Long-term use of anabolic steroids can lead to:

Long-term use of anabolic steroids is associated with hormonal imbalances due to their impact on the body's endocrine system. Anabolic steroids are synthetic derivatives of testosterone, often used to increase muscle mass and enhance athletic performance. With prolonged use, these steroids can disrupt the natural production of hormones, leading to conditions such as decreased testosterone levels in men and an imbalance in other hormones, which can result in various physical and psychological effects.

These imbalances can manifest in multiple ways, including infertility, mood swings, depression, and even an increased risk for hormonal-related diseases. The body's feedback mechanisms attempt to regulate hormone levels, but the introduction of exogenous steroids can overwhelm these systems, causing long-lasting effects even after the steroids are discontinued.

The other options described do not accurately reflect the consequences of long-term anabolic steroid use. For instance, anabolic steroids typically lead to increased muscle mass rather than decreased, and their use is more likely associated with liver damage rather than improved liver function. Regarding cognitive function, while some users may initially experience enhancements, prolonged use often correlates with cognitive decline and behavioral issues rather than enhancement.