Transgender athletes will have to reduce their testosterone level to the same level applied to Caster Semenya and other athletes with Differences of Sex Development (DSD), under a new policy enacted by World Athletics (formerly the IAAF).
As with DSD athletes, the threshold for middle-distance runners has been lowered from 10 nanomoles per liter to 5.
“These Regulations have been drafted to align with the Eligibility Regulations for the Female Classification (Athletes with Differences of Sex Development) and include updates to reflect current medical standards and the legal framework,” World Athletics said in announcing the latest IAAF Council decisions.
The IAAF claimed a similar basis in medical standards last year when it announced its updated policy on DSD athletes: “No female would have serum levels of natural testosterone at 5 nmol/L or above unless they have DSD or a tumour.”
Semenya, a two-time Olympic champion at 800 meters, challenged that limit in the Court of Arbitration for Sport but lost her case in May. Given a brief reprieve by a Swiss court, she ran the fastest 800-meter time of the year (1:54.98), but a higher court overruled her appeal. She did not compete in the recent world championships.
Another athlete affected by the DSD policy, 2016 Olympic bronze medalist Margaret Wambui, told the Olympic Channel she was struggling to find a new direction after the rule was passed.
“It affected me a lot,” Wambui said. “I didn’t want to train or do anything. …
“Caster has fought for us. She has done her level best. She has tried, but we failed.”
Transgender athletes have not yet been prominent in international track and field, though controversies have arisen at other levels, particularly in a Connecticut case in which high school athletes filed a Title IX complaint after losing to transgender athletes. The athletes who filed the claim said they were potentially at a disadvantage in terms of earning college scholarships.
The new World Athletics policy insists that its stipulations for transgender athletes are actually generous. “The decision limit also takes into consideration that, for clinical purposes, the Endocrine Society Clinical Practice Guideline for Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons recommends that transgender females should have serum testosterone levels of less than 50 ng/dL (i.e. approximately 1.7 nmol/L).”
But while DSD and transgender athletes face different issues, Semenya and other DSD athletes have set a precedent by withdrawing from competition rather than bring their levels down to the 5 nmol/L standard. In CAS proceedings, Semenya said she experienced regular fevers, night sweats, significant weight gain and constant abdominal pain while taking medication to meet the previous standard of 10 nmol/L.
The International Olympic Committee also put a 10 nmol/L limit in place for both transgender and DSD athletes in 2015. Some athletes have complained that transgender athletes still have an unfair advantage under that policy.
The World Athletics policy also addresses transgender men, granting them permission to take regulated testosterone supplements to bring levels within a typical range for men.
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