Post Cycle Therapy For Gynecomastia In Steroid UsersAlthough on females the development of breast tissue is considered a normal occurrence as a part of the female physiology, this is not the case for males where breast tissue development and formation should not occur. The truth is that gyno can develop on a male body as causinf result gyneckmastia many different factors and causes, ranging from environmental causes to an imbalance of endogenous hormones as a big moobs boy of aging. Anabolic steroids causing gynecomastia this case, however, the Gynecomastia that is of concern is anabolic steroid induced Anabolic steroids causing gynecomastia. Whatever the original cause may be, whether it is pubertal Gynecomastia, environmental Gynecomastia, or anabolic steroid related Gynecomastia, the central problem of the entire matter is the imbalance of hormones. In particular, it is the imbalance of androgens and estrogens in the body, whereby a significant increase in Estrogen is observed to be the gynecomasfia cause of the issue.
[Anabolic steroids and gynecomastia. Review of the literature]. - PubMed - NCBI
Whilst Niewoehner and Schorer note in their review of gynaecomastia and breast cancer in men that the use of anabolic steroids should be considered in the cause of gynecomastia , it is important to recognise the significant levels of use of these drugs for performance- and image-enhancing reasons within the general population [2, 3, 4].
Furthermore, many users practice complex, self-directed, polydrug regimes [2, 3, 5] that include not only the use of supraphysiologic doses of multiple types of anabolic steroids but also, inter alia, growth hormone, human chorionic gonadotropin, spironolactone and a wide variety of supplements e. Given the high levels of self-reported gynecomastia in users  — and reflected in the widespread prophylactic use of self-prescribed tamoxifen [3, 6], and, anecdotally, an increasing use of aromatase inhibitors — we consider it particularly relevant to ask about use of anabolic steroids and ancillary substances type of drugs, dose and duration of use in individuals presenting with gynecomastia who have mesomorphic or hypermesomorphic body types in this regard it is also noteworthy that use of these drugs is not just restricted to adolescents and those in their 20s [2, 3, 6].
As the authors of the review highlight, however, patients can feel embarrassed and anxious by their condition and this can be compounded in this population given the demonisation of anabolic steroids by society. Further, the historic low-level of engagement and trust by this population. Yet, aside from the provision of sterile injecting equipment, there are few opportunities for this population to engage with health professionals. From both the literature [2, 3] and our own experience of working with this population there are clearly a significant number of individuals who desire better engagement with health services.
We would therefore suggest that we. Gynaecomastia and breast cancer in men. Korkia P, Stimson GV. Anabolic steroid use in Great Britain: Anabolic steroid use in the North West of England. Journal of Performance Enhancing Drugs.
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Gynaecomastia and anabolic steroid use. Further, the historic low-level of engagement and trust by this population with health professionals [2, 3] may act on this, which could increase a reluctance to reveal their use of these substances [7, 8]. Alongside this, clinicians should also be cognisant to the ubiquity of counterfeit drugs in use by this population, which, not only differ in stated dose and drug, but also contain other substances not present on the labelling [9—11].
We would therefore suggest that we need to explore new ways of engaging with this population that are acceptable to them in order to reduce harm and promote health.
Hartgens F, Kuipers H. Effects of androgenic-anabolic steroids in athletes.