Gender gap in health care for female users of performance and image-enhancing drugs

A recent study conducted by researchers at the University of Queensland School of Psychology reveals a significant gender gap in health care for women who use performance- and image-enhancing drugs (PIEDs). The study, published in the journal Drug and Alcohol Review, interviewed nine women using PIEDs to enhance their body composition, physical appearance, or sports performance.

The research found that women face numerous challenges accessing reliable information and expert clinical support. Many women struggle to obtain comprehensive blood and hormone testing, as well as clinicians familiar with the unique health concerns associated with women's PIED use. One participant reported her interactions with general practitioners (GPs) as problematic, stating that GPs lacked knowledge of PIEDs and were unaware of her use.

Several women in the study highlighted that they had to actively educate themselves about PIEDs and their risks, often becoming the primary source of harm reduction and care guidance. The study uncovered a strong desire for health care support and self-monitoring, driven by women's awareness of sex-specific risks, such as hormonal disruption and virilization.

However, women interviewed expressed a willingness to collaborate with health care professionals, emphasizing the importance of respectful, nonjudgmental relationships.

The findings challenge common stereotypes that link PIED use with a lack of education or indifference towards health. The participants demonstrated a proactive approach to managing their health and navigating stigma, uncertainty, and gaps within the health care system. The study concludes that health care responses should be collaborative rather than judgmental, and it is crucial to better understand women's experiences to ensure effective support and access to necessary resources.