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The Paris iteration of this debate is arguably the most explosive ever due to a confluence of at least three factors:. Social media has amplified all of this to the point that the story of the moment, about a boxer from Algeria and another from Taiwan, is top of the news worldwide.
In what follows, I offer a primer on the underlying facts so that readers can follow the story as it unfolds and understand its historical, medical, and political context. Imane Khelif is a year-old welterweight from Algeria. Lin Yu-ting is a year-old featherweight from Taiwan. Both have medalled at previous world championships in the female category, and both are participating in their second Olympic Games having already competed in Tokyo.
As you can see from Figure 1, immediately below, male and female T levels diverge at about the age of thirteen. This makes sense given that they were apparently assigned female at birth—meaning that this is what was written on their birth certificates—and because being transgender is generally a matter of self-identification.
It is understandable that people are confused, however, because the word transgender is also sometimes used to mean a male who identifies as female. Khelif and Lin both identify as female based on their identity documents and their sex of rearing. In any event, in sport at least, it seems their cases are being treated by everyone concerned as DSD cases. As shown in Figure 2, immediately below, the only DSD of concern to sport affect genetic males who are also androgen sensitive—either fully, e.
This makes policy sense. The point of the female category is to ensure that females only compete against each other and not against those with male biological advantage, and androgens are the primary driver of sex differences in athletic performance.