Many physicians have attempted to manage a patient with AAS-induced hypogonadism, but most do not feel confident in treating the condition [34]. Patients are often advised to wait until symptoms resolve, with many continuing to experience unresolved symptoms. Physicians are often rated poorly by men using AAS regarding their knowledge and expertise when compared with coaches, bodybuilding websites and other men using AAS [3, 26]. In the U.K., men using AAS may seek support through community harm reduction clinics [23]. The availability, and trust, in this support network may explain why most respondents would prefer to access prescribed PCT in the community, rather than via specialist clinics or their general practitioner.
Griffiths et al.’s thematic analysis reported increased mood disturbances upon AAS cessation with some reporting an improvement in symptoms with PCT [31]. Others however reported that the use of PCT worsened some psychiatric [[http://WWW.Rohitab.com/discuss/user/2218499-sidneyloom/|First steroid Cycle advice]] symptoms. Additionally, difficulty accessing PCT during the COVID-19 pandemic has been tentatively linked to worsening of mental health disorders in men ceasing AAS use, however this was likely multicausal [32].

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