Anabolic androgenic steroids intake and its impact on male reproductive system - systematic review

Anabolic-androgenic steroids (AAS) are a significant lifestyle factor in infertility and are often used to enhance physical performance and appearance. Endogenous AAS regulate male sex organ development and secondary characteristics. Commonly used AAS include testosterone esters like undecanoate an...

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Main Authors: Maja Mielczarek, Paulina Sroczyńska, Jan Sroczyński, Julia Lachowska, Karolina Senior, Jerzy Smandek
Format: Article
Language:English
Published: Nicolaus Copernicus University in Toruń 2025-02-01
Series:Quality in Sport
Subjects:
Online Access:https://apcz.umk.pl/QS/article/view/57738
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author Maja Mielczarek
Paulina Sroczyńska
Jan Sroczyński
Julia Lachowska
Karolina Senior
Jerzy Smandek
author_facet Maja Mielczarek
Paulina Sroczyńska
Jan Sroczyński
Julia Lachowska
Karolina Senior
Jerzy Smandek
author_sort Maja Mielczarek
collection DOAJ
description Anabolic-androgenic steroids (AAS) are a significant lifestyle factor in infertility and are often used to enhance physical performance and appearance. Endogenous AAS regulate male sex organ development and secondary characteristics. Commonly used AAS include testosterone esters like undecanoate and enanthate, as well as nandrolone esters, testosterone cypionate, and testosterone propionate—along with nandrolone esters, such as nandrolone decanoate and nandrolone phenylpropionate, stanozolol and methandrostenolone (also known as methandienone). AAS bind to androgen receptors, promoting muscle growth by increasing protein synthesis and promoting the growth hormone-insulin-like growth factor 1 axis. AAS are commonly administered via intramuscular injection or oral ingestion. Injectable forms of AAS have extended half-life due to esterification, while oral AAS face reduced bioavailability because of first-pass metabolism. Adverse effects of AAS include cardiovascular, endocrine, neuropsychiatric and dermatological issues. AAS usage has a huge impact on male fertility. Anabolic androgenic steroids intake can result in suppressing  gonadotropins, leading to reduced sperm concentration, testicular dysfunction and hypogonadism, which can lead to decreased libido and erectile dysfunction. While some effects on fertility may be reversible, recovery timelines vary.
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issn 2450-3118
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record_format Article
series Quality in Sport
spelling doaj-art-50e2fc9d9d124cb38dba0a81233e19212025-02-06T08:24:42ZengNicolaus Copernicus University in ToruńQuality in Sport2450-31182025-02-013810.12775/QS.2025.38.57738Anabolic androgenic steroids intake and its impact on male reproductive system - systematic reviewMaja Mielczarek0https://orcid.org/0009-0007-9838-2295Paulina Sroczyńskahttps://orcid.org/0009-0008-7250-2014Jan Sroczyńskihttps://orcid.org/0009-0000-0011-2481Julia Lachowskahttps://orcid.org/0000-0002-9627-7615Karolina Seniorhttps://orcid.org/0009-0005-2813-2878Jerzy Smandekhttps://orcid.org/0009-0009-1487-4351Provincial Hospital in Wrocław, Poland Anabolic-androgenic steroids (AAS) are a significant lifestyle factor in infertility and are often used to enhance physical performance and appearance. Endogenous AAS regulate male sex organ development and secondary characteristics. Commonly used AAS include testosterone esters like undecanoate and enanthate, as well as nandrolone esters, testosterone cypionate, and testosterone propionate—along with nandrolone esters, such as nandrolone decanoate and nandrolone phenylpropionate, stanozolol and methandrostenolone (also known as methandienone). AAS bind to androgen receptors, promoting muscle growth by increasing protein synthesis and promoting the growth hormone-insulin-like growth factor 1 axis. AAS are commonly administered via intramuscular injection or oral ingestion. Injectable forms of AAS have extended half-life due to esterification, while oral AAS face reduced bioavailability because of first-pass metabolism. Adverse effects of AAS include cardiovascular, endocrine, neuropsychiatric and dermatological issues. AAS usage has a huge impact on male fertility. Anabolic androgenic steroids intake can result in suppressing  gonadotropins, leading to reduced sperm concentration, testicular dysfunction and hypogonadism, which can lead to decreased libido and erectile dysfunction. While some effects on fertility may be reversible, recovery timelines vary. https://apcz.umk.pl/QS/article/view/57738anabolic steroidsAASbodybuildingdoping in sportserectile dysfunctioninfertility
spellingShingle Maja Mielczarek
Paulina Sroczyńska
Jan Sroczyński
Julia Lachowska
Karolina Senior
Jerzy Smandek
Anabolic androgenic steroids intake and its impact on male reproductive system - systematic review
Quality in Sport
anabolic steroids
AAS
bodybuilding
doping in sports
erectile dysfunction
infertility
title Anabolic androgenic steroids intake and its impact on male reproductive system - systematic review
title_full Anabolic androgenic steroids intake and its impact on male reproductive system - systematic review
title_fullStr Anabolic androgenic steroids intake and its impact on male reproductive system - systematic review
title_full_unstemmed Anabolic androgenic steroids intake and its impact on male reproductive system - systematic review
title_short Anabolic androgenic steroids intake and its impact on male reproductive system - systematic review
title_sort anabolic androgenic steroids intake and its impact on male reproductive system systematic review
topic anabolic steroids
AAS
bodybuilding
doping in sports
erectile dysfunction
infertility
url https://apcz.umk.pl/QS/article/view/57738
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AT jansroczynski anabolicandrogenicsteroidsintakeanditsimpactonmalereproductivesystemsystematicreview
AT julialachowska anabolicandrogenicsteroidsintakeanditsimpactonmalereproductivesystemsystematicreview
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