agree with everything above
plenty of men have permanent issues especially things like reproductive problems, that is why you see so many guys on TRT before they are even 35 or 40! steroids fucked them up. also men have hidden dangers like organ and prostate problems. a lot of times they get cancer years earlier than they would have because of steroids.
so yes if affects both sexes but it is more hidden with men and since people never get bloods done, get their hearts checked or get a proper prostate exam they wouldn't know. sadly many guys even on this forum have prostate cancer cells growing and don't even know it and a doctor sticking his finger up your ass isn't going to properly find that out