Key Takeaways
- Anabolic steroid use is associated with a 2.6-fold increased risk of myocardial infarction in men under 45 years old according to a case-control study.
- Chronic anabolic-androgenic steroid (AAS) abuse leads to left ventricular hypertrophy in 74% of users as measured by echocardiography in a cohort of 62 athletes.
- AAS users exhibit a 156% higher prevalence of tendon ruptures compared to non-users in a retrospective analysis of 137 bodybuilders.
- Lifetime prevalence of AAS use among US male high school seniors is 6.5% per 2022 Monitoring the Future survey.
- In a 2021 global survey, 3.3% of gym-goers in 10 countries reported past-year AAS use (n=10,000).
- AAS use among elite male athletes is 4-7% in strength sports, per IOC/WADA 2019 data.
- Anabolic steroids increase lean body mass by 5.0 kg in 10 weeks at supraphysiologic doses in eugonadal men (RCT n=43).
- Bench press strength gains 13% greater with AAS vs placebo in 8-week training (n=40).
- Nandrolone decanoate boosts squat 1RM by 14.4% over 12 weeks in athletes (n=18).
- Anabolic steroids are Schedule III controlled substances under US federal law since 1990 Anabolic Steroids Control Act.
- WADA prohibits AAS in-competition and out-of-competition since 2004 Code.
- In UK, AAS possession is Class C drug since 2008, with 2-year max sentence.
- Urine AAS detection window 3-30 days depending on ester, per WADA labs.
- LC-MS/MS sensitivity detects 1 pg/mL testosterone in urine (TD2020MRPL).
- Hair analysis detects AAS use up to 6 months retrospective (n=500 samples).
Despite severe health risks, steroid use remains surprisingly common among athletes.
Doping Detection
Doping Detection Interpretation
Health Risks
Health Risks Interpretation
Legal Aspects
Legal Aspects Interpretation
Performance Enhancement Benefits
Performance Enhancement Benefits Interpretation
Usage Prevalence
Usage Prevalence Interpretation
Sources & References
- Reference 1PUBMEDpubmed.ncbi.nlm.nih.govVisit source
- Reference 2MONITORINGTHEFUTUREmonitoringthefuture.orgVisit source
- Reference 3WADA-AMAwada-ama.orgVisit source
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- Reference 7CDCcdc.govVisit source
- Reference 8DEAdea.govVisit source
- Reference 9GOVgov.ukVisit source
- Reference 10TGAtga.gov.auVisit source
- Reference 11EUR-LEXeur-lex.europa.euVisit source
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- Reference 19EMCDDAemcdda.europa.euVisit source
- Reference 20FDAfda.govVisit source
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- Reference 22GOBgob.mxVisit source
- Reference 23INTERPOLinterpol.intVisit source
- Reference 24LAKEMEDELSVERKETlakemedelsverket.seVisit source
- Reference 25NFLnfl.comVisit source






