The Four Faces of Steroid Use: A New Look at Why Men Use AAS

When you hear “steroids,” what comes to mind? Probably images of bulked-up bodybuilders or elite athletes chasing records. But the reality is far more nuanced. A new study titled “Identifying a Typology of Men Who Use Anabolic-Androgenic Steroids (AAS)” challenges the one-size-fits-all narrative and reveals that men use AAS for a range of reasons—many of which have little to do with chasing gold medals or massive biceps.

The researchers identified four distinct types of AAS users, each with unique motivations, attitudes, and behaviors. Let’s break them down:

💡 1. The Expert

These are the researchers of the AAS world. Expert users are informed, strategic, and careful. They study up on compounds, plan their cycles meticulously, and weigh the risks and benefits of each decision. Think of them as the “biohackers” of the gym scene. For them, it's not just about size—it's about doing it smart and staying safe.

🌱 2. The Well-being User

This group isn’t necessarily looking to crush world records—they’re chasing confidence, health, or simply a better version of themselves. Well-being users turn to AAS to improve how they feel in their skin. While their approach might be less technical than the Experts’, their goals are often tied to self-esteem, body image, and quality of life.

⚡ 3. The YOLO User

YOLO (You Only Live Once) users are the thrill-seekers. They want quick results and often jump into AAS use with minimal research. Their decisions might be impulsive—fueled by peer influence, gym culture, or social media expectations. This group is more likely to overlook long-term health consequences, making them potentially more vulnerable to risks.

🏆 4. The Athlete

These users are laser-focused on performance. Whether they're training for competitions or trying to break personal records, AAS is a tool to gain an edge. Their approach can range from highly informed to experimental, depending on their level of experience and the rules (or lack thereof) in their sport.

Why This Typology Matters

Understanding the diverse motivations behind AAS use is crucial for healthcare providers, coaches, and the fitness community. Not every user fits the “risky behaviour” mold. Many are thoughtful, goal-oriented, and even health-conscious.

This new typology offers a roadmap for better conversations around steroids—ones that move past judgment and toward understanding.

Final Thoughts

Steroid use isn’t black and white. It’s a spectrum of choices, goals, and mindsets. Whether it's the calculated logic of an Expert or the appearance-focused goals of a Well-being User, each type has a story—and it's time we start listening.

Want to dive deeper into the research? You can check out the full study: Identifying a typology of men who use anabolic androgenic steroids (AAS) - ScienceDirect