Tag Archives: hyperandrogenism

New paper out for Journal of Medical Ethics: “When does an advantage become unfair? Empirical and normative concerns in Semenya’s case”

I published a new paper for the Journal of Medical Ethics titled “When does an advantage become unfair? Empirical and normative concerns in Semenya’s case”.

jmeHere’s the abstract:

There is a fundamental tension in many sports: human sex is not binary, but there are only two categories in which people can compete: male and female. Over the past 10 years, the International Association of Athletics Federations (IAAF) regulations have been at the centre of two notable legal disputes. The Court of Arbitration for Sport (CAS) reached two contradictory rulings: in the first case (Dutee Chand vs Athletics Federation India and IAAF), the IAAF regulations for the eligibility of athletes to compete in the female category were suspended (24 July 2015) on grounds of “discrimination against the female category”; in the latter (Caster Semenya and Athletics South Africa vs IAAF), the regulations were reaffirmed (1 May 2019) on grounds that although discriminatory, they are necessary to maintain a “level playing field” and to “protect” the female category. Although Semenya’s case has paved the way for questioning existing gender norms in sport, a new stable norm has yet to emerge from her case. The pharmacological solution put forward by IAAF to the tension between fairness and inclusivity of bodies non-conforming to two sexes is not, however, the only possible solution/resolution to the case, as I aim to show in this paper. Here I present some reflections on this topic and suggest how CAS should approach the case if it hopes to resolve it.

The full text can be accessed here:

https://jme.bmj.com/content/early/2019/09/15/medethics-2019-105532.full

Drop me a line if you don’t have access and would like to get a copy of the paper.

World Athletics, Hyperandrogenism and DSD Regulations on eligibility to compete in the female category

casterA selection of my academic work on the topic of hyperandrogenism, and eligibility of female athletes to participate in the female category from 2009 up to now can be found here (email me to request PDFs of articles if you don’t have access):

Op-eds can be found here:

And you can find some of my early academic work on Caster Semenya here:

IMPORTANT!

Here you can download the original IAAF documents on Hyperandrogenism Regulations (they have been taken off website since suspension of regulation in July 2015 following CAS ruling)

IAAF guidelines Eligibility Hyperandrogenism May 2011

IAAF Hyperandrogenism Regulations – Appendices

MEDIA AND OUTREACH

Radio and Television Commentary and Expert Opinion

Al Jazeera Inside Story (May 2019, Television)

Commentary on CAS ruling against Caster Semenya:

https://www.aljazeera.com/programmes/insidestory/2019/05/athletics-rules-unfairly-target-caster-semenya-190502192112795.html

BBC Radio 5 (May 2019, Radio)

Commentary on CAS ruling against Caster Semenya:

https://www.bbc.co.uk/sounds/play/p0769g7f

 BBC Radio London (May 2019)

Commentary on CAS ruling against Caster Semenya:

https://www.bbc.co.uk/sounds/play/p0769g7f?fbclid=IwAR1BVHBoJc9R5TxHMJAZHkXNjLx5caiZYOw3StVnNhck81XJ6tqMuIQ2ajg

 BBC Inside Science (April 2019, Radio)

Commentary on experiments carried out at Yale University to reanimate pig heads:

https://www.bbc.co.uk/programmes/m00046sj

BBC Big Questions (June 2017, Television)

Panelist for episode “Is it ethical to interfere with the genome?”:

http://www.bbc.co.uk/iplayer/episode/b08vg018/the-big-questions-series-10-episode-20

 BBC News Hour Extra (July 2016, Radio)

Commentary for: “A flickering flame: Is the Olympic ideal dead?”:

http://www.bbc.co.uk/programmes/p04263n3

BBC World Service (March 2015, Radio)

Commentary on Dutee Chand’s case:

https://soundcloud.com/bbc-world-service/what-makes-a-woman  

BBC Have Your Say (March 2015, Radio)

Commentary on Dutee Chand’s case:

http://www.bbc.co.uk/programmes/p02m31rq

 

BBC Radio 4 News (March 2015, Radio)

Commentary on Dutee Chand’s case:

http://www.bbc.co.uk/programmes/b05mrc53

BBC World News (February 2015, Television)

Commentary on the case of eugenics victims receiving compensation for sterilization in Virginia:

https://www.youtube.com/watch?v=-kDev7pyloM

My work on Caster Semenya has been quoted in mainstream media and other professional outlets:

IMPORTANT!

Here you can download the original IAAF documents on Hyperandrogenism Regulations (they have been taken off website since suspension of regulation in July 2015 following CAS ruling)

IAAF guidelines Eligibility Hyperandrogenism May 2011

IAAF Hyperandrogenism Regulations – Appendices

My commentary on Dutee Chand’s case: When is it fair to be a woman in athletic competition?

The hearing of Dutee Chand is currently underway at the Court for Arbitration for Sport in Lausanne.

Dutee Chand

Dutee Chand

Dutee Chand (19 yo) was disqualified just days before the beginning of the Commonwealth Games in Glasgow in July 2014 after a medical test determined that her androgen level was above the “normal” limit set by IAAF and IOC policies of 10 nmol/lit. According to the IAAF Regulations (May 2011, link) if Chand is able to reduce her androgen levels to fall within the normal testing range, she will be allowed to resume international competition. She refused to do so and appeal.

The assumption of the IAAF regulations is that hyperandrogenism/testosterone confers an unfair advantage and disrupts the level playing field.

I provided some commentary on Dutee Chand’s appeal for BBC World News Hour on Monday, March 23rd. You can listen to the clip here.

I also participated in a debate on BBC World Service Have Your Say last night. The podcast is available here.

Here’s in brief what I think about the case:

Even if it were case proven (and it is not) that higher levels of androgens provided an advantage, that would not imply that it were unfair. In other words, we do not care whether testosterone provides an advantage or not, we care whether that advantage is unfair. And to demonstrate that it is not we reflect on bigger questions, such as the meaning of athletic excellence, and gender and performing feminity in sport.

We think that exceptional biological and genetic variations are considered part of what the elite athlete is, and of what makes sports completion valuable and admirable: achieving excellence through the combination of talent – the natural endowment of the athlete- and dedication – the efforts in training and preparation that the athlete put forth to maximize what her talent offers. That is we, together with the governing bodies of athletics, do not consider unfair many other genetic variation many other biological and genetic variations which confer an advantage in sport. For example, endurance athletes have mitochondrial vairations that increase aerobic capacity and endurance. More genetic variations and polymorphisms in the genetic basis of sport performance are unravelled as we speak. Why aren’t such genetic and biological variations consider unfair? Because it is part of what we think elite athletes are. The level playing field in competition, which is one of the arguments that is going to be used to upheld the IAAF regulations in the courtoom, does not exist. It is a myth.

 Why is hyperandrogenism singled out? It is only one of these variations. I argue that it is singled out as it challenges deeply entrenched social beliefs of women in sport in a way that other variations do not.

I argue that the IAAF/IOC are now faced with a disruptive dilemma: Either ban from competition all athletes who derive an advantage from biological variations, or let everybody who is “out of the ordinary,” compete, athletes with hyperandrogenism included.

If they do not do so and uphold their regulations, they will stand to create many levels of unfairness while upholding the very opposite fairness ideal.