Ten women athletes who consistently used anabolic steroids were interviewed about their patterns of drug use and the perceived effects. Anabolic steroids were used in a cyclical manner, often with several drugs taken simultaneously. All participants believed that muscle size and strength were increased in association with anabolic steroid use. Most also noted a deepening of the voice, increased facial hair, increased aggressiveness, clitoral enlargement, and menstrual irregularities. The participants were willing to tolerate these side effects but thought that such changes might be unacceptable to many women.