Performance-Enhancing Drugs in Sports: Separating Fact from Fiction

Dr. Hussam Hamoush
BeingWell
Published in
9 min readJul 12, 2024

Ah, the age-old debate around performance-enhancing drugs (PEDs) in sports — where do we even begin? It’s a topic that’s been swirling around for decades, with opinions and “facts” flying left and right. As an avid sports fan and someone who’s passionate about health and fitness, I’ve always been intrigued by this issue. Are athletes really juicing left and right, or is it all just a big conspiracy theory? Let’s dive in and separate the wheat from the chaff, shall we?

The Rise of Anabolic Steroids in Sports

It all started way back in the 1930s, when the chemical compound testosterone was first isolated. Sports scientists quickly realized the potential performance-enhancing benefits of this wonder drug. Fast forward to the 1950s, and the Soviets were already rumored to be dosing their weightlifters with testosterone. This set off a domino effect, with American athletes scrambling to get their hands on the latest doping agents.

The floodgates really opened in 1958 when the synthetic testosterone derivative Dianabol hit the market. Suddenly, strength athletes were making “greatly accelerated gains” — or, as some would say, cheating their way to the top. The usage grew, but it grew in silence, as no one dared to admit to using these banned substances.

The Ben Johnson Scandal and the Public Reaction

It all came to a head in 1988 at the Seoul Olympics, when Canadian sprinter Ben Johnson set a new world record in the 100m dash. But his triumph was short-lived, as he was promptly disqualified for using anabolic steroids. The public reaction was one of shock and dismay — the system works, they thought, the Olympics are clean now that the cheaters have been exposed.

But those in the know saw things quite differently. Many insiders, including a Soviet coach, claimed that Ben Johnson was hardly the only one using performance-enhancing drugs. In fact, the coach went so far as to say that “maybe 90%, including our own [athletes], use drugs.” Yikes, that’s a pretty damning statistic.

The Tangled Web of Drug Testing and Oversight

The Ben Johnson saga also shed light on the murky world of drug testing and oversight in sports. Turns out, the United States — the supposed bastion of clean athletics — was far from pure. According to one former official, the U.S. is “viewed as one of the dirtiest nations in the world” when it comes to doping.

How is this possible, you ask? Well, it seems that the powers-that-be have a habit of conveniently overlooking positive drug tests, classifying them as “inadvertent use” rather than doping violations. And get this — the U.S. Olympic Committee’s own drug policy back in 1988 stated that there was no doping violation unless there was “proof a substance was used for the express purpose of enhancing performance in competition.” Talk about a loophole you could drive a truck through!

The Philosophical Quagmire of Doping

But the issues surrounding performance-enhancing drugs in sports go even deeper than just the logistics of testing and oversight. There’s a whole philosophical debate to be had around the very concept of “cheating” when it comes to athletic competition.

After all, as Ben Johnson’s former coach Charlie Francis famously said, “My definition of cheating is doing something nobody else is doing.” If everyone is using PEDs, is it really cheating? And what about athletes who have access to state-of-the-art facilities, elite coaches, and cutting-edge nutrition — are they not also gaining an “unfair” advantage?

The World Anti-Doping Agency (WADA) has tried to draw a line, banning drugs for three reasons: they enhance performance, they go against the “spirit of sport,” and they endanger health. But even these criteria can be debated. If everyone’s using, is it really against the spirit of sport? And what about the argument that athletes should be free to make their own decisions about what they put in their bodies, even if it’s risky?

It’s a philosophical quagmire, to be sure. And it’s one that has major implications for the future of sports.

The Decline of PED Use in College Athletics?

Moving away from the philosophical musings, let’s take a look at the data on PED use in college athletics. Interestingly, there seems to be a stark contrast between the pre-1985 and post-1985 eras.

In the earlier period, surveys found that a whopping 15–20% of male college athletes were using anabolic steroids. But after 1985, those numbers started to plummet, settling around 4.5% in the early 90s and then dropping even further to around 1.5% by the late 90s.

Now, you might be tempted to interpret this as a sign that the anti-doping efforts are working. But is it really that simple? Could it be that the social stigma around PEDs has made athletes more reluctant to admit their usage, even in anonymous surveys? After all, the consequences of getting caught have become much more severe over the years.

High School Athletes: A Concerning Trend?

If the college data is a mixed bag, the picture gets even murkier when we turn our attention to high school athletes. Surveys have found that around 5–6% of high school boys report using PEDs, with the numbers for girls hovering around 1.5%.

Now, those percentages may not seem sky-high, but there’s a concerning trend emerging. It seems that the majority of college athletes who use PEDs actually start in high school. And get this — even among non-athletes, the usage rates are still in the 1–2% range.

So what gives? Are high schoolers just more reckless and impulsive when it comes to these banned substances? Or is the pressure to perform and stand out in the increasingly competitive world of youth sports just too much to bear?

The Elusive Quest for the Truth

Ultimately, when it comes to PED use in elite sports, the truth seems to be as elusive as a gold medal-winning sprinter. The hard data from drug testing programs paints one picture, while the anecdotal evidence from insiders tells a vastly different story.

On the one hand, the official numbers suggest that doping is relatively rare, with only a handful of positive tests at major events. But then you have former coaches, athletes, and drug-testing officials claiming that the vast majority of competitors are using, and that the testing regimes are little more than a charade.

So who do we believe? The clean-cut, by-the-book officials, or the gritty, seen-it-all insiders? It’s a classic case of “he said, she said,” and it leaves us sports fans scratching our heads and wondering what the heck is really going on.

The Emergence of Designer Drugs

Just when you thought things couldn’t get any more complicated, the world of PEDs takes an even more sinister turn. Enter the rise of “designer” drugs — substances specifically engineered to evade detection by even the most sophisticated drug tests.

The latest example is tetrahydrogestrinone (THG), a steroid that was only recently uncovered after an anonymous tipster provided a sample to a testing lab. And you can bet your bottom dollar that for every THG that gets discovered, there are countless other designer drugs out there that have yet to be detected.

It’s a high-stakes game of cat and mouse, with the athletes and their shadowy suppliers constantly one step ahead of the testing authorities. And the implications are dire — not only for the integrity of sports, but for the health and safety of the athletes themselves.

The Dangers of Performance-Enhancing Drugs

Speaking of health and safety, let’s not forget the very real risks that come with using performance-enhancing drugs. These substances, whether they’re anabolic steroids, growth hormones, or designer concoctions, are powerful and can have serious, long-term consequences.

We’re talking about everything from liver damage and cardiovascular issues to hormonal imbalances and even psychiatric problems. And the kicker? The full extent of the adverse effects may not be known for years or even decades down the line.

Yet, despite these very real dangers, there are those who argue that athletes should be free to make their own choices about what they put in their bodies. After all, they say, if the playing field is truly level and everyone’s using, where’s the harm?

The Moral and Ethical Dilemma

And that, my friends, is where we arrive at the heart of the matter — the moral and ethical quagmire that surrounds performance-enhancing drugs in sports. It’s a debate that pits individual liberty against the greater good, personal choice against the integrity of the game.

On one side, you have the purists who believe that any use of banned substances is a violation of the “spirit of sport” and a betrayal of fair play. They argue that athletes have a moral obligation to compete on a level playing field, using only their natural abilities.

On the other hand, you have the more libertarian-minded folks who say that as long as the risks are known and the playing field is truly equal, athletes should be free to make their own choices about what they put in their bodies. After all, they reason, isn’t the quest for athletic excellence a noble pursuit in and of itself?

It’s a debate that has raged on for decades, and it shows no signs of abating anytime soon. And with the constant evolution of performance-enhancing technologies, the stakes only continue to rise.

The Role of Governing Bodies and Testing Protocols

Amidst all this philosophical wrangling, the governing bodies of sports have a crucial role to play. They’re the ones tasked with policing the use of banned substances, implementing testing protocols, and handing down sanctions to those who are caught cheating.

But as we’ve seen, their track record on this front is, well, less than stellar. From the USOC’s dubious “sole intent” clause to the IOC’s habit of sweeping positive tests under the rug, it’s clear that these organizations have often prioritized image and PR over true integrity.

And the testing protocols themselves are no panacea. As we’ve witnessed with the rise of designer drugs, the athletes are always one step ahead of the testers, constantly finding new ways to beat the system. It’s a never-ending game of cat and mouse, with the stakes getting higher and higher with each passing year.

The Future of Sports and PEDs

So, where do we go from here? As we peer into the crystal ball, the future of sports and performance-enhancing drugs looks, well, rather bleak. The arms race shows no signs of slowing, with athletes and their suppliers constantly innovating new ways to gain an edge.

And the moral and ethical quagmire shows no signs of resolution, either. As long as there are those who believe in the sanctity of “natural” athletic ability and those who champion individual liberty, the debate will rage on.

But perhaps the most concerning development on the horizon is the emergence of genetic engineering and gene therapy as potential performance-enhancing tools. Imagine a world where athletes can simply tweak their DNA to supercharge their muscle growth or endurance — a world where the very concept of a “level playing field” becomes a quaint relic of the past.

It’s a brave new world, my friends, and one that sports governing bodies are woefully ill-equipped to handle. The future of athletic competition hangs in the balance, and the only certainty is that the battle over performance-enhancing drugs is far from over.

Conclusion

So there you have it — a deep dive into the murky world of performance-enhancing drugs in sports. From the rise of anabolic steroids to the emergence of designer drugs, it’s a tale that’s equal parts fascinating and disheartening.

But amidst all the controversy and conflicting narratives, one thing is clear: the quest for athletic excellence has become inextricably linked with the use of banned substances. And as long as the stakes remain sky-high and the temptation to gain an edge remains strong, the battle over PEDs will rage on.

As fans, we can only hope that the governing bodies of sports will finally get their act together, implementing robust testing protocols and handing down meaningful sanctions to those who choose to cheat. And as athletes, we can only pray that they’ll have the strength to resist the siren call of performance-enhancing drugs, no matter how great the temptation.

Because at the end of the day, the true essence of sport lies not in the size of one’s muscles or the speed of one’s sprint, but in the triumph of the human spirit — the unwavering determination to push the boundaries of what’s possible, using nothing but the gifts that nature has bestowed upon us.

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Dr. Hussam Hamoush
BeingWell

Drug store owner and Podcast Host. Stonebriar Pharmacy in Frisco, TX. Part time writer, Full time Advocate.