Dear Reader,

Anabolic steroids, also known as 'roids, rocket fuel, and juice, are drugs that mimic male hormones (e.g., testosterone) and enhance those hormones' ability to build tissue. Many athletes use steroids to gain weight and to increase their strength, power, speed, endurance, and/or aggressiveness. Lately, steroid use has also become popular as a way to improve one's appearance. While steroids are effective at building muscle mass, decreasing body fat, improving athletic performance, and shortening recovery time after an injury, they come with a cost to one's health, in both the short- and long-run.

When a man starts taking steroids, his body begins to produce less testosterone and sperm. This can lead to an eventual shrinking of the testes. Depending on how long someone uses steroids, these effects can be reversed or they can cause permanent damage. Other side effects of steroids that can be detected early on are acne, increased hair growth or loss, enhanced emotional instability (i.e., increased aggression, violence, rapid mood swings), breast enlargement (in men), decreased sex drive, increased fluid retention, damage to the immune system, and masculinization and irregular menstruation (in women).

Instead of talking about what can happen to your boyfriend 15 or 20 years down the road, tell him about the more immediate side effects of steroids. He may have even noticed a few of these things happening to him already. If he can relate a current or recent problem to steroids, he might take heed of your advice.

Your boyfriend may have a risk-taker personality which contributes to his sense of being invincible. He probably truly believes that he is immune to the dangers of steroid use. So, telling him that long-term and/or high-dose use of anabolic steroids can lead to impotence, liver damage, increased risk of heart disease, high blood pressure, and cancer may not bother him very much.

If the discussion about the more immediate side effects of steroids doesn't work, you can try personalizing the issue. He might listen if you speak from the heart and not from a medical encyclopedia. You could say something like this: "I care for you so much and I want you to be around and healthy for a long time. When you use steroids, I get really scared and almost disgusted with your lack of concern for your future health, for your own sake and for the sake of our relationship. I want you to stop using steroids because I love you."

Reassure him that you will be supportive of his effort to stop using steroids in every respect, including how it may (or may not) affect his athletic performance and/or muscular appearance. In addition to telling him how you feel, talk with him about how he feels. Why does he use steroids? Encourage him to explore other, less toxic means to his desired ends.