Chromosome Depend: Who Will get to Resolve Which Athletes Are ‘Female Sufficient’ to Compete?


Imane Khelif of Algeria wins the gold medal after defeating Liu Yang of China on day 14 of the Olympic Video games on Aug. 9, 2024, in Paris. (Aytac Unal / Anadolu through Getty Photos)

On the 2024 Summer time Olympics in Paris, Algerian boxer Imane Khelif made headlines after a match with Italian boxer Angela Carini, throughout which Carini dropped out after simply 46 seconds, declaring that she’d “by no means felt a punch like this.” A subsequent right-wing media firestorm, spurred by outstanding on-line figures, unfold disinformation that Khelif was transgender, and was additional fueled by the information that she had beforehand failed a gender eligibility take a look at (the take a look at’s legitimacy has additionally been referred to as into query). Khelif went on to win gold for her weight class. 

Because the article under from the October 1988 difficulty of Ms. reminds us, intercourse testing in girls’s sports activities is nothing new—and its origins are blatantly unscientific.

Within the twenty first century, as conservatives more and more use rhetoric of “equity” to attempt to forestall trans girls and women from competing in sports activities—all whereas neglecting precise helps for gender equality in sports activities like Title IX—it’s value interrogating the motivations behind these checks, which as a rule find yourself singling out Black girls (and categorically exclude trans folks from the world {of professional} sports activities).

Why are girls like Khelif harassed and invasively examined, whereas males like Michael Phelps—along with his irregular wingspan and terribly low lactic acid ranges—are celebrated? 


From the October 1988 difficulty of Ms. journal:

I’m an athlete, and I’m a girl. At the very least, I believe I’m a girl. But when I have been amongst that dazzlingly gifted variety of feminine athletes getting ready to compete in Seoul, my gender, like theirs, could be thought-about suspect—a lot in order that earlier than any athlete is allowed to compete in girls’s occasions on the Video games or in most different main worldwide competitions, she should first undergo a “gender verification take a look at” of her chromosomes.

As a tennis professional who has competed on the regional stage, I’ve by no means needed to topic myself to this Orwellian inspection, nor ponder the traumatic risk of being advised I’m not feminine. However that is exactly what has occurred to different girls athletes, even though gender is much too advanced to be evaluated by a laboratory take a look at.

Since 1968, the Worldwide Olympic Committee (IOC) has been screening the chromosomes of all girls rivals “to insure femininity within the rivals” and “set up equality amongst athletes.” Passing the take a look at, which is named the buccal smear, has nothing to do with the way in which a girl appears, her delivery information or her sense of self. Getting “licensed female” is determined by the outcomes of a microscopic evaluation of cells scraped from contained in the athlete’s cheek to find out the sample of her intercourse chromosomes.

Usually, the feminine sample is XX and the male is XY. However that isn’t at all times the case. And when an abnormality seems, the athlete is subjected a battery of gynecological and medical exams to resolve whether or not she is “female” sufficient to compete. Thus far, it’s estimated {that a} dozen girls have been disqualified from Olympic competitors.

These numbers don’t start to inform the chilling story of what’s taking place to younger women who’re being pre-tested in the present day at decrease ranges of competitors, or of the inaccuracies within the take a look at itself and the flawed assumptions concerning the very nature of sexuality or the slender definitions of femininity that its use is predicated upon. Neither do they mirror the havoc it wreaks within the lives of those that don’t go, or the stress the take a look at imposes on feminine athletes on the eve of their competitors.

(Illustration by Ron Ridgeway)

As Olympic excessive soar champion, Debbie Brill, who was first “licensed female” in 1972, stated, “It’s scary having to report back to a ‘intercourse management’ station. You undergo all these ‘what ifs.’ You already know you’re a lady, however what if the take a look at doesn’t present that?”

Which is what occurred to Ewa Kłobukowska. The Polish sprinter was the primary lady to be disqualified by the take a look at when it was used on a trial foundation on the European Monitor and Area Championships in 1967. Kłobukowska might have had some inner male organs as a result of a delivery defect, which isn’t uncommon. Estimates of the incidence of intercourse chromosomal defects vary from 1 in 1,000 to 1 in 4,000 births.

At one finish of the spectrum are individuals who look feminine; whereas on the different excessive are those that can have some ambiguity of their intercourse organs and secondary intercourse traits, and are nearly at all times handled medically and surgically to supply as concordant a sexual identification as doable.

Ewa Kłobukowska in 1964. (Picryl / Inventive Commons)

What the officers advised the 21-year-old Kłobukowska was that her take a look at revealed an irregularity. Upon additional examination, they stated she confirmed “male-like traits.” Even though she was neither hypermuscular nor notably extra profitable than her friends, their conclusion was that she had been competing “unwittingly as a person.” Kłobukowska was quoted as saying, “I do know what I’m and the way I really feel. … It’s a unclean and silly factor to do to me.”

After her disqualification, she went by way of extreme and lengthy lasting depressions. It was rumored that she even submitted to surgical procedure to attempt to appropriate her inner abnormalities and retain her eligibility. Though Kłobukowska was an Olympic gold medalist and world report holder within the 100-meter sprint, her title was faraway from the books and all public recognition of her awards taken away. Right this moment, she works for a Polish pc agency in Czechoslovakia and has damaged off all contact with the sports activities world.

“What’s so ridiculously unhappy about the entire affair is that she was most likely simply as a lot a girl as anybody else, particularly if she had male inner organs that have been eliminated and he or she was given the feminine hormone estrogen, which is customary process,” stated John Cash, a psychologist at Johns Hopkins and one of many world’s authorities on issues of sexual differentiation.

So why are feminine athletes being subjected to this? Due to rumors about males masquerading as girls and of girls “who have been not likely girls” competing on the Video games. Though these allegations weren’t unfounded, they have been enormously exaggerated and mirrored a elementary ignorance of the organic circumstances of girls like Kłobukowska who have been singled out.

There is just one documented case of a person masquerading as a girl on the Olympics. In 1957 Hermann, a.ok.a. “Dora” Ratjen, from Bremen, Germany, went public when the information that within the Thirties he had been pressured to pose as a girl for 3 years by officers of the Nazi Youth Motion. Entered within the girls’s excessive soar within the Berlin video games. In 1936, he certified for the finals and got here in fourth. After which in 1938, Ratjen went on to set a world report within the occasion at a lesser meet.

Different instances cited as justification for the IOC sex-testing coverage concerned people who lived and competed as females, however later, by way of surgical procedure, grew to become males. Between the late ’30s and the mid-’60s, there have been experiences that three monitor and area athletes and one high skier had sex-change operations after profitable medals in girls’s competitors. It was usually assumed that these athletes, described as “imposters” by the IOC, had had an unfair bodily benefit.

Because of these instances and chronic rumors, the intercourse of some very dominant Jap Bloc athletes got here into query. Due to their energy and masculine look, suspicion targeted on Tamara and Irina Press, two well-known Soviet athletes who from 1958 to 1965 received 5 gold medals and set 26 world information between them.

On the similar time, males from one Jap European nation have been rumored to be binding their genitals and taking estrogen as a way to develop breasts and go for females in competitors.

And so for the primary time, on the 1966 European Monitor and Area Championships in Budapest, girls have been required to undress for what the press referred to as a “nude parade” in entrance of a panel of gynecologists. All 234 rivals have been inspected, and all of them, together with Kłobukowska, handed. However a number of of those dominating Jap Bloc athletes, amongst them, the Press sisters, failed to look. Their absence was construed as affirmation that they have been afraid of failing the intercourse take a look at.

By 1968, the visible test was not sufficient. A 12 months after Kłobukowska’s very public disqualification, the IOC determined to undertake the newly found buccal smear take a look at, which it thought-about a less complicated, extra goal and extra dignified technique of distinguishing the sexes. The IOC Medical Fee additional justified its use by stating, “It might be unfair in a girls’s competitors to permit chromosomally irregular athletes with male-like traits.”

Sports activities will not be democratic. They’re elitist. The tallest play basketball. The shortest are jockeys. The last word could be to interrupt the Olympics into organic courses and run them just like the Westminster Canine Present.

John Cash

From the primary, involved medical specialists have protested utilizing the buccal smear. On this context, the American School of Physicians and American School of Obstetricians and Gynecologists just lately handed resolutions calling for the take a look at to be banned. Not surprisingly, critics are labeling the complete concept and follow of intercourse testing discriminatory—not simply because males will not be examined, however as a result of athletes are disqualified on the premise of a postulated benefit that is probably not a bonus in any respect. However on the very coronary heart of the controversy is the much more disturbing and sophisticated query of whether or not testing must be completed in within the first place.

For many years, the Finnish geneticist Albert de la Chapelle spearheaded a motion to get the IOC to rethink its coverage. He reasoned that if the intent of the take a look at is to exclude women and men whose physique construction or muscle energy confers a “male-like” benefit, then “the buccal smear is the incorrect take a look at.” He contended it catches some girls with genetic abnormalities that bear no relation to any conceivable benefit in energy, whereas it fails to detect as much as 90 p.c of the ladies who might need such an “benefit,” nearly all of whom have regular chromosome patterns, however improve their muscle bulk and energy by taking steroids, who produce other issues that give them an analogous benefit.

Though all regular men and women produce each female and male hormones—it’s their relative proportion that’s necessary in sexual growth—there are additionally genetically regular girls with medical circumstances inflicting an overabundance of testosterone.

  • Certainly one of these, congenital adrenal hyperplasia, accounts for a lot of, if not most, innately hypermuscular girls.
  • Then there are girls who’ve testosterone-producing tumors on their ovaries, which might induce “male-like” traits.
  • Even some intersex folks, who’re bone born with each female and male inner organs, have the feminine XX sample.
  • And there are males who’ve the XX chromosome sample, though that’s extraordinarily uncommon.

All of those folks would go by way of the chromosome display undetected, would by no means be subjected to additional examination and wouldn’t be banned.

Contemplating the IOC customary, de la Chapelle pointed this out as “inconsistent” and “unfair” to these with comparable traits who do get disqualified.

And what of these girls with irregular chromosomes who fail the take a look at however don’t have any hormonal or bodily benefit? The most typical instance is a toddler born with the male chromosome sample and testes however an impaired skill to both produce or reply to testosterone. Most are raised feminine and, if vital, handled surgically and hormonally to appropriate their abnormalities.

As psychologist John Cash defined in his guide, Sexual Signatures: On Being a Man or a Girl, “The straightforward assumption has been that there are two fairly separate roads [to gender identity], one leaving from XY chromosomes at conception to manhood, the opposite from XX chromosomes at conception to womanhood. However … scientists are uncovering a unique image. The very fact is, there will not be two roads, however one street with a lot of forks the place every of us turns in both the male or the feminine path. You turn into male or feminine by phases. Most of us flip easily in the identical path at every fork.”

If there’s full nonresponsivity to testosterone at every of the forks after the embryonic growth of testes, the kid develops as a feminine, besides that she has no uterus or Fallopian tubes and is sterile. She has a vagina, and what’s generally perceived as feminine physique proportions and muscle energy. Most of those folks don’t even know they’ve discordant chromosomes, and wouldn’t discover out except they investigated their infertility or bought examined by a sporting federation or at worldwide competitions.

When an individual is born with a excessive diploma of obvious sexual ambiguity, it may be the results of having each ovaries and testes. In accordance with prevailing medical opinion, it’s greater than probably that each one the historic instances of intercourse change cited as justification for gender testing have been, in truth, not imposters, however intersex individuals who have been assigned to the feminine gender at delivery.

An IOC journal editorial asserted when the buccal smear was adopted, that “the chromosome system signifies fairly undoubtedly the intercourse of an individual.”

However critics disagree, countering that an individual’s “genetic intercourse” is the least related parameter of gender. As soon as the chromosomes have given their message to the embryo to develop testes or ovaries on the first fork within the street, they by no means once more play a task within the means of sexual differentiation. Hormone ranges, inner and exterior organs, and general physique construct all have higher affect on gender.

Cash, who considers psychosocial influences a significant component, says the boy, “The label ‘boy’ or ‘lady’ has great drive as a self-fulfilling prophecy.”

What makes a girl a girl? What it comes right down to is the definition of femininity. Ought to or not it’s left to a handful of individuals on the IOC—most of whom are males—to resolve who’s ‘female sufficient’ to compete?

Myron Genel

Asking, “How typically do rivals willingly search to deceive the IOC?” an editorial within the Journal of the American Medical Affiliation took the place that genetic males raised as females universally consider they’re girls. “We physicians inform them so. To accuse such people of willful deception could be churlish.”

“It’s crucial that this minority of people not get discriminated in opposition to,” added Dr. Jean Wilson, an endocrinologist who wrote a letter to the IOC in 1968 elaborating on the risks of the buccal smear. “It might be higher for particular person athletes to obtain a aggressive benefit than for underlying diagnoses to be uncovered on this merciless and heartless method.”

For a younger lady, the information might be completely devastating. In instances when a affected person must be knowledgeable of her situation, most medical doctors wait till she reaches her mid-20s and is mature sufficient to deal with it. But a lot of the athletes getting examined lately are of their teenagers.

What Dr. de la Chapelle views of the worst penalties of the IOC place is that this testing of youthful and youthful women, typically in conditions the place there isn’t even the assure of high quality management. And technical inaccuracies within the take a look at itself will not be uncommon. De la Chapelle estimates that between 6 and 15 p.c of the time, people examined for the presence of the Y will rating falsely constructive—as was the case with U.S. swimmer Kristen Wengler.

Myron Genel, a pediatric endocrinologist and affiliate dean on the Yale College College of Medication, is anxious concerning the philosophical implications of the take a look at as nicely. Asking, “What makes a girl a girl?” Genel stated, “What it comes right down to is the definition of femininity. Ought to or not it’s left to a handful of individuals on the IOC—most of whom are males—to resolve who’s ‘female sufficient’ to compete?”

The IOC Medical Fee says its intention is to not difficulty “ex cathedra” selections about who’s a person or a girl.

Eduardo Hay, a 73-year-old gynecologist from Mexico Metropolis, is in the end answerable for making all disqualification selections on the Olympics. He emphasizes that the buccal smear was by no means meant to be greater than an preliminary display, and that it’s at all times adopted by extra detailed chromosomal evaluation in addition to gynecological and medical exams. If the lady refuses these, she will quietly withdraw from competitors. If she is disqualified, the IOC will assist her invent an “damage” or another excuse for withdrawal.

In accordance with Hay, the IOC goal is just to forestall unfair competitors. “In the intervening time, when you might have genetic abnormalities resembling [intersex], you additionally see anatomical variations. If there’s a classically male-shaped pelvis and physique configuration, then you may assume there is a bonus. You’ll be able to see very nicely that males’s information are higher than girls’s, usually by a margin of 8 to 17 p.c relying on the game. That distinction general is just on account of anatomical variations.”

However to claim {that a} lady’s “male-like” traits routinely account for her success dismisses the numerous interactive components that contribute to athletic victory, resembling coaching, intelligence, coordination and self-discipline. In accordance with Dr. Genel, not solely is the belief of benefit based mostly on the anatomical measures scientifically unsound, however the difficulty of whether or not the presence of sometimes male traits creates a bonus is much from being settled.

John Cash emphasizes, “The distinction between female and male just isn’t black and white. It’s a biologic continuum. I don’t know of any statistical research wherever that would inform you what isn’t overlap between women and men on anatomical scales. … Actually, the vary of distinction throughout the similar intercourse will be as nice as dangerous between women and men. Any dividing line is a matter of context.”

Inevitably drawing that line is a subjective determination simply how a lot “male-likeness” is an excessive amount of? When does it begin to imply an unfair benefit?

Genel deems it absurd that the IOC is making an attempt to ensure things like “bodily equality,” “unfair benefit” and “truthful competitors”—ideas, he says, can’t even be outlined constantly within the first place. “If some girls get disqualified for being further sturdy, then why not additionally disqualify these with uncommon peak or extra oxygen capability?”

Or, for that matter, why disqualify just some girls who’ve so referred to as genetic disadvantages? Genel cites the case of Flo Hyman, who suffered from Marfan’s syndrome, a genetic dysfunction that causes further peak. At 6’5″, she was top-of-the-line volleyball gamers on the earth. If something, peak is the anatomical parameter that correlates greatest with athletic success. Following the IOC requirements, ought to she have been disqualified?

If authorities start choosing out designated bits of anatomy, John Cash wonders, “What of the Maasai, with their large lengthy legs, or the Mexican-Indian tribals with their extraordinary oxygenation capability. Who will get excluded?”

He contends, “Sports activities will not be democratic. They’re elitist. The tallest play basketball. The shortest are jockeys. The last word could be to interrupt the Olympics into organic courses and run them just like the Westminster Canine Present.”

Dr. Genel says, “If the checks have been utilized throughout the board to males as nicely, folks would shortly see how ineffective it’s, as a result of it certain wouldn’t inform which males had an unfair benefit.”

Though not satisfied that somebody who’s intersex is extra profitable athletically due to that situation, he concedes that if the outcomes achieved by intersex people might be confirmed to be unattainable by “genetically regular girls, then the IOC might need a leg to face on.”

However the information of these athletes have constantly been outdated by girls of regular genetic make-up, usually inside an Olympics or two.

Not surprisingly, girls athletes are divided on the topic. Lengthy jumper Willye White had the world report she set at a U.S.-USSR meet in 1964 damaged quickly afterward on the similar occasion by a Russian whose femininity was in query. Right this moment, White unconditionally helps intercourse testing: “If she hadn’t been a person, I’d have been the world report holder.”

Kate Schmidt, a world-class javelin thrower who competed within the 1972 and 1976 Olympics, considers intercourse testing “simply one other us-against-them factor that’s being completed within the title of defending girls. It’s a Chilly Warfare mentality, as a result of a lot of the athletes concerned have been Jap Bloc.”

Schmidt would by no means protest the presence of individuals with delivery defects or make them really feel dangerous for being good: “That may be a bitter grapes, ungracious, win-at-any-cost perspective. Folks like which can be dangerous sports activities.”

Heptathlete Jane Frederick stated she doesn’t consider the official clarification of the take a look at. “I believe they’re simply saying, ‘You’re so good we are able to’t consider you’re a girl. So show it.’”

The IOC’s response to the controversy? “If there’s a higher approach, we might welcome ideas,” says IOC medical fee chairman, Prince Alexandre de Merode.

The IOC ultimately agreed to arrange a “working group” to deal with the issue. Chairman de Merode guarantees that by Seoul the medical fee may have determined “how and when the IOC will look into the problem.”

Dr. de la Chapelle, though a member of that group is considerably skeptical. “For therefore lengthy, I’ve requested the IOC to reassess their coverage, and each 4 years they inform me, ‘Allow us to simply get by way of these subsequent Video games, after which we’ll look into it.’ I do know the IOC means no hurt, however their coverage is misguided.”

One of many ideas certain to be made might be to interchange the chromosome take a look at with a easy bodily examination by feminine medical doctors. One other could be the introduction of a hormone take a look at for allowable testosterone limits, however that’s fraught with the identical technical and moral inconsistencies engendered by chromosome testing. A post-competition “enchantment system” for instances the place there’s controversy has additionally been proposed. However the ensuing publicity might probably harm an unwitting athlete’s psyche and status. Some simply wish to see testing dropped altogether.

No matter is determined the folks the IOC claims it’s making an attempt to guard must be included in a dialogue. So far, there was no indication that ladies athletes have ever been requested.

Editor’s notice: The unique model of this text from 1988 used the time period “hermaphrodite,” a time period that’s outdated and must be averted. As an alternative, we changed it with the time period “intersex” or “intersex folks” to explain folks born with genitalia or chromosomes that don’t match typical definitions for males or females.


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