Johnny, a young man who lives in a small midwestern town, is an illegal drug user. His habit started slowly, but has grown quickly. He now must resort to stealing to support it. Lately, his friends and family have noticed some troubling changes in him. Johnny's drug habit however, is quite different from what most would probably expect, since he is only 14 years old. The money he steals comes from his mother's purse and his father's wallet. The noticeable changes are his expanding neck and his violent moods.
Johnny's drug of choice? Anabolic steroids.
Illegal steroid use by Olympic, college, and professional athletes often makes the news, but the abuse of these drugs by teenagers has not received as much attention. What is most troubling is that the health dangers can be especially devastating for teenagers.
Taken as a pill or as an injection, anabolic steroids are derived from and mimic the effects of the male sex hormone testosterone. Both men and women naturally produce testosterone, although women make very small amounts.
In males, testosterone's role in the body is two-fold. First, it maintains the reproductive system, including production and maintenance of the male sexual characteristics, such as a deeper voice, increased body hair, larger body size, and greater muscle mass. Second, for a short period of time at the onset of puberty, testosterone production rises dramatically to stimulate the bulk of the physical maturation process, including full bone growth.
It is this ability to promote muscle growth, increase lean body mass, and decrease body fat that entices teenagers to take anabolic steroids. Those striving to improve their strength, speed, and stamina often see steroids as a quick way to lift heavier weights and look bigger.
Unfortunately, the high doses that are necessary to affect these body changes come with health dangers. Teens are at risk for irreversible stunted growth. This happens because the bones are stimulated to grow and mature too quickly, then stop growing earlier than they normally would.
Anabolic steroids can produce adverse side effects in men and women of all ages, including:
Some side effects specific to men include:
Side effects specific to women include:
Because most anabolic steroid users acquire the drug illegally via the black market, they may receive impure or tainted steroids. This presents many health risks.
Another danger is stacking, which involves taking several types of steroids at once to enhance the effects. These combinations multiply the risks.
Teens who abuse anabolic steroids often know about the dangers, but are driven by a desire to be bigger, stronger, and better than their peers.
If your teen wants to strength train with weights, help them do it the right way, with proper training and diet. If they have to train for a specific sport or want to attain specific fitness goals, consider getting a trainer who can help them plan a routine and modify it as their needs change. Talk to your teen's doctor before they take any supplements. Some supplements interact with medications, while many have no benefit.
Athletes need the support of friends, parents, and coaches to avoid the traps of steroid use. Encourage open conversations about steroid use, and let your teen know they can come to you if they suspect a friend or teammate may be in trouble with steroids.
Healthy Children—American Academy of Pediatrics
National Institute on Drug Abuse
Canadian Centre on Substance Abuse
Anabolic steroids. American Academy of Pediatrics Healthy Children website. Available at: http://www.healthychildren.org/English/ages-stages/teen/substance-abuse/Pages/Anabolic-Steroids.aspx. Updated November 21, 2015. Accessed February 10, 2016.
Are steroids worth the risk? Nemours Kids Health website. Available at: http://kidshealth.org/teen/drug_alcohol/drugs/steroids.html. Updated June 2013. Accessed February 10, 2016.
Drug fact sheet: steroids. United States Drug Enforcement Agency website. Available at: http://www.dea.gov/druginfo/drug_data_sheets/Steroids.pdf. Accessed February 10, 2016.
Steroids. Nemours Kids Health website. Available at: http://kidshealth.org/parent/emotions/behavior/steroids.html. Updated October 2013. Accessed February 10, 2016.
Steroids (anabolic). National Institute on Drug Abuse website. Available at: http://www.drugabuse.gov/publications/drugfacts/anabolic-steroids. Updated December 2012. Accessed February 10, 2016.
Last reviewed February 2016 by Michael Woods, MD Last Updated: 2/10/2016