I use a humidity sensor, motion sensor and a helper that shows the change over a period of time. If the humidity raises fast (+2%/5m) and goes over a certain amount (unique, depending on your room's climate) the bathroom automation changes tracks to hold the light at 100%, turn the extractor fan on, and well, how you stop the automation depends on you. I let it stay on for 15 minutes before waiting for motion. Small tips: For me the humidity triggers the automation within 15s-1m of showering, which is okay for me. Motion sensors typically use IR to see movement. If the room is too steamy it might struggle to see you. Also, it cannot penetrate glass. It must have a line of sight to you.

The best alt I think would be mmwave presence sensors, but they're pricy and require a wired connection.