Anabolic steroids purchased on the Internet as a cause of prolonged hypogonadotropic hypogonadism

Anabolic steroids purchased on the Internet as a cause of prolonged hypogonadotropic hypogonadism / Ilenia Pirola, Carlo Cappelli, Andrea Delbarba, Tiziano Scalvini, Barbara Agosti, Deodato Assanelli, Antonio Bonetti, Maurizio Castellano. - (Fertility and Sterility 94 (2010) 6 (November); p. 1-3).

  • PMID: 20416868.
  • DOI: 10.1016/j.fertnstert.2010.03.042


Objective: To report a case of hypogonadotropic hypogonadism due to the chronic abuse of anabolic steroids purchased over the Internet.

Design: Case report.
Setting: Endocrinology unit of the University of Brescia.
Patient(s): A 34-year-old man.
Intervention(s): A single dose (100 μg) of triptorelin (triptorelin test).

Main outcome measure(s): Clinical symptoms, androgen normalization, levels of serum testosterone, follicle-stimulating hormone, and luteinizing hormone.

Result(s): Within 1 month, the patient's serum testosterone was in the normal range, and he reported a return to normal energy and libido.

Conclusion(s): The World Anti-Doping Code has proved to be a very powerful and effective tool in the harmonization of antidoping efforts worldwide, but it is insufficient to combat this illegal phenomenon. To tackle the serious side effects caused by doping we believe that it is necessary to increase monitoring and adopt severe sanctions, particularly with regard to Internet sites.

Original document


Case report
22 April 2010
Other organisations
Università degli Studi di Brescia - University of Brescia
Università degli Studi di Parma (UNIPR) - University of Parma
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S1. Anabolic Agents
Luteinizing hormone (LH)
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Health effects
Gym/fitness environment
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Scientific article
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Date generated
3 June 2020
Date of last modification
28 October 2020
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