It's important to understand the facts about steroids, their side effects, and what can drive kids and teens to try them. Being aware of the kinds of pressures kids deal with in sports can help you make sure that your child isn't at risk.

What Are Steroids?

Drugs commonly referred to as "steroids" are classified as corticosteroids or anabolic (or anabolic-androgenic) steroids.

Corticosteroids

Corticosteroids, such as cortisone, are drugs that doctors prescribe to help control inflammation. They're used to help control conditions like asthma and lupus. They're not the same as the anabolic steroids.

Anabolic Steroids

Anabolic steroids are synthetic (manmade) hormones that can boost the body's ability to make muscle and prevent muscle breakdown.

Some athletes take steroids in the hopes that they will help them run faster, hit farther, lift heavier weights, jump higher, or have more endurance. In the United States, it is against the law to use anabolic steroids without a prescription.

Androstenedione, or "andro," is a kind of anabolic steroid taken by athletes who want to build muscle. It is a controlled substance because of its suspected health risks and available only by prescription. There is little or no evidence that it has any significant anabolic effects.

Why Do People Use Steroids?

Some professional baseball players, cyclists, and track stars have been accused of — and in some cases have admitted to — using steroids to give them an edge competitively.

Steroid use has trickled down to younger athletes too, who face pressure to be stronger and faster, and to make it to college and professional leagues.

Steroids promise bold results, but there is little proof that they deliver them. But they can harm developing kids — with some of these ill effects not likely to turn up until years later.

How Do Anabolic Steroids Work?

Anabolic steroids are drugs that resemble the chemical structure of the sex hormone testosterone, which is made naturally by the body. Testosterone directs the body to make or enhance male characteristics, such as increased muscle mass, facial hair growth, and deepening of the voice, and is an important part of male development during puberty.

When anabolic steroids increase the levels of testosterone in the blood, they stimulate muscle tissue in the body to grow larger and stronger. But the effects of too much testosterone circulating in the body can be harmful over time.

What Are the Risks of Anabolic Steroids?

Anabolic steroids are dangerous for various reasons:

• They're illegal.
• They can cause health problems, especially when used in large doses over time. The problems may not appear until years after a person took the steroids.
  
• Buying them online can be risky because they might be counterfeit and could have added toxic substances in them. 

Possible Side Effects and Health Problems of Anabolic Steroids

Although they might help build muscle, steroids can have very serious side effects. Using them for a long time can harm the reproductive system. In males, steroids can lead to impotence, reduced sperm production in the testicles, and even smaller testicle size.

Females who use steroids may have problems with their menstrual cycles because steroids can disrupt the maturation and release of eggs from the ovaries. This can cause long-term problems with fertility.

When taken for a long time, steroids also can cause:

• stunted growth in teens (by making bones mature too fast and stop growing at an early age)
• liver tumors
• abnormal enlargement of the heart muscles
• violent, aggressive behavior and mood swings
• blood lipid problems that contribute to heart disease
• acne (or a worsening of acne)
• increased breast growth in males, especially teens
• irreversible stretch marks
• a higher risk for hair loss and male-pattern baldness
• muscle aches

In females, they also can lead to:

• male-type facial and body hair growth and male-pattern baldness
• deepening of the voice
• enlargement of the clitoris

Legal Risks

Besides the health risks, people who use steroids without a prescription are breaking the law. Drug testing for all athletes is common, and those who fail a drug test for steroids can face legal consequences, including jail time, monetary fines, being banned from an event or team, or forfeiture of trophies or medals.

Andro use is banned by many sports organizations, including the International Olympic Committee, the National Football League, the National Basketball Association, the National Collegiate Athletic Association, the Association of Tennis Professionals, and most high school athletic associations.

What Else Should I Know About Steroids?

Many pressures might drive young athletes to try steroids. While most athletes exercise hard, eat properly, and take care of their bodies to reach fitness and performance goals, the pressure to excel and to look physically toned and fit can be intense.

Help your kids handle these pressures by:

• discussing healthy competition with them
• talking about the coaches' and team members' attitudes toward steroids
• knowing what kind of sports environments they compete in
• encouraging them to prepare mentally and physically for competition by eating well and getting enough rest

Watch for these warning signs of steroid abuse:

• exaggerated mood swings
• worsening acne
• unusually greasy skin with stretch marks
• a sudden increase in muscle size

If you see any of these signs in your child, talk with your doctor. Steroids may give young athletes the sense that they're stronger and more athletic, but the risks are too dangerous. 

When steroid use among pro athletes is in the news, use it as a way to discuss the issue, making sure your kids understand the health risks, the possibility of legal trouble, and the concept that steroid use is a form of cheating.