Steroids & Erectile Dysfunction: Why It Happens & How to Prevent It

Erectile dysfunction is a challenging condition and becomes even more complex when combined with the use of steroids. Understanding the underlying causes is the first step towards finding effective solutions. This blog delves into the idea of how steroids can make you impotent, the science behind it, and the practical steps that you can take to manage your sexual health.

What Is Erectile Dysfunction?

Erectile dysfunction or impotence is a condition characterized by the inability to achieve or sustain a firm penile erection. The causes of ED might include physical factors such as cardiovascular diseases, diabetes, hormonal imbalances, and neurological conditions. This might also be related to psychological factors such as stress, anxiety, depression, or relationship issues.

What Are Steroids?

Steroids are a class of synthetic compounds that are similar to naturally occurring hormones in the body, especially those that regulate functions such as growth, immune response, and metabolism.

Steroids are of two types: corticosteroids and anabolic steroids.

Corticosteroids

They reduce inflammation and suppress the immune system. Corticosteroids are used for treating conditions such as asthma, allergies, arthritis, autoimmune diseases, and skin conditions. It is important to note that these are commonly prescribed by doctors and are not the same as muscle-building steroids.

Some of the common examples of Corticosteroids include Prednisone, hydrocortisone, and dexamethasone.

Anabolic-androgenic steroids (AAS)

The anabolic steroid promotes muscle growth and increases male characteristics. They are structurally similar to testosterone, a male sex hormone that is essential for developing male characteristics. These steroids are used for improving delayed puberty and muscle loss. However, it is often misused for bodybuilding or sports.

Do Steroids Cause Erectile Dysfunction?

The use of steroids can cause erectile dysfunction in some patients. A 2022 study on the consequences of Anabolic Steroid Abuse in Males suggests that about 19 to 31% of males abusing anabolic steroids experience ED and low libido. The use of anabolic steroids can result in infertility, reduced sperm, erectile dysfunction, and shrunken testicles. Studies also suggest that continuous use of anabolic steroids can result in tolerance. This means that the body will stop producing testosterone, thus increasing the risk of sexual dysfunction.

 How Do Steroids Cause Erectile Dysfunction?

The use of steroids can cause erectile dysfunction in the following ways-

Vascular Effects

Taking steroids can affect the heart or the cardiovascular system. This can cause atherosclerosis, a condition that can narrow down the arteries and restrict the proper blood flow in the body. This can result in lower or improper blood flow to the penis, resulting in erectile dysfunction.

Hormonal imbalance

Steroids can affect the hormonal balance in the body, which can affect the level of important male hormones such as testosterone. An increased level of synthetic hormones in the body can result in testosterone suppression and further increase the risk of erectile dysfunction.

Psychological Issues

The use of steroids in larger amounts can result in irritability or shifts in the mood which can further result in depression. It is important to note that mental health conditions such as depression, anxiety, and stress play a key role in causing symptoms of ED.

Neurological Conditions

Steroid use can also affect the central nervous system (CNS) by affecting certain regions of the brain that regulate sexual arousal. This disruption in the neurological pathways can also make it difficult to getting and maintain an erection.

How To Manage Sexual Side Effects Of Anabolic Steroid Use?

If you suspect steroid use is affecting your sexual well-being, the most important step is to stop using anabolic steroids. Your body needs time, from three months to a year, to restore natural testosterone production.

In case erectile dysfunction still persists after ceasing steroid use, there is a range of treatment options to address this condition.

PDE5 inhibitors: Medications like generic Viagra or generic Cialis can temporarily improve blood flow to the penis when you are sexually aroused, helping you get and keep an erection.

Consider testosterone replacement therapy (TRT): If your testosterone levels remain low after stopping steroids, TRT may help balance your hormones and restore erectile function.

Make healthy lifestyle changes: A healthy, balanced diet, regular exercise, stress management, and good sleep habits all support hormone health and sexual well-being.

Note: It is important to discuss the best treatment options for your ED with your doctor.  Treatments may vary depending on the severity of your condition.

Conclusion

Erectile dysfunction can be a significant and distressing consequence of anabolic steroid use, affecting both physical and psychological well-being. While steroids may offer short-term benefits for muscle growth or performance, their impact on cardiovascular health, hormone balance, mental health, and neurological function can increase the risk of sexual dysfunction.

However, it is important to note that steroid-induced ED is often manageable. Discontinuing anabolic steroid use, allowing the body time to restore natural testosterone production, and adopting healthy lifestyle habits can be beneficial.