Name: 戒掉類固醇後會發生什麼？ (What Happens When You Quit Steroids?)
Uploaded: 2025-07-19T20:41:04.000Z
Duration: 5 min 56 s

3 million people currently use steroids to build muscle mass in the US alone and one survey found that 30% of gym users were currently taking steroids.

僅在美國，目前就有 300 萬人使用類固醇來增大肌肉，一項調查發現，30% 的健身房使用者目前正在服用類固醇。

Taking ROIDs to get gains in the gym is clearly very popular but what happens to your brain, body, skin, and testicles when you decide to quit steroids?

服用 ROIDs 在健身房獲得收益顯然很受歡迎，但是當您決定戒掉類固醇時，您的大腦、身體、皮膚和睪丸會發生什麼變化？

未來完成式

After 24 hours of quitting steroids you will feel extremely tired and fatigued because of how the steroids have messed with your hormone systems, specifically your gonadotropin releasing hormone.

停用類固醇 24 小時後，你會感到非常疲憊和乏力，這是因為類固醇擾亂了你的激素系統，特別是促性腺激素釋放激素。

GnRH is released from the hypothalamus and through a series of chemical pathways stimulates your testes to produce testosterone and maintain size.

GnRH 由下丘腦釋放，通過一系列化學途徑刺激睪丸產生睪酮並保持體積。

This is why steroids can shrink your testicles and why now with the lack of steroid consumption your body is lacking testosterone production on its own.

這就是為什麼類固醇會讓你的睪丸萎縮，也是為什麼現在缺乏類固醇的攝入，你的身體就無法自行產生睪酮。

The steroids that you were consuming were mimicking the testosterone so now without the steroids you have lower testosterone.

你服用的類固醇是在模仿睪酮，所以現在沒有類固醇，你的睪酮就會降低。

This is known as hypogonadism and you start to lose energy.

這就是所謂的性腺功能減退症，你會開始失去活力。

At 48 hours of quitting you are extremely fatigued because of how low testosterone now affects the red blood cells in your body.

戒菸 48 小時後，你會感到非常疲勞，因為低睪酮會影響體內的紅血球。

Your body relies on red blood cells to transfer oxygen as a source of energy throughout your  Testosterone binds to cells in the kidney to stimulate the release of erythropoietin EPO which promotes red blood cell production.

人體依靠紅細胞將氧氣作為能量來源輸送到全身。睪酮與腎臟中的細胞結合，刺激促紅細胞生成素 EPO 的釋放，從而促進紅細胞的生成。

With the lack of testosterone from quitting steroids your body has less red blood cell production which means less oxygen and less energy for cells.

戒掉類固醇後，體內睪丸激素不足，紅細胞生成減少，這意味著氧氣和細胞能量減少。

You might remember the discussion with Lance Armstrong and how he used EPO to increase his red blood cell count to win the Tour de France.

您可能還記得關於蘭斯-阿姆斯特朗（Lance Armstrong）的討論，以及他如何使用 EPO 來增加紅細胞數量，從而贏得環法自行車賽。

Here's a clip of him admitting it to Queen Oprah.

這是他向奧普拉女王承認錯誤的片段。

Did you ever take banned substances to enhance your cycling performance?

您是否服用過違禁藥物來提高您的自行車運動成績？

Live strong baby especially if you're on EPO.

堅強地活下去，尤其是在服用 EPO 的情況下。

So again at 48 hours you have lower EPO less testosterone and less energy from quitting steroids.

是以，同樣是在 48 小時後，你的 EPO 值會降低，睪酮會減少，戒掉類固醇後的能量也會減少。

At 72 hours your sleep is now affected by the low testosterone.

72 小時後，您的睡眠會受到低睪酮的影響。

The exact mechanism that testosterone affects sleep is not known but there have been plenty of research showing that poor sleep can reduce testosterone levels and vice versa.

睪酮影響睡眠的確切機制尚不清楚，但大量研究表明，睡眠不足會降低睪酮水準，反之亦然。

One study showed that for every hour of sleep lost there was a testosterone drop.

一項研究表明，每減少一個小時的睡眠，睪丸激素就會下降。

Even people with obstructive sleep apnea which affects their quality of sleep have been shown to have lower testosterone levels.

即使是患有影響睡眠品質的阻塞性睡眠呼吸暫停的人，其睪酮水準也較低。

So when testosterone levels are low this makes it harder for you to get a good night's sleep.

是以，當睪酮水準較低時，您就更難獲得良好的睡眠。

Not getting a good night's sleep makes your testosterone levels lower.

So you might notice that quitting steroids has affected your ability to sleep.

所以你可能會發現，戒掉類固醇會影響你的睡眠能力。

After a week of quitting you will feel muscle aches and joint pain because testosterone usually promotes the release of anti-inflammatory cytokines from your immune cells.

戒菸一週後，你會感到肌肉痠痛和關節疼痛，因為睪酮通常會促進免疫細胞釋放抗炎細胞因子。

Now since the steroids affected your hormone system and you have lower testosterone the inflammation can accumulate in muscles and joints.

現在，由於類固醇影響了您的荷爾蒙系統，您的睪丸激素降低，發炎就會在肌肉和關節中積聚。

This is also around the time you may see that muscles are reducing in size because testosterone is less present to help with the maintenance of muscle.

也是在這個時候，你可能會發現肌肉在縮小，因為睪酮的存在減少了，無法幫助維持肌肉。

So it is after a week that the gains start to noticeably go away.

是以，一週後，收益就開始明顯減少。

At one month you may notice erectile dysfunction.

一個月後，你可能會發現勃起功能障礙。

Again since the steroids decrease natural GNRH production this by proxy decreases the follicle stimulating hormone and luteinizing hormone which help chemically message the testes to produce testosterone.

同樣，由於類固醇會減少天然 GNRH 的分泌，這也會減少促卵泡激素和促黃體激素的分泌，而這兩種激素會通過化學方法促使睪丸產生睪酮。

The lack of testosterone is now affecting these hormones to the point that it may be hard to maintain and get a boner.

缺乏睪酮會影響這些荷爾蒙的分泌，以至於很難保持和獲得勃起。

After two months the acne that has been building up all over your face and body will finally start to disappear.

兩個月後，你臉上和身上的痤瘡就會開始消失。

Testosterone stimulates the growth of sebaceous glands in your skin which produce acne.

睪酮會刺激皮膚皮脂腺的生長，從而產生痤瘡。

The low testosterone would reduce the acne's presence.

After three months of stopping steroids depressive symptoms and mood changes may get worse without testosterone replacement therapy.

停用類固醇三個月後，如果不進行睪酮替代治療，抑鬱症狀和情緒變化可能會加重。

Some studies have shown a higher suicide rate in those that have previously used steroids and withdrawal can make suicidal ideation worse.

一些研究表明，曾經使用過類固醇的人自殺率較高，而戒斷類固醇會使自殺傾向更加嚴重。

This has actually been shown to be the main reason why people start to use steroids again.

事實證明，這是人們再次開始使用類固醇的主要原因。

It's to deal with the depression and anxiety that they are now feeling.

這是為了應對他們現在感到的抑鬱和焦慮。

At seven months you might notice that things are looking up as your boners erectile dysfunction begins to improve because the testes starts to produce testosterone on its own.

七個月後，你可能會發現情況有所好轉，你的勃起功能障礙開始改善，因為睪丸開始自行分泌睪酮。

Seven months baby and the testes are back.

七個月大的寶寶，睪丸又回來了。

They're just getting back to creating testosterone on their own.

它們剛剛恢復了自己製造睪丸激素的能力。

The quality of your sperm now starts to improve again because the follicle stimulating hormone and the luteinizing hormone are again being able to message to your testes to create sperm in a more significant way.

由於促卵泡激素和促黃體生成素能夠再次向睪丸傳遞信息，從而更有效地製造精子，是以精子的品質現在又開始提高了。

But it has been seen that erectile dysfunction can take up to a year to improve but for many people it starts at seven months.

但人們發現，勃起功能障礙可能需要長達一年的時間才能得到改善，但很多人從七個月就開始了。

After a year is when you start to see your testes begin to grow again after shrinking.

一年後，你會發現睪丸在萎縮後又開始生長。

One study showed that after 15 months the testes size in former steroid users was 5.2 milliliters larger than current steroid users.

一項研究表明，15 個月後，曾經使用類固醇的人的睪丸比現在使用類固醇的人大 5.2 毫升。

But the former users still had testes 4.9 milliliters smaller than non steroid users which means it could take well over a year for your testes to get back to normal size.

但是，曾經使用過類固醇的人的睪丸仍然比不使用類固醇的人小 4.9 毫升，這意味著你的睪丸可能需要一年多的時間才能恢復到正常大小。

Clearly steroids have a negative effect on your body.

顯然，類固醇會對身體產生負面影響。

This video is important to understand what happens when you finally decide to stop using them because say you're sick of the acne or the tiny balls.

這段視頻很重要，它能讓你瞭解當你因為討厭粉刺或小球而最終決定停止使用時會發生什麼。

But it also explains why stopping steroids immediately could create many issues.

但這也解釋了為什麼立即停用類固醇會產生許多問題。

It doesn't really give your body the chance to start creating testosterone again on its own.

它並不能真正讓你的身體有機會重新開始自行製造睪丸激素。

There may be ways to slowly reduce your steroid use in order to not create such a strain on your body.

也許有辦法可以慢慢減少類固醇的使用，從而避免給身體造成如此大的負擔。

Again you need to talk to a doctor about this or you just never start taking steroids in the first place and you don't have to worry about this as much.

同樣，你也需要向醫生諮詢一下，或者一開始就不要服用類固醇，這樣你就不用太擔心這個問題了。

Or this trend is just going to continue to grow because one recent survey found that 70% of steroid users were aware of the negative impacts.

或者說，這種趨勢只會繼續增長，因為最近的一項調查發現，70% 的類固醇使用者都知道其負面影響。

Thank you so much for watching this video.

Maybe it will make more bros become natty.

也許這會讓更多的兄弟成為國家隊隊員。

Make sure you're subscribed and we will see you soon for a new science video.

請確保您已訂閱，我們很快就會為您帶來新的科學視頻。