Steroids, Side-Effects

Non-prescribed, Performance and Image Enhancing Drugs (PIEDs), including Anabolic Androgenic Steroid (AAS), can have adverse side effects. Although the majority of adverse effects may be mild or may go unnoticed by the person using these substances, all people who use AAS experience some form of adverse effect (e.g., high cholesterol), and some of these may be long-term (even after stopping). Roidsafe lets you detect, understand, and adapt to minimise harm to yourself. With test results about your own body, you can make informed decisions. Get Roidsafe tested today.  

Reported adverse effects of AAS use.

Below is an overview of the reported adverse effects of non-prescribed AAS use.


  • Dyslipidaemia – atherosclerotic disease
  • Cardiomyopathy
  • Cardiac conduction abnormalities
  • Coagulation abnormalities
  • Polycythaemia (i.e. Erythrocytosis)
  • Hypertension


  • Inflammatory and cholesteric effects
  • Peliosis hepatis (rare)
  • Neoplasm (rare)


  • Renal failure secondary to rhabdomyolysis
  • Focal segmental glomerulosclerosis
  • Neoplasms (rare)

Neuroendocrine (males):

  • HPT suppression – hypogonadism from AAS withdrawal
  • Decreased spermatogenesis
  • Infertility
  • Gynaecomastia
  • Prostatic hypertrophy
  • Virilising effects
  • Libido and other sexual function changes

Neuroendocrine (females):

  • Amenorrhea
  • Changes in the reproductive system
  • Development of a more masculine physique; breast tissue atrophy, deepening of voice, coarse skin, and hirsutism (excessive hair growth)

Brain and cognition abnormalities

  • Changes in brain volume and cortical thickness
  • Reduced cognitive functioning (incl. speed of processing, working memory, problem solving and memory function)
  • Neuronal apoptosis – cognitive deficits

Infectious (due to the methods of administration)

  • Soft tissue & muscular abscesses
  • HIV/Hepatitis risk


  • Tendon rupture
  • Premature epiphyseal closure (in adolescents, rare)


  • Acne (in some cases severe)
  • Striae
  • Premature balding


  • Mood disorders – mania, hypomania and depression
  • Aggression
  • Insomnia
  • AAS dependence

We understand why you aren’t talking to your doctor about these drugs, you are worried about confidentiality… 

This worry is unfounded, with Roidsafe, just like your doctor you enjoy 100% doctor-patient confidentiality. Your Roidsafe patronage will be kept 100% confidential.  


  1. you or someone else’s life is in danger,  
  1. Insurers specifically contact us in regards to providing insurance or assessing a claim.Although possession of non-prescribed AAS is a criminal offence it is not  a mandatory reporting offence. Mandatory reporting offences where a doctor has to report to the police include serious offences with 5 or more years in sentencing (e.g. murder, rape).