It is not so common among girls because the use of steroids promotes acne, anger and diminished sex drive. the use in high school varies with the demands of the coaching staff, parents looking the other way, and not educating students about the harm and later cancer threat of using them. It is really not as common as it would appear. Pills and injections are not the bailiwick of most high school men. In some states, testing for steroids in urine prior to games diminishes the likelihood that they will be used.

Wayne Yankus, MD, FAAP
expert panelist: pediatrics