Can steroids cause ed, especially anabolic steroids, can increase the risk of developing erectile dysfunction (ED). This is because anabolic steroids can disrupt the body’s natural hormone balance, specifically testosterone production, which is essential for normal sexual function. However, there are strategies you can follow to help prevent or manage ED while using steroids, though the most effective approach would be to avoid the use of steroids altogether. Anabolic steroids can suppress the body’s natural production of testosterone, which may lead to low testosterone levels, one of the main causes of ED.