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Androgens such as testosterone, androstenedione and dihydrotestosterone are required for the development of organs in the male reproductive system, including the seminal vesicles, epididymis, vas deferens, penis and prostate. Aas are testosterone derivatives designed to maximize the anabolic effects of testosterone. The effects of the anabolic-androgenic steroids on the male reproductive system are oligospermia (small number of sperm) and azoospermia (lack of sperm in the semen), decreased testicular size,. Anabolic steroids act at androgen receptors to influence cellular functioning and gene expression. In addition to regulating pathways involved in the development of male characteristics,103 activation of androgen receptors also produces rapid increases in calcium levels within skeletal muscle, heart, and brain cells. 104 calcium plays important roles in neuronal signaling. Anabolic androgenic steroids use may have serious and potentially irreversible adverse effects on different organs and systems, including the reproductive system. Objective this systematic review and meta-analysis aimed to critically assess the impact of aas use on the reproductive system of athletes and recreational users. Some side effects of steroid use will be visible to the naked eye 1 3. Men can experience breast growth beyond the muscular buildup of the chest muscles due to conversion to estrogen. In addition, the testicles might shrink. Men might also notice changes in hair growth patterns and they might lose hair. Here we discuss about the side effects of anabolic steroids. Unchecked use of steroids can alter the normal hormonal production in the body and subsequently lead to severe conditions. Although most side effects can be reversed if the intake of steroids is stopped, some may persist. Side effects are presented differently in case of male and female. Anabolic steroids are drugs that are chemically related to the main male hormone testosterone. They are best known for their effects on building muscle (called anabolic). Sometimes doctors prescribe anabolic steroids to help patients with hiv gain weight and to treat certain types of severe anemia (low red blood cells) or other health problems. The nurse is explaining the negative effects of anabolic steroids for enhancing athletic performance to the adolescent female pt experiencing negative effects. The pt asks the nurse if there is research to prove herbal and alternative therapies can improve performance. Anabolic steroids: beyond testosterone. Structural modifications have been made to the testosterone molecule in an attempt to maximize the anabolic effects and minimize the androgenic ones; however, all aass are virilizing if administered for long enough, at high enough dosages 7. Anabolic steroids side effects male reproductive system, anabolic steroids side effects skin became a registered member 3 weeks, 3 days ago. The intake of testosterone hormone results in the low estrogenic effects and high in the androgenic properties. Usually, they have messed up their faces from prolonged abusing of anabolic steroids and hormones. They are just making their condition more badly. The permanent deepening of voice and enlargement of the clitoris are very common. A number of unhealthy and damaging effects may result from the use of anabolic steroids that can lead to both emotional and physical problems. Studies have shown that abuse of steroids can increase aggressive behavior, cause mood swings, and impair judgment. Other reported effects include male-pattern baldness, acne, and liver damage 
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