title: Persistent primary hypogonadism associated with anabolic steroid abuse.
abstract: OBJECTIVE
  To report a case of primary gonadal failure due to the chronic abuse of anabolic steroids used for bodybuilding.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Department of Diabetes and Endocrinology, Morriston Hospital, Swansea, Wales, United Kingdom.
  
  
  METHODS
  A 40-year-old man.
  
  
  METHODS
  None.
  
  
  METHODS
  Clinical symptoms, levels of serum T, FSH, and LH.
  
  
  RESULTS
  Primary gonadal failure resulting from anabolic steroid use.
  
  
  CONCLUSIONS
  We describe a case of initially secondary gonadal failure resulting from anabolic steroid use with subsequent primary gonadal failure and infertility. This case adds to the current literature and illustrates that the side effects of anabolic steroids can be prolonged and irreversible.
authors.affiliation: Department of Diabetes and Endocrinology, Morriston Hospital, Abertawe Bro Morgannwg University Health Board, Swansea, Wales, United Kingdom. kusuma.boregowda@wales.nhs.uk
authors.forename: Kusuma
authors.initials: K
authors.lastname: Boregowda
authors.forename: Lisa
authors.initials: L
authors.lastname: Joels
authors.forename: Jeffrey W
authors.initials: JW
authors.lastname: Stephens
authors.forename: David E
authors.initials: DE
authors.lastname: Price
mesh_terms: D000328:Adult; D045930:Anabolic Agents / Q000009:adverse effects* / Q000097:blood; D013006:Growth Hormone / Q000009:adverse effects / Q000097:blood; D006801:Humans; D007006:Hypogonadism / Q000097:blood / Q000139:chemically induced* / Q000175:diagnosis*; D008297:Male; D009277:Nandrolone / Q000009:adverse effects / Q000097:blood; D013256:Steroids / Q000009:adverse effects / Q000097:blood; D019966:Substance-Related Disorders / Q000097:blood / Q000175:diagnosis*; D013739:Testosterone / Q000009:adverse effects / Q000097:blood
chemical_list: D045930:Anabolic Agents; D013256:Steroids; D013739:Testosterone; D009277:Nandrolone; D013006:Growth Hormone