Anabolic steroids

The apparent positive effects of anabolic steroids include gains in muscular strength (in conjunction with diet and exercise) and quicker healing of muscle injuries. However the adverse effects, which are dependent on the dose and duration, are numerous. Adverse effects in women are:

• masculination—male pattern beard growth

• suppression of ovarian function

• changes in mood and libido

In adult men, adverse effects are:

• feminisation: enlarged breasts, high-pitched voice

• testicular atrophy and azoospermia

• libido changes

Severe effects with prolonged use include:

• liver function abnormalities including hepatoma

• tumours of kidneys, prostate

• heart disease

In prepubescent children there can be premature epiphyseal closure with short stature.

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