Evidence map›Paper›PMID 33887077›Full record

SynthesisAndrologia2021

Anabolic androgenic steroid-induced hypogonadism, a reversible condition in male individuals? A systematic review.

José de Oliveira Vilar Neto, Carlos Alberto da Silva, Carlos Antônio Bruno da Silva, Daniel V Pinto, Juan de Sá Roriz Caminha, Robson S de Matos, Júlio C C Nunes Filho, Felipe R Alves, Saulo C Magalhães, Elizabeth De Francesco Daher

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Andrologia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.1field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 27 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Testosterone therapy in children and adolescents: to whom, how, when?International journal of impotence research · 2022
    Review
  14. The Roles of Androgens in Humans: Biology, Metabolic Regulation and Health.International journal of molecular sciences · 2022
    Review
  15. Review
  16. Article
  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

José de Oliveira Vilar NetoPost-Graduate Program in Medical Sciences, Federal University of Ceará, Fortaleza, Brazil.ORCID https://orcid.org/0000-0003-1910-7863
Carlos Alberto da SilvaPhysical Education and Sports Institute, Federal University of Ceará, Fortaleza, Brazil.
Carlos Antônio Bruno da SilvaUniversity of Fortaleza, Fortaleza, Brazil.
Daniel V PintoPost-Graduate Program in Medical Sciences, Federal University of Ceará, Fortaleza, Brazil.
Juan de Sá Roriz CaminhaPost-Graduate Program in Medical Sciences, Federal University of Ceará, Fortaleza, Brazil.
Robson S de MatosPost-Graduate Program in Medical Sciences, Federal University of Ceará, Fortaleza, Brazil.
Júlio C C Nunes FilhoPost-Graduate Program in Medical Sciences, Federal University of Ceará, Fortaleza, Brazil.
Felipe R AlvesPost-Graduate Program in Medical Sciences, Federal University of Ceará, Fortaleza, Brazil.
Saulo C MagalhãesState University of Ceará, Fortaleza, Brazil.
Elizabeth De Francesco DaherPost-Graduate Program in Medical Sciences, Federal University of Ceará, Fortaleza, Brazil.
Universidade Federal do Ceará · BRUniversidade de Fortaleza · BRUniversidade Estadual do Ceará · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The anabolic-androgenic steroids (AAS) are clinically used as an androgen replacement, in hypogonadism treatment, to induce puberty, and also in the treatment of chronic degenerative diseases. The AAS use out of clinical context is becoming massively, being used merely for aesthetic reasons. AAS abuse may cause severe disarrangement on the HPG axis and generate a significant decrease in testosterone synthesis and secretion by the testes. This review aims to evaluate whether the hypogonadism induced by AAS abuse is reversible and under what circumstances the reversibility is possible. For this, PRISMA guidelines and several databases are used between July and September 2020. Altogether, this systematic review identified and analysed 179 cases of AAS users. Of these, 168 cases had the hypogonadism clearly diagnosed and proven to be linked exclusively to AAS abuse. However, between these 168 cases, only 38 cases presented fully known outcomes and among these, merely in 4, the hypogonadism was completely reversible (2 based on drug therapy) with HPG axis recovery. In conclusion, this review presents evidences that AAS-induced hypogonadism is a seriously underestimated problem, and in the majority of cases, full recovery is very difficult to succeed.

Indexed as

Anabolic AgentsHypogonadismSubstance-Related DisordersAndrogensHumansMaleSteroidsTestosterone CongenersAnabolic AgentsAndrogensSteroidsTestosterone CongenersAASanabolic-androgenic steroidsandrologydrug abusehypogonadismhypothalamic-pituitary-gonadal axis

Identifiers

PMID33887077
OpenAlexW3155680480

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.