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The inclusion of girls and women in sport at all levels depends on single sex categories for most sports from puberty onwards, because of the biological differences between the sexes. Most sport is, by definition, competitive; involving invasion games, teams, leagues, races, competitions and sometimes rankings, from foundation to excellence. Girls and women are underrepresented, particularly in traditional sport, as recognised by the UK Sports Councils and most governing bodies of sport. This paper uses feminist philosophy: Lister on androcentric citizenship, and Fraser on justice as balance, framing, recognition, representation and redistribution. It investigates the impact on the inclusion of girls and women, of eligibility policies adopting 'self-identification of gender' guidelines for the inclusion of transgender people in sport, at participation rather than elite levels. It explores fairness and equality as incorporated in law in the 2010 Equality Act in Britain, and contributes to 'equality evidence' available to the UK Sports Councils and GBS. These bodies are charged with developing fair and inclusive evidence-based eligibility criteria, in sports participation settings, for both girls and women, and transgender people. [ABSTRACT FROM AUTHOR]

The fair inclusion of female athletes at elite and Olympic levels is secured in most sports by way of female categories because of the extensively documented biological and performance-related differences between the sexes. International policy for transgender inclusion is framed by the definitive International Olympic Committee transgender guidelines in which the International Olympic Committee confirms the 'overriding sporting objective is and remains the guarantee of fair competition' and transwomen can be excluded from female categories if, in the interests of fairness, this is necessary and proportionate. Feminist theorists argue justice requires that women have equal moral standing in the sociocultural–political structures of society including sport. As such their voices should carry equal democratic weight. However, female elite and Olympic athletes are rarely heard in the sociocultural–political discourses of academic literature or policy formulation for transgender inclusion in female categories by the International Olympic Committee and governing bodies of sport. This empirical study investigated the views and presents the 'voices' of 19 female Olympians. The main findings include (1) these athletes thought both female and transgender athletes should be fairly included in elite sport, (2) unanimous agreement there is not enough scientific evidence to show no competitive advantage for transwomen, (3) unanimous agreement that the International Olympic Committee should revisit the rules and scientific evidence for transgender inclusion in female categories, and (4) the majority of athletes felt that they could not ask questions or discuss this issue without being accused of transphobia. [ABSTRACT FROM AUTHOR]

The International Olympic Committee (IOC) recently published a framework on fairness, inclusion, and nondiscrimination on the basis of gender identity and sex variations. Although we appreciate the IOC's recognition of the role of sports science and medicine in policy development, we disagree with the assertion that the IOC framework is consistent with existing scientific and medical evidence and question its recommendations for implementation. Testosterone exposure during male development results in physical differences between male and female bodies; this process underpins male athletic advantage in muscle mass, strength and power, and endurance and aerobic capacity. The IOC's "no presumption of advantage" principle disregards this reality. Studies show that transgender women (male-born individuals who identify as women) with suppressed testosterone retain muscle mass, strength, and other physical advantages compared to females; male performance advantage cannot be eliminated with testosterone suppression. The IOC's concept of "meaningful competition" is flawed because fairness of category does not hinge on closely matched performances. The female category ensures fair competition for female athletes by excluding male advantages. Case-by-case testing for transgender women may lead to stigmatization and cannot be robustly managed in practice. We argue that eligibility criteria for female competition must consider male development rather than relying on current testosterone levels. Female athletes should be recognized as the key stakeholders in the consultation and decision-making processes. We urge the IOC to reevaluate the recommendations of their Framework to include a comprehensive understanding of the biological advantages of male development to ensure fairness and safety in female sports., (© 2024 The Authors. Scandinavian Journal of Medicine & Science In Sports published by John Wiley & Sons Ltd.)