Several authors have since described this condition in men, 5 but there has been no reported case of ASIH in woman or description of vocal symptoms due to this condition. However, the masculinized voice change associated with AAS, including decreased pitch, reduced F 0, and vocal fold thickening, has been reported as irreversible 1, 2 despite discontinued use.Ī new entity, anabolic steroid-induced hypogonadism (ASIH), described by Jarow, 4 suggests AAS can have an inhibitory effect on the hormonal axis long after discontinuing their use, including hypotestosteronism. The most common side effects include weight gain, acne, and increased libido, which are usually reversible. She was followed for 20 years, requiring multiple surgical interventions to increase her pitch and presented with delayed severe vocal fold atrophy, with concurrent abnormal low testosterone levels.Īndrogenic anabolic steroids (AAS) can have virilizing effect in women. ![]() ![]() A 27-year-old female bodybuilder presented with an androgenized voice (F0 = 110 Hz) after 6 weeks of androgenic anabolic steroid.
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