September 25, 2020

When Testosterone Doesn’t Lead to Better Erections

The use of anabolic steroids usually leads to heightened sexual desire and increased frequency and quality of erections whether they are used for medical or non-medical (bodybuilding) purposes. Nelson Vergel, author of “Testosterone: A Man’s Guide“, discusses the effects of testosterone replacement therapy (TRT) on libido but more importantly discusses what happens when TRT doesn’t improve libido and lead to improved erectile functioning. He discusses the use of phosphodiesterase type 5 inhibitor (PD-5) drugs like Viagra, Cialis, and Levitra that can be used in conjunction with testosterone replacement therapy. [Read more…]

Therapeutic Use Exemptions for Performance Enhancing Drugs

I’ve previously discussed known loopholes for testosterone use in drug testing programs. And of course, the fact that growth hormone use is undetectable via drug testing urinalysis makes it an easy and attractive drug for the athlete seeking performance enhancement.

Just as problematic is the loophole of “therapeutic use exemptions” (TUE) for performance-enhancing drugs on the banned substance list. In many cases, an athlete can use performance enhancing drugs (even steroids) with impugnity if they are granted a TUE for a medically documented condition.

The therapeutic use loophole is not widely publicized by WADA and other drug testing organizations because it does not contribute to the appearance of an effective drug testing program and a “clean sport.” [Read more…]

Endogenous Testosterone Levels and Mortality Risk

The medical journal Circulation published a new study this week entitled “Endogenous Testosterone and Mortality Due to All Causes, Cardiovascular Disease, and Cancer in Men.” The role of testosterone in health has long been a controversial topic and the recent steroid hysteria has only fueled the love-hate relationship with steroids in our society.

Reuters reports that “high testosterone linked to men’s lower death risk.” I hope steroid-using bodybuilders do not conclude that higher testosterone levels, even supraphysiologic levels from exogenous testosterone adminstration, are always better than low testosterone levels. [Read more…]