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  1. Home / Blog / Does Steroid Consumption Cause Male Infertility?
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Does Steroid Consumption Cause Male Infertility?

October 28th, 2024 by Aaron Spitz

Does Steroid Consumption Cause Male Infertility

Steroids have long been associated with muscle gain and enhanced physical performance. But beneath that promise of increased strength and endurance lies a serious concern—many may not think about how these substances can affect fertility. More specifically, regarding men: Does steroid use cause infertility? And if so, is it temporary or permanent?

We prepared a blog post that focuses more on fertility and steroids—what steroids do to male fertility and whether full recovery is possible or not.

Can Steroids Become the Reason for Male Infertility?

Anabolic steroids and male fertility are growing concerns, especially for those who want faster muscle development. Steroids used in bodybuilding behave exactly like testosterone inside the human body. Though they may be helpful for muscle building, they have numerous side effects, especially concerning the reproductive system.

When a man begins taking anabolic steroids, his body often reduces its own production of testosterone because the external supply tells the brain that enough is being produced. This can lead to a decrease in the amount of sperm produced, an effect called hypogonadotropic hypogonadism. But as sperm counts decline, does steroid use make men infertile? In many cases, yes. More often, the men using these drugs simply have a devastating drop in both quality and number of sperm, which makes natural conception for them difficult.

Long-term administration of steroids sometimes can cause more permanent forms of damage to the human reproductive system. Not all users will become infertile, but the risk becomes much greater for those using the drugs longer. This makes it very important that men who consider using steroids either for athletic or aesthetic purposes be aware of the full potential impact on their fertility.

How to Increase Sperm Count After Steroids?

For those who have used steroids and are experiencing fertility issues, hope is not entirely lost. Recovery is possible, but it requires time, patience, and sometimes medical intervention. Stopping steroid use is the first step towards allowing the body to restart its natural production of testosterone and sperm. However, the time it takes for sperm production to normalize varies widely among individuals, depending on factors like how long steroids were used and at what dosage.

Some men may need assistance from medications like human chorionic gonadotropin (hCG) or clomiphene citrate, which can help stimulate the production of testosterone and increase sperm counts. Lifestyle changes can also support the process of recovery, such as a balanced diet rich in antioxidants, regular exercise, and avoiding additional stressors that can affect hormone balance.

Natural supplements like zinc, folic acid, and Coenzyme Q10 can further improve sperm health. However, anyone looking to recover from the side effects of steroids on fertility should consult with a urologist or fertility specialist to ensure a tailored approach to their recovery.

Can a Person Taking Steroids Cause Birth Defects?

Closely related to using steroids is the issue of concern for potential fathers that using them would result in birth defects later on. Anabolic steroids have been found to have a negative impact on sperm parameters. However, birth defects from this particular factor do not necessarily occur if taken from a strict medical perspective. One could argue that sperm generated through the use of anabolic steroids will have lower motility rates and may also morphologically deviate from the average, which may lower the chances of conception.

That being said, most of the emphasis is going to be about the impact steroids have on conception instead of the potential birth defects. The more significant risk here becomes infertility or subfertility—meaning that a person becomes less likely to successfully father a child and the potential genetic problems. Therefore, it makes sense for men on steroids and trying to conceive to stop using them and give their bodies enough time to balance their own sperm production.

Is It Possible to Fully Remove Side Effects from Steroids?

One of the most frequent questions found among men who have used or are using steroids is to what extent complete reversal of the adverse effects on fertility is possible. The answer is not quite straightforward. While some men return completely to normal, others may have some lingering effects, especially after long-term steroid use.

In many cases, the reproductive system manages to return to life, especially if steroid use was not prolonged. In most of the cases, it starts the production of sperm once the body realizes external testosterone is absent. For those who have used steroids for several years, the road to recovery could be much longer, and perhaps medical supervision would constantly be needed.

Final Thoughts on Fertility and Steroids

Understanding the connection of fertility to steroids is important for men who wish to use anabolic steroids. Though steroids promise tremendous performance ability and muscle building, they have adverse effects on male fertility. Advice from a health professional will shed light on the effects of steroids on reproductive health. Proper intervention, a change in lifestyle, and a regimen to stop steroid intake may help improve the quality of sperm and bring back fertility. Anyone considering steroid use or recovering from use needs to make long-term health and reproductive well-being a priority over any possible short-term gains.

Aaron Spitz

Aaron Spitz

Dr. Aaron Spitz's expertise covers male reproductive health, including male infertility treatments, microsurgical varicocele surgery, sperm retrieval for in vitro fertility, and microsurgical vasectomy reversal. He is skilled in no-needle, no-scalpel vasectomies and specializes in male hormone replacement, sexual dysfunction, and nonsurgical treatments for Peyronie's disease. Dr. Spitz is also an author, media spokesperson, and a prominent advocate in medical politics.As Chairman of the American Urological Association's Telehealth Task Force, he leads efforts to integrate telemedicine into urological care.

Areas of Expertise: Male Reproductive Medicine, Microsurgical Varicocele Surgery, No-Needle, No-Scalpel Vasectomy, Nonsurgical Treatment of Peyronie’s Disease, Male Hormone Replacement and Sexual Dysfunction


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23961 Calle de la Magdalena, Suite 500, Laguna Hills, CA 92653
Call or Text Us: 949-855-1101 | Fax: 949-855-8710

Orange County Urology Associates (OCUA) delivers comprehensive urology care throughout Orange County with locations in Laguna Hills, Irvine, Mission Viejo, Santa Ana, Anaheim, Costa Mesa, Lake Forest, Huntington Beach, Laguna Beach, Laguna Niguel and Dana Point. We also have patients from Los Angeles, San Diego, and from outside the U.S. We focus on comprehensive urological care for both men and women involving Urinary incontinence/leakage (men, women, teens, children), urinary tract infections (UTIs), enlarged prostate / benign prostatic hyperplasia (BPH), erectile dysfunction (ED) / impotence, prostate cancer, bladder cancer, kidney cancer, kidney disorders, kidney stones, sacral nerve stimulation, male infertility, sperm mapping, male restoration, curved penis, vasectomy (no-needle and no-scalpel) and vasectomy reversal.

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