Olympic Games and the tricky science of telling men from women

South Africa's Caster Semenya, center, was singled out for gender testing at the 2009 World Championships in Athletics in Berlin, in part because of her masculine face and build. She eventually was cleared to compete.
(Martin Meissner, Related Press)

Of all of the obstacles athletes have needed to overcome to compete within the Olympics, maybe probably the most controversial has been the gender check.

Initially designed to forestall males from competing in girls’s occasions, it's primarily based on the premise that rivals could be sorted into two classes through established scientific guidelines. However the organic boundaries of gender aren’t at all times clear.

Think about the Spanish hurdler Maria Jose Martinez-Patiño. A gender check revealed that she had a Y chromosome, which usually makes an individual male. She additionally had full androgen insensitivity syndrome, or CAIS, which prevented her physique from responding correctly to testosterone and induced her to develop as a girl.

The Spanish Athletic Federation acquired her check leads to 1986, simply earlier than a serious competitors that will have set her up for an Olympic run. Although she received the 60-meter hurdles, the federation declared her ineligible for the 1988 Summer time Video games in Seoul.

The Worldwide Olympic Committee has struggled with circumstances like these, variously utilizing hair patterns, chromosomes, particular person genes and different elements of their long-running makes an attempt to tell apart males from girls. All of those checks have been discarded.

For the London Video games, officers are going by a brand new algorithm that shifts the main focus from DNA to testosterone, a hormone that aids muscle improvement, endurance and pace.

To a gaggle of more and more vocal skeptics, the very notion of gender testing is flawed and efforts to measure it biologically are doomed to fail. However some consultants stated they needed to strive anyway.

“There isn't any single metric for intercourse or athletic potential,” stated Eric Vilain, director of the Middle for Gender-Based mostly Biology at UCLA. However he referred to as the brand new testosterone-based check a realistic answer to an actual drawback. “I've talked to many elite feminine athletes, and I haven’t discovered one who's comfy with the thought of getting no testing,” he stated.

As soon as it’s agreed that women and men ought to compete individually, how ought to officers divide them up?

It’s not a rhetorical query. Although most individuals fall neatly into “male” and “feminine” classes, some don't. The truth that there are folks with bodily or genetic traits of each sexes prompted the IOC to rethink its gender check.

The brand new guidelines, introduced final month, disqualify athletes from girls’s occasions if they've testosterone ranges within the regular male vary, which is 7 to 30 nanomoles per liter of blood. As a result of the highest vary for girls is barely under 3 nanomoles per liter, such ranges may give athletes an unfair benefit that officers have an obligation to root out, stated Dr. Arne Ljungqvist, chairman of IOC’s Medical Fee and a former Olympic excessive jumper. Athletes with full androgen insensitivity shall be allowed to compete.

It’s unimaginable to say what number of athletes in London shall be affected by the brand new check, Ljungqvist stated. Not like previous checks, which got to all rivals in girls’s occasions, this one shall be administered solely when the chief medical officer of a nationwide Olympic committee or a member of the IOC’s medical fee requests it.

Ljungqvist stated the check had a slender goal: “We aren't figuring out the gender in a person. What we're speaking about is athletic eligibility.”

A lot of the research linking extra testosterone with higher athletic efficiency have been small and centered on males. Its worth to feminine athletes is hazier.

“We don’t know a lot in regards to the organic traits of testosterone in wholesome girls,” stated College of Michigan biopsychologist Sari van Anders. “Folks solely have a tendency to take a look at testosterone in girls when there’s a well being concern.”

The image is especially murky for Olympic-caliber girls. Consultants know of just one report on the connection between testosterone and efficiency of elite feminine athletes. That examine of twenty-two sprinters and volleyball gamers discovered that these with the very best ranges may leap about 4 inches greater than these with the bottom ranges.

But when testosterone had been important to athletic success, Martinez-Patiño would have been doomed to fail as a result of her physique can’t use the hormone. Many ladies with androgen insensitivity have competed within the Olympics, and “the concept testosterone is a essential ingredient for elite athletic efficiency is actually undermined by these circumstances,” Van Anders stated.

In reality, androgen insensitivity is overrepresented amongst feminine athletes, Vilain added: The overall inhabitants has an incidence of 1 in 20,000, however for Olympic athletes it's about 1 in 400. Nobody is aware of why.

Vilain participated within the IOC’s deliberations over the testosterone check and stated the brand new guidelines, whereas imperfect, had been a step in the appropriate route.

“If we may simply have a social reply and let everybody declare their very own intercourse, that will be nice,” he stated. However “if we are saying, ‘Anybody who says they’re a girl is a girl,’ I fear that individuals will at all times make the most of that.”

Accusations of males masquerading as girls within the Olympics return a minimum of so far as 1936, the 12 months questions had been raised about American sprinter Helen Stephens after her upset win on the Berlin Summer time Video games. Stephens handed some type of gender check — the main points are misplaced to historical past — and was awarded a gold medal.

The Chilly Conflict raised tensions between the U.S. and Soviet-bloc groups. Whispers about males posing as girls had been rampant on either side, main the IOC to plan a testing process within the Nineteen Sixties. Athletes needed to parade nude in entrance of physicians, undergo genital exams and have their hair patterns analyzed earlier than they may obtain certificates of femininity.

In 1967, that gave approach to a extra scientific check primarily based on DNA. In folks with two X chromosomes, one in all them is inactivated and curls up into a good ball, which the check detects. However the check proved insufficient in circumstances of situations like full androgen insensitivity syndrome, by which athletes had an X and a Y chromosome however the organic look of a girl.

Martinez-Patiño fought her case for 2 years, enlisting consultants to show that her XY standing gave her no benefit as a result of her physique couldn't profit from further testosterone.

Officers reinstated her in 1988, only a few months after the Seoul Video games. On the 1992 Olympic trials main as much as Barcelona, she missed qualifying for the Spanish crew by one-tenth of a second.

After her case, the IOC switched to a check primarily based on a gene referred to as SRY, which initiates testes improvement. However for the reason that gene is on the Y chromosome and merely checks for that chromosome’s presence, it suffered the identical flaws. Eight feminine athletes failed the SRY check on the 1996 Atlanta Video games, although all had androgen insensitivity and had been in the end cleared to compete.

That satisfied the IOC to drop routine gender testing, nevertheless it and the Worldwide Assn. of Athletics Federations retained the appropriate to check these suspected of competing underneath false pretenses or with medical situations providing an unfair benefit.

That’s how South African runner Caster Semenya got here to be examined on the 2009 World Championships in Athletics in Berlin. Her masculine face and construct prompted accusations that she was a person.

The worldwide affiliation performed an inquiry and cleared her to race after a 10-month ban. She carried her nation’s flag within the opening ceremony for the London Video games.

Affiliation officers had been criticized for the seemingly arbitrary nature of their inquiry. The brand new IOC coverage is crafted to be extra clear, Ljungqvist stated.

To Martinez-Patiño, now a professor of sports activities science on the College of Vigo in Spain, the brand new guidelines echo the outdated — they only use a distinct metric. “Over time they may conduct analysis and reveal the ineffectiveness of this check,” she stated, “simply as has occurred with the others.”

jon.bardin@latimes.com

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