Side effects of steroid injection
Information on how NOT to abuse steroids.
What are anabolic steroids?
"Anabolic steroids" is the familiar name for synthetic substances related to the male sex hormones (e.g., testosterone). They promote the growth of skeletal muscle (anabolic effects) and the development of male sexual characteristics (androgenic effects) in both males and females. The term "anabolic steroids" will be used throughout this report because of its familiarity, although the proper term for these compounds is "anabolic-androgenic steroids."
Anabolic steroids were developed in the late 1930s primarily to treat hypogonadism, a condition in which the testes do not produce sufficient testosterone for normal growth, development, and sexual functioning. The primary medical uses of these compounds are to treat delayed puberty, some types of impotence, and wasting of the body caused by HIV infection or other diseases.
Emotional effects
Steroids also can have the following effects on the mind and behavior:
"Roid rage" - severe, aggressive behavior that may result in violence, such as fighting or destroying property
Severe mood swings
Hallucinations - seeing or hearing things that are not really there
Paranoia - extreme feelings of mistrust and fear
Anxiety and panic attacks
Depression and thoughts of suicide
An angry, hostile, or irritable mood
A word about… Supplements
Over-the-counter supplements such as creatine and androstenedione ("andro") are gaining popularity. Though these supplements are not steroids, manufacturers claim they can build muscles, and improve strength and stamina, without the side effects of steroids. benefits of steroids in sports
It is important to know that these substances are not regulated by the Food and Drug Administration (FDA) and are not held to the same strict standards as drugs. Like steroids, they are also banned by the NFL, NCAA, and International Olympic Committee.
Although both creatine and androstenedione occur naturally in foods, there are serious concerns about the long-term effects of using them as supplements. These products may be unsafe. Remember, there is no replacement for a healthy diet, proper training, and practice.
Success in sports takes talent, skill, and most of all, practice and hard work. Using steroids is a form of cheating and interferes with fair competition. More importantly, they are dangerous to your health. There are many healthy ways to increase your strength or improve your appearance. If you are serious about your sport and your health, keep the following tips in mind:
Side effects of steroid injection: Are anabolic steroids addictive?
An undetermined percentage of steroid abusers may become addicted to the drugs, as evidenced by their continued abuse despite physical problems and negative effects on social relations. Also, steroid abusers typically spend large amounts of time and money obtaining the drugs, which is another indication that they may be addicted. Individuals who abuse steroids can experience withdrawal symptoms when they stop taking steroids, such as mood swings, fatigue, restlessness, loss of appetite, insomnia, reduced sex drive, and steroid cravings. The most dangerous of the withdrawal symptoms is depression, because it sometimes leads to suicide attempts. If left untreated, some depressive symptoms associated with anabolic steroid withdrawal have been known to persist for a year or more after the abuser stops taking the drugs.
Teens at Risk for Stunted Growth?
Teens who abuse steroids before the typical adolescent growth spurt risk staying short and never reaching their full adult height. Why? Because the body is programmed to stop growing after puberty. When hormone levels reach a certain point, the body thinks it has already gone through puberty. So, bones get the message to stop growing way too soon.
Steroid Abuse Can Be Fatal
When steroids get into the body, they go to different organs and muscles. Steroids affect individual cells and makes them create proteins. These proteins spell trouble.
Stories about athletes and steroids seem to pop up regularly in the news. Some professional baseball players, cyclists, and track stars have been accused of — and in some cases have admitted to — using steroids to give them an edge competitively.
And steroid use has trickled down to younger athletes too, who face fierce pressure to be stronger and faster, and to make it to college and professional leagues. Some research has shown that 5% of teen boys and 2.5% of teen girls have used some form of anabolic steroids.
Steroids promise bold results, but there is little proof that they deliver any such benefits. Extensive research, however, shows how they can harm developing kids — with some of these ill effects not likely to turn up until years later. And steroids are illegal, too.
It's important to understand the facts about steroids, their side effects, and what can drive kids to try them. Being aware of the kinds of pressures kids deal with in sports can help you make sure that your child isn't at risk. effects of using steroids - side effects of steroid injection. Another reason people give for taking steroids is to increase their muscle size or to reduce their body fat. This group includes people suffering from the behavioral syndrome called muscle dysmorphia, which causes them to have a distorted image of their bodies. Men with muscle dysmorphia think that they look small and weak, even if they are large and muscular. Similarly, women with this condition think that they look fat and flabby, even though they are actually lean and muscular.
Steroids also increase the risk that blood clots will form in blood vessels, potentially disrupting blood flow and damaging the heart muscle so that it does not pump blood effectively.
Liver
Steroid abuse has been associated with liver tumors and a rare condition called peliosis hepatis, in which blood-filled cysts form in the liver. Both the tumors and the cysts can rupture, causing internal bleeding.
Steroids Can Cause Extreme Mood Changes
Steroids can also mess with your head. Research shows that high doses of steroids can cause extreme fluctuations in emotions, from euphoria to rage. That's right. Rage can come from how steroids act on your brain.
Your moods and emotions are balanced by the limbic system of your brain. Steroids act on the limbic system and may cause irritability and mild depression. Eventually, steroids can cause mania, delusions, and violent aggression or "roid rage."
Steroids' Disfiguring Effects
Last, but not least, steroids have disfiguring effects-severe acne, greasy hair, and baldness (in both guys and girls).
Some people who abuse steroids to boost muscle size have experienced physical or sexual abuse. In one series of interviews with male weightlifters, 25 percent who abused steroids reported memories of childhood physical or sexual abuse. Similarly, female weightlifters who had been raped were found to be twice as likely to report use of anabolic steroids or another purported musclebuilding drug, compared with those who had not been raped. Moreover, almost all of those who had been raped reported that they markedly increased their bodybuilding activities after the attack. They believed that being bigger and stronger would discourage further attacks because men would find them either intimidating or unattractive.
Finally, some adolescents abuse steroids as part of a pattern of high-risk behaviors. These adolescents also take risks such as drinking and driving, carrying a gun, driving a motorcycle without a helmet, and abusing other illicit drugs. Conditions such as muscle dysmorphia, a history of physical or sexual abuse, or a history of engaging in high-risk behaviors have all been associated with an increased risk of initiating or continuing steroid abuse.
What are steroidal supplements?
In the United States, supplements such as tetrahydrogestrinone (THG) and androstenedione (street name "Andro") previously could be purchased legally without a prescription through many commercial sources, including health food stores. Steroidal supplements can be converted into testosterone or a similar compound in the body. Less is known about the side effects of steroidal supplements, but if large quantities of these compounds substantially increase testosterone levels in the body, then they also are likely to produce the same side effects as anabolic steroids themselves. The purchase of these supplements, with the notable exception of dehydroepiandrosterone (DHEA), became illegal after the passage in 2004 of amendments to the Controlled Substances Act.
Side effects of steroid injection. Anabolic steroids
This is the first of an eight-week series of articles examining the effects of commonly abused substances on athletic performance and overall health.
There should not be a controversy over anabolic steroid use in athletics -- non-medical use of anabolic steroids is illegal and banned by most, if not all, major sports organizations. Still, some athletes persist in taking them, believing that these substances provide a competitive advantage. But beyond the issues of popularity or legality is the fact that anabolic steroids can cause serious physical and psychological side effects.
Teacher's Activity
This activity focuses on steroids and provides you with a classroom activity to use with your students. You can review the on screen version below to learn more. We recommend downloading the PDF version of this activity to print out and use with your students. The PDF version has been formatted to make it easier for students to learn and removes all of the extra information provided on this Web page. To view and use the PDF file you must have the free Adobe Acrobat Reader.
Damage Diagram
Get the total picture of what steroids can do to your brain and body. Complete this diagram by matching the side effect with the body part. Draw a line from the side effect listed on the left to the matching body part on the right.
Anabolic steroids can be taken orally, injected intramuscularly, or rubbed on the skin when in the form of gels or creams.2 These drugs are often used in patterns called cycling, which 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.3 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 is "pyramiding." This is a process in which users slowly escalate steroid use (increasing the number of drugs used at one time and/or the dose and frequency of one or more steroids) reaching a peak amount at mid-cycle and gradually tapering the dose toward the end of the cycle. side affects of steroids Anabolic steroid abuse has been associated with a wide range of adverse side effects ranging from some that are physically unattractive, such as acne and breast development in men, to others that are life threatening. Most of the effects are reversible if the abuser stops taking the drug, but some can be permanent. In addition to the physical effects, anabolic steroids can also cause increased irritability and aggression.
Some of the health consequences that can occur in both males and females include liver cancer, heart attacks, and elevated cholesterol levels.11 In addition to this, steroid use among adolescents may prematurely stop the lengthening of bones resulting in stunted growth.
People who inject steroids also run the risk of contracting or transmitting hepatitis or HIV.13 Some steroid abusers experience withdrawal symptoms when they stop taking the drug. These withdrawal symptoms include mood swings, fatigue, restlessness, loss of appetite, insomnia, reduced sex drive, and depression. This depression can lead to suicide attempts, and if left untreated, can persist for a year or more after the abuser stops taking the drugs.
Steroids are dangerous for two reasons: they are illegal, and they can damage a person's health, especially if used in large doses over time. Also, the health problems caused by steroids may not appear until years after the steroids are taken.
Although they might help build muscle, steroids can produce very serious side effects. Using steroids for a long time can negatively affect the reproductive system. In males, steroids can lead to impotence, a reduction in the amount of sperm produced in the testicles, and even reduced testicle size.
Females who use steroids may have problems with their menstrual cycles because steroids can disrupt the maturation and release of eggs from the ovaries. This disruption can cause long-term problems with fertility.
Even baseball, with its most hallowed records broken by players suspected of using performance enhancing drugs, has grown in popularity in recent years. Fay Vincent, baseball’s commissioner from 1989 to 1992, tried to crack down on steroids in his last year in the job. In June 1991, he sent every major league club a memo saying all illegal drug use was “strictly prohibited” by law, “cannot be condoned or tolerated” and could result in discipline or expulsion. Vincent specifically highlighted steroids in the memo.
The next year, Bud Selig became commissioner. Through the 1990s, Selig and the players union played down the issue. “If baseball has a problem, I must say candidly that we were not aware of it,” Selig said in 1995.
In 2000, The New York Times reported steroids were rampant in baseball, but a baseball spokesman said they “have never been much of an issue.” In 2002, after a Sports Illustrated cover story said baseball “had become a pharmacological trade show,” the commissioner and the union finally agreed on a testing policy. side effects of steroid injection! Skin
Steroid abuse can cause acne, cysts, and oily hair and skin.
Infections
Many abusers who inject anabolic steroids may use nonsterile injection techniques or share contaminated needles with other abusers. In addition, some steroid preparations are manufactured illegally under nonsterile conditions. These factors put abusers at risk for acquiring lifethreatening viral infections, such as HIV and hepatitis B and C. Abusers also can develop endocarditis, a bacterial infection that causes a potentially fatal inflammation of the inner lining of the heart. Bacterial infections also can cause pain and abscess formation at injection sites.
The Athletes Targeting Healthy Exercise and Nutrition Alternatives (ATHENA) program was patterned after the ATLAS program, but designed for adolescent girls on sports teams. Early testing of girls enrolled in the ATHENA program showed significant decreases in risky behaviors. While preseason risk behaviors were similar among controls and ATHENA participants, the control athletes were three times more likely to begin using diet pills and almost twice as likely to begin abuse of other body-shaping substances, including amphetamines, anabolic steroids, and muscle-building supplements during the sports season. The use of diet pills increased among control subjects, while use fell to approximately half of the preseason levels among ATHENA participants. In addition, ATHENA team members were less likely to be sexually active, more likely to wear seatbelts, less likely to ride in a car with a driver who had been drinking, and they experienced fewer injuries during the sports season.
Both Congress and the Substance Abuse and Mental Health Services Administration have endorsed ATLAS and ATHENA as model prevention programs. These Oregon Health & Science University programs have been awarded the 2006 annual Sports Illustrated magazine's first-ever "Champion Award."
How Are They Used?
Some steroid users pop pills. Others use hypodermic needles to inject steroids directly into muscles. When users take more and more of a drug over and over again, they are called "abusers." Abusers have been known to take doses 10 to 100 times higher than the amount prescribed for medical reasons by a doctor.
Many steroid users take two or more kinds of steroids at once. Called stacking, this way of taking steroids is supposed to get users bigger faster. Some abusers pyramid their doses in 6-12-week cycles. At the beginning of the cycle, the steroid user starts with low doses and slowly increases to higher doses. In the second half of the cycle, they gradually decrease the amount of steroids. Neither of these methods has been proven to work. legal steriods for sale
Physical side effects
Men - Although anabolic steroids are derived from a male sex hormone, men who take them may actually experience a "feminization" effect along with a decrease in normal male sexual function. Some possible effects include:
Reduced sperm count
Impotence
Development of breasts
Shrinking of the testicles
Difficulty or pain while urinating
Women - On the other hand, women often experience a "masculinization" effect from anabolic steroids, including the following:
Side effects of steroid injection - Steroids do make users bulk up, but the health risks are high. It's true, on steroids biceps bulge; abs ripple; and quads balloon. But that's just on the outside. Steroid users may be very pleased when they flex in the mirror, but they may create problems on the inside. These problems may hurt them the rest of their lives. As a matter of fact steroid use can shorten their lives.
Steroids Cause Hormone Imbalances
For teens, hormone balance is important. Hormones are involved in the development of a girl's feminine traits and a boy's masculine traits. When someone abuses steroids, gender mix-ups happen.
Using steroids, guys can experience shrunken testicles and reduced sperm count. They can also end up with breasts, a condition called gynecomastia.
Using steroids, girls can become more masculine. Their voices deepen. They grow excessive body hair. Their breast size decreases.
Athletes, whether they are young or old, professional or amateur, are always looking to gain an advantage over their opponents. The desire for an "edge" exists in all sports, at all levels of play. Successful athletes rely on practice and hard work to increase their skill, speed, power, and ability. However, some athletes resort to drugs to improve their performance on the field or the court.
Some high school and even middle school students are using steroids to gain an edge, improve their skill level, or become more athletic. Steroid use is not limited to males. More and more females are putting themselves at risk by using these drugs. It is important to know that using anabolic steroids not only is illegal, but it also can have serious side effects.
What are anabolic steroids?
Anabolic steroids -- or more precisely, anabolic-androgenic steroids -- are the synthetic derivatives of the naturally occurring male anabolic hormone testosterone. Both anabolic and androgenic have origins from the Greek: anabolic, meaning "to build," and androgenic, meaning "masculinizing." Testosterone's natural androgenic effects trigger the maturing of the male reproductive system in puberty, including the growth of body hair and the deepening of the voice. The hormone's anabolic effect helps the body retain dietary protein, which aids in the development of muscles. "Although there are many types of steroids with varying degrees of anabolic and androgenic properties, it's the anabolic property of steroids that lures athletes," says Dr. Wadler. "They take them to primarily increase muscle mass and strength." sexual side effects of steroids
How are anabolic steroids abused?
Some anabolic steroids are taken orally, others are injected intramuscularly, and still others are provided in gels or creams that are applied to the skin. Doses taken by abusers can be 10 to 100 times higher than the doses used for medical conditions.
Cycling, stacking, and pyramiding
Steroids are often abused in patterns called "cycling," which involve 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." Steroid abusers typically "stack" the drugs, meaning that they take two or more different anabolic steroids, mixing oral and/or injectable types, and sometimes even including compounds that are designed for veterinary use.Abusers think that the different steroids interact to produce an effect on muscle size that is greater than the effects of each drug individually, a theory that has not been tested scientifically.
Anabolic steroid abuse has been associated with a wide range of adverse side effects ranging from some that are physically unattractive, such as acne and breast development in men, to others that are life threatening, such as heart attacks and liver cancer. Most are reversible if the abuser stops taking the drugs, but some are permanent, such as voice deepening in females.
Most data on the long-term effects of anabolic steroids in humans come from case reports rather than formal epidemiological studies. From the case reports, the incidence of lifethreatening effects appears to be low, but serious adverse effects may be underrecognized or underreported, especially since they may occur many years later. Data from animal studies seem to support this possibility. One study found that exposing male mice for one-fifth of their lifespan to steroid doses comparable to those taken by human athletes caused a high frequency of early deaths. side effects of steroid injections Persistent reports of anabolic steroid abuse by professional athletes, many of whom are regarded as role models by young people, highlight the fact that we are now facing a very damaging message in our society—that bigger is better, and being the best is more important than how you get there.
Abuse of anabolic steroids differs from the abuse of other illicit substances because the initial abuse of anabolic steroids is not driven by the immediate euphoria that accompanies most drugs of abuse, such as cocaine, heroin, and marijuana, but by the desire of abusers to change their appearance and performance, characteristics of great importance to adolescents. The effects of steroids can boost confidence and strength, leading abusers to overlook the potential serious and long-term damage that these substances can cause.
Some patients require assistance beyond pharmacological treatment of withdrawal symptoms and are treated with behavioral therapies.
Research also indicates that some users might turn to other drugs to alleviate some of the negative effects of anabolic steroids. For example, a study of 227 men admitted in 1999 to a private treatment center for addiction to heroin or other opioids found that 9.3 percent had abused anabolic steroids before trying any other illicit drug. Of these 9.3 percent, 86 percent first used opioids to counteract insomnia and irritability resulting from anabolic steroids...side effects of steroid injection. What can be done to prevent steroid abuse?
Most prevention efforts in the United States today focus on athletes involved with the Olympics and professional sports; few school districts test for abuse of illicit drugs. It has been estimated that close to 9 percent of secondary schools conduct some sort of drug testing program, presumably focused on athletes, and that less than 4 percent of the Nation's high schools test their athletes for steroids. Studies are currently under way to determine whether such testing reduces drug abuse.
Research on steroid educational programs has shown that simply teaching students about steroids' adverse effects does not convince adolescents that they can be adversely affected. Nor does such instruction discourage young people from taking steroids in the future. Presenting both the risks and benefits of anabolic steroid use is more effective in convincing adolescents about steroids' negative effects, apparently because the students find a balanced approach more credible, according to the researchers.
During the 1930s, scientists discovered that anabolic steroids could facilitate the growth of skeletal muscle in laboratory animals, which led to abuse of the compounds first by bodybuilders and weightlifters and then by athletes in other sports. Steroid abuse has become so widespread in athletics that it can affect the outcome of sports contests.
Illicit steroids are often sold at gyms, competitions, and through mail order operations after being smuggled into this country. Most illegal steroids in the United States are smuggled from countries that do not require a prescription for the purchase of steroids. Steroids are also illegally diverted from U.S. pharmacies or synthesized in clandestine laboratories.
