Transgender Athletes
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The participation of transgender people in
competitive sports Competition is a rivalry where two or more parties strive for a common goal which cannot be shared: where one's gain is the other's loss (an example of which is a zero-sum game). Competition can arise between entities such as organisms, indivi ...
, a traditionally sex-segregated institution, is a controversial issue, particularly the inclusion of transgender women and girls in women's sports. Opponents argue that transgender women have an unfair advantage over, and may endanger, cisgender women in competitive sports due to
sex differences in human physiology Sex differences in human physiology are distinctions of physiological characteristics associated with either male or female humans. These differences are caused by the effects of the different sex chromosome complement in males and females, and di ...
, and that these differences are not sufficiently reversed by transgender hormone therapies. Supporters of transgender athletes argue that medically prescribed
puberty blocker Puberty blockers, also called puberty inhibitors or hormone blockers, are medicines used to postpone puberty in children. The most commonly used puberty blockers are gonadotropin-releasing hormone (GnRH) agonists, which suppress the production ...
s and estrogen 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 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. Since the mid-twentieth century, sports institutions have responded to the participation of transgender women, and women suspected to be transgender, male, or intersex, by adding eligibility requirements to women's sports variously determined by physical examination, sex chromosomes, and sex hormones. 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 women, disproportionately affecting
women of color The term "person of color" (plural, : people of color or persons of color; abbreviated POC) is primarily used to describe any person who is not considered "White people, white". In its current meaning, the term originated in, and is primarily a ...
, and as causing violations of
medical ethics Medical ethics is an applied branch of ethics which analyzes the practice of clinical medicine and related scientific research. Medical ethics is based on a set of values that professionals can refer to in the case of any confusion or conflict. T ...
. 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 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 characteristi ...
in 1975 and started playing in women's tournaments a year later. Her discovery and the resulting media frenzy sparked protests. After she accepted an invitation to a warm-up tournament for the US Open, the Women's Tennis Association (WTA) and the United States Tennis Association (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 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 The Supreme Court of the State of New York is the trial-level court of general jurisdiction in the New York State Unified Court System. (Its Appellate Division is also the highest intermediate appellate court.) It is vested with unlimited civ ...
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 (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, including changes in the external genitalia and gonadectomy. Second, athletes must show legal recognition of their gender. Third, athletes must have undergone
hormone therapy Hormone therapy or hormonal therapy is the use of hormones in medical treatment. Treatment with hormone antagonists may also be referred to as hormonal therapy or antihormone therapy. The most general classes of hormone therapy are oncologic horm ...
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 Laurel Hubbard (born 9 February 1978) is a New Zealand weightlifter. Selected to compete at the 2020 Summer Olympics, she was the first openly transgender woman to compete in the Olympic Games. Prior to making her Olympic debut, Hubbard achieved ...
, a trans woman, 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 ...
in weightlifting. Hubbard became the first
out Out may refer to: Arts, entertainment, and media Films * ''Out'' (1957 film), a documentary short about the Hungarian Revolution of 1956 * ''Out'' (1982 film), an American film directed by Eli Hollander * ''Out'' (2002 film), a Japanese film ba ...
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 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 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 Out may refer to: Arts, entertainment, and media Films * ''Out'' (1957 film), a documentary short about the Hungarian Revolution of 1956 * ''Out'' (1982 film), an American film directed by Eli Hollander * ''Out'' (2002 film), a Japanese film ba ...
, transgender Olympian to medal and win a gold medal. Alana Smith, a non-binary 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 Ashley Elizabeth Cain (born July 22, 1995) is a retired American pair skater. With her skating partner, Timothy LeDuc, she is a two-time U.S. national champion (2019, 2022), the 2018 Four Continents silver medalist, and a two-time Grand Prix me ...
for Team USA.


World Athletics

In October 2019, World Athletics 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 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/
differences of sex development Disorders of sex development (DSDs), also known as differences in sex development, diverse sex development and variations in sex characteristics (VSC), are congenital conditions affecting the reproductive system, in which development of chromoso ...
(DSD) athletes. DSD athletes will be subjected to specific rules if they have XY male chromosomes, testes rather than ovaries, 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 The 400 metres, or 400-meter dash, is a sprint event in track and field competitions. It has been featured in the athletics (sport), athletics programme at the Summer Olympics since 1896 for men and since 1964 for women. On a standard outdoor runn ...
to the mile run 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, 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 Out may refer to: Arts, entertainment, and media Films * ''Out'' (1957 film), a documentary short about the Hungarian Revolution of 1956 * ''Out'' (1982 film), an American film directed by Eli Hollander * ''Out'' (2002 film), a Japanese film ba ...
transgender person to make a US national team was
Chris Mosier Chris Mosier (born 1980) is an American advocate for transgender rights and competitive triathlete, duathlete, and racewalker. He started his athletic career before transitioning, started his transition in 2010, and in 2015 earned a spot on the ...
, who in 2016 qualified for Team USA in duathlon. 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 Mack Beggs (born 1999) is an American former high school wrestler from Euless, Texas, Euless, Texas. Beggs is a trans man. State athletic rules only allowed him to compete in the league for the sex he was assigned at birth. In 2017, he defeated C ...
, 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 Veronica Ivy (born 1982), formerly Rachel McKinnon, is a Canadian competitive cycle sport, cyclist and transgender rights activist. In 2018, she became the first transgender world track cycling champion by placing first at the Masters cycling, ...
(then known as Rachel McKinnon) won a gold medal at the cycling Masters World Track Championship in Los Angeles. Since 2021, media has widely covered University of Pennsylvania student Lia Thomas, who swam for the men's team in 2018–2019, and for the women's team in 2021. '' The Washington Post'' 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 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 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 Kathleen Genevieve Ledecky (born March 17, 1997) is an American competitive swimmer. She has won seven Olympic gold medals and 19 world championship gold medals, the most in history for a female swimmer. Ledecky's six individual gold medals at ...
’s NCAA record of 4:24.06. In other races, Thomas has been beaten by multiple cisgender women as well as by Iszac Henig, a transgender man not on hormones. According to '' Swimming World'', 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, 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 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 (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 The 8th European Athletics Championships were held from 30 August to 4 September 1966 in the Stadium Puskás Ferenc, Nép Stadium in Budapest, Hungarian People's Republic, Hungary. Contemporaneous reports on the event were given in the Glasgow Hera ...
’ response to suspicion that several of the best women athletes from the Soviet Union and Eastern Europe 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 Female genital mutilation (FGM), also known as female genital cutting, female genital mutilation/cutting (FGM/C) and female circumcision, is the ritual cutting or removal of some or all of the external female genitalia. The practice is found ...
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 retain significant advantages even after a year of testosterone suppression. In July 2021, the IOC's medical and science director, Richard Budgett, stated that the 2015 guidelines were outdated. In 2022, new guidelines were released. According to reporting by Sports Illustrated, 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 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 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 A systematic review is a Literature review, scholarly synthesis of the evidence on a clearly presented topic using critical methods to identify, define and assess research on the topic. A systematic review extracts and interprets data from publ ...
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'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 (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, 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 Swimming Canada is the Canadian national governing body for competitive swimming in the country. Swimming Canada oversees the management of all swim programs throughout the nation and provides the foundation for beginner-level athletes to train ...
, 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 org ...
and
High Performance 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 org ...
, 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 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 Sp ...
and the Australian Human Rights Commission 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 The Australian Football League (AFL) is the only fully professional competition of Australian rules football. Through the AFL Commission, the AFL also serves as the sport's governing body and is responsible for controlling the laws of the gam ...
, Cricket Australia, Football Federation Australia, National Rugby League,
Netball Australia Netball Australia is the main governing body for netball in Australia. It is affiliated to World Netball. It is responsible for organising and administrating the Australia national netball team, Suncorp Super Netball and the Australian Nati ...
, Rugby Australia and Tennis Australia. Rugby Australia 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 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 Sp ...
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 Alberta Schools' Athletic Association (ASAA) is the governing body that oversees amateur athletics in schools for the province of Alberta. It is a voluntary, non profit organization that has 373 member high schools. It enforces policies as d ...
, the
Manitoba High Schools Athletics Association Manitoba High Schools Athletics Association oversees high school altheltic competitions in the Canadian province of Manitoba. It also has a hall of fame A hall, wall, or walk of fame is a list of individuals, achievements, or other entities, ...
and BC School Sports 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 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 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 ...
. 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 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 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 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 districts 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 has said transgender students are protected under Title IX. * In Indiana, schools rely on anatomical sex, requiring gender reassignment surgery for trans athletes to participate in the sport of their identified gender. * Nebraska 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, Alabama, North Carolina, Kentucky, Idaho, and Florida require trans athletes to compete based on their biological sex. * In Alaska, Connecticut, Georgia, Kansas, Pennsylvania, and Wisconsin, each school district makes their own decision on how to include transgender athletes. * Maine gives approval for students to choose which team they wish to play on, approving based on safety and fairness. * New Jersey and New Mexico require that trans athletes provide evidence that they have transitioned or are transitioning. * Missouri and Ohio 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 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 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 Governor Brad Little 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 Allyson Michelle Felix (born November 18, 1985) is a retired American track and field athlete who competed in the 100 meters, 200 meters and 400 meters. She specialized in the 200 meters from 2003 to 2013, then gradually shifted to the 400 me ...
." 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 fi ...
issued a preliminary
injunction An injunction is a legal and equitable remedy in the form of a special court order that compels a party to do or refrain from specific acts. ("The court of appeals ... has exclusive jurisdiction to enjoin, set aside, suspend (in whole or in pa ...
against the law pending trial, issuing an opinion that the plaintiffs were "likely to succeed in establishing hatthe Act is unconstitutional as currently written". the case is before the Ninth Circuit Court of Appeals.


''Soule v. Connecticut Association of Schools''

After women's high school competitions were won by transgender student Andraya Yearwood in Connecticut, 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 Billie Jean King (née Moffitt; born November 22, 1943) is an American former world No. 1 tennis player. King won 39 major titles: 12 in singles, 16 in women's doubles, and 11 in mixed doubles. King was a member of the victorious United States ...
, World Cup Champion and United States women's national soccer team Co-Captain Megan Rapinoe, WNBA stars
Brianna Turner Brianna Turner (born July 5, 1996) is an American professional basketball player for the Phoenix Mercury of the Women's National Basketball Association (WNBA) and for Virtus Bologna of the EuroCup Women. She played college women's basketball f ...
, Layshia Clarendon, and over 150 athletes in women's sports spoke out in support of transgender athletes and filed an amicus brief in an appeal of the ''Soule v. CIAC'' trial court dismissal, along with the
Women's National Basketball Players Association The Women's National Basketball Players Association (WNBPA) is the players' union for the Women's National Basketball Association (WNBA). It formed in 1998 and was the first trade union for professional women athletes. History The Women's Nati ...
(WNBPA), Athlete Ally, and the Women's Sports Foundation, 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. T ...
,'' in which the Supreme Court ruled discrimination against transgender employees violated Title VII of the Civil Rights Act of 1964.


Post-secondary education


Canada

In September 2018, U Sports, 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, 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 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 Hormone therapy or hormonal therapy is the use of hormones in medical treatment. Treatment with hormone antagonists may also be referred to as hormonal therapy or antihormone therapy. The most general classes of hormone therapy are oncologic horm ...
to continue to participate on the team that corresponds to their
assigned sex at birth Sex assignment (sometimes known as gender assignment) is the discernment of an infant's sex at or before birth. A relative, midwife, nurse or physician inspects the external genitalia when the baby is delivered and, in more than 99.95% of birt ...
. A trans man 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 Gallup may refer to: *Gallup, Inc., a firm founded by George Gallup, well known for its opinion poll *Gallup (surname), a surname *Gallup, New Mexico, a city in New Mexico, United States **Gallup station, an Amtrak train in downtown Gallup, New Me ...
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/ NPR/ 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 Harvard University is a private Ivy League research university in Cambridge, Massachusetts. Founded in 1636 as Harvard College and named for its first benefactor, the Puritan clergyman John Harvard, it is the oldest institution of higher le ...
CAPS- Harris Poll 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 Republican can refer to: Political ideology * An advocate of a republic, a type of government that is not a monarchy or dictatorship, and is usually associated with the rule of law. ** Republicanism, the ideology in support of republics or agains ...
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- University of Maryland 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, basketball *
Schuyler Bailar Schuyler Miwon Hong Bailar (born May 2, 1996) is an author, educator, American swimmer and advocate for LGBT rights. He is the first openly transgender NCAA Division I swimmer, and also the first publicly documented NCAA D1 transgender man to co ...
, swimming *
Mack Beggs Mack Beggs (born 1999) is an American former high school wrestler from Euless, Texas, Euless, Texas. Beggs is a trans man. State athletic rules only allowed him to compete in the league for the sex he was assigned at birth. In 2017, he defeated C ...
, wrestling *
Harrison Browne Harrison Browne (born Hailey Browne on May 13, 1993) is a Canadian professional ice hockey centre who played for the Metropolitan Riveters and Buffalo Beauts of the National Women's Hockey League (NWHL). Browne was assigned female at birth an ...
, ice hockey * Balian Buschbaum, pole vault * Willy De Bruyn, cycling * Keelin Godsey, hammer throw *
Zdeněk Koubek Zdeněk Koubek (born Zdena "Zdeňka" Koubková, 8 December 1913 – 12 June 1986) was a track athlete from Czechoslovakia. He won two medals at the 1934 Women's World Games and several national titles in the 100–800 m running, long jump and hi ...
, 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 steroids ...
, shot put *
Patricio Manuel Patricio Manuel (born July 22, 1985) is an American professional boxer. In 2018, he became the first publicly transgender boxer in the history of the United States to have a professional fight. Manuel is a five-time USA female national amateur bo ...
, boxing *
Chris Mosier Chris Mosier (born 1980) is an American advocate for transgender rights and competitive triathlete, duathlete, and racewalker. He started his athletic career before transitioning, started his transition in 2010, and in 2015 earned a spot on the ...
, triathlon and duathlon * Quince Mountain, Iditarod


Trans women

*
Tifanny Abreu Tifanny Abreu (born 1984, Goiás, Brazil) is a Brazilian volleyball player. She was the first trans woman to play in the Brazilian Women's Volleyball Superliga. Before playing in women's championships, she competed as a man for Superliga A and B ...
, 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 Parinya Charoenphol ( th, ปริญญา เจริญผล; ), nicknamed Toom,; also known by the stage name Parinya Kiatbusaba; and the colloquial name Nong Toom or Nong Tum,; ; meaning 'Lil Sis Toom' is a Thai boxer, former muay ...
, Thai boxing *
Roberta Cowell Roberta Elizabeth Marshall Cowell (8 April 1918 – 11 October 2011) was a British racing driver and Second World War fighter pilot. She was the first known British trans woman to undergo gender-affirming surgery in 1948. Early life Roberta C ...
, motor sports *
Michelle Duff Michelle Ann Duff (born Michael Alan Duff on December 13, 1939) is a former Grand Prix motorcycle road racer. Riding Duff's best season was in 1965, winning the 250cc Finnish Grand Prix and finishing the year in second place to Phil Read. ...
, motorcycle road racing * Michelle Dumaresq, downhill mountain biking * Fallon Fox, mixed martial arts *
Natalie van Gogh Natalie van Gogh (born 14 September 1974) is a Dutch former professional racing cyclist, who rode professionally between 2012 and 2021 for Team Ibis Cycles, , and . Life and career Van Gogh was assigned male at birth and later underwent sex r ...
, cycling *
Laurel Hubbard Laurel Hubbard (born 9 February 1978) is a New Zealand weightlifter. Selected to compete at the 2020 Summer Olympics, she was the first openly transgender woman to compete in the Olympic Games. Prior to making her Olympic debut, Hubbard achieved ...
, weightlifting *
Veronica Ivy Veronica Ivy (born 1982), formerly Rachel McKinnon, is a Canadian competitive cycle sport, cyclist and transgender rights activist. In 2018, she became the first transgender world track cycling champion by placing first at the Masters cycling, ...
, cycling * Lauren Jeska, fell running *
Janae Kroc Janae Marie Kroczaleski (born December 8, 1972 as Matthew Raymond Kroczaleski) is an American who previously competed as a professional powerlifter and competitive bodybuilder. In regard to combined (squat, bench press, and deadlift) equipped p ...
, powerlifting *
Bobbi Lancaster Bobbi Lancaster (born June 23, 1950) is a family physician, champion golfer, author, human rights advocate and motivational speaker. She is also a transgender woman, and underwent undergoing gender reassignment surgery in 2010. She attempted to qu ...
, golf * Charlie Christina Martin, motor sports *
Cate McGregor Catherine McGregor is a prominent Australian transgender writer, commentator and former Australian Defence Force officer. She has worked as an Australian Army Officer, as a cricket commentator and writer, and as a speechwriter to former New S ...
, cricket * Hannah Mouncey, handball and Australian football * Apayauq Reitan, Iditarod * Renée Richards, 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 Britney Jean Spears (born December 2, 1981) is an American singer. Often referred to as the " Princess of Pop", she is credited with influencing the revival of teen pop during the late 1990s and early 2000s. After appearing in stage productio ...
, baseball and football * Cece Telfer, track and field * Lia Thomas, swimming * Andraya Yearwood, track and field (high school)


Non-binary athletes

* Laura Goodkind, 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, 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 starte ...
*
List of LGBT sportspeople This is a list of notable, openly lesbian, gay, bisexual, pansexual, and transgender sportspeople as well as those who identify as belonging to the broader queer community. List ...


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 *