Complications of Anabolic Steroid Misuse
While steroids may deliver short-term muscle growth or athletic gains, the long-term consequences and complications of anabolic steroid misuse can be devastating — affecting nearly every organ system.
1. Hormonal Imbalance
- In men: reduced sperm count, erectile dysfunction, infertility, and testicular shrinkage
- In women: irregular periods, voice deepening, facial hair growth, and irreversible body changes
- Both genders can experience mood disorders and libido changes
2. Cardiovascular Complications
- Steroid use lowers HDL (good) cholesterol and raises LDL (bad) cholesterol
- Increases risk of heart attacks, high blood pressure, and stroke
- Blood clots and arterial damage are also possible
3. Liver Damage
- Oral steroids pass through the liver and may cause liver toxicity, tumours, or peliosis hepatis (blood-filled cysts)
4. Kidney Strain
- Long-term use can impair kidney function, particularly when combined with high-protein diets and other supplements
5. Mental Health Effects
- Aggression, irritability, paranoia, and manic behaviour
- Depression, particularly after stopping steroid use (due to hormone withdrawal)
- Some users develop dependency or compulsive use patterns
6. Skin and Hair Problems
- Severe acne
- Oily skin
- Male-pattern baldness (even in genetically predisposed women)
7. Infections
- Sharing needles can lead to HIV, hepatitis B/C, or local abscesses
These complications can develop slowly or appear suddenly — even in users who consider themselves “healthy.” Let’s now look at how treatment and recovery from steroid misuse is approached.
👉 [Next: Treatment for Steroid Misuse]
Diagnosis of Anabolic Steroid Misuse
Causes and Motivations for Anabolic Steroid Misuse


