🔗 Transwomen in elite women’s sport – clarifying the nuances of our approach | Journal of Medical Ethics blog

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"We propose replacing the gender binary in elite sport with a more nuanced approach – an algorithm to be applied to all elite athletes (cisgender and transgender) that accounts for a range of physiological factors (including, but not limited to, testosterone levels), and gender identity.  In addition to providing fairness to elite ciswomen athletes, an algorithm could also provide fairness to elite transmen athletes. Although not discussed in the paper, elite transmen athletes are highly likely to be physiologically disadvantaged in comparison to elite cismen athletes. Even if (via hormone therapy) a transman’s testosterone level reached that of an elite cismen athlete, some of his previous female physiology is unlikely to change (e.g. bone structure and lung size) meaning that, in this respect, they are disadvantaged in elite sport.  This is elegantly demonstrated by the widespread doping of female athletes in East Germany whereby even the highest levels of doping did not see female athletes able to approach the world records set by male athletes (Franke and Berendonk 1997). It is difficult to see how our algorithm is transphobic given that it will also provide fairness to all, including elite transmen athletes. That is, while many critics focus on the effect our algorithm may have for elite transwomen athletes, they neglect the impact on elite transmen athletes."