The detection of steroids originating from synthetic precursors against a background of their chemically identical natural analogues has proven to be a significant challenge for doping control laboratories accredited by the World Anti‐Doping Agency (WADA). The complementary application of gas chromatography–mass spectrometry (GC‐MS) and gas chromatography‐combustion‐isotope ratio mass spectrometry (GC‐C‐IRMS) has been demonstrated to provide specific detection of endogenous steroid misuse for improved anti‐doping analysis. Markers of synthetically derived steroids are reviewed on the basis of abnormal urinary excretions and low 13C content. A combinatorial approach is presented for the interpretation of GC‐MS and GC‐C‐IRMS data in the anti‐doping context. This methodology can allow all relevant information concerning an individual's metabolism to be assessed in order to make an informed decision with respect to a doping violation. Copyright © 2012 John Wiley & Sons, Ltd.