Association québécoise des médecins du sport Androgenic Anabolic Steroids

Association québécoise des médecins du sport

Androgenic AnabolicAndrogenic Anabolic

SteroidsSteroids

Association québécoise des médecins du sport

Anabolic AgentsAnabolic Agents

Testosterone (natural hormone)

Synthetic hormones

Prohormones

Association québécoise des médecins du sport

DESIRED EFFETCS DESIRED EFFETCS

Performance :

Muscle power and strenght

Body image :

Muscle volume

Association québécoise des médecins du sport

WHY USE THEM? WHY USE THEM?

PerformancePerformance

AppearenceAppearence

BothBoth

Steroids(n=45)

Steroids(n=45)

45 %45 %

24 %24 %

31 %31 %

Association québécoise des médecins du sport

Therapeutic use

Anabolic hormone(tissu build up)

Androgenous hormone(masculinising)

MECHANISM OF ACTION MECHANISM OF ACTION

Association québécoise des médecins du sport

AAS synthetic (nandrolone, THG, …)

Prohormones (DHEA, …)

Subcategories of Steroids

Association québécoise des médecins du sport

Manufacturing diagram of steroidsManufacturing diagram of steroids

Cholesterol

17 Hydroxyprogenenolone

Dehydroepiandrosterone (DHEA)

5-Androstenediol

17 Hydroxyprogesterone

Androstenedione

Testosterone

Dihydrotestosterone

4-Androstenediol

Estrone

Estradiol

Pregnenolone

Delta-5 Pathway

Progesterone

Delta-4 Pathway

= Enzyme

* The Physician and Sport Medecine (vol. 29, no 5, May 2001)

Association québécoise des médecins du sport

Real BenefitsReal BenefitsReal Benefits

AAS + adequate can increase body weight (lean mass)

In some individuals : Gains in muscle strenght acquired thru intense exercise and an adequate diet can be increased by AAS

Association québécoise des médecins du sport

Long and short term effects

Some may be irreversible?

Modifying factors Products used

Dose and lenght of time the product is used

Site of administration

Individual results

Health RisksHealth Risks

Association québécoise des médecins du sport

Growth being stopped

Inflammation and tendon rupture

Problems due to salt and water retention

Health RisksMusculo -skeletal

Association québécoise des médecins du sport

Health Risks(aesthetics)

Acne

Gynecomasty

Harsh voice (women)

prematured androgenic alopecia

Association québécoise des médecins du sport

Health RisksReproductive SystemHealth RisksReproductive System

number of spermatozoids

Testicular atrophy

Infertility

Irregular menstrual cycle

Clitoris enlargement

Association québécoise des médecins du sport

()()()Health Risks(psychological)Health Risks(psychological)

agressivity

Libido

Infertility

Withdrawal reaction

Association québécoise des médecins du sport

(hepatic / liver)(hepatic / liver)Health RisksHealth Risks

Function abnormalities

jaundice

tumors

cysts

Association québécoise des médecins du sport

Health RisksHealth Risks(cardiovascular)(cardiovascular)

Cholesterol

High blood pressure

Hearth attack

Association québécoise des médecins du sport

CONCLUSIONCONCLUSIONCONCLUSION

Illegal

Banned

Possible benefits vs enormous risks