A man comes to a clinic for infertility On examination , it is found that he has a reduction in the size of the testicles, decreased sperm production and enlargement of the prostate gland . He confesses to drug abuse. Which drug would he be consuming ?

Options

A. Cocaine
B. Charas
C. Anabolic steroids
D. Heroin

Answer

To solve the question regarding the drug that the man is consuming, we need to analyze the symptoms he is experiencing and the effects of the potential drugs mentioned. Here’s a step-by-step breakdown of the solution:

### Step 1: Identify the Symptoms
The man presents with:
- Reduction in the size of the testicles
- Decreased sperm production
- Enlargement of the prostate gland

### Step 2: Analyze the Drug Options
We have four options to consider:
1. Cocaine
2. Charas (Cannabis)
3. Anabolic steroids
4. Heroin

### Step 3: Evaluate Each Drug
- **Cocaine**: This is a stimulant that primarily affects the central nervous system. It does not typically cause the symptoms of reduced testicle size or decreased sperm production. Instead, it can lead to cardiovascular issues and addiction but is not known for causing infertility.

- **Charas (Cannabis)**: While cannabis can have various effects on the body, it is not specifically linked to the reduction in testicle size or significant decreases in sperm production. It may cause some hormonal changes but does not typically lead to the specific symptoms described.

- **Anabolic Steroids**: These are synthetic variations of testosterone. They can lead to:
- Reduction in testicle size (testicular atrophy)
- Decreased sperm production (due to hormonal imbalances)
- Enlargement of the prostate gland (due to increased androgen levels)

Given the symptoms presented, anabolic steroids are highly likely to be the cause.

- **Heroin**: This opioid is primarily associated with pain relief and sedation. It does not cause the specific symptoms of reduced testicle size or decreased sperm production.

### Step 4: Conclusion
Based on the analysis, the drug that the man is likely consuming is **anabolic steroids**. This aligns with the symptoms of testicular atrophy, decreased sperm production, and prostate enlargement.

### Final Answer
The man is consuming **anabolic steroids**.

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