Anabolic-androgenic steroid misuse has significant consequences for male reproductive health. Exogenous androgens suppress endogenous testosterone production via negative feedback on the hypothalamic–pituitary–gonadal axis.
Prolonged steroid use may result in testicular atrophy, reduced sperm production, infertility, and erectile dysfunction. Hormonal evaluation often reveals suppressed LH and FSH levels.
Recovery of spermatogenesis may require discontinuation of steroids and pharmacological stimulation using gonadotropins or selective estrogen receptor modulators.
Public education regarding the reproductive risks of anabolic erotic steroid misuse remains a critical preventive measure.
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