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ConditionsAAS

Anabolic Steroid Use Disorder

Testosterone and other anabolic-androgenic steroids used for muscle growth or performance — common in gym and bodybuilding communities.

What to know. Dependence is real. Stopping can cause low testosterone, depression, and loss of function that may last months without proper management.

First-line care
Medically supervised discontinuation with endocrine and mood support

What major medical bodies recommend first when this condition is the focus of care.

Off-label medications can be used in addition to behavioral therapy.


Symptoms

How clinicians think about it.

The DSM-5 lists eleven signs grouped into four areas. The number that fit in the past year suggests a severity — not a verdict.

LOSS OF CONTROL · 4
  • ·Using more than meant to
  • ·Wanting to cut down
  • ·Time spent using
  • ·Cravings
SOCIAL IMPACT · 3
  • ·Trouble at work / school
  • ·Relationship strain
  • ·Giving up activities
RISKY USE · 2
  • ·Risky situations
  • ·Using despite harm
PHYSICAL · 2
  • ·Tolerance
  • ·Withdrawal

Risks worth knowing

Plainly: what makes this condition dangerous.

High concern

Suppressed natural testosterone and prolonged low hormones after stopping

High concern

Depression and mood changes during withdrawal

High concern

Cardiovascular strain — blood pressure, cholesterol, heart muscle


Treatment options

What's offered, and what we usually start with.

FIRST-LINE — RECOMMENDED FIRST
01
Supervised discontinuation planFirst-line

A structured stop with monitoring of hormones, mood, and cardiovascular health.

02
Endocrine evaluation and supportFirst-line

Assessing and supporting recovery of the body's own hormone production.

03
Treatment of mood symptoms

Low mood after stopping is common and treatable — you don't have to white-knuckle it.


Common questions

Asked often, answered briefly.

For some people, yes. The drive to keep using despite harm, and the difficult crash after stopping — low mood, low testosterone, loss of strength — can make it genuinely hard to stop without support.

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This is not a diagnosis. These tools are for reflection and conversation. A clinician's evaluation is the only way to confirm a substance use disorder. If you are in crisis, call or text 988.
Next condition
Prescription Stimulant Misuse