The side effects of anabolic steroids is ED

Premature ejaculation is a male sexual dysfunction characterized by:
- Ejaculation which always or nearly always occurs prior to or within about one minute of vaginal penetration.
- Inability to delay ejaculation on all or nearly all vaginal penetrations; and, negative personal consequences, such as distress, bother, frustration, and/or the avoidance of sexual intimacy.

Premature ejaculation is divided into lifelong and acquired categories:
- Lifelong premature ejaculation. With lifelong premature ejaculation, the patient has experienced premature ejaculation since first beginning coitus.
- Acquired premature ejaculation. With acquired premature ejaculation, the patient previously had successful coital relationships and only now has developed premature ejaculation.
- Performance anxiety. Performance anxiety is a form of psychogenic ED, usually caused by stress.

People who use anabolic steroids, particularly those who abuse them for purposes of muscle development and performance enhancement, may develop a variety of side effects. Steroid use can be very hard on all of the body's systems, making users prone to serious health issues such as blood clots, heart disease, and liver problems. Men can develop shrunken testicles and enlarged breasts, while women may notice enlargement of the clitoris and loss of body fat. Psychological side effects of anabolic steroids can include extreme aggression, mania, and hallucinations. Other problems associated with steroid use include cosmetic problems like acne and oily skin, tendon ruptures, and overgrowth of bone.

Some of the side effects of anabolic steroids can be very serious and even life-threatening. Users may develop high blood pressure and heart disease, and be prone to heart attacks or strokes. They can be likely to get blood clots. Steroids are particularly hard on the liver, often causing issues like cancer or liver failure.

Due to the fact that they mimic the effects of the hormone testosterone, another of the possible side effects of anabolic steroids is changes in sexual characteristics. Men's testicles may shrink and their sperm count can decrease, leading to problems with fertility, they may also experience gynecomastia, or breast development. Women may lose body fat to the point where they have little to no breast tissue, their clitoris may get larger, and their menstrual periods may stop. Other issues related to hormonal effects include development of extra facial and body hair as well as deepening of the voice in women and increased chance of developing baldness in men.