In March 2017, we searched for randomised controlled trials, which compared the use of anabolic steroids with other treatments for pressure ulcers. We found only one trial involving a total of 212 participants. This trial compared the effects of an anabolic steroid (oxandrolone capsules) with a placebo (dummy treatment containing no active medicine) on pressure ulcer healing in people with spinal cord injuries. The participants were mostly male (%) with a mean age of years in the oxandrolone group, which was comparable with the participants in the placebo group (male: 100%; mean age: years). The trial was conducted over 24 weeks with a further follow-up for eight weeks.
The legal status of anabolic steroids varies from country to country. In the ., anabolic steroids are listed as Schedule III controlled substances under the Controlled Substances Act , which makes the possession of such substances without a prescription a federal crime punishable by up to seven years in prison.  In Canada, anabolic steroids and their derivatives are part of the Controlled drugs and substances act and are Schedule IV substances, meaning that it is illegal to obtain or sell them without a prescription. However, possession is not punishable, a consequence reserved for schedule I, II or III substances. Those guilty of buying or selling anabolic steroids in Canada can be imprisoned for up to 18 months. Importing or exporting anabolic steroids also carry similar penalties.  Anabolic steroids are also illegal without prescription in Australia,  Argentina, Brazil, and Portugal,  and are listed as Schedule 4 Controlled Drugs in the United Kingdom.