The Link Between Steroids and Erectile Dysfunction

Steroids, often driven by a desire to enhance physical appearance or performance, can have various side effects. One of the most concerning side effects linked with steroid use is erectile dysfunction or ED. 

This blog will discuss how to avoid ED on steroids and outline a few measures to reduce the side effects of steroids. 

What Are Steroids?

Steroids are a broad class of synthetic compounds that resemble the naturally occurring hormones in the body, particularly those linked to regulating various bodily functions like metabolism, growth, and immune response. There are two types: corticosteroids and anabolic steroids.

Corticosteroids are an anti-inflammatory medication used to treat a wide range of conditions, such as asthma, allergic reactions, arthritis, etc. They mimic cortisol, a steroid hormone produced by the adrenal gland [1]. 

Anabolic steroids are a class of drugs that are structurally similar to testosterone (the primary male sex hormone). They have a number of medical uses but are primarily used by athletes to increase muscle strength, size, and performance [2]. 

What Is Erectile Dysfunction?

Erectile dysfunction is the inability to get and maintain an erection. This is caused by improper blood flow to the penis.  It is a common sexual disorder affecting about 30 million men in the United States [3]. 

Many factors, such as age, vascular problems, certain medications, mental health problems, etc, can cause ED. 

Explore a comprehensive guide by WebMD detailing the various causes of erectile dysfunction.

Do Steroids Cause Erectile Dysfunction?

Yes, the use of steroids has been linked to a widespread sexual dysfunction in men called erectile dysfunction. A 2021 study by Giovanni Corona et al. showcasing a combined result of 6 to 7 clinical cases suggests that 19–31% of males abusing anabolic steroids reported low libido and ED.

Which Steroids Cause Erectile Dysfunction?

Anabolic steroids have been known to cause numerous side effects that affect male reproductive health. Unfortunately, one of the side effects of anabolic steroids is impotence or erectile dysfunction, especially after discontinuation.

In one research paper, it was mentioned that while using anabolic steroids, testosterone levels increased, which seemed to protect men against erectile dysfunction, but problems like reduced sex drive and ED became more common after stopping anabolic steroids, especially in people who used it for long periods [4]. 

How Do Steroids Cause Erectile Dysfunction?

Factors contributing to erectile dysfunction on steroids are [5] – 

Vascular effects 

Steroids can affect the cardiovascular system, leading to atherosclerosis (narrowing arteries and restricting blood flow). This can result in reduced blood flow to the penis which can contribute to ED. 

Hormonal imbalance

Steroids have the potential to upset the harmony of hormones within the body. This can result in an adverse effect on the levels of testosterone, an essential hormone for maintaining optimal sexual function. Increased levels of synthetic hormones can result in testosterone suppression and erectile dysfunction risk.

Neurological factors 

Steroids can influence the CNS (central nervous system), affecting the regions of the brain that govern sexual arousal. Disruptions in neurological pathways can lead to difficulties in getting and keeping an erection. 

Psychological reasons

Using steroids, especially in larger quantities, may result in shifts in mood and irritability and potentially lead to feelings of depression. 

These effects can indirectly lead to ED by causing anxiety, stress, and relationship issues. 

How To Avoid Erectile Dysfunction On Steroids?

The best thing you can do to prevent steroid-induced erectile dysfunction naturally is to change your lifestyle and stop taking anabolic steroids. It may take anywhere from three months to a year to recover normal levels of testosterone in your body. Therefore, it may take this long to get back to previous levels of sexual performance.

If ED persists even after stopping the use of steroids, there are a range of treatment options to treat this condition to restore normal sexual function. One of the best ways to deal with ED is to take PDE5 inhibitors (a class of drugs that increase blood flow to the penis), which will help a man sustain an erection prolonged enough for sexual intercourse. 

There are various lifestyle changes, such as exercise and a healthy diet, among others, to improve ED. One such natural remedy for ED is apple cider vinegar, which is believed to be beneficial for this condition.

It’s always advised to talk to a healthcare provider about the best treatment options for ED for you. The treatments may vary from person to person, depending on the severity of your condition [6]. 

Conclusion 

In conclusion, preventing impotence while using anabolic steroids requires a balanced approach. Keeping track of steroid use, focusing on your overall health, and seeking professional help are vital steps to avoid ED while using steroids.