This is a group of side effects that are specific to women users.
Virilization refers to attaining the characteristics of a mature male.
Most often the first sign of this adverse reaction is hoarseness leading to deepness of the voice. This adverse reaction seems to be irreversible as permanent changes in the larynx take place. Clitoral enlargement is another common adverse reaction noticed by women steroid users. The extent to which this will occur depends on the type of steroid and the duration of use. Facial hair is also a sign of virilization.