Steroids

For years, anabolic steroids have been used by competitive athletes to improve performance through muscular size or strength, and by noncompetitive weight trainers for purely cosmetic physique enhancement. In the vast majority of cases, users of that have taken steroids for prolonged periods have reported considerable gains in physical size and strength. However, a large number of side effects and health risks have been linked to extended use of anabolic steroids. Research has indicated that the negative effects of steroid use far outweigh the positive effects.

As a result, anabolic steroids are now illegal to use for performance enhancement in professional and competitive sports. The Controlled Substances Act (CSA), passed by Congress in 1991, defines anabolic steroids as any drug or hormonal substance chemically and pharmacologically related to testosterone (other than estrogens, progestins and corticosteroids) that promotes muscle growth (DEA).

Steroids are available legally only by prescription, to treat conditions that occur when the body produces abnormally low amounts of testosterone, such as delayed puberty and some types of impotence, and also to treat body wasting in patients with AIDS and other diseases. The most common types of anabolic steroids sold on the illicit market are equipoise, Maxibolin, Halotestin, Dianabol, Durabolin, Deca-Durabolin, Anavar, Anadrol, Winstrol and Finajet (Steroid Law). Anabolic steroids can be taken orally, injected intramuscularly or rubbed on the skin when in the form of gels or creams. Cycling is the most common pattern in which steroids are used.

This process involves taking multiple doses of steroids over a specific period of time, stopping for a period, and starting again. Users also frequently combine several different types of steroids in a process known as stacking. By doing this, users believe that the different steroids will interact to produce an effect on muscle size that is greater than the effects of using each drug individually. Another mode of steroid use pyramiding, in which users slowly escalate steroid use reaching a peak amount at mid-cycle and gradually decreasing the dose toward the end of the cycle (Roberts).

Results from the 1999 Monitoring the Future Study, which surveys students and steroid use, showed that 2.8 percent of male high school seniors used steroids in the past year. In addition, 44.6 percent of the seniors surveyed reported that it was “fairly easy” to obtain steroids. Among 19-22 year olds surveyed in 1998, 20 percent reported having a friend who was a current user of steroids (NIDA). These numbers will continue to increase as athletes look for performance enhancing methods to assist them in their training.

Prolonged steroid use can be accompanied by a multitude of serious and minor internal and external side effects. Using steroids for an extended amount of time can prove quite detrimental to a male’s general state of health. External changes, those visible on the male body, include virilization, acne and baldness. Internal changes include feminization, cardiovascular risks, changes in mood, gynecomastia, headaches, kidney problems, liver problems, immune system deficiencies, impotence, high blood pressure, stomachaches and water/salt retention problems. External side effects are relatively mild compared to the internal side effects. The skin is the most sensitive area for side effects. The most apparent side effects are the pores in the skin becoming larger making the skin rough. This process, called virilization, is irreversible once it has started.

Another major problem of steroid use is development of severe acne all over the body. Acne that already is apparent may become worse and if there is no acne already, it can be evoked. This side effect will differ from person to person, as all side effects do, depending on the person’s composition and the type and amount of steroid used. Various acne medications may be used in helping control acne outbreaks. Stretch marks are also prominent, not directly from the use of steroids, but from the rapid growth of the muscles. Using aloes, lotions and moisturizing gels can help offset this side effect. Baldness is another problem for some steroid users. Steroids do not cause baldness, however, they can speed the process up for those who are going to lose it anyway.

Steroids convert largely into DHT, causing hair loss to quicken. Steroids that are derivatives of DHT can also promote baldness. Hair loss, in the vast majority of cases, is an irreversible process. The external side effects of steroid use are relatively mild, although some are irreversible such as virilization and balding (Steroid Law). The internal side effects of prolonged steroid use are much more substantial and drastic than the external side effects.