Transgender people in sports
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The participation of
transgender A transgender (often abbreviated as trans) person is someone whose gender identity or gender expression does not correspond with their sex assigned at birth. Many transgender people experience dysphoria, which they seek to alleviate through ...
people in competitive sports, a traditionally sex-segregated institution, is a controversial issue, particularly the inclusion of transgender women and girls in
women's sports The participation of women and girls in sports, physical fitness and exercise, has been recorded to have existed throughout history. However, participation rates and activities vary in accordance with nation, era, geography, and stage of econ ...
. Opponents argue that transgender women have an unfair advantage over, and may endanger,
cisgender Cisgender (often shortened to cis; sometimes cissexual) is a term used to describe a person whose gender identity corresponds to their sex assigned at birth. The word ''cisgender'' is the antonym of '' transgender''. The prefix '' cis-'' is L ...
women in competitive sports due to sex differences in human physiology, and that these differences are not sufficiently reversed by transgender hormone therapies. Supporters of transgender athletes argue that medically prescribed puberty blockers and
estrogen Estrogen or oestrogen is a category of sex hormone responsible for the development and regulation of the female reproductive system and secondary sex characteristics. There are three major endogenous estrogens that have estrogenic hormonal ac ...
suppresses testosterone levels and reduces muscle mass of transgender women, reducing possible competitive advantages. Supporters also argue that sport, particularly youth sports, is also about belonging, well-being, and socialization of young people. The
American Medical Association The American Medical Association (AMA) is a professional association and lobbying group of physicians and medical students. Founded in 1847, it is headquartered in Chicago, Illinois. Membership was approximately 240,000 in 2016. The AMA's sta ...
states that legislation barring trans women from women's sports harms the mental health of transgender people. The controversy has caused debates regarding
sex verification in sports Sex verification in sports (also known as gender verification, or loosely as gender determination or a sex test) occurs because eligibility of athletes to compete is restricted whenever sporting events are limited to a single sex, which is gen ...
. Since the mid-twentieth century, sports institutions have responded to the participation of transgender women, and women suspected to be transgender,
male Male (symbol: ♂) is the sex of an organism that produces the gamete (sex cell) known as sperm, which fuses with the larger female gamete, or ovum, in the process of fertilization. A male organism cannot reproduce sexually without access to ...
, or
intersex Intersex people are individuals born with any of several sex characteristics including chromosome patterns, gonads, or genitals that, according to the Office of the United Nations High Commissioner for Human Rights, "do not fit typical bin ...
, by adding eligibility requirements to women's sports variously determined by physical examination,
sex chromosomes A sex chromosome (also referred to as an allosome, heterotypical chromosome, gonosome, heterochromosome, or idiochromosome) is a chromosome that differs from an ordinary autosome in form, size, and behavior. The human sex chromosomes, a typical ...
, and
sex hormones Sex hormones, also known as sex steroids, gonadocorticoids and gonadal steroids, are steroid hormones that interact with vertebrate steroid hormone receptors. The sex hormones include the androgens, estrogens, and progestogens. Their effects a ...
. Proponents of such regulations regard them as necessary to ensure fair competition and women's safety. Opponents have criticized such regulations as discriminatory against transgender and
intersex Intersex people are individuals born with any of several sex characteristics including chromosome patterns, gonads, or genitals that, according to the Office of the United Nations High Commissioner for Human Rights, "do not fit typical bin ...
women, disproportionately affecting
women of color The term "person of color" ( : people of color or persons of color; abbreviated POC) is primarily used to describe any person who is not considered "white". In its current meaning, the term originated in, and is primarily associated with, the U ...
, and as causing violations of medical ethics. Since the late 2010s and early 2020s, some U.S. states have passed legislation restricting the participation of
transgender youth Transgender youth are children or adolescents who do not identify with the sex they were assigned at birth. Because transgender youth are usually dependent on their parents for care, shelter, financial support, and other needs, transgender yo ...
in high school sports, or of trans women and girls in women's sports.


History of transgender athletes in competition

Historically, sport has been seen as a male domain. The masculine perception of sport was first moderated with the rise of
women's sports The participation of women and girls in sports, physical fitness and exercise, has been recorded to have existed throughout history. However, participation rates and activities vary in accordance with nation, era, geography, and stage of econ ...
and further challenged with the gradual acceptance of
gay sportsmen ''Gay'' is a term that primarily refers to a homosexual person or the trait of being homosexual. The term originally meant 'carefree', 'cheerful', or 'bright and showy'. While scant usage referring to male homosexuality dates to the late 1 ...
. A third departure from tradition occurred with the emergence of trans athletes, many of whom challenge the culturally accepted binary gender norms of male and female.


Renée Richards

One of the earliest high-profile transgender athlete was tennis player Renée Richards. Already a promising tennis player in the men's circuit, Richards underwent
gender reassignment therapy Sex reassignment therapy or medical transition is the medical aspect of gender transition, that is, modifying one's sex characteristics to better suit one's gender identity. It can consist of hormone therapy to alter secondary sex characterist ...
in 1975 and started playing in women's tournaments a year later. Her discovery and the resulting
media frenzy Media circus is a colloquial metaphor, or idiom, describing a news event for which the level of media coverage—measured by such factors as the number of reporters at the scene and the amount of material broadcast or published—is perceived to ...
sparked protests. After she accepted an invitation to a warm-up tournament for the US Open, the
Women's Tennis Association The Women's Tennis Association (WTA) is the principal organizing body of women's professional tennis. It governs the WTA Tour which is the worldwide professional tennis tour for women and was founded to create a better future for women's tenn ...
(WTA) and the
United States Tennis Association The United States Tennis Association (USTA) is the national governing body for 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, ...
(USTA) withdrew their support and 25 of the 32 women pulled out of the tournament. As a result the USTA and WTA introduced the
Barr body A Barr body (named after discoverer Murray Barr) or X-chromatin is an inactive X chromosome in a cell with more than one X chromosome, rendered inactive in a process called lyonization, in species with XY sex-determination (including huma ...
test, which identifies a person's sex chromosomes. Richards refused to take the test and was banned from the US Open. She filed a lawsuit in 1977 claiming that her civil rights were violated and that the policy was unfair. The New York Supreme Court ruled in her favor, saying that the Barr body test as the sole determinant of sex was "grossly unfair" and ruled Richards legally female. She then competed in the 1977 US Open at the age of 43, reaching the doubles final; she retired four years later. At the time, the ruling in Richards's case did not lead to major changes outside of tennis.


Olympics

In 2003, a committee convened by the
International Olympic Committee The International Olympic Committee (IOC; french: link=no, Comité international olympique, ''CIO'') is a non-governmental sports organisation based in Lausanne, Switzerland. It is constituted in the form of an association under the Swiss ...
(IOC) Medical Commission drew up new guidelines for participation of athletes who had undergone gender reassignment. The report listed three conditions for participation. First, athletes must have undergone
sex reassignment surgery Gender-affirming surgery (GAS) is a surgical procedure, or series of procedures, that alters a transgender or transsexual person's physical appearance and sexual characteristics to resemble those associated with their identified gender, and a ...
, including changes in the external genitalia and
gonadectomy Castration is any action, surgical, chemical, or otherwise, by which an individual loses use of the testicles: the male gonad. Surgical castration is bilateral orchiectomy (excision of both testicles), while chemical castration uses pharmaceu ...
. Second, athletes must show legal recognition of their gender. Third, athletes must have undergone hormone therapy for an appropriate time before participation, with two years being the suggested time. It was not until 2004 that the IOC allowed transgender athletes to participate in the Olympic Games. In 2015, the IOC modified these guidelines in recognition that legal recognition of gender could be difficult in countries where gender transition is not legal, and that requiring surgery in otherwise healthy individuals "may be inconsistent with developing legislation and notions of human rights". The new guidelines require only that trans woman athletes declare their gender and not change that assertion for four years, as well as demonstrate a testosterone level of less than 10 nanomoles per liter for at least one year prior to competition and throughout the period of eligibility. Athletes who transitioned from female to male were allowed to compete without restriction. These guidelines were in effect for the 2016 Rio Olympics, although no openly transgender athletes competed. In 2021, the IOC approved Laurel Hubbard, a
trans woman A trans woman or a transgender woman is a woman who was assigned male at birth. Trans women have a female gender identity, may experience gender dysphoria, and may transition; this process commonly includes hormone replacement therapy and s ...
, to compete in the
2020 Summer Olympics The , officially the and also known as , was an international multi-sport event held from 23 July to 8 August 2021 in Tokyo, Japan, with some preliminary events that began on 21 July. Tokyo was selected as the host city during the 1 ...
in
weightlifting Weightlifting generally refers to activities in which people lift weights, often in the form of dumbbells or barbells. People lift various kinds of weights for a variety of different reasons. These may include various types of competition; promo ...
. Hubbard became the first out trans woman to compete at the Olympics; she did not complete her lifts and won no medals. Katelyn Burns, an MSNBC Opinion Columnist, suggested Hubbard's performance demonstrates that transgender athletes do not always win. Hubbard competed with the support of her fellow Olympian competitors. Australian weightlifter
Charisma Amoe-Tarrant Charisma Precious Amoe-Tarrant (born 26 May 1999) is a Nauru, Nauruan-born Australian Olympic weightlifting, weightlifter. She competed in the Weightlifting at the 2018 Commonwealth Games – Women's +90 kg, women's +90 kg event at the 2018 Comm ...
said "I have so much respect for her and wish her and the other lifters the best and hope we can all come together and enjoy the Olympics, because this Olympics right now is quite different compared to others. I’ve competed with her previously and always had good chats with her, I just wish her well." On 21 July 2021, at the same Games, Canadian
non-binary Non-binary and genderqueer are umbrella terms for gender identities that are not solely male or femaleidentities that are outside the gender binary. Non-binary identities fall under the transgender umbrella, since non-binary people typically ...
soccer player Quinn became the first transgender person to compete at the Olympics, playing for the Canadian women's soccer team. At the 2020 Summer Olympics, they became the first out, transgender Olympian to medal and win a gold medal. Alana Smith, a
non-binary Non-binary and genderqueer are umbrella terms for gender identities that are not solely male or femaleidentities that are outside the gender binary. Non-binary identities fall under the transgender umbrella, since non-binary people typically ...
skateboarder, represented the United States in the women's skateboarding semifinals of the 2020 Summer Olympics. In November 2021 the IOC issued a non-legally binding framework that focuses on ten principles of inclusion: "prevention of harm, non-discrimination, fairness, no presumption of advantage, evidence-based approach, primacy of health and bodily autonomy, stakeholder-centered approach, right to privacy and periodic reviews". The new guidelines have been described as loosening rules that impede transgender and intersex athlete's participation in Olympic sports, with enforcement of sport-specific rules governing inclusion. On February 18, 2022,
Timothy LeDuc Timothy LeDuc (born May 4, 1990) is a retired American pair skater. With their skating partner, Ashley Cain, they are a two-time U.S. national champion (2019, 2022), the 2018 Four Continents silver medalist, and a two-time Grand Prix medalist. ...
became the first openly non-binary athlete to compete in a Winter Olympics in Beijing. They competed in pairs figure skating alongside their skating partner Ashley Cain-Gribble for Team USA.


World Athletics

In October 2019,
World Athletics World Athletics, formerly known as the International Amateur Athletic Federation (from 1912 to 2001) and International Association of Athletics Federations (from 2001 to 2019, both abbreviated as the IAAF) is the international governing body fo ...
changed the testosterone limit for transgender competitors, setting it at 5 nmol/L, from the previous 10 nmol/L, in order to bring it in line with the DSD (intersex) regulations. According to regulations from October 2019, in order for a
trans woman A trans woman or a transgender woman is a woman who was assigned male at birth. Trans women have a female gender identity, may experience gender dysphoria, and may transition; this process commonly includes hormone replacement therapy and s ...
to compete in the women's category: "3.2.1 she must provide a written and signed declaration, in a form satisfactory to the Medical Manager, that her gender identity is female; 3.2.2 she must demonstrate to the satisfaction of the Expert Panel (on the balance of probabilities), in accordance with clause 4, that the concentration of testosterone in her serum has been less than 5 nmol/L continuously for a period of at least 12 months; and 3.2.3 she must keep her serum testosterone concentration below 5 nmol/L for so long as she wishes to maintain her eligibility to compete in the female category of competition." World Athletics also has rules for
intersex Intersex people are individuals born with any of several sex characteristics including chromosome patterns, gonads, or genitals that, according to the Office of the United Nations High Commissioner for Human Rights, "do not fit typical bin ...
/ differences of sex development (DSD) athletes. DSD athletes will be subjected to specific rules if they have XY male chromosomes,
testes A testicle or testis (plural testes) is the male reproductive gland or gonad in all bilaterians, including humans. It is homologous to the female ovary. The functions of the testes are to produce both sperm and androgens, primarily testoste ...
rather than
ovaries The ovary is an organ in the female reproductive system that produces an ovum. When released, this travels down the fallopian tube into the uterus, where it may become fertilized by a sperm. There is an ovary () found on each side of the body. T ...
, have circulating testosterone within the typical male range (7.7 to 29.4 nmol/L), and are androgen-sensitive so that their body makes use of that testosterone. World Athletics requires that any such athlete must reduce their blood testosterone level to 5 nmol/L or lower for a six-month period before becoming eligible for track running events from 400 metres to the
mile run The mile run (1,760 yards or exactly 1,609.344 metres) is a middle-distance foot race. The history of the mile run event began in England, where it was used as a distance for gambling races. It survived track and field's switch to ...
in international competition, though World Athletics publicly remains open to extending this to other events based on new scientific study. World Athletics created these rules as a way to ensure fair competition in the women's category.


Others

In 1996, the Iron Ladies, a men's volleyball team made up of gay men and transgender women from
Thailand Thailand ( ), historically known as Siam () and officially the Kingdom of Thailand, is a country in Southeast Asia, located at the centre of the Indochinese Peninsula, spanning , with a population of almost 70 million. The country is b ...
, won the national championship. The Iron Ladies were not allowed to join Thailand's national volleyball team because of the way they dressed. The first out transgender person to make a US national team was Chris Mosier, who in 2016 qualified for Team USA in
duathlon Duathlon is an athletic event that consists of a running leg, followed by a cycling leg and then another running leg in a format similar to triathlons. The International Triathlon Union governs the sport internationally. Distance and format ...
. Mosier is considered the catalyst for the change in the IOC policy on transgender athletes in 2015, when he challenged the policy after initially being banned from the world championship race. Mosier also became the first known transgender athlete to compete in the Olympic Trials in the gender with which they identify, and the first trans man to make a men's Olympic Trials, when he competed in January 2020 in the US Olympic Team Trials in the 50k Racewalking event. In 2017, Mack Beggs, a teenager from Texas, was required to wrestle against girls throughout the season of his transition from female to male up through the state championship, despite wanting to wrestle against boys. This was due to state sport regulations requiring athletes to compete alongside athletes of their assigned sex. Some opponents say the testosterone prescribed as part of his transition gives him an unfair advantage and made it unsafe for the other wrestlers. (He finished the regular season at 52–0 and won the state championship.) In October 2018, Veronica Ivy (then known as Rachel McKinnon) won a gold medal at the cycling
Masters World Track Championship Masters cycling is an age category of cycling officially established by the Union Cycliste Internationale (UCI) in 1994. Competitions * ''World Masters Track Cycling Championships'' organized since 1997. * ''European Masters Cycling Championships' ...
in Los Angeles. Since 2021, media has widely covered
University of Pennsylvania The University of Pennsylvania (also known as Penn or UPenn) is a private research university in Philadelphia. It is the fourth-oldest institution of higher education in the United States and is ranked among the highest-regarded universitie ...
student
Lia Thomas Lia Catherine Thomas (born ) is an American swimmer. In 2017, she began studying at the University of Pennsylvania, from which she graduated in May 2022. She competed on the university's men's swim team from 2017 to 2020, and on its women's swi ...
, who swam for the men's team in 2018–2019, and for the women's team in 2021. ''
The Washington Post ''The Washington Post'' (also known as the ''Post'' and, informally, ''WaPo'') is an American daily newspaper published in Washington, D.C. It is the most widely circulated newspaper within the Washington metropolitan area and has a large nati ...
'' wrote that Thomas was "shattering records". In December 2021,
USA Swimming USA Swimming is the national governing body for competitive swimming in the United States. It is charged with selecting the United States Olympic Swimming team and any other teams that officially represent the United States, as well as the overal ...
official Cynthia Millen resigned in protest, because of her belief that Thomas has an unfair advantage over her competitors. In February 2022,
CNN CNN (Cable News Network) is a multinational cable news channel headquartered in Atlanta, Georgia, U.S. Founded in 1980 by American media proprietor Ted Turner and Reese Schonfeld as a 24-hour cable news channel, and presently owned by ...
called Thomas "the face of the debate on transgender women in sports". In March 2022, she became the first openly transgender athlete to win an
NCAA Division I NCAA Division I (D-I) is the highest level of intercollegiate athletics sanctioned by the National Collegiate Athletic Association (NCAA) in the United States, which accepts players globally. D-I schools include the major collegiate athletic ...
national championship in any sport after winning the women's 500-yard freestyle event. Thomas lost muscle mass and strength through testosterone suppression and hormone replacement therapy. Her time for the 500 freestyle is over 15 seconds slower than her personal bests before medically transitioning. Thomas's winning time of 4:33.24 was 9.18 seconds short of Katie Ledecky’s NCAA record of 4:24.06. In other races, Thomas has been beaten by multiple
cisgender Cisgender (often shortened to cis; sometimes cissexual) is a term used to describe a person whose gender identity corresponds to their sex assigned at birth. The word ''cisgender'' is the antonym of '' transgender''. The prefix '' cis-'' is L ...
women as well as by Iszac Henig, a transgender man not on hormones. According to ''
Swimming World ''Swimming World'' is a US-based monthly swimming magazine that was first published in a magazine format as ''Junior Swimmer'' in January 1960. It concurrently runs online websites ''Swimming World Magazine'' and ''Swimming World News'', (known ...
'', by the conclusion of Thomas's swimming career at UPenn in 2022, her rank had moved from 65th on the men's team to 1st on the women's team in the 500-yard freestyle, and 554th on the men's team to 5th on the women's team in the 200-yard freestyle. In June 2022, the
International Swimming Federation FINA (french: Fédération internationale de natation, en, International Swimming Federation, link=yes) (to be renamed as World Aquatics by ) is the international federation recognised by the International Olympic Committee (IOC) for administer ...
(FINA), an organization that administers international aquatic sports competitions, voted to bar all transgender athletes from competing in professional women's swimming, with the exception of athletes who "can establish to FINA's comfortable satisfaction that they have not experienced any part of male puberty beyond Tanner Stage 2 (of puberty) or before age 12, whichever is later". FINA also announced the creation of an "open" category for transgender swimmers to compete in.
World Rugby World Rugby is the world governing body for the sport of rugby union. World Rugby organises the Rugby World Cup every four years, the sport's most recognised and most profitable competition. It also organises a number of other international rug ...
, the sport's governing body, released the "World Rugby Transgender Guideline" in 2020. The guideline is based on player safety and performance advantage. National Rugby governing bodies are encouraged to use the guideline with flexibility to set domestic rules. The Guideline operates as a policy in all World Rugby Tournaments. To play women's rugby, transgender women must provide medical documentation confirming they have not experienced and are suppressing a testosterone-driven puberty. Transgender men, regardless of whether they transitioned pre- or post-puberty, may play men's rugby if they provide confirmation they have the physical ability to ensure they are not putting themselves at unacceptable risk. Transgender men who have begun a sex reassignment process that includes supplementing with testosterone may not play women's rugby.


Testing

Sports organizations have sought a test for sex verification to ensure fairness across all sports. This began in the 1940s with "femininity certificates" provided by a physician. In the 1960s, visual genital inspections were used to confirm gender, followed by chromosomal analysis to detect the presence of the SRY and DYZ1 genes, normally found on the Y chromosome. These tests were all designed to ensure that athletes were only allowed to compete as their sex, but mostly resulted in the exclusion of
intersex Intersex people are individuals born with any of several sex characteristics including chromosome patterns, gonads, or genitals that, according to the Office of the United Nations High Commissioner for Human Rights, "do not fit typical bin ...
athletes. Some LGBTQ advocates have referred to sex verification policies as "genital inspection" and "gender policing" of female athletes. The first mandatory sex test issued by the
International Association of Athletics Federations World Athletics, formerly known as the International Amateur Athletic Federation (from 1912 to 2001) and International Association of Athletics Federations (from 2001 to 2019, both abbreviated as the IAAF) is the international governing body fo ...
(IAAF), the world's track and field governing body, for woman athletes was in July 1950 in the month before the European Championships in Belgium. All athletes were tested in their own countries. Sex testing at the actual games began with the 1966 European Athletics Championships’ response to suspicion that several of the best women athletes from the
Soviet Union The Soviet Union,. officially the Union of Soviet Socialist Republics. (USSR),. was a List of former transcontinental countries#Since 1700, transcontinental country that spanned much of Eurasia from 1922 to 1991. A flagship communist state, ...
and
Eastern Europe Eastern Europe is a subregion of the European continent. As a largely ambiguous term, it has a wide range of geopolitical, geographical, ethnic, cultural, and socio-economic connotations. The vast majority of the region is covered by Russia, whic ...
were actually men. At the Olympics, testing was introduced in 1968. In some cases, these policies have led to athletes undergoing unnecessary surgery such as female genital mutilation and sterilization. Subsequent reports have shown that the tests could cause psychological harm. ''Sex verification''—identifying athletes whose hormone levels are abnormal compared to others of their ''purported'' sex — can cause sex identity crises, elicit demeaning reactions (publicly and privately), isolate athletes socially, and lead to depression and sometimes suicide. More recently, testosterone levels have become the focus and, at the same time, new guidelines have been sought that would allow successfully-transitioned athletes to compete. Since the proposition in 2003 to use testosterone levels, reputable organizations such as the IOC have adopted strict policies that employ testosterone as a metric to allow successfully transitioned female athletes to compete. More recent guidelines have focused entirely on testosterone levels, such as the IOC's current guidelines, originally set in November 2015, which set limits on transgender athletes' testosterone levels for them to be permitted in women's competition categories. Controversy surrounding the 2020 Tokyo Olympics also centered around testosterone levels, specifically over whether the IOC's guidelines should be amended to set stricter testosterone limits, although this proposed change has been strongly debated. The testing of testosterone alone as a marker for athleticism has been debated. The increased visibility of trans women in professional sports has led to debates on the IOC policies. Many scientists criticize the policies because of published papers showing that people who went through
male puberty Puberty is the process of physical changes through which a child's body matures into an adult body capable of sexual reproduction. It is initiated by hormonal signals from the brain to the gonads: the ovaries in a girl, the testes in a boy. I ...
retain significant advantages even after a year of testosterone suppression. In July 2021, the IOC's medical and science director,
Richard Budgett Richard Gordon McBride Budgett OBE (born 20 March 1959) is a Great Britain, British Medical and Scientific Director of the International Olympic Committee. He won an Olympic Rowing (sport), rowing gold medal in Rowing at the 1984 Summer Olympics ...
, stated that the 2015 guidelines were outdated. In 2022, new guidelines were released. According to reporting by
Sports Illustrated ''Sports Illustrated'' (''SI'') is an American sports magazine first published in August 1954. Founded by Stuart Scheftel, it was the first magazine with circulation over one million to win the National Magazine Award for General Excellence twi ...
, the new framework "places the responsibility of establishing guidelines for trans inclusion on each individual sport. It also concludes that sporting bodies should not assume that transgender women have an inherent advantage over cisgender women, nor should transgender women have to reduce their testosterone levels to compete." The framework has been criticized by some medical experts who work for sports federations as ignoring the science on sex, gender, and performance and leading to unfair competition. They suggested that rules based on testosterone could vary based on sport and called on the IOC to set standards for sports to follow.


Testosterone, athletic ability and injury risks

Biological
sex differences in humans Sex differences in humans have been studied in a variety of fields. Sex determination occurs by the presence or absence of a Y in the 23rd pair of chromosomes in the human genome. Phenotypic sex refers to an individual's sex as determined by the ...
impact performance in sports. Debate over whether and how transgender women should compete in female sports often has to do with whether they have an unfair advantage over
cisgender Cisgender (often shortened to cis; sometimes cissexual) is a term used to describe a person whose gender identity corresponds to their sex assigned at birth. The word ''cisgender'' is the antonym of '' transgender''. The prefix '' cis-'' is L ...
women due to higher testosterone levels and skeletal, muscle and fat distribution differences. Testosterone regulates many different functions in the body, including the maintenance of bone and muscle mass. A 2021 literature review concluded that for trans women, even with testosterone suppression, "the data show that strength, lean body mass, muscle size and bone density are only trivially affected. The reductions observed in muscle mass, size, and strength are very small compared to the baseline differences between males and females in these variables, and thus, there are major performance and safety implications in sports where these attributes are competitively significant." After 24 months of testosterone suppression, bone mass is generally preserved. The review states that no study has reported muscle loss greater than 12% with testosterone suppression even after three years of hormone therapy. It found that trans women are in the top 10% of females regarding lean body mass and possess a grip 25% stronger than most females. They suggest that instead of universal guidelines, each individual sport federation decide how to "balance between inclusion, safety and fairness" due to differences between sports. A 2021 systematic review found that significant decreases in measures of strength, lean body mass and muscle area were observed after 12 months of hormone therapy, while the values remained above those observed in cisgender women, even after 36 months, suggesting that trans women "may retain strength advantages over cisgender women." Effects of longer duration therapy were unclear due to scarcity of data. A 2017 systematic review of literature relating to sport participation and competitive sports policies reported that there is no direct or comprehensive evidence of transgender women having an athletic advantage over their cisgender counterparts at any stage of transition (e.g. cross-sex hormones or sex reassignment surgery), due to the lack of quantitative research on the subject; this made it "difficult to draw any definite conclusions". Only one of the papers in the systematic review took any physical attributes into account. A 2018 extended essay analyzed the current IOC rule set in 2015 (testosterone below 10 nmol/L for trans women) and found that "the advantage to transwomen afforded by the IOC guidelines is an intolerable unfairness", while they propose to abandon male/female categories in favor of a more nuanced division. A 38-page draft document from
World Rugby World Rugby is the world governing body for the sport of rugby union. World Rugby organises the Rugby World Cup every four years, the sport's most recognised and most profitable competition. It also organises a number of other international rug ...
's transgender working group in 2020 acknowledged that rugby players who are cisgender women, when tackled by a player who has gone through male puberty, are at a significantly greater risk of injury. The working group calculated that increased injury risk for typical players with female characteristics when tackled by a typical player with male characteristics was between 20 and 30%, and potentially reaching "levels twice as large" in extreme cases where the players are unusually small and large, respectively. Consequently, the document proposes that in the absence of persuasive evidence to the contrary,
International Olympic Committee The International Olympic Committee (IOC; french: link=no, Comité international olympique, ''CIO'') is a non-governmental sports organisation based in Lausanne, Switzerland. It is constituted in the form of an association under the Swiss ...
(IOC) guidelines regarding a minimum 12-month lowering of testosterone are "not fit for purpose" in the context of rugby. This move was criticized because there were "no examples of transgender women causing serious injuries to cisgender women".


National Approaches


Canada

Canadian sport organizations must comply with the
Canadian Human Rights Act The ''Canadian Human Rights Act'' (french: Loi canadienne sur les droits de la personne) is a statute passed by the Parliament of Canada in 1977 with the express goal of extending the law to ensure equal opportunity to individuals who may be vi ...
, which includes gender identity and expression as a prohibited ground for discrimination. The Canadian Centre for Ethics in Sport (CCES) is recognized as the Canadian policy leader for transgender people's participation in sport at the national level. In 2016, CCES issued guidance which sets out that, until international rules apply, athletes should be able to participate in the gender with which they identify without being subject to any requirements that are different from those of cisgender athletes, unless there is a specific and legitimate reason for the requirement. As an athlete moves into competitions governed by international rules, the athlete will decide whether to compete under the applicable international rules. Canadian sport organizations should not consider the athlete's ultimate decision when selecting athletes to represent Canada in international competitions. Some sports organizations such as viaSport, Ringette Canada, and Gymnastics Canada have policies which align to the CCES guidance. Rugby Canada responded to World Rugby's guidance by releasing a statement recommitting to the "Rugby Canada TransInclusion Policy", which is aligned to the CCES guidance. Others, like Swimming Canada, have not fully aligned to the CCES guidance. For example, to swim in national selection events, transgender swimmers must provide written proof that they are eligible for international competition from the international swimming federation to Swimming Canada. Public opinion polling indicates many Canadians believe it is unfair for transgender women to compete in women's sports. However, Canadian Women and Sport, a leading voice for the advancement of women and girls in sport, does not believe the inclusion of transgender women and girls threatens the advancement of women in sport.


United Kingdom

UK Sport UK Sport is the government agency responsible for investing in Olympic and Paralympic sport in the United Kingdom. It is an executive non-departmental public body sponsored by the Department for Digital, Culture, Media & Sport. It was created ...
published guidance for transgender inclusion in September 2021, which concludes that there is not a competitive model where the inclusion of transgender people allows safety and fairness to coexist. The Sports Council will work with the National Governing Body (NGB) and Scottish Governing Body (SGB) to find the optimal outcome under a framework that defines the priorities of the sport bodies. NGB and SGB will prioritize transgender inclusion, fairness, and safety equally to develop a decision-making model for their sports.
UK Sport UK Sport is the government agency responsible for investing in Olympic and Paralympic sport in the United Kingdom. It is an executive non-departmental public body sponsored by the Department for Digital, Culture, Media & Sport. It was created ...
believes there is not yet enough evidence to prove that the suppression of testosterone for 12 months achieves parity of strength, stamina and physique for transgender women compared with females. UK Sport believes there is enough evidence to show testosterone supplementation in transgender men seems to create parity within the strength and speed of males. They believe there is evidence to show bone conformation remains and should be considered in sports where safety is relevant.


New Zealand

Sport New Zealand Sport New Zealand (Sport NZ) ( Māori: ''Ihi Aotearoa'') is a New Zealand Crown entity responsible for governing sport and recreation in New Zealand. Sport NZ believes sport is an integral part of New Zealand's culture and way of life. The o ...
and High Performance Sport New Zealand, crown agencies that lead active recreation and sport throughout New Zealand, are currently developing guiding principles for the inclusion of transgender participants in community sport. This publication will serve to guide sport and recreation organizations at a national level toward developing a policy within their respective sport codes covering transgender inclusion in community sport, but not elite sport. 
New Zealand Rugby New Zealand Rugby (NZR) is the governing body of rugby union in New Zealand. It was founded in 1892 as the New Zealand Rugby Football Union (NZRFU), 12 years after the first provincial unions in New Zealand. In 1949 it became an affiliate to t ...
is currently reviewing its own transgender guidelines for grassroots community rugby with Sport New Zealand in consultation with stakeholders. Their stance on elite sport remains consistent with World Rugby's transgender eligibility and participation policy for professional rugby.


Australia

In June 2019,
Sport Australia The Australian Sports Commission (ASC) is the Australian Government commission responsible for supporting and investing in sport in Australia. The Commission incorporates the Australian Institute of Sport. From 2018 to 2022, it was known as S ...
and the
Australian Human Rights Commission The Australian Human Rights Commission is the national human rights institution of Australia, established in 1986 as the Human Rights and Equal Opportunity Commission (HREOC) and renamed in 2008. It is a statutory body funded by, but opera ...
published a report together with the Coalition of Major Professional and Participation Sports (COMPPS). The report is targeted to sporting organizations at all levels from community sport to elite sport in the context of promoting an inclusive environment for transgender and gender diverse people in sport across the country. The COMPPS consists of member organizations in Australia including: Australian Football League,
Cricket Australia Cricket Australia (CA), formerly known as the Australian Cricket Board (ACB), is the governing body for professional and amateur cricket in Australia. It was originally formed in 1905 as the 'Australian Board of Control for International Crick ...
,
Football Federation Australia Football Australia is the governing body of soccer, futsal, and beach soccer within Australia, headquartered in Sydney. Although the first governing body of the sport was founded in 1911, Football Australia in its current form was only establ ...
,
National Rugby League The National Rugby League (NRL) is an Australasian rugby league club competition which contains clubs from New South Wales, Queensland, Victoria, the Australian Capital Territory and New Zealand. The NRL formed in 1998 as a joint partnership ...
, Netball Australia,
Rugby Australia Rugby Australia Ltd, previously named the Australian Rugby Union Limited and Australian Rugby Football Union Limited, is an Australian company operating the premier rugby union competition in Australia and teams. It has its origins in 1949. It ...
and
Tennis Australia Tennis Australia Limited is the governing body for Tennis in Australia. It is owned by Australian states and territories. The association organises national and international Tennis tournaments including the Australian Open, the Australian Open S ...
.
Rugby Australia Rugby Australia Ltd, previously named the Australian Rugby Union Limited and Australian Rugby Football Union Limited, is an Australian company operating the premier rugby union competition in Australia and teams. It has its origins in 1949. It ...
released guidelines which permit transgender participants to play the game on a case-by-case basis for community rugby competitions at the amateur level, but remain aligned with World Rugby's policy for professional rugby. In August 2019,
Cricket Australia Cricket Australia (CA), formerly known as the Australian Cricket Board (ACB), is the governing body for professional and amateur cricket in Australia. It was originally formed in 1905 as the 'Australian Board of Control for International Crick ...
released their guidelines for inclusion. The guidelines serve to promote an inclusive environment for gender diverse participants playing community cricket and allows players to participate in the gender with which they identify rather than their sex, without requiring medical examinations. In terms of grassroots sport clubs, the Australian not-for-profit sporting inclusion program Pride In Sport maintains a directory of independent LGBTQ sporting clubs in Australia. This listing published an extensive number of sports having at least one club within each of the states and territories of the country.


In secondary education


Australia

In July 2019,
Sport Australia The Australian Sports Commission (ASC) is the Australian Government commission responsible for supporting and investing in sport in Australia. The Commission incorporates the Australian Institute of Sport. From 2018 to 2022, it was known as S ...
published guidelines on making sport more inclusive for transgender and gender-diverse people.


Canada

Provincial governing bodies for high school sports have independent policies on the participation of transgender or non-binary athletes on sex-segregated teams. Organizations such as the Alberta Schools' Athletic Association, the Manitoba High Schools Athletics Association and
BC School Sports {{unreferenced , date=April 2008 BC School Sports is the governing body for high school athletics in the province of British Columbia, Canada. It was originally organized in 1965 as the British Columbia Federation of School Athletic Associations (B ...
each have policies that allow the participation of transgender student-athletes in accordance with their gender identity. Transgender or non-binary student-athletes looking to compete in a team consistent with their gender identity in
British Columbia British Columbia (commonly abbreviated as BC) is the westernmost province of Canada, situated between the Pacific Ocean and the Rocky Mountains. It has a diverse geography, with rugged landscapes that include rocky coastlines, sandy beaches, ...
must submit an application to the BC School Sports Executive Director, and are required to have a written statement from both the student-athlete and the principal of their high school confirming their gender identity.


United States

There are no rules federally to regulate inclusion of transgender children. States vary widely on participation of transgender children in sports and which locker room those students should use. Opponents of including transgender athletes emphasize the argument that there may be an unfair advantage of larger size and strength in trans women, and trans athletes could threaten the safety of
cisgender Cisgender (often shortened to cis; sometimes cissexual) is a term used to describe a person whose gender identity corresponds to their sex assigned at birth. The word ''cisgender'' is the antonym of '' transgender''. The prefix '' cis-'' is L ...
children, both in competition and in the locker room. Advocates in favor of allowing transgender children to participate in sports based on their preferred gender point out the known benefits of participating in sports and the psychological well-being of the transgender children. Many states have tried to mimic the
NCAA The National Collegiate Athletic Association (NCAA) is a nonprofit organization that regulates student athletics among about 1,100 schools in the United States, Canada, and Puerto Rico. It also organizes the athletic programs of colleges an ...
and
IOC The International Olympic Committee (IOC; french: link=no, Comité international olympique, ''CIO'') is a non-governmental sports organisation based in Lausanne, Switzerland. It is constituted in the form of an association under the Swiss ...
rules that rely on testosterone level tests to determine when a trans woman can participate in women's sports competitions. These kinds of rules are more difficult to enforce in
secondary education Secondary education or post-primary education covers two phases on the International Standard Classification of Education scale. Level 2 or lower secondary education (less commonly junior secondary education) is considered the second and final pha ...
because of the lack of resources to test testosterone levels, and medical professionals are often hesitant to prescribe minors hormones. States have individually come up with rules to regulate trans athlete participation through restricting transgender athletes to teams of their assigned sex at birth, matching NCAA/IOC guidelines, allowing
school district A school district is a special-purpose district that operates local public primary and secondary schools in various nations. North America United States In the U.S, most K–12 public schools function as units of local school districts, wh ...
s to decide, or allowing complete inclusion. 19 U.S. States have banned transgender people from sports under their gender identity in various capacities. These states include Texas, Arkansas, Florida, Alabama, Oklahoma, Kentucky, Mississippi, Tennessee, West Virginia, South Carolina, Utah, South Dakota, Montana, Iowa, Arizona, Idaho, Indiana, Louisiana, and Georgia. The
US Department of Education The United States Department of Education is a Cabinet-level department of the United States government. It began operating on May 4, 1980, having been created after the Department of Health, Education, and Welfare was split into the Department ...
has said transgender students are protected under Title IX. * In
Indiana Indiana () is a U.S. state in the Midwestern United States. It is the 38th-largest by area and the 17th-most populous of the 50 States. Its capital and largest city is Indianapolis. Indiana was admitted to the United States as the 19th s ...
, schools rely on anatomical sex, requiring gender reassignment surgery for trans athletes to participate in the sport of their identified gender. *
Nebraska Nebraska () is a state in the Midwestern region of the United States. It is bordered by South Dakota to the north; Iowa to the east and Missouri to the southeast, both across the Missouri River; Kansas to the south; Colorado to the sout ...
has formed a Gender Identity Eligibility Committee that decides on a case-by-case basis of how each transgender athlete can participate as their self-identified gender. *
Texas Texas (, ; Spanish: ''Texas'', ''Tejas'') is a state in the South Central region of the United States. At 268,596 square miles (695,662 km2), and with more than 29.1 million residents in 2020, it is the second-largest U.S. state by ...
,
Alabama (We dare defend our rights) , anthem = "Alabama" , image_map = Alabama in United States.svg , seat = Montgomery , LargestCity = Huntsville , LargestCounty = Baldwin County , LargestMetro = Greater Birmingham , area_total_km2 = 135,765 ...
,
North Carolina North Carolina () is a state in the Southeastern region of the United States. The state is the 28th largest and 9th-most populous of the United States. It is bordered by Virginia to the north, the Atlantic Ocean to the east, Georgia and ...
,
Kentucky Kentucky ( , ), officially the Commonwealth of Kentucky, is a state in the Southeastern region of the United States and one of the states of the Upper South. It borders Illinois, Indiana, and Ohio to the north; West Virginia and Virginia ...
,
Idaho Idaho ( ) is a state in the Pacific Northwest region of the Western United States. To the north, it shares a small portion of the Canada–United States border with the province of British Columbia. It borders the states of Montana and Wyomi ...
, and
Florida Florida is a state located in the Southeastern region of the United States. Florida is bordered to the west by the Gulf of Mexico, to the northwest by Alabama, to the north by Georgia, to the east by the Bahamas and Atlantic Ocean, and to ...
require trans athletes to compete based on their biological sex. * In
Alaska Alaska ( ; russian: Аляска, Alyaska; ale, Alax̂sxax̂; ; ems, Alas'kaaq; Yup'ik: ''Alaskaq''; tli, Anáaski) is a state located in the Western United States on the northwest extremity of North America. A semi-exclave of the U.S. ...
,
Connecticut Connecticut () is the southernmost state in the New England region of the Northeastern United States. It is bordered by Rhode Island to the east, Massachusetts to the north, New York to the west, and Long Island Sound to the south. Its capita ...
,
Georgia Georgia most commonly refers to: * Georgia (country), a country in the Caucasus region of Eurasia * Georgia (U.S. state), a state in the Southeast United States Georgia may also refer to: Places Historical states and entities * Related to the ...
,
Kansas Kansas () is a state in the Midwestern United States. Its capital is Topeka, and its largest city is Wichita. Kansas is a landlocked state bordered by Nebraska to the north; Missouri to the east; Oklahoma to the south; and Colorado to th ...
,
Pennsylvania Pennsylvania (; ( Pennsylvania Dutch: )), officially the Commonwealth of Pennsylvania, is a state spanning the Mid-Atlantic, Northeastern, Appalachian, and Great Lakes regions of the United States. It borders Delaware to its southeast, ...
, and
Wisconsin Wisconsin () is a state in the upper Midwestern United States. Wisconsin is the 25th-largest state by total area and the 20th-most populous. It is bordered by Minnesota to the west, Iowa to the southwest, Illinois to the south, Lake M ...
, each school district makes their own decision on how to include transgender athletes. *
Maine Maine () is a state in the New England and Northeastern regions of the United States. It borders New Hampshire to the west, the Gulf of Maine to the southeast, and the Canadian provinces of New Brunswick and Quebec to the northeast and ...
gives approval for students to choose which team they wish to play on, approving based on safety and fairness. *
New Jersey New Jersey is a state in the Mid-Atlantic and Northeastern regions of the United States. It is bordered on the north and east by the state of New York; on the east, southeast, and south by the Atlantic Ocean; on the west by the Delaware ...
and
New Mexico ) , population_demonym = New Mexican ( es, Neomexicano, Neomejicano, Nuevo Mexicano) , seat = Santa Fe , LargestCity = Albuquerque , LargestMetro = Tiguex , OfficialLang = None , Languages = English, Spanish ( New Mexican), Navajo, Ke ...
require that trans athletes provide evidence that they have transitioned or are transitioning. *
Missouri Missouri is a state in the Midwestern region of the United States. Ranking 21st in land area, it is bordered by eight states (tied for the most with Tennessee): Iowa to the north, Illinois, Kentucky and Tennessee to the east, Arkansas t ...
and
Ohio Ohio () is a state in the Midwestern region of the United States. Of the fifty U.S. states, it is the 34th-largest by area, and with a population of nearly 11.8 million, is the seventh-most populous and tenth-most densely populated. The sta ...
require athletes to undergo hormone treatment. Ohio requires that the athlete must have been on the hormones for at least a year prior to competing. *
Oregon Oregon () is a state in the Pacific Northwest region of the Western United States. The Columbia River delineates much of Oregon's northern boundary with Washington, while the Snake River delineates much of its eastern boundary with Idaho. T ...
allows those who identify as male to participate on male teams, and they are then on excluded from girls' competitions. Those transitioning from male to female must be on hormone treatment for at least a year. *
Iowa Iowa () is a state in the Midwestern region of the United States, bordered by the Mississippi River to the east and the Missouri River and Big Sioux River to the west. It is bordered by six states: Wisconsin to the northeast, Illinois to th ...
bans transgender girls and women from playing female sports. No such stipulation applies to transgender boys and men with regard to male sports.


''Hecox v. Little''

In March 2020,
Idaho Idaho ( ) is a state in the Pacific Northwest region of the Western United States. To the north, it shares a small portion of the Canada–United States border with the province of British Columbia. It borders the states of Montana and Wyomi ...
Governor
Brad Little Bradley Jay Little (born February 15, 1954) is an American politician serving as the 33rd governor of Idaho since January 2019. A member of the Republican Party, he served as the 42nd lieutenant governor of Idaho from 2009 to 2019 and as an Idah ...
signed into law the "Fairness in Women's Sports Act", also known as House Bill 500. This legislation, the first of its kind in the United States, prohibits transgender athletes from competing in sports against athletes of the other biological sex. In April 2020, the ACLU and the Legal Voice filed a lawsuit, ''Hecox v. Little'', arguing that this law violates the US Constitution and Title IX. ADF Legal Counsel Christiana Holcomb, representing two female athletes, said: "Both of our clients agree: Putting male athletes up against females is simply not fair because it changes the nature and dynamics of sport for young women ... In one year, 275 high school boys ran faster times than the lifetime best of World Champion sprinter Allyson Felix." On August 17, 2020, the
United States District Court for the District of Idaho United may refer to: Places * United, Pennsylvania, an unincorporated community * United, West Virginia, an unincorporated community Arts and entertainment Films * ''United'' (2003 film), a Norwegian film * ''United'' (2011 film), a BBC Two f ...
issued a preliminary injunction against the law pending trial, issuing an opinion that the plaintiffs were "likely to succeed in establishing
hat A hat is a head covering which is worn for various reasons, including protection against weather conditions, ceremonial reasons such as university graduation, religious reasons, safety, or as a fashion accessory. Hats which incorporate mecha ...
the Act is unconstitutional as currently written". the case is before the
Ninth Circuit Court of Appeals The United States Court of Appeals for the Ninth Circuit (in case citations, 9th Cir.) is the U.S. federal court of appeals that has appellate jurisdiction over the U.S. district courts in the following federal judicial districts: * District ...
.


''Soule v. Connecticut Association of Schools''

After women's high school competitions were won by transgender student
Andraya Yearwood Andraya Yearwood (born 2002) is an American transgender student athlete from Connecticut. Yearwood began competing on a high school girls' team in early April 2017 and won first place in the girls 100- and 200-meter dashes. Yearwood's secon ...
in
Connecticut Connecticut () is the southernmost state in the New England region of the Northeastern United States. It is bordered by Rhode Island to the east, Massachusetts to the north, New York to the west, and Long Island Sound to the south. Its capita ...
, a lawsuit was filed against the Connecticut Association of Schools-Connecticut Interscholastic Athletic Conference (CIAC) and several school boards in federal court to try to stop the participation of transgender athletes. Christiana Holcomb, ADF Legal Counsel in the case, said that Yearwood and Terry Miller (another transgender student athlete in Connecticut) between them "amassed 15 different state championship titles that were once held by nine different girls across the state." The lawsuit was dismissed in April 2021 by the district court as moot. In October 2021, women's sports icons Billie Jean King, World Cup Champion and
United States women's national soccer team The United States women's national soccer team (USWNT) represents the United States in international women's soccer. The team is the most successful in international women's soccer, winning four Women's World Cup titles ( 1991, 1999, 2015, an ...
Co-Captain
Megan Rapinoe Megan Anna Rapinoe (; born July 5, 1985) is an American professional Association football, soccer player who plays as a Midfielder#Winger, winger and captains OL Reign of the National Women's Soccer League (NWSL), as well as the United States ...
, WNBA stars Brianna Turner,
Layshia Clarendon Layshia Renee Clarendon (born May 2, 1991) is an American professional basketball player who is currently a free agent. Clarendon is the first openly non-binary WNBA player, and the first active WNBA player to complete a top surgery. Career C ...
, and over 150 athletes in women's sports spoke out in support of transgender athletes and filed an
amicus brief An ''amicus curiae'' (; ) is an individual or organization who is not a party to a legal case, but who is permitted to assist a court by offering information, expertise, or insight that has a bearing on the issues in the case. The decision on ...
in an appeal of the ''Soule v. CIAC'' trial court dismissal, along with the Women's National Basketball Players Association (WNBPA),
Athlete Ally Athlete Ally is a nonprofit LGBTQ athletic advocacy group based in the United States. They focus on making athletic communities more inclusive and less discriminatory and helping athletes to advocate for LGBTQ equality. History As an athlete i ...
, and the
Women's Sports Foundation The Women's Sports Foundation (WSF) is a 501(c)(3) educational nonprofit charity focused on female involvement in sports. Founded in 1974 by tennis player Billie Jean King and initially supported by Olympic athletes Donna de Varona and Suzy Chaffe ...
, in support of CIAC and affirming the dismissal. On December 16, 2022, a three-judge panel of the Second Circuit Appeals Court ruled against the plaintiffs, citing the 2020 decision ''
Bostock v. Clayton County, Georgia ''Bostock v. Clayton County'', , is a landmark United States Supreme Court civil rights case in which the Court held that Title VII of the Civil Rights Act of 1964 protects employees against discrimination because they are gay or transgender. ...
,'' in which the Supreme Court ruled discrimination against transgender employees violated
Title VII of the Civil Rights Act of 1964 The Civil Rights Act of 1964 () is a landmark civil rights and labor law in the United States that outlaws discrimination based on race, color, religion, sex, and national origin. It prohibits unequal application of voter registration requi ...
.


Post-secondary education


Canada

In September 2018,
U Sports U Sports (stylized as U SPORTS) is the national sport governing body of university sport in Canada, comprising the majority of degree-granting universities in the country. Its equivalent body for organized sports at colleges in Canada is the C ...
, the governing body of intercollegiate and varsity athletics in Canada, released a policy addressing eligibility and best practices for the inclusion of transgender student-athletes at their member institutions. Under this new policy, U Sports student-athletes are able to compete according to their gender identity or sex assigned at birth provided they meet requirements of the Canadian Anti-Doping Program. Transgender student-athletes, like other U Sports athletes, are given five years of eligibility to compete and may only represent one gender of sports team per school year.


United Kingdom

Under the
Equality Act 2010 The Equality Act 2010 is an Act of Parliament of the United Kingdom passed during the Brown ministry with the primary purpose of consolidating, updating and supplementing the numerous prior Acts and Regulations, that formed the basis of anti-d ...
, discrimination based on sex or gender reassignment is illegal, but certain sporting activities are exempt if transgender athletes competing would put non-transgender athletes at an unfair disadvantage. It does not apply to those who consider themselves trans or non-binary, but have not undergone gender reassignment officially. In April 2022, the Prime Minister Boris Johnson said he believed that transgender women should not compete in women's sport.


United States

In August 2011, the
National Collegiate Athletic Association The National Collegiate Athletic Association (NCAA) is a nonprofit organization that regulates student athletics among about 1,100 schools in the United States, Canada, and Puerto Rico. It also organizes the athletic programs of colleges ...
Office of Inclusion published the NCAA Inclusion of Transgender Student-Athletes resource outlining their best practices and policies for the inclusion for transgender student-athletes. This policy permits transgender athletes who are not using hormone therapy to continue to participate on the team that corresponds to their assigned sex at birth. A
trans man A trans man is a man who was assigned female at birth. The label of transgender man is not always interchangeable with that of transsexual man, although the two labels are often used in this way. ''Transgender'' is an umbrella term that inc ...
student-athlete may participate on either a men's or women's team, unless receiving testosterone, in which case he may only compete on a men's team; athletes receiving doses of testosterone as a part of their transition must apply for a medical exemption through the league, as testosterone is considered a banned substance in the NCAA. A trans woman student-athlete is not permitted to compete on a women's team until after one year of testosterone suppression treatment. Ongoing monitoring of treatment and written documentation is required for student-athletes undergoing testosterone suppression.


Australia

University and Tertiary Sport New Zealand (UTSNZ) has its own inclusion policy covering transgender and gender diverse athletes in sport. The policy allows transgender athletes to compete in the sport category that aligns to their gender identity.Transgender females are permitted to compete in a male UTSNZ competition. If transgender females have undergone testosterone suppression for 12 months, they may also compete in female competition. Similarly, transgender males are eligible to participate in either male or female competition (but not both categories within one season), provided they are not undergoing hormone treatment for gender transition. For transgender males who have taken hormone treatment with testosterone related to gender transition, they may no longer compete in female competition but can still compete in male competition.


Public opinion

A 2021 Gallup poll showed that 62% of Americans opposed people playing on teams that matched their gender identity rather than their birth sex. However, a 2021
PBS The Public Broadcasting Service (PBS) is an American public broadcaster and non-commercial, free-to-air television network based in Arlington, Virginia. PBS is a publicly funded nonprofit organization and the most prominent provider of educat ...
/
NPR National Public Radio (NPR, stylized in all lowercase) is an American privately and state funded nonprofit media organization headquartered in Washington, D.C., with its NPR West headquarters in Culver City, California. It differs from other ...
/ Marist poll found 67% of Americans, including 66% of Republicans, oppose legislation that would prohibit transgender student athletes from joining sports teams that match their gender identity. A March 2022 Harvard CAPS-
Harris Poll The Harris Poll (legal name: Harris Insights and Analytics) is an American market research and analytics company that has been tracking the sentiment, behaviors and motivations of American adults since 1963. In addition to the traditional consulti ...
found that 63% of Americans were against gender-transitioning athletes competing in opposite-sex sporting events, while 37% of Americans were in favour of them competing. 60% of Democrats, 32% of Independents, and 20% of Republicans were in favour of gender-transitioning athletes competing in opposite-sex sporting events, while 80% of Republicans, 68% of Independents, and 40% of Democrats were against them competing. A May 2022
Washington Post ''The Washington Post'' (also known as the ''Post'' and, informally, ''WaPo'') is an American daily newspaper published in Washington, D.C. It is the most widely circulated newspaper within the Washington metropolitan area and has a large na ...
-
University of Maryland The University of Maryland, College Park (University of Maryland, UMD, or simply Maryland) is a public land-grant research university in College Park, Maryland. Founded in 1856, UMD is the flagship institution of the University System of M ...
poll found that 55% of Americans were against allowing transgender women and girls to compete with other women and girls in high school, 58% were against allowing transgender women to compete with other women and girls in college and professional sports, 30% of Americans were in support of transgender women and girls competing with other women and girls in high school, college and professional levels, and 15% had no opinion. The poll also found that 49% of Americans were against allowing transgender girls to compete with other girls in youth sports, 33% were in support of transgender girls competing with other girls in youth sports, and 17% had no opinion.


Notable trans athletes


Trans men

*
Kye Allums Kye Allums (born October 23, 1989) is a former college basketball player for the George Washington University women's team who in 2010 came out as a trans man, becoming the first openly transgender NCAA Division I college athlete. Allums is a tr ...
, basketball * Schuyler Bailar, swimming * Mack Beggs, wrestling * Harrison Browne, ice hockey *
Balian Buschbaum Balian Buschbaum (born 14 July 1980 in Ulm) is a former Germany, German pole vaulter. Life and career Buschbaum competed in women's pole vaulting before his gender transition, winning the title of German Youth Champion multiple times. In 1999 ...
, pole vault * Willy De Bruyn, cycling * Keelin Godsey, hammer throw * Zdeněk Koubek, track *
Andreas Krieger Andreas Krieger (born 20 July 1965 in East Berlin) is a German former shot putter who competed on the women's East German athletics team at SC Dynamo Berlin as Heidi Krieger. He was systematically and unknowingly doped with anabolic steroid ...
, shot put * Patricio Manuel, boxing * Chris Mosier, triathlon and duathlon * Quince Mountain, Iditarod


Trans women

* Tifanny Abreu, volleyball * Mianne Bagger, golf *
Savannah Burton Savannah Burton is the first out transgender athlete to compete for Canada internationally in team sports. She was named to the Canadian National team in March 2015. Born in Corner Brook, Newfoundland and Labrador. Career Burton became a member ...
, dodgeball * Parinya Charoenphol, Thai boxing * Roberta Cowell, motor sports * Michelle Duff, motorcycle road racing *
Michelle Dumaresq Michelle Dumaresq (born 1970) is a Canadian professional downhill mountain bike competitor and trans woman. She competes with other professional female downhill mountain bike racers. She entered the sport in 2001, six years after completing gende ...
, downhill mountain biking *
Fallon Fox Fallon Fox (born November 29, 1975) is an American former mixed martial artist (MMA), and the first MMA fighter who is openly transgender. Early life Fox was born in Toledo, Ohio. She recalls struggling with her gender as early as age five or ...
, mixed martial arts * Natalie van Gogh, cycling * Laurel Hubbard, weightlifting * Veronica Ivy, cycling *
Lauren Jeska use both this parameter and , birth_date to display the person's date of birth, date of death, and age at death) --> , death_place = , death_cause = , body_discovered = , resting_place = , resting_place_coordinates ...
, fell running * Janae Kroc, powerlifting * Bobbi Lancaster, golf *
Charlie Christina Martin Charlie Christina Martin (born 24 August 1981) is a British racing car driver and transgender rights activist, who competes in endurance racing. In 2021, she participated in the Britcar Championship. She was born in Leicester, United Kingdom. ...
, motor sports * Cate McGregor, cricket *
Hannah Mouncey Hannah Mouncey (born 21 October 1989) is an Australian national squad handball player who also plays Australian rules football. Mouncey represented Australia in men's handball before transitioning. She has been the subject of controversy over ...
, handball and Australian football * Apayauq Reitan, Iditarod *
Renée Richards Renée Richards (born August 19, 1934) is an American ophthalmologist and former tennis player who competed on the professional circuit in the 1970s, and became widely known following male-to-female sex reassignment surgery, when she fought to ...
, tennis *
Jaiyah Saelua Jaiyah Tauasuesimeamativa Saelua (born July 19, 1988) is an American Samoan footballer who plays as a center back for the American Samoa national team. Saelua is a fa'afafine, a third gender present in Polynesian society.Gabriel Faatau'uu-Sat ...
, football * Britney Stinson, baseball and football * Cece Telfer, track and field *
Lia Thomas Lia Catherine Thomas (born ) is an American swimmer. In 2017, she began studying at the University of Pennsylvania, from which she graduated in May 2022. She competed on the university's men's swim team from 2017 to 2020, and on its women's swi ...
, swimming *
Andraya Yearwood Andraya Yearwood (born 2002) is an American transgender student athlete from Connecticut. Yearwood began competing on a high school girls' team in early April 2017 and won first place in the girls 100- and 200-meter dashes. Yearwood's secon ...
, track and field (high school)


Non-binary athletes

*
Laura Goodkind Laura may refer to: People * Laura (given name) * Laura, the British code name for the World War I Belgian spy Marthe Cnockaert Places Australia * Laura, Queensland, a town on the Cape York Peninsula * Laura, South Australia * Laura Bay, a bay on ...
, Paralympic rowing *
Timothy LeDuc Timothy LeDuc (born May 4, 1990) is a retired American pair skater. With their skating partner, Ashley Cain, they are a two-time U.S. national champion (2019, 2022), the 2018 Four Continents silver medalist, and a two-time Grand Prix medalist. ...
, figure skating *
Robyn Lambird Robyn Lambird (born 19 January 1997) is an Australian wheelchair racer and model who has cerebral palsy. They won a bronze medal in the Women's 100m T34 at the 2020 Summer Paralympics, becoming the first out non-binary Paralympian to win a med ...
, wheelchair racing * Quinn, soccer * Alana Smith, skateboarding * Maria "Maz" Strong, Paralympic seated shot put


See also

*
Gay Games The Gay Games is a worldwide sport and cultural event that promotes acceptance of sexual diversity, featuring lesbian, gay, bisexual, and transgender (LGBT) athletes, artists and other individuals. Founded as the Gay Olympics, it was star ...
* List of LGBT sportspeople


References


Further reading


NCAA Inclusion of Transgender Student-Athletes

Including Transgender Athletes in Sex-Segregated Sport

Transgender student-athletes and sex-segregated sport: Developing policies of inclusion for intercollegiate and interscholastic athletics

Hormone Check: Critique of Olympic Rules on Sex and Gender
{{Transgender topics *