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 abuse leading to infertility symptoms in a man, we can follow these steps:

### Step-by-Step Solution:

1. **Identify Symptoms**: The man presents with three key symptoms:
- Reduction in the size of the testicles
- Decreased sperm production
- Enlargement of the prostate gland

2. **Understand the Role of Testosterone**: These symptoms are indicative of issues related to testosterone, the primary male sex hormone. Testosterone is responsible for the development and maintenance of male reproductive tissues, sperm production, and prostate health.

3. **Consider Drug Abuse**: The man confesses to drug abuse, which suggests that the drug he is consuming may be interfering with his hormonal balance and reproductive health.

4. **Evaluate the Options**:
- **Cocaine**: Known for cardiovascular effects, not typically associated with the symptoms described.
- **Churrus**: A cannabis derivative that causes anxiety and appetite loss, but does not directly affect testosterone levels or reproductive health.
- **Anabolic Steroids**: These are synthetic derivatives of testosterone. They can lead to decreased natural testosterone production, resulting in reduced testicle size, decreased sperm production, and potential prostate enlargement due to hormonal imbalance.
- **Heroin**: Primarily affects the respiratory system and does not have a direct link to the symptoms presented.

5. **Conclusion**: Based on the evaluation, the drug that the man is likely consuming is **Anabolic Steroids**. These steroids mimic testosterone and can disrupt normal hormonal functions, leading to the symptoms observed.

### Final Answer:
The man is consuming **Anabolic Steroids**.