Dianabol is not an extremely androgenic steroid, its androgenicity has been structurally reduced, but androgenic side effects are still possible. Such side effects of Dianabol use include acne, accelerated hair loss in those predisposed to male pattern baldness and body hair growth. Most men should not have a problem with such effects, response will be the final dictator, but most will remain clear. Although the odds are in your favor, such effects are brought on by Methandrostenolone being metabolized by the 5-alpha reductase enzyme. This is the same enzyme responsible for the reduction of testosterone to dihydrotestosterone, but the overall conversion here will result in very low amounts of dihydromethandrostenolone. This tells us 5-alpha reductase inhibitors like Finasteride that are often used to combat androgenic side effects will have very little if any affect on Dianabol.
Despite its reduced androgenicity, Dianabol can promote virilization symptoms in women. Such symptoms include body hair growth, a deepening of the vocal chords and clitoral enlargement. It is possible for some women to use this steroid without virilization symptoms with extremely low doses, but the odds are not favorable. Most all women should choose anabolic steroids with less translating androgenic activity to meet their needs.
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The doctor will ask about your baby's symptoms and do an examination. He may ask about a family history of UTIs because the tendency to get them can be genetically inherited.
If your baby's doctor suspects a UTI, he'll need to collect a urine sample and check it for infection and inflammation with a urinalysis and urine culture. It's important for the doctor to verify that your baby has an infection and determine which bacteria are causing it so he can prescribe the correct antibiotic.
The challenge is that the doctor needs to collect a "sterile" urine sample, or one that hasn't been contaminated by the bacteria that are always present on your baby's skin. This is hard to do with a baby or young child who can't urinate on command or follow special instructions.
Most likely, the doctor will use a catheter to obtain a sample. He'll clean your baby's genitals with a sterile solution and then thread a tube, or catheter, up the urethra to get urine straight from the bladder. Your baby may cry during this procedure, but it's safe and routine and – while it can be uncomfortable – usually takes less than a minute.
Another option, not used as often, is to collect urine directly from the bladder by inserting a needle into the lower abdomen.
The doctor may be able to get preliminary results by using a urine dipstick or by examining the urine under a microscope in the office. If he sees evidence of infection from these initial results, he may start treatment right away. If he sends the sample to a lab for testing, it may take a day or two to get the results.
The doctor may recommend other tests, as well, because UTIs can be a sign that there's something wrong with your baby's urinary tract. Problems that cause UTIs include blockages and a condition called vesicoureteral reflux (VUR), in which urine from the bladder backs up into the kidneys. VUR is found in 30 to 40 percent of babies and young children who have UTIs.
The tests that your baby's doctor may recommend include: