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Anabolic steroid abuse in athletes has been associated with a wide range of adverse conditions, including hypogonadism, testicular atrophy, impaired spermatogenesis, gynaecomastia, and psychiatric disturbance. But what effect does steroid abuse have on the cardiovascular system? Anabolic steroids are synthetic (man-made) versions of testosterone. Testosterone is the main sex hormone in men. It is needed to develop and maintain male sex characteristics, such as facial hair, deep voice, and muscle growth. Anabolic steroids affect the onset of puberty, the growth of the clitoris in females and the penis in male children (does not affect the size of the penis in adults), increased the size of the vocal chords and deepening of the voice, increased body hair, and premature baldness in people predisposed to it. The term anabolic refers to the muscle-building properties of these manmade substances. Available legally only by prescription, anabolic steroids are sometimes prescribed by doctors to treat conditions in which testosterone levels are abnormally low, or in certain chronic conditions such as aids that are associated with loss of muscle mass
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