Sex determination in sports
Encyclopedia
Gender verification in sports (also known as sex verification, or loosely as gender determination or a sex test) is the issue of verifying the eligibility of an athlete to compete in a sporting event that is limited to a single sex
Sex
In biology, sex is a process of combining and mixing genetic traits, often resulting in the specialization of organisms into a male or female variety . Sexual reproduction involves combining specialized cells to form offspring that inherit traits from both parents...

. The issue arose a number of times in the Olympic games
Olympic Games
The Olympic Games is a major international event featuring summer and winter sports, in which thousands of athletes participate in a variety of competitions. The Olympic Games have come to be regarded as the world’s foremost sports competition where more than 200 nations participate...

 where it was alleged that male athletes attempted to compete as women in order to win, or that an intersex
Intersex
Intersex, in humans and other animals, is the presence of intermediate or atypical combinations of physical features that usually distinguish female from male...

ed person competed as a woman. Sex testing began at the 1966 European Athletics Championships in response to suspicion that several of the best women athletes from the Soviet Union
Soviet Union
The Soviet Union , officially the Union of Soviet Socialist Republics , was a constitutionally socialist state that existed in Eurasia between 1922 and 1991....

 and Eastern Europe
Eastern Europe
Eastern Europe is the eastern part of Europe. The term has widely disparate geopolitical, geographical, cultural and socioeconomic readings, which makes it highly context-dependent and even volatile, and there are "almost as many definitions of Eastern Europe as there are scholars of the region"...

 were actually men. At the Olympics, testing was introduced at the 1968 Olympic Winter Games
1968 Winter Olympics
The 1968 Winter Olympics, officially known as the X Olympic Winter Games, were a winter multi-sport event which was celebrated in 1968 in Grenoble, France and opened on 6 February. Thirty-seven countries participated...

 in Grenoble
Grenoble
Grenoble is a city in southeastern France, at the foot of the French Alps where the river Drac joins the Isère. Located in the Rhône-Alpes region, Grenoble is the capital of the department of Isère...

. While it arose primarily from the Olympic Games, gender verification affects any sporting event. However, it most often becomes an issue in elite international competition.

While it would seem a simple case of checking for XX vs. XY chromosomes to determine whether an athlete is a woman or a man, it is not that simple. Fetuses start out as undifferentiated, and the Y chromosome turns on a variety of hormones that differentiate the baby as a male. Sometimes this does not occur, and XX people with two X chromosomes can develop hormonally as a male, and XY people with an X and a Y can develop hormonally as a female.

Tests

For a period of time these tests were mandatory for female athletes. A New York Times article suggests it was due to fears that male athletes would pose as female athletes and have an unfair advantage over their competitors.

Nowadays, gender verification tests typically involve evaluation by gynecologists, endocrinologists, psychologist
Psychologist
Psychologist is a professional or academic title used by individuals who are either:* Clinical professionals who work with patients in a variety of therapeutic contexts .* Scientists conducting psychological research or teaching psychology in a college...

s, and internal medicine
Internal medicine
Internal medicine is the medical specialty dealing with the prevention, diagnosis, and treatment of adult diseases. Physicians specializing in internal medicine are called internists. They are especially skilled in the management of patients who have undifferentiated or multi-system disease processes...

 specialists.

History

United States Olympic Committee
United States Olympic Committee
The United States Olympic Committee is a non-profit organization that serves as the National Olympic Committee and National Paralympic Committee for the United States and coordinates the relationship between the United States Anti-Doping Agency and the World Anti-Doping Agency and various...

 president Avery Brundage
Avery Brundage
Avery Brundage was an American amateur athlete, sports official, art collector, and philanthropist. Brundage competed in the 1912 Olympics and was the US national all-around athlete in 1914, 1916 and 1918...

 requested, during or shortly after the 1936 Summer Olympics
1936 Summer Olympics
The 1936 Summer Olympics, officially known as the Games of the XI Olympiad, was an international multi-sport event which was held in 1936 in Berlin, Germany. Berlin won the bid to host the Games over Barcelona, Spain on April 26, 1931, at the 29th IOC Session in Barcelona...

 in Berlin
Berlin
Berlin is the capital city of Germany and is one of the 16 states of Germany. With a population of 3.45 million people, Berlin is Germany's largest city. It is the second most populous city proper and the seventh most populous urban area in the European Union...

, that a system be established to examine female athletes. According to a Time
Time (magazine)
Time is an American news magazine. A European edition is published from London. Time Europe covers the Middle East, Africa and, since 2003, Latin America. An Asian edition is based in Hong Kong...

magazine article about hermaphrodites, Brundage felt the need to clarify "sex ambiguities" after observing the performance of Czechoslovak runner and jumper Zdenka Koubkova and English shotputter and javelin thrower Mary Edith Louise Weston. Both individuals later had sex change surgery and legally changed their names, to Zdenek Koubek and Mark Weston, respectively.
  • Perhaps the earliest known case is that of Stanisława Walasiewicz (aka Stella Walsh), a Polish
    Poland
    Poland , officially the Republic of Poland , is a country in Central Europe bordered by Germany to the west; the Czech Republic and Slovakia to the south; Ukraine, Belarus and Lithuania to the east; and the Baltic Sea and Kaliningrad Oblast, a Russian exclave, to the north...

     athlete who won a gold medal in the women's 100 m
    100 metres
    The 100 metres, or 100-metre dash, is a sprint race in track and field competitions. The shortest common outdoor running distance, it is one of the most popular and prestigious events in the sport of athletics. It has been contested at the Summer Olympics since 1896...

     at the 1932 Summer Olympics
    1932 Summer Olympics
    The 1932 Summer Olympics, officially known as the Games of the X Olympiad, was a major world wide multi-athletic event which was celebrated in 1932 in Los Angeles, California, United States. No other cities made a bid to host these Olympics. Held during the worldwide Great Depression, many nations...

     in Los Angeles
    Los Ángeles
    Los Ángeles is the capital of the province of Biobío, in the commune of the same name, in Region VIII , in the center-south of Chile. It is located between the Laja and Biobío rivers. The population is 123,445 inhabitants...

    , but who after her death in 1980 was discovered to have had partially developed male genitalia. (See below for genitalia as indicators of a person's sex.)
  • Another Polish athlete Ewa Kłobukowska, who won the gold medal in women's 4x100 m relay
    4 x 100 metres relay
    The 4 × 100 metres relay or sprint relay is an athletics track event run in lanes over one lap of the track with four runners completing 100 metres each. The first runners begin in the same stagger as for the individual 400 m race...

     and the bronze medal in women's 100 m sprint at the 1964 Summer Olympics
    1964 Summer Olympics
    The 1964 Summer Olympics, officially known as the Games of the XVIII Olympiad, was an international multi-sport event held in Tokyo, Japan in 1964. Tokyo had been awarded with the organization of the 1940 Summer Olympics, but this honor was subsequently passed to Helsinki because of Japan's...

     in Tokyo
    Tokyo
    , ; officially , is one of the 47 prefectures of Japan. Tokyo is the capital of Japan, the center of the Greater Tokyo Area, and the largest metropolitan area of Japan. It is the seat of the Japanese government and the Imperial Palace, and the home of the Japanese Imperial Family...

    , is the first athlete to fail a gender test in 1967. She was found to have a rare genetic condition which gave her no advantage over other athletes, but was nonetheless banned from competing in Olympic and professional sports.
  • Eight athletes failed the tests at the 1996 Atlanta Olympics but were all cleared by subsequent physical examinations.

Controversies

The practice has come under fire from those who feel that the testing is humiliating, socially insensitive, and not entirely accurate or effective. The testing is especially difficult and problematic in the case of people who could be considered intersexual. Genetic differences can allow a person to have a male genetic make-up and female anatomy or body chemistry.

A commentary published in the Journal of the American Medical Association
Journal of the American Medical Association
The Journal of the American Medical Association is a weekly, peer-reviewed, medical journal, published by the American Medical Association. Beginning in July 2011, the editor in chief will be Howard C. Bauchner, vice chairman of pediatrics at Boston University’s School of Medicine, replacing ...

 stated,

"Gender verification tests are difficult, expensive, and potentially inaccurate. Furthermore, these tests fail to exclude all potential impostors (eg, some 46,XX males
XX male syndrome
XX male syndrome is a rare sex chromosomal disorder. Usually it is caused by unequal crossing over between X and Y chromosomes during meiosis in the father, which results in the X chromosome containing the normally-male SRY gene...

), are discriminatory against women with disorders of sexual development, and may have shattering consequences for athletes who 'fail' a test."

The article also states:

"Gender verification has long been criticized by geneticist
Geneticist
A geneticist is a biologist who studies genetics, the science of genes, heredity, and variation of organisms. A geneticist can be employed as a researcher or lecturer. Some geneticists perform experiments and analyze data to interpret the inheritance of skills. A geneticist is also a Consultant or...

s, endocrinologists, and others in the medical community. One major problem was unfairly excluding women who had a birth defect involving gonad
Gonad
The gonad is the organ that makes gametes. The gonads in males are the testes and the gonads in females are the ovaries. The product, gametes, are haploid germ cells. For example, spermatozoon and egg cells are gametes...

s and external genitalia (i.e., male pseudohermaphroditism
Pseudohermaphroditism
Pseudohermaphroditism, or pseudo-hermaphroditism, is the condition in which an organism is born with secondary sex characteristics or a phenotype that is different from what would be expected on the basis of the gonadal tissue ....

). ...

A second problem is that only women, not men, were subjected to Gender verification testing. Systematic follow-up was rarely available for athletes "failing" the test, which often was performed under very public circumstances. Follow-up was crucial because the subjects were not male impostors, but intersexed individuals."

Current status

Sex testing has been done as recently as the Atlanta Olympic games
1996 Summer Olympics
The 1996 Summer Olympics of Atlanta, officially known as the Games of the XXVI Olympiad and unofficially known as the Centennial Olympics, was an international multi-sport event which was celebrated in 1996 in Atlanta, Georgia, United States....

 in 1996, but is no longer practised, having been officially stopped by the International Olympic Committee
International Olympic Committee
The International Olympic Committee is an international corporation based in Lausanne, Switzerland, created by Pierre de Coubertin on 23 June 1894 with Demetrios Vikelas as its first president...

 in 1999. This followed a resolution passed at the 1996 International Olympic Committee (IOC) World Conference on Women and Health "to discontinue the current process of gender verification during the Olympic Games." In individual cases the IOC stills holds on to the right to test on gender.

New rules permit transsexual athletes to compete in the Olympics after having completed sex reassignment surgery
Sex reassignment surgery
Sex reassignment surgery is a term for the surgical procedures by which a person's physical appearance and function of their existing sexual characteristics are altered to resemble...

, being legally recognized as a member of the sex they wish to compete as, and having undergone two years of hormonal therapy (unless they transitioned before puberty). These controversies continue with the 2008 Olympic games in Beijing.

The International Association of Athletics Federations
International Association of Athletics Federations
The International Association of Athletics Federations is the international governing body for the sport of athletics. It was founded in 1912 at its first congress in Stockholm, Sweden by representatives from 17 national athletics federations as the International Amateur Athletics Federation...

 ceased sex screening for all athletes in 1992, but retains the option of assessing the sex of a participant should suspicions arise. This was invoked most recently in August 2009 with the mandated testing of South Africa
South Africa
The Republic of South Africa is a country in southern Africa. Located at the southern tip of Africa, it is divided into nine provinces, with of coastline on the Atlantic and Indian oceans...

n athlete Caster Semenya
Caster Semenya
Mokgadi Caster Semenya is a South African middle-distance runner and world champion. Semenya won gold in the women's 800 metres at the 2009 World Championships with a time of 1:55.45 in the final....

.

The Olympic Council of Asia
Olympic Council of Asia
The Olympic Council of Asia is a governing body of sports in Asia, currently with 45 member National Olympic Committees. The current president is Sheikh Fahad Al-Sabah. The oldest NOC is from Japan and Philippines, recognized by the International Olympic Committee in 1911; whereas East Timor is...

 continues the practice.

Notable incidents

  • Prior to the advent of sexual verification tests, German athlete Dora Ratjen
    Dora Ratjen
    Heinrich Ratjen was a German athlete who competed for Germany in the women's high jump at the 1936 Summer Olympics at Berlin, finishing fourth, but was later discovered to be male...

     competed in the 1936 Olympic Games
    1936 Summer Olympics
    The 1936 Summer Olympics, officially known as the Games of the XI Olympiad, was an international multi-sport event which was held in 1936 in Berlin, Germany. Berlin won the bid to host the Games over Barcelona, Spain on April 26, 1931, at the 29th IOC Session in Barcelona...

     in Berlin
    Berlin
    Berlin is the capital city of Germany and is one of the 16 states of Germany. With a population of 3.45 million people, Berlin is Germany's largest city. It is the second most populous city proper and the seventh most populous urban area in the European Union...

     and placed fourth in the women's high jump. She later competed and set a world record for the women's high jump at the 1938 European Championships before tests by the German police concluded that she was actually a man who then took the name Heinrich Ratjen.
  • The Dutch sprinter Foekje Dillema
    Foekje Dillema
    On Foekje Dillema, was a Dutch track and field athlete.Dillema was named "athlete of the match" in 1949 after winning the 100 metres and 200 metres race during a tournament in London...

     was expelled from the 1950 national team after she had failed a sex test; later investigations revealed a Y-chromosome in her DNA. She probably was an 46XX/46,XY mosaic person.
  • Sisters Tamara
    Tamara Press
    Tamara Natanovna Press is a former Soviet shot putter and discus thrower in the 1960s.-Career:Press is Jewish. She competed for VSS Trud...

     and Irina Press
    Irina Press
    Irina Natanovna Press was a Ukrainian athlete.-Career:Press was Jewish. She won two Olympic gold medals for the USSR team, in 80 m hurdles and pentathlon...

     won five track and field Olympic gold medals for the Soviet Union and set 26 world records in the 1960s. They ended their careers before the introduction of gender testing in 1966. There is no proof of a disorder in sexual development in these cases.
  • Professional tennis player Renée Richards
    Renee Richards
    Renée Richards is an American ophthalmologist, author and former professional tennis player. In 1975, Richards underwent sex reassignment surgery. She is known for initially being denied entry into the 1976 US Open by the United States Tennis Association, citing an unprecedented women-born-women...

    , a transsexual woman, was barred from playing as a woman at the 1976 US Open unless she submitted to chromosome testing. She sued the United States Tennis Association
    United States Tennis Association
    The United States Tennis Association is the national governing body for the sport of tennis in the United States. A not-for-profit organization with more than 700,000 members, it invests 100% of its proceeds to promote and develop the growth of tennis, from the grass-roots to the professional levels...

     and in 1977 won the right to play as a woman without submitting to testing.
  • India
    India
    India , officially the Republic of India , is a country in South Asia. It is the seventh-largest country by geographical area, the second-most populous country with over 1.2 billion people, and the most populous democracy in the world...

    n middle-distance runner Santhi Soundarajan
    Santhi Soundarajan
    Santhi Soundarajan is an Indian athlete who competes in the middle distance track events...

    , who won the silver medal in 800 m
    800 metres
    The 800 meter race is a common track running event. It is the shortest common middle distance track event. The 800 meter is run over two laps of the track and has always been an Olympic event. During indoor track season the event is usually run on a 200 meter track, therefore requiring four laps...

      at the 2006 Asian Games
    2006 Asian Games
    The 15th Asian Games, officially known as the XV Asiad, is Asia's Olympic-style sporting event that was held in Doha, Qatar from December 1 to December 15, 2006. Doha was the first city in its region and only the second in West Asia to host the games...

     in Doha
    Doha
    Doha is the capital city of the state of Qatar. Located on the Persian Gulf, it had a population of 998,651 in 2008, and is also one of the municipalities of Qatar...

    , Qatar
    Qatar
    Qatar , also known as the State of Qatar or locally Dawlat Qaṭar, is a sovereign Arab state, located in the Middle East, occupying the small Qatar Peninsula on the northeasterly coast of the much larger Arabian Peninsula. Its sole land border is with Saudi Arabia to the south, with the rest of its...

    , failed the gender verification test and was stripped of her medal.
  • South African runner Caster Semenya
    Caster Semenya
    Mokgadi Caster Semenya is a South African middle-distance runner and world champion. Semenya won gold in the women's 800 metres at the 2009 World Championships with a time of 1:55.45 in the final....

     won the 800 meters at the 2009 World Championships in Athletics
    2009 World Championships in Athletics
    The 12th IAAF World Championships in Athletics were held in Berlin, Germany from 15–23 August 2009. The majority of events took place in the Olympiastadion, while the marathon and racewalking events started and finished at the Brandenburg Gate....

     in Berlin
    Berlin
    Berlin is the capital city of Germany and is one of the 16 states of Germany. With a population of 3.45 million people, Berlin is Germany's largest city. It is the second most populous city proper and the seventh most populous urban area in the European Union...

    . The International Association of Athletics Federations
    International Association of Athletics Federations
    The International Association of Athletics Federations is the international governing body for the sport of athletics. It was founded in 1912 at its first congress in Stockholm, Sweden by representatives from 17 national athletics federations as the International Amateur Athletics Federation...

     (IAAF), track and field's governing body, confirmed that Semenya had agreed to a sex-testing process that began in South Africa and would continue in Germany
    Germany
    Germany , officially the Federal Republic of Germany , is a federal parliamentary republic in Europe. The country consists of 16 states while the capital and largest city is Berlin. Germany covers an area of 357,021 km2 and has a largely temperate seasonal climate...

    . On July 6, 2010, the IAAF confirmed that Semenya was cleared to continue competing as a woman, although the results of the gender testing were never officially released for privacy reasons.

External links

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