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Cornish_Celt · #9 (**permalink**) 06-23-2013, 05:16 AM

AAS and Birth Control

One of the most common questions asked is about AAS and Birth Control. Women typically experience an interruption of their menstrual cycle while on any sex hormone-manipulating cycle (AAS or "anti-estrogen"). This does NOT mean that you cannot get pregnant. Despite the lack of flow, other typical menstrual sides can be present when "that time of the month" is expected - including bloating, breast sensitivity, moodiness, etc.

There is very little to nothing published on the topic of the interaction of birth control and anabolic androgenic steroids so it is hard to say how they truly interact. For the usual purpose of women using steroids, to cut, it is more than that the effects of birth control and steroids promote opposing results, so the end result is less than completely optimal effects of either. Birth control's purpose is to regulate estrogen levels. For some this may mean controlling higher levels during a period, or for others this might mean promoting more if they experience irregular periods. This also includes the usual water retention and estrogen-pattern fat depositing around the stomach, hips and thighs areas. While a steroid is trying to promote lean muscle mass, and in some cases, even a ‘fat burning' effect. Even while the steroid may interrupted the menstrual flow, the birth control will still support prevention of pregnancy.

If a cycle is used for off-season mass-building, the need for staying lean is less of an issue. However for competition cutting, it can be an issue. The trade-off is to continue using birth control, and possibly not get the full effect of the cutting in the stomach / hips / thighs area but still getting the pregnancy prevention, or dropping the birth control, using a back-up birth control method (e.g. condoms) and have less of an impact from the estrogen-pattern fat depositing. Another option for many older competitors is an intra-uterine device (IUD). The copper IUD is completely non-hormonal, or another option such as Mirena, has a low-dose of slow-release progesterone to help address bleeding which can be an issue with the copper IUD. IUDs must be inserted by your OB/GYN and stay in place for up to five years. For this reason, this is only recommended for older women or those who do not intend to have any more children. This is something you need to discuss with your OB/GYN. The cost tends to run around $600 and may or may not be covered by your health insurance.

Another concern that women often with steroid use is recovery of the menstrual cycle. Noting I have yet to see a published study on this, the following paragraphs come with a caveat that this is from anecdotal and observational information and suggested as practical guidance and not a medical verity. If you have lost your period for an unusually long time and are concerned, always consult your OB/GYN.

The menstrual tends to be sensitive to changes in its environment - ranging from stress, to increased physical activity, sudden weight or bodyfat drop, introduction of steroids, or an estrogen manipulator such as a new birth control dose or use of an anti-estrogen. It will tend to turn off flow (and in the extreme, amenorrhea) or have breakthrough bleeding or sporadic periods while it deals with the change in its environment. When things have returned to a state of homeostasis, things will generally return to normal, including the usual monthly flow and the usual side effects of estrogen-pattern bodyfat depositing, water retention, cramps, etc.

To gauge roughly how long it should take for an interrupted menstrual cycle to return, look first at the compound you are using and its detection time. This is far end of the duration the compound is present in your system. It can be up to this long, or to a point where the concentration of the compound has dropped to where the rest of the body is comfortable and ready to turn things back on. And then, keeping in mind that the menstrual cycle works on a 28-day schedule, it will generally want a full month of a stable environment before it may start up again.

If you have concern, always consult your OB/GYN. There are prescriptions that are available to help reintroduce a period.

A last comment is about steroids and pregnancy. Again there are no medical studies available, but general guidance is to allow a good six months after a cycle to clear before attempting to get pregnant. Be sure to work closely with your personal physician if you plan to get pregnant and ensure that all of your basic bloodwork, and everything else is in order. The concern is that the presence of steroid compounds in the female system while a fetus is growing, can affect the sex hormones of the fetus, producing androgenic fetal abnormalities. There are many women who have cycled, who then stopped, cleared out and have had healthy children with no problem. Steroid use will not leave you infertile.

If the father is using steroids when the mother gets pregnant, there is no effect on the fetus itself. The concern for men using steroids is more related to the steroid-driven suppression of natural testosterone production, and in the extreme, infertility. Again, that said, there are many men who have conceived while on cycle with no issue.