Why are performance enhancing drugs a major issue within sport?

In sports, the use of performance-enhancing drugs is commonly referred to by the disparaging term "doping", particularly by those organizations that regulate competitions. The use of performance enhancing drugs is mostly done to improve athletic performance. This is why many sports ban the use of performance enhancing drugs. Another similar use of medical technology is called blood doping, either by blood transfusion or use of the hormone erythropoietin (EPO). The use of drugs to enhance performance is considered unethical by most international sports organizations and especially the International Olympic Committee, although ethicists have argued that it is little different from the use of new materials in the construction of suits and sporting equipment, which similarly aid performance and can give competitors advantage over others. The reasons for the ban are mainly the alleged health threat of performance-enhancing drugs, the equality of opportunity for athletes and the supposedly exemplary effect of "clean" ("doping-free") sports in the public.

This entry concerns the use of performance-enhancing drugs by humans. The use of such drugs is also common in horse racing and other equestrian sports, and in greyhound racing.

Athletes seeking to avoid testing positive for doping use various methods to cheat on the drug tests. The most common methods include:

Urine replacement, which involves replacing dirty urine with clean urine from someone who is not taking banned substances. Urine replacement can be done by catheterization or with a prosthetic penis such as The Original Whizzinator.
Diuretics, used to cleanse the system before having to provide a sample.
Blood transfusions, which increase the blood’s oxygen carrying capacity, in turn increasing endurance without the presence of drugs that could trigger a positive test result.
 
Performance enhancing drugs such as steroids are a major issue within sport because of the lack of accessibility of the drugs to athletes in poorer countries. It's better that everyone stays on their "default" level of possible strength and fitness.
 
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