I have the men's T3 (not the speedplay specific ones). I have narrow feet (AAAA width) but the women's shoes don't come in a large enough size for me (big feet to go with my Amazon height) so the men's were the only option for me. The are definitely a bit loose in the heel, and too wide in the forefoot. I'm going to try to put some other insoles in to help take up some of the space. They are mostly comfortable, although when I wear them without socks, the left shoe cuts into the front of my ankle. I think the "tongue" (for lack of a better description) just needs to be broken in to curl away from my ankle. I don't have that problem on the right shoe. But they are definitely "men's width" shoes. If you've ever tried on a pair of "regular width" men's running shoes you'll know what I mean.

BTW, I also use speedplay pedals, and having to use the adapters/shims/whatever they are called isn't a big deal to me. Once they are installed, I never think about them again since even when you change your cleats they don't need to be fiddled with.