Possibly.
Depends on many things.
I've been on Test for 12 years, up and down, blast and cruise.
My prostate is perfect. No homo.
The only issues i've had are with blood pressure and that seems to be more due to my bodyweight. Once i hit 230 pounds it's like my BP skyrockets, it doesn't matter if i'm on 200mg a week or 800mg.
I try to stay around 220 and i cut down to around 205 every Spring for 3-4 months.
I'm in perfect health on "paper". There are some AAS that mess up my cholesterol and blood cell count. I do not use Tren, Mast, Proviron, Drol or winny.
I will only use Test, Deca, EQ, Dbol and Var.
Also Anti-e's wreck my cholesterol, so i don't bother with them.
I'm monitored by an Endo and have bloodwork every 60 days.
Sometimes i'll cruise on 200mg Test EW for 8 months or so, i don't blast for more than 4 months and when i do it's typically 400mg Test and 400mg Deca or Eq with some Dbol.
There is no telling what is really going on inside, but based on my Endo's feedback and how i feel; i'm definately healthier than the average American. No question there.
I believe eating shit food, drinking, smoking ,etc. are far worse for you "long term". But i do drink some wine every now and then. Smoke some weed a few times a year too.
My brother is in terrible health, has smoked and drank daily for almost 20 years. I'm sure he will stroke out far before i do, but who knows.