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Permitting that there is no pre-existing diagnosis of penile impairment before anabolic steroid use, it is reasonable to expect the erectile dysfunction to ceasein that event. However, if the patient had not previously undergone a surgical procedure to reconstruct or correct the defect in that area, it may be reasonable to expect there to be an increase in erectile dysfunction following steroid use. Because the erection of the penis is a function of motor control, and because erection is influenced by hormonal and neuroendocrine factors which are influenced by steroids, it is reasonable to expect to see increased sexual desire and difficulty achieving or maintaining an erection following steroid use. This has been noted with some studies, but the magnitude of this effect is difficult to predict accurately.[9] If the patient is taking anabolic steroids, they should maintain a healthy weight, refrain from excessive weight gain throughout the day, and refrain from alcohol and drugs. They should avoid taking medications known to affect the cardiovascular system or liver while on anabolic steroids, unless it is absolutely necessary to do so. They should continue to meet with a physician regularly to monitor their cardiovascular health and performance, and to keep their sexual performance in perspective while taking anabolic steroids.[8] It is important that patients who use anabolic steroids report their medical history to their healthcare provider as soon as possible. The medical history is vital in determining a patient's susceptibility to developing a condition as a result of steroid use. Patients on a medication which is known to interact in any way with anabolic steroids (e.g., certain diuretics or other drugs of abuse) may display decreased libido, erectile dysfunction, anorgasmia, vaginal dryness or lubrication, and/or altered sexual response. Patients using steroids should discuss the possibility of these adverse effects with their healthcare provider (e.g., regarding possible effects on the heart, liver, immune system, and/or sexual performance). Patients should also be aware that the incidence of these adverse effects is fairly variable, and the frequency of occurrence is quite variable. It is essential that all patients seeking the use of anabolic steroids be aware of the possibility of adverse effects and discuss this with their healthcare provider. If a patient becomes seriously ill in the weeks following anabolic steroid use, he or she should discontinue use unless clearly needed for medical treatment. If the patient is prescribed anabolic steroids but fails to stop or is prescribed anabolic steroids as a "date rape" drug or other stimulant, he or she should be counseled if he or she wishes to return to a baseline level of strength, speed, or endurance before the onset of any significant side effects Related Article:

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