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Anabolic steroids work differently from other drugs of abuse; they do not have the same short-term effects on the brain. The most important difference is that steroids do not directly activate the reward system to cause a ‘high’; they also do not trigger rapid increases in the brain chemical dopamine, which reinforces most other types of drug taking behavior. Misuse of anabolic steroids might lead to negative mental effects, such as: paranoid (extreme, unreasonable) jealousy extreme irritability and aggression (‘roid rage’) delusions ‘false beliefs or ideas impaired judgment mania. What are other health effects of anabolic steroids? Anabolic Steroids and Infectious Diseases. People who inject steroids increase their risk of contracting or transmitting HIV/AIDS or hepatitis. Read more about this connection by visiting: Aside from mental effects, steroid use commonly causes severe acne. It also causes the body to swell, especially in the hands and feet. 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Several other effects are gender- and age-specific: In men: shrinking testicles decreased sperm count baldness development of breasts increased risk for prostate cancer In women: growth of facial hair or excess body hair decreased breast size male-pattern baldness changes in or stop in the menstrual cycle enlarged clitoris deepened voice In teens: stunted growth (when high hormone levels from steroids signal to the body to stop bone growth too early) stunted height (if teens use steroids before their growth spurt) Some of these physical changes, such as shrinking sex organs in men, can add to mental side effects such as mood disorders. Are anabolic steroids addictive? Even though anabolic steroids do not cause the same high as other drugs, they can lead to a substance use disorder. A substance use disorder occurs when a person continues to misuse steroids, even though there are serious consequences for doing so. The most severe form of a substance use disorder is addiction. 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