Acute hypoxia has a pronounced catabolic effect, whereas repeated hypoxic episodes promote hypertrophy of the adrenal cortex. Steroid hyperproduction caused by stress reaction after single hypoxic episode persists after repeated hypoxic episodes. The relations between vessels and parenchyma play the key role in spatial reorganization of the adrenal cortex. Increased volume and surface-volume ratios between sinusoids and adrenocorticocytes point to the enhancement of transcapillary exchange and can be regarded as an adaptive compensatory reaction on the tissue level. Nandrolone decreases antianabolic and stress effects of hypoxia, thus potentiating compensatory adaptive reactions both after single and repeated hypoxic episodes.Key Words: adrenal cortex; hypoxia; nandrolone; morphology; stereology There are ample data concerning hypoxia and changes in tissues and organs caused by inadequate oxygen supply [1,5,7]. From biological point of view, hypoxia can be regarded as a stress factor, therefore oxygen deficiency induces unspecific stress reaction in the organism [8,10]. An important component of this reaction is activation of the adrenals and enhanced hormone synthesis and secretion. This strain combined with negative effect of oxygen deficiency on energy supply of biosynthetic processes in adrenocorticocytes (ACC) results in significant structural and functional changes in this organ and secretory insufficiency.Recently, the possibitity of correcting hypoxic states with antihypoxants of different origin attracted attention of many authors [6,7,11 ]. However, hypoxiainduced morphological changes in the adrenal glands, particularly, spatial reorganization of the main tissue components, and the possibility of correcting these changes are not completely elucidated.