Many users of this steroid have reported dramatic gains in both strength and muscle mass. Nevertheless, it aromatizes even at low dosages, can cause development of gynaecomastia, which is a common problem among steroids. Another common complaint is the issue of water retention, causing hypertension. As methandrostenolone has a high level of conversion to dihydrotestosterone the development of acne vulgaris is common, as is the acceleration of male pattern baldness in those with an hereditary predisposition. It is not recommended for female use. Women bodybuilders using methandienone can face with virilization due to its androgenic properties. Masculinizing effects can occur even at low dosages in some women who are particularly sensitive to androgens.