Steroids are used by many men and to a lesser extent women involved in sport. In some areas they form a significant part of the needle exchange’s caseload. There is concern over the effects of some steroids and little is known of their long term use. As drugs commonly injected, there are risks of infection through sharing injecting equipment. Steroid users do not see themselves as drug users, raising the issue of whether current drug services can attract and meet their needs.