolic steroids over a 2-year period found that decreased fertility was one of the most significant long-term adverse effects.<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-1493\" src=\"https:\/\/givelegacy.com\/wp-content\/uploads\/2020\/09\/sperm-improvement-steroids-500x333.jpg\" alt=\"\" width=\"500\" height=\"333\"><\/p>\n<p><em>Learn more about <a href=\"https:\/\/givelegacy.com\/resources\/steroids-and-sterility-a-new-study\/\">steroids and sterility<\/a>.<\/em><\/p>\n<h3><span style=\"font-weight: 400;\">Testicular function<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Another long-term effect of chronic anabolic steroid misuse may be decreased testosterone production.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In a <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4988681\/\"><span style=\"font-weight: 400;\">study<\/span><\/a><span style=\"font-weight: 400;\"> that evaluated groups of three men\u2014men who never used anabolic steroids, former anabolic steroid abusers, and current anabolic steroid misusers\u2014it was found that anabolic steroid use has long-term effects on a male&#8217;s ability to produce testosterone. Of the three groups, current users of anabolic steroids had the lowest testosterone levels, and former users&#8217; testosterone levels were notably lower than the group of men who never took anabolic steroids.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">These <\/span><a href=\"https:\/\/academic.oup.com\/jcem\/advance-article-abstract\/doi\/10.1210\/clinem\/dgab129\/6156950?redirectedFrom=fulltext\"><span style=\"font-weight: 400;\">findings<\/span><\/a><span style=\"font-weight: 400;\"> suggest that the Leydig cells in the testes, which are responsible for producing testosterone, may become permanently impaired with steroid misuse. This shutdown of the function of the testes is known as \u201csteroid-induced hypogonadism.\u201d<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Other side effects of anabolic steroids<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Along with fertility, there are also other <\/span><a href=\"https:\/\/www.drugabuse.gov\/publications\/research-reports\/steroids-other-appearance-performance-enhancing-drugs-apeds\/what-are-side-effects-anabolic-steroid-misuse\"><span style=\"font-weight: 400;\">major areas<\/span><\/a><span style=\"font-weight: 400;\"> users of anabolic steroids may experience. While many of these side effects may be reversed after cessation of steroid use, there are some instances where permanent damage may be done.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Cardiovascular system<\/span><\/h3>\n<p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/9013370\/\"><span style=\"font-weight: 400;\">Research<\/span><\/a><span style=\"font-weight: 400;\"> shows that anabolic steroids can increase low-density lipoprotein (LDL) levels and decrease high-density lipoprotein (HDL) levels, which contribute to:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">High blood pressure<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Blood clots<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Heart attacks<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stroke<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Artery damage<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">Hormone (endocrine) system<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Anabolic steroid use disrupts normal hormone production in the body. While hormones play a big role in fertility and sperm production, there are other hormones that regulate vital areas and functions of the body. Hormonal imbalances brought on by anabolic steroid misuse can <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/21769864\/\"><span style=\"font-weight: 400;\">cause<\/span><\/a><span style=\"font-weight: 400;\">:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Enlarged breast tissue<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Shrinking of the testicles<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Male-pattern baldness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Testicular cancer<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Severe acne and cysts<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Oily scalp and skin<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">Musculoskeletal system<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Use of anabolic steroids sends signals to the body. In <\/span><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/abs\/10.1002\/ajpa.1330710409\"><span style=\"font-weight: 400;\">adolescents<\/span><\/a><span style=\"font-weight: 400;\">, the surge of synthetic testosterone can signal the body to stop growing and stunt growth. For adults, <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23620489\/\"><span style=\"font-weight: 400;\">studies <\/span><\/a><span style=\"font-weight: 400;\">show that individuals who use anabolic steroids tend to have stiffer tendons, which is linked to an increased risk of tendon injury.&nbsp;<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Short stature (if taken by adolescents)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tendon injury<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">Psychiatric effects<\/span><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Aggression<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mania<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Delusions<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">You&#8217;re probably familiar with the term &#8220;roid rage.&#8221; Abusers of anabolic steroids can experience short-term, and in some cases, long-term psychiatric effects. In a <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/8036984\/\"><span style=\"font-weight: 400;\">study<\/span><\/a><span style=\"font-weight: 400;\"> on adolescent steroid users, it was found that anabolic steroid users reported more anger, fights, and verbal aggression than non-users. Another <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2646607\/\"><span style=\"font-weight: 400;\">study<\/span><\/a><span style=\"font-weight: 400;\"> that focused on the long-term effects of adult men found that anabolic steroid abuse is associated with dependence syndromes, mood syndromes, and progression to other forms of substance abuse.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Other side effects<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Anabolic steroid use may also cause:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Abscess or infection at injection site<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Liver damage\/jaundice<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">Do all steroids have the same impact on male fertility?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">When people talk about steroid misuse, they are usually referring to the anabolic steroids that we&#8217;ve discussed here\u2014the steroids that are made from or lookalikes for testosterone.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">These are not to be confused with <\/span><b>corticosteroids<\/b><span style=\"font-weight: 400;\">, which are prescription medications commonly used to help reduce inflammation and suppress the immune system. (Again, \u201csteroid\u201d just refers to a compound with a specific chemical structure.) <\/span><a href=\"https:\/\/medlineplus.gov\/steroids.html\"><span style=\"font-weight: 400;\">Corticosteroids<\/span><\/a><span style=\"font-weight: 400;\"> are used to treat a variety of conditions, like asthma, arthritis, eczema, lupus, and multiple sclerosis, as well as short-term infections that cause inflammation.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In some cases, prednisone (a type of corticosteroid), has actually been used as a treatment for infertility. One <\/span><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.1111\/andr.12300\"><span style=\"font-weight: 400;\">study<\/span><\/a><span style=\"font-weight: 400;\"> observed that inflammation of the male urogenital tract could impair sperm quality parameters and reduce male fertility. Prednisone treatments may help reduce inflammation, improving sperm production and quality.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you\u2019ve been prescribed steroids for a short-term or chronic illness, don\u2019t be alarmed about their impact on your fertility. And as always, if you have questions about which medications may impact your fertility, talk to your doctor.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">The bottom line: anabolic steroids have a considerably negative impact on male fertility.<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Misuse of anabolic steroids is detrimental in many ways, especially if you\u2019d like to have biological children. While the negative consequences may be short-term and reversible after ending anabolic steroid use, there\u2019s a possibility that you\u2019ll experience long-lasting impacts on your fertility, psychiatric health, and more.<\/span><\/p>\n<hr>\n","protected":false},"excerpt":{"rendered":"<p>Lifestyle factors play a big role when it comes to fertility and sperm improvement. And drug use, including the misuse of steroids, is one of those factors that can have a big impact. Do anabolic steroids affect male fertility? What about corticosteroids prescribed for chronic or short-term illness? Let\u2019s find out. What are anabolic steroids, [&hellip;]<\/p>\n","protected":false},"author":14,"featured_media":15608,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_seopress_robots_primary_cat":"none","_seopress_titles_title":"%%title%%: Anabolic steroids and corticosteroids %%sep%% %%sitename%%","_seopress_titles_desc":"Do anabolic steroids affect male fertility? What about corticosteroids prescribed for chronic or short-term illness? Let\u2019s find out.","_seopress_robots_index":"","footnotes":""},"categories":[61,18,134,125],"tags":[144,145,53,13,188,171,32,25],"class_list":["post-2242","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-infertility","category-improving-sperm-health","category-lifestyle","category-medical-infertility","tag-bodybuilding","tag-exercise","tag-lifestyle","tag-male-factor-infertility","tag-medication","tag-steroids","tag-testosterone","tag-testosterone-replacement-therapy"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.givelegacy.com\/vnext\/index.php?rest_route=\/wp\/v2\/posts\/2242"}],"collection":[{"href":"https:\/\/www.givelegacy.com\/vnext\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.givelegacy.com\/vnext\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.givelegacy.com\/vnext\/index.php?rest_route=\/wp\/v2\/users\/14"}],"replies":[{"embeddable":true,"href":"https:\/\/www.givelegacy.com\/vnext\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2242"}],"version-history":[{"count":1,"href":"https:\/\/www.givelegacy.com\/vnext\/index.php?rest_route=\/wp\/v2\/posts\/2242\/revisions"}],"predecessor-version":[{"id":16199,"href":"https:\/\/www.givelegacy.com\/vnext\/index.php?rest_route=\/wp\/v2\/posts\/2242\/revisions\/16199"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.givelegacy.com\/vnext\/index.php?rest_route=\/wp\/v2\/media\/15608"}],"wp:attachment":[{"href":"https:\/\/www.givelegacy.com\/vnext\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2242"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.givelegacy.com\/vnext\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2242"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.givelegacy.com\/vnext\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2242"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}