Reproductive endocrinology

The efficacy of a harm reduction intervention for androgen abuse: a historically controlled trial

Eur J EndocrinolPublished Historically controlled trial

Authors' conclusion

This is the first controlled study to demonstrate that a harm reduction intervention can reduce androgen exposure among men planning to abuse androgens. These findings support harm reduction as a promising strategy to mitigate health risks associated with androgen abuse. Future studies should confirm generalizability and monitor for potential enabling effects.

Study context

Population
Male amateur athletes planning to start an androgen cycle
Participants
99 vs 100
Exposure
Harm reduction intervention vs no intervention
  • Interventionn = 99
  • Controlsn = 100reference
Outcome
Cumulative androgen dose, cycle duration and weekly dosage
Follow-up
1 year
Methodological detailsprospective, historical control cohort, 1-year intervention study, Baseline characteristics largely comparable; intervention participants reported slightly more weekly training time and lower intended cumulative cycle dose
  • Prospective
  • Historical control cohort
  • 1-year intervention study
  • Baseline characteristics largely comparable; intervention participants reported slightly more weekly training time and lower intended cumulative cycle dose

Main finding

Cumulative androgen dose

Mean difference

13 087 mg

95% CI −16 564 to −9609

By group

As reported in the abstract

Observational data: associations, not effects.

Secondary outcomes

OutcomeAverage reduction (mg) (95% CI)
Within-person deviation from planned cumulative androgen doseReduction with Intervention8729 (−11 297 to −6287)
Refrained from initiating a cycle due to the intervention
Twelve percent

Safety

No significant enabling effect was observed

Original publication

The efficacy of a harm reduction intervention for androgen abuse: a historically controlled trial. Eur J Endocrinol. Published 13 January 2026. doi:10.1093/ejendo/lvag002

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