TY - JOUR AU - Avant, Ross A. AU - Charchenko, Cameron M. AU - Alom, Manaf AU - Westerman, Mary E. AU - Maldonado, Francisco AU - Miest, Tanner AU - Trost, Landon PY - 2018 TI - Medication patterns and fertility rates in a cohort of anabolic steroid users JF - Translational Andrology and Urology; Vol 7, Supplement 2 (May 28, 2018): Translational Andrology and Urology Y2 - 2018 KW - N2 - Background: To describe self-reported medication patterns and fertility rates in a population of anabolic steroid (AS) users. Methods: We reviewed data from an online survey of AS users and identified a sub-group who had attempted to achieve a pregnancy with their partners while using AS. The online survey consisted of questions addressing demographics, AS use, ancillary medications, and fertility outcomes. Results: A total of 97 men (of 231 total respondents) had attempted to achieve a pregnancy while taking AS and comprise the current cohort. The majority of men were 25–44 years old (63.9%), married (75.5%) and Caucasian (88.7%). Ancillary drug use was common with only 5.2% denying drug use other than ASs. The most common reported ancillary drugs were antiestrogens (89.7%) and sexual enhancement medications (SEMs) (68%). The fertility rate was 92.8%, with 82.4% achieving pregnancy within one year. Interestingly, only 13.5% sought fertility evaluation with treatment required in 8.3%. Age at initiation of AS use, maximum dosage utilized, yearly duration of supplementation, and number of years using steroids were not associated with a prolonged duration to pregnancy or decreased rate of pregnancy. Conclusions: Despite continued use of ASs, this cohort’s self-reported fertility rates are unexpectedly high. This is presumably related to cycling of therapy and concomitant use of fertility preserving medications. UR - https://tau.amegroups.org/article/view/19629