Transgender in modern olympic sports: problems and ways of their solution

Literature review

Authors

DOI:

https://doi.org/10.18370/2309-4117.2023.70.46-53

Keywords:

women’s sports, transgender people in sports, Olympic Games

Abstract

Background. In recent years, there have been active disputes and disagreements among international sports leaders, including representatives of the International Olympic Committee, about the possibility of including transgender athletes in the number of participants in the Olympic Games.
Objective of the review: to analyze of the modern scientific literature data to substantiate the possibility of admitting transgender women to participate in the women’s competitions of the Olympic Games.
Review results indicate that the number of transgender candidates for participation in sports of higher achievements may be caused by the increase in the transgender population in the world. Currently, there is no significant scientific evidence on the biological benefits that hinder the integrity of transgender women’s competition in women’s sports. There is also no evidence that transgender women who have opted for testosterone suppression (e.g. hormone therapy to confirm sex and/or surgical removal of the sex glands) retain an indefinite advantage over cisgender athletes. To be more precise, current evidence suggests that any biological benefits of transgender women in athletic performance do not fall outside the range that is observed among cisgender female athletes after testosterone suppression. However, experts disagree in the field of medicine about the morphofunctional differences of transgender female athletes and cisgender female athletes, society’s rejection of female athletes after transgender transition, the indecision of International Olympic Committee representatives in solving this problem in women’s sports relevant and extremely painful for healthy women, sportswomen, for the development of sports in general and women’s sports in particular.
Our further research will be aimed at expanding the study of the conceptual foundations of combining two key areas of research - medico-biological and socio-cultural, with integration into the practice of sports as one of the actual issues of our time that require a theoretically justified and practically proven solution.

Author Biographies

L.Y.-G. Shakhlina, National University of Ukraine on Physical Education and Sport, Kyiv

MD, professor, Sports Medicine Department

S.M. Futornyi, National University of Ukraine on Physical Education and Sport, Kyiv

Doctor of Science of Physical Education and Sport, PhD, professor, chief of the Sports Medicine Department

N.I. Vladimirova, Shupyk National Healthcare University of Ukraine, Kyiv

MD, professor, Physical and Rehabilitation Medicine and Sports Medicine Department

Рћ.V. Maslova, National University of Ukraine on Physical Education and Sport, Kyiv

PhD, associate professor, Sports Medicine Department

D.M. Kotko, National University of Ukraine on Physical Education and Sport, Kyiv

MD, associate professor, Sports Medicine Department

T.V. Kolomiiets, National University of Ukraine on Physical Education and Sport, Kyiv

PhD, associate professor, Sports Medicine Department

N.L. Honcharuk, National University of Ukraine on Physical Education and Sport, Kyiv

Senior teacher, Sports Medicine Department

References

  1. Meerwijk EL Sevelius JM. Transgender Population Size in the United States: a Meta-Regression of Population-Based Probability Samples. Am J Public Health. 2017 Feb;107(2): 1-8. DOI: 10.2105/AJPH.2016.303578a.
  2. Sport Events – Sports Calendar, Schedule & Replays. [Internet]. 2022. [Last accessed 08.10.2023]. Available from: httрs://www.olimpics.com.sport.events.2022.
  3. Jacobson R Joel D. Self-Reported Gender Identity and Sexuality in an Online Sample of Cisgender, Transgender, and Gender-Diverse Individuals: An Exploratory Study. JSR. 2018 Осt;56(2). DOI:10.1080/00224499.2018.1523998.
  4. Wilson A. Gender Before the Gender Turn. Diacritics. 2021 Jan; 49(1): 13-39. DOI: 10.1353/dia.2021.0001.
  5. Chistyakova MA, Shishkin AP. Problems and contradictions in issues of gender equality in sports. Newsletter of Kamianets-Podіlskyi Ivan Ohiienko National University. Physical education, sport and human health. [Internet]. 2019; 12:93-98. Available at: http://nbuv.gov.ua/UJRN/Vkpnui_fv_2019_12_19.
  6. Utiger RD. Pseudohermaphroditism. Encyclopedia Britannica. [Internet]. 2017. Available at: https://www.britannica. com/science/pseudohermaphroditism, last accessed 08.10.2023.
  7. Bondar P. Endocrinology. Vinnitsa: Nova knyha; 2007:262–95.
  8. Handelsman DJ, Hirschberg AL, Bermon S. Circulating Testosterone as the Hormonal Basis of Sex Differences in Athletic Performance. Endocr Rev. 2018;39(5):803–29. DOI: 10.1210/er.2018-00020.
  9. Bodnar P, Mikhalchyshyn H, Komissarenko Yu. Endocrinology. [Internet]. Vinnitsa:Nova knyha; 2016:369–408. Available at: http://ir.librarynmu.com/bitstream/123456789/6474/1/%D0%AD%D0%BD%D0%B4%D0%BE%D0%BA%D1%80%D0%B8%D0 %BD%D0%BE%D0%BB%D0%BE%D0%B3%D0%B 8%D1%8F.pdf.
  10. Mazyar O. Differential psychology: modular course: study guide. [Internet]. Kyiv: Condor Publishing House; 2017:284 s. Available at: http://eprints.zu.edu.ua/33803/
  11. Lee PA, Houk CP, Ahmed SF, Hughes IA. International Consensus Conference on Intersex organized by the Lawson Wilkins Pediatric Endocrine Society and the European Society for Paediatric Endocrinology. Consensus statement on management of intersex disorders. International Consensus Conference on Intersex. Pediatrics. 2006 Aug;118(2):488–500. DOI: 10.1542/peds.2006-0738.
  12. James SE, Herman JL, Rankin S, et al. The Report of the 2015 U.S. Transgender Survey. [Internet]. Washington, DC: National Center for Transgender Equality. 2016. Available at: https://transequality.org/sites/default/files/docs/usts/USTS-Full-Report-Dec17.pdf.
  13. Ansara YG. Condelling people with non-assigned gender identities. Conselling Ideoligies: Greer Challenges to Heteronormativity. Aldershot: Ashgate. 2010 Jan:167–200. DOI:10.4324/9781315574462-10.
  14. Rogol AD, Pieper LP. The Interconnected Histories of Endocrinology and Eligibility in Women’s Sport. Horm Res Paediatr. 2018;90(4):213–220. DOI: 10.1159/000493646.
  15. Bach T. El olimpismo tenia que hacer algo, hay mas de 100 millionеs de refugiados. [Internet]. MARCA – Leading online newspaper in sports. 2022. Available from: https://www.marca.com/olimpismo/2022/10/27/635 985e146163f3c418b457b.html.
  16. Knox T, Anderson LC, Heather A. Transwomen in elite sport: scientific and ethical considerations. J Med Ethics. 2019;45(6): 395-403. DOI: 10.1136/medethics-2018-105208.
  17. Orikasa C. Regulation of Morphological and Functional Aspects of Sexual Dimorphism in the Brain. IntechOpen. 2021 Apr 23. DOI: 10.5772/intechopen.97470
  18. Vignozzi L, Maseroli E. Hormones and Sex Behavior. Female Reproductive Dysfunction. Endocrinology. 2020 May 29. DOI: 10.1007/978-3-030-14782-2_6
  19. Transgender Athletes Can Now Compete in Olympics Without Surgery. [Internet]. The New York Times. 2016. Available from: https://www.nytimes.com/2016/01/26/sports/olympics/transgender-athletes-olympics-ioc.html
  20. Weisman DL. Transgender Athletes, Fair Competition and Public Policy. Can policymakers support cisgender-transgender competition and still be champions of women? [Internet]. Cato.org. 2022. Available at: https://www.cato.org/regulation/fall-2022/transgender-athletes-fair-competition-public-policy
  21. Bydzovsky P. The status of transgender and intersex athletes in international sports federations/ [Internet]. Lexology. com. 2023. Available from: https://www.lexology. com/library/detail.aspx?g=08ef52a0-9874-4c9e-9f20-05a28cb219ce/04.12.2023
  22. Consensus Meetiung on Sex Reassignment and Hyperandrogenism. [Internet]. International Olympic Committee. 2015. Available from: https://stillmed.olympic.org/Documents/Commissions_PDFfiles/Medical_commission/2015-11_ioc_consensus_meeting_on_ sex_reassignment_and_hyperandrogenism-en.pdf
  23. Houston M. IOC transgender guidelines delayed again to 2022 due to “conflicting opinions”. Inside the games. [Internet]. 2021. Available at: https://www.insidethegames.biz/articles/1115561/ioc-olympics-transgender-sport
  24. Ingle S. IOC delays new transgender guidelines after scientists fail to agree. The Guardian. [Internet]. 2019. Available from: https://www.theguardian.com/sport/2019/sep/24/ioc-delays-new-transgender-guidelines-2020-olympics
  25. Framework of Fairness, inclusion and non-discrimination on the Basis of Gender Identity and Sex Variations. [Internet]. International Olympic Committee. 2021. Available from: https://olympics.com/ioc/documents/athletes/ioc-framework-on-fairness-inclusion-and-non-discrimination-on-the-basis-of-gender-identity-and-sex-variations.
  26. Safer JD. Fairness for Transgender People in Sport. J Endocr Soc. 2022 Mar 17;6(5):1–2. DOI: 10.1210/jendso/bvac035.
  27. The UN demands to cancel the restrictions on the natural level of testosterone in track and field athletes. [Internet]. News portal 2020. Available from: https://lb.ua/sport/2020/07/02/461076_oon_trebuet_ otmenit_ogranicheniya.html
  28. Hilton EN, Lundberg TR. Transgender Women in the Female Category of Sport: Perspectives on Testosterone Suppression and Performance Advantage. Sports Med. 2021 Feb;51(2):199-214. DOI: 10.1007/s40279-020-01389-3.
  29. Transgender women allowed to play women’s rugby in France. CNN. [Internet]. 2021. Available from: httрs://edition.cnn. com/2021/05/18/sport|/transgender-women-rugby-france-spt-intl/index.htme
  30. Transgender women athletes’ future in competition uncertain as sports organizations change rules, issue bans. [Internet]. CBC. 2022. Available from: https://www. cbc.ca/sports/transgender-women-athletes-future-swimming-ban-1.6496497
  31. Waselewski A, Waselewski M, Waselewski E, et al. Perspectives of US Youths on Participation of Transgender Individuals in Competitive Sports: A Qualitative Study. JAMA Netw Open. 2023 Feb;6(2):e2255107. DOI: 10.1001/jamanetworkopen.2022.55107.
  32. The IOC has announced new guidelines for transgender athletes to participate in competitions. [Internet]. Hromadske TV – Latest news of the day, all emergency news in Ukraine. 2021. Available from: https://hromadske.ua/ru/posts/mok-obuyavil-novye-rekomendacii-v-otnoshenii-uchastiya-transgendernyh-sportsmenov-v-sorevnovaniyah
  33. Hubbard first transgender athlete to qualify for Tokyo after rule changes. [Internet]. 2021 May 5. Available from: httрs://www.insidethegames/articles/1107439/hubbard-qualifies-after-rule-change.2021
  34. Vorobiova A. IOC policy on gender equality in Olympic sport. Science in Olympic Sport. 2021;2:24–31. DOI:10.32652/olympic2021.2_2
  35. Devine C. Female Olympians’ voices: Female sports categories and International Olympic Committee Transgender guidelines. International Review for the Sociology of Sport. 2022 Jun; 57(3):335-61. DOI: 10.1177/10126902211021559.
  36. Newbould MJ. What do we do about women athletes with testes? J Med Ethics. 2016; 42(4):256-259. DOI: 10.1136/medethics-2015-102948.
  37. Rey R, Josso N, Racine C, et al. Sexual Differentiation. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc. 2000. Available from: https://www.ncbi.nlm.nih.gov/books/NBK279001/
  38. McLarnon M, Thornton J, Knudson G, et al. A Scoping Review of Transgender Policies in the 15 Most Commonly Played UK Professional Sports. Int J Environ Res Public Health. 2023 Feb;20(4): 3568. DOI: 10.3390/ijerph20043568.
  39. Transgender Women Athletes and Elite Sport: Misleading at best, intellectually dishonest at worst. [Internet]. Macdonald-Laurier Institute. 2022. Available from: httрs://macdonaldlaurier.ca//transgender-women-athletes-and-elite-sport-misleading-at-best-intellectually-dishonest-at-worst

Published

2023-12-29

How to Cite

Shakhlina, L.-G., Futornyi, S., Vladimirova, N., Maslova Р., Kotko, D., Kolomiiets, T., & Honcharuk, N. (2023). Transgender in modern olympic sports: problems and ways of their solution: Literature review. REPRODUCTIVE ENDOCRINOLOGY, (70), 46–53. https://doi.org/10.18370/2309-4117.2023.70.46-53

Issue

Section

Interdisciplinary problems