What is the relationship between bodybuilding and ED? | Dr. Anne Truong MD

Dr. Anne Truong explains how anabolic steroids used in bodybuilding cause erectile dysfunction by suppressing the HPT-axis and converting testosterone to estrogen. A 30-year-old bodybuilder patient case shows the damage: cardiac problems, vascular issues, and reproductive harm. Recovery takes three months to a year after stopping, with blood tests every four months to monitor.
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What is the relationship between bodybuilding and ed? Stay tuned, we'll dive deep into that. What does bodybuilding have to do with erectile dysfunction? Well, let's dive into it. In this episode I had a patient that came to see me because he's only 30 years old. He has erectile dysfunction but been healthy all his life. Eat well, exercise well. However, he's been involved with bodybuilding for about seven years. He takes high dose steroid, anabolic steroids to help him build more muscle so he can compete. But because of seven years of taking steroid, he's now experiencing ed.
And I wanted to talk about more.
About that because is more common than.
You think and kind of dive into.
Why anabolic steroids can cause ed. Now there are two types of steroids. There's a steroid that's called corticosteroid and those are the steroids you take when you have like an allergic reaction or when you have asthma or you have a rash. You can take it orally. It can also be available at the topical. There's also another class of steroids that is called anabolic steroid. And what that is is that it's a steroid similar to testosterone. And testosterone help build muscles, decrease body fat and is the main hormone and what a man is a man and help with energy and focus and build bone strength as well. However, in excess it can cause a lot of side effects. And because your body is operating as check and balances, so your hormones produce right here in the hypopituitary gland that send messenger to the pituitary gland which then sends hormone messages down to the testicle and then it's a check and balance. So if too much testosterone and then testosterone will kind of tell the pituitary gland, okay, less of the luteinizing hormone and then there's a talk between them because you want to have a balance, you don't want to have too much or too little. But however, in bodybuilding is too much of steroid too much testosterone and that create the side effect. Now on the screen you see different form of steroids that are anabolic that bodybuilder uses and they are class three. That means that they need to be prescribed by a medical doctor, but you can probably get it illegally by other methods as well. So some of the name here is Anadrol, Anavar, Diana Ball, Durabalin, Deca or Deca Darabalan Equipose. I haven't seen that yet. Finnejet and Windstraw and I have the generic name Next to those on the slide as well. So these are common anabolic steroids that are used and they are often used in the gym. However, they are also responsible for sexual development as well too. And they mimic the action of steroids. Okay. However, studies have shown that if you use too much of that you have too much steroid, too much testosterone, your body will produce something called aromatase. And aromatase is an enzyme which then convert your testosterone to to estrogen, the female hormone. And when you have too much estrogen, what it does, it lower your testosterone. And then you also run the risk when you have too much testosterone, it will be converted to another hormone called dihydrotestosterone or dht. And that can cause hair loss as well. And with too much of anything is not too good. Now these steroids can come in pills, injection and topical and form. However, too much of it, like I said, decreases your testosterone. That's why it gives you ED and it usurped the testosterone to the female hormone estrogen and then to the DHT hormone. But long term use of anabolic steroid can actually cause high blood pressure cardiomyopathy or condition where your heart just become thicker and it doesn't pump as well. And it actually can damage your blood vessels like your arteries. It causes blood clot, even heart attacks, decrease your sperm count and will increase male pattern baldness because of the dht. It can contribute to testicular cancer as well as enlarged breasts. And your testicle will shrink, create acne and it actually will cause some psychiatric and mental changes such as aggression, mania or manic state and delusion. Interestingly, you can have one of the side effects with antibiotic steroids is a tendon rupture. I hear a lot about shoulder injury as well as low back injury because it makes the tendon not as strong. And then you can also have liver issues as well too. So just be aware that if you're using these anabolic steroids, there are some serious side effects. And it's not just affecting just your sexual health. It affects the whole body and the mental and psychological component that I just mentioned. So if you noticing that you have ed, most likely related to the steroid use, you can stop it. The good part is that if you stop it, it can take about three months to a year for your sexual function to return. But however, there's a chance it may even stay there permanently. We just don't know. You have to get your blood work measured probably about every four months to check. And so with anything you know too much of something is not good at all. And so the lowdown about bodybuilding and ED is that the benefit of the steroids do not outweigh the risk of the steroid abuse and that it can result in serious consequences, not only your sex life, but also your mental and physical health. So be aware of this. And so first thing I tell that patient mine is that to put the steroids do blood work and see if his testosterone picks up and we'll go from there. And it's important to know that your body is able to heal you, but you just gotta give it some time, give it the right type of food, Treat your body as if you're a high end car. If your car needs super unleaded gas, you give it super unleaded gas, right? You don't give it regular unleaded gas. Well, same thing with your body. Your body needs super unleaded gas all the time and you need to give.
It super unleaded gas.
And don't take shortcuts because you only have one body and it's a thing and you want to take care of it as any high end luxury car. Having said that, I'd love to hear from you. Please leave your comments. And I do read that and I would appreciate it if you subscribe and get notified of more upcoming episodes. I will talk to you soon. Hello there.
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Thanks for listening to the Sexual Health for Men podcast. If you love this episode then please take a screenshot on your phone and post it on Facebook, Instagram or wherever you post and be sure to tag me and let me know why you like this episode and what you like to hear in the future that will help me know what's great for you. And I would love to give you the most incredible free gift designed to help you improve performance quickly. Go to my website@sexualhealthformenpodcast.com to get the book the Five Common Costly Mistakes Men Make When Facing Ed. I would appreciate it if you subscribe, leave a review on Apple Podcasts or wherever you listen and just know that you can have sexual vitality for life. I appreciate you. Until next time.
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