Sex verification and intersex athletes at the Olympic Games

Last updated

The Olympic Games mandates sex verification of athletes in women's competitions, and has done since the 1930s. In this time, there have been many different regulations for sex testing, as well as different types of tests used. [1] Initial concerns that prompted the approval of suspicion-based sex testing were of national teams exploiting intersex athletes for Olympic success, [2] and testing first became a requirement in the 1960s when many female athletes were doped and it was harder to tell physical differences between them and men. [1] [3]

Contents

In its history, different sex testing methods at the Olympics have been known to produce false positive and false negative results, incorrectly excluding some biological women. [4] [5] [6] [7] No "male imposters" have ever been identified through sex testing. The International Olympic Committee re-confirmed the use of sex verification in several meetings in the 1980s and 1990s, each time confirming its use for preventing "male imposters", and not aiming to exclude intersex women. [3]

Sex testing at the Olympics has been criticised for a variety of reasons, and briefly stopped. Various international medical and sports professionals have advocated for the abolition of sex verification in sport, and specifically the Olympics. [3] [8]

Regulations and methods of sex verification

Introduction of regulations

Women first competed at the Olympic Games in 1900, with an increased programme available for women to enter from 1924. [9] Prior to 1936, sex verification may have been done ad hoc, but there were no formal regulations; [2] the existence of intersex people was known about, though, and the Olympics began "dealing with" – acknowledged and sought to regulate [1] – intersex athletes ahead of the 1936 Games, following the case of intersex athlete Zdeněk Koubek becoming globally known in 1935. [2]

Overview

Timeline of regulations and methods of sex verification
PeriodPre-19361936–19661967–19911992–19961999–20122012–2015; 2017–20192020–2023
Olympics regulationsNone, or ad hoc [2] Athletes in women's categories to be examined in cases of doubt [2] All female athletes to be tested prior to participation [3]
  • Female athletes at the Olympic Games to be tested [10]
  • Athletes who have undergone "sex reassignment surgery" may compete, two years after surgery and predicated on meeting standard requirements [1]
  • Female athletes to be tested in cases of doubt [1]
  • Athletes who have undergone "sex reassignment surgery" may compete, two years after surgery and predicated on meeting standard requirements [1]
  • Female athletes to be tested in cases of doubt [1]
  • Female athletes to be tested prior to participation in various athletics disciplines, predominantly middle-distance running [11]
  • Other female athletes to be tested in cases of doubt [1]
  • Athletes who would fail testing can have surgery or take medication in order to pass [12]
Verification test used Physical examination [2] X-Chromatin test: two X chromosomes [3] SRY test [10] ? Testosterone measurements [5] Combination of chromatin test, testosterone measurements, and consideration of androgen insensitivity syndrome [11]

History of regulations and tests

1936–1966: Physical examination in cases of doubt

After Zdeněk Koubek, a Czech athlete raised as a woman, was identified as intersex and transitioned to live as a man in 1935, then-United States Olympic Committee-president Avery Brundage expressed concern over the potential for such athletes to be exploited for Olympic gain. The United States pressured the International Olympic Committee (IOC) to permit medical examinations of any athletes whose sex was questioned, which became policy in time for the 1936 Summer Olympics. [2] [13] It did not appear to be applied in 1936, though there were some notable cases in the form of Stella Walsh and Heinrich Ratjen. Walsh's case was handled sympathetically, while Ratjen's Olympics appearance may have been deliberately dishonest. [1]

Walsh and her rival Helen Stephens were accused of being men by other competitors in 1936, [1] [14] [15] and Stephens' gender was questioned by Polish media disgruntled that the Poland-born Walsh had been beaten by her. At the Olympics, Stephens said that Adolf Hitler (who was overseeing the Games) groped her as a joke to check; Stephens later took and passed a gender test. Upon Walsh's death in 1980, however, it was discovered that Walsh was intersex, [15] though it was also determined she likely never knew. [16]

Ratjen, who was raised female, was never tested during sporting events, but suspicion over his gender was widespread. He was publicly accosted before being forced to strip and then arrested in 1938, also made to assume a male identity. Having competed for Nazi Germany in 1936, he later claimed that his country had noticed his biological difference and made him compete as a woman in order to win for them. [17]

International sports was disrupted by World War II, and the requirement for female athletes to show a medical certificate proving their sex at competition was introduced by 1946. There was no universal standard of testing, however, with sporting bodies allowing whichever nation or medical professional had produced an athlete's certificate to use their own definition of "femininity". [18]

1967–1991: X-Chromatin testing for all women participants

Trusting an athlete's nation to be medically accurate ended in the 1960s, however, and sports federations began regulating "femininity". [18] In the 1960s, when systemic doping became a significant issue and it was harder to tell the difference between men and doped women, formal sex verification was first implemented as a requirement: [1] [3] between 1968 and 1998, all female athletes at the Olympics were subject to sex verification as a matter of process. [3] [12] [5] Testing as a requirement had been gradually introduced at other events in 1966 and 1967, some of which still used the previous invasive physical examinations. [18] An early test at the 1967 European Cup incorrectly identified Ewa Kłobukowska as not female, seeing her previous Olympic achievements written off and her career end. [4] Kłobukowska is missing an X chromosome, a genetic disorder that does not make her intersex or biologically male. However, the test being used – and which would officially be used for the next 25 years – was for identifying Barr bodies, a sign of the presence of two (or more) X chromosomes. [19] [20] [21] Kłobukowska had previously passed the sex test at a competition in 1966, which should have permitted her to compete in future. The Barr body test was first trialled by the IOC at the 1968 Winter Olympics, where Erik(a) Schinegger's intersex condition was discovered and he was removed from participation, before being implemented at the 1968 Summer Olympics. [18]

There was one known exception of a female Olympic athlete who was not subject to sex verification: Anne, Princess Royal, who competed in 1976. [22] Considered unnecessary for such a public figure, Anne also competed in equestrian eventing [23] – which features teams of four riders of any sex. [24] [22]

The test to identify multiple X chromosomes had already been considered unreliable in the scientific community for decades, which stopped using it by 1970, but remained widespread in sports until 1992. [3] [1] In this time, the test incorrectly banned at least one other female athlete in addition to Kłobukowska: Maria José Martínez-Patiño, who was banned after she qualified for the 1988 Summer Olympics, before being reinstated later in 1988 after these Games took place. [5] [6]

1992–1996: SRY testing for all women participants

Ahead of the 1992 Winter Olympics, the Olympics stopped using the X-Chromatin tests. [3] The Olympics initially replaced the X chromosome test with an SRY test, relating to a gene of the Y chromosome. [10] [18] Later in 1992, other sports federations, including the IAAF (now World Athletics), stopped all sex testing [3] [18] unless suspicion arose; [5] IAAF events included drug testing through athletes producing a urine sample while visible to the medics, which was suggested to effectively serve as a visible sex confirmation and prevent the need for testing. [3] Five sports federations, including judo and volleyball, continued requiring sex verification. [10] [25] At the same time, the Olympics decided to permit the participation of female athletes who had undergone "sex reassignment surgery", two years after their surgery and predicated on meeting the typical requirements. [1]

The SRY test was used for all athletes at the 1996 Summer Olympics. Prior to the 1996 Games, intersex Brazilian judoka Edinanci Silva had surgery to allow her to continue in women's sport – going on to compete at four Olympics [1] – while Philippine sprint hopeful Nancy Navalta was tested and ruled intersex, being removed from her delegation for the Games. [26] There were eight (unknown) female athletes competing in 1996 who were discovered to have an intersex condition upon testing. All had full or partial androgen insensitivity, and all were allowed to compete. [1] [3] [18] In 1999, the IOC abolished the universal testing so as to protect the dignity of athletes who do not already know they have these conditions. [1] [3] [18]

1999–2019: Reversion to suspicion-based testing

In the late 1990s, there was major pushback against sex verification among relevant professional bodies, including the American Medical Association; among the criticisms was the SRY test not producing reliable results. [27] Starting with the 2000 Summer Olympics, the IOC stopped testing all female participants, but continued to perform sex testing for athletes of any gender (though invariably women) when "serious doubts" were raised. [1] [18] In the 21st century, it also stopped using chromosome screening for tests. [27] [28] [29]

Following various changes in policy by other sporting bodies at the start of the 21st century, [30] [31] the IOC issued new guidance ahead of the 2012 Summer Olympics, focusing on cases of hyperandrogenism and so testing for testosterone. Such tests were still done only by request, [32] [3] and were also deemed unreliable and discriminatory, especially considering the effects of androgen insensitivity. [5] The increased concern regarding testosterone had begun with the IAAF investigating Caster Semenya after her success at the 2009 World Championships in Athletics. [33] In 2015, however, testosterone testing had to be suspended following a legal case brought by Dutee Chand in the Court of Arbitration for Sport (CAS), which ruled that there was insufficient proof of any advantage to discriminate against all women with hyperandrogenism. [34]

Immediately prior to the 2016 Olympic Games and in response to sex verification controversies, Myron Genel, Joe Leigh Simpson and Albert de la Chapelle in the Journal of the American Medical Association stated "One of the fundamental recommendations published almost 25 years ago ... that athletes born with a disorder of sex development and raised as females be allowed to compete as women remains appropriate". [35]

In 2017, in response to the CAS ruling on Chand's case, a study was published that analysed athletic performance and hormone concentrations. It concluded that female athletes with high testosterone levels have a significant competitive advantage over those with low testosterone levels in 400 m, 400 m hurdles, 800 m, hammer throw, and pole vault. [36]

In 2018, World Athletics began requiring intersex women to medically or surgically alter themselves in order to be eligible, which could prevent them from attending events that serve as Olympic qualifiers. [12] Semenya has refused to take hormone medication, which saw her banned from participation. [37]

Criticisms

Various international medical and sports professionals have, since 1986, advocated for the abolition of sex verification in sport, and specifically the Olympics. [3] [38] In 2000, following the 1999 IOC ratification of the 1996 decision to discontinue sex verification, the view was reiterated in the Journal of the American Medical Association; it included commentary that, while the purpose of such tests is to uphold a perceived fairness, the insufficiency of the tests can produce unfair results due to potential inaccuracies and the possibility of both false negatives and false positives. [3] The authors also deemed the tests unfair and discriminatory towards female athletes with disorders of sex development (DSD), whom it felt should be considered as women for the purposes of sport, as "few if any plausible athletic advantages exist". [3] It also considered the implications for female athletes who "fail" a test (either as an error or through unknowingly having a DSD), in their personal lives and future career, as too severe to impose the tests. [3]

For several years, sex testing used a suspicion-based approach, which has been criticised as it enables racist discrimination. [39]

In 2022, the World Medical Association (WMA) demanded the withdrawal of hormone-based regulations, arguing that they discriminate based on gender variation of female athletes. The Association also expressed concerns with physicians treating athletes with high levels of endogenous testosterone when the condition is not pathological. [40]

Other criticisms are that there is no natural physiological limit imposed on male athletes, including those who have, for example, naturally high testosterone compared to their competitors, [18] [41] and that there are many biological factors that produce sporting advantages but "only those associated with gender are used to exclude or disqualify athletes." [18]

List of cases of Olympic athletes

Identification

This list includes athletes who have competed at the Olympic Games and either: failed sex verification (relating to the Olympics or otherwise), [lower-alpha 1] and/or who have an intersex (disorders/differences of sex development; DSD) condition and this is publicly known. Generally, athletes are included when the existence of a condition has affected their sporting career. The 1932 Summer Olympics was the first instance of an athlete now known to be intersex competing at the Olympics. The majority of intersex Olympians have competed in athletics, generally running. [lower-alpha 2]

In its history, different sex testing methods at the Olympics have been known to produce false positive and false negative results, incorrectly excluding some biological women. [4] [5] [6] [7] The athletes listed may or may not identify as intersex or having a DSD; some may not be considered intersex or DSD by modern science.

Athletes with a DSD may be known as intersex, with the terms often understood interchangeably; the term "hermaphrodite" is now widely discredited. [42] DSDs are congenital conditions affecting the reproductive system, in which development of chromosomal, gonadal, or anatomical sex is atypical. [43] As a biological status, intersex people may identify as heterosexual and cisgender. [44] [45] [46] While intersex people face specific issues that LGBT+ people do not, [47] in sports they are often considered alongside transgender athletes who have transitioned, with similar barriers to participation. [48]

Overview

By sport
SportNumber of Olympians by gender
FemaleMaleTotal
Athletics pictogram.svg Athletics 101 [N 4] 11
Football pictogram.svg Football 3—3
Judo pictogram.svg Judo 1—1
Swimming pictogram.svg Swimming —11
Volleyball pictogram.svg Volleyball 1—1
Notes
  1. ↑ Including Nazi Germany
  2. ↑ Including multi-year appearances of the same Olympian.
  3. ↑ Took place in 2021 due to the COVID-19 pandemic.
  4. ↑ Competed in a women's category

Key

Δ Status was known prior to their most recent Olympic competition

† Was outed after competing

‡ Posthumously identified as intersex

List

AthleteCountrySportGamesMedal(s)DetailsRegulations and verification
Stanislawa Walasiewicz 1938.jpg Stanisława Walasiewicz (a.k.a. Stella Walsh) ‡ Flag of Poland (1928-1980).svg Poland Athletics 1932, 1936 Gold medal icon.svgSilver medal icon.svgWon a gold medal in 1932 and a silver medal in 1936. An autopsy discovered that Walsh was intersex and experienced mosaicism; it was determined she likely did not know, and her achievements have not been expunged. [14] [16] [49] [50] [51] [1] There were no formal regulations before 1936; from 1936, the IOC was able to examine athletes whose sex was questioned. [2] Anecdotally, Walsh's rival Helen Stephens reported that in 1936, Adolf Hitler personally groped her as a form of sex verification. [15]
Bundesarchiv Bild 183-C10379, Hermann Ratjen alias "Dora Ratjen".jpg Heinrich Ratjen †Flag of Germany (1935-1945).svg  Nazi Germany Athletics 1936 Ratjen's sex characteristics were ambiguous from birth. Though he was raised as female, and for many years competed as "Dora Ratjen" (including at the Olympics), he said he was conscious that he was somewhat biologically male from childhood. In 1938, he was arrested and held in Hohenlychen Sanatorium for a year, being examined by SS doctors who found Ratjen to have some intersex characteristics (not just male genitalia). Upon release, he was ordered to stop participating in sport and to assume a male identity. In later life, however, Ratjen (likely erroneously) claimed that the Nazis had ordered him to pose as female in order to bring sporting glory to the nation at their home Olympics. [17] [52] [53] [18] From 1936, the IOC was able to examine athletes whose sex was questioned. [2] After years of speculation and reportedly refusing to use changing rooms with other people present, Ratjen was accosted on a train and made to strip before being arrested. [17]
Ewa Klobukowska (5494508884) CROPPED.jpg Ewa Kłobukowska † Flag of Poland (1928-1980).svg Poland Athletics 1964 Gold medal icon.svgBronze medal icon.svgKłobukowska won a gold and a bronze medal at the Olympics. [54] She is missing an X chromosome, which would not preclude her from competing in women's sports. An inadequate Barr body detection-based sex verification test following her Olympic success saw her stripped of her titles and banned from competition; though later corrected, none of her achievements have been reinstated. [19] [20] [21] [55] [56] In 1960, the Olympics began mandating physical examinations, [57] which Kłobukowska passed. In 1967, World Athletics (IAAF) introduced chromatin testing for female athletes, [58] looking for "a single X-chromatic mass", i.e. two X chromosomes. [57]
Edinanci Silva ΔFlag of Brazil.svg  Brazil Judo 1996, 2000, 2004, 2008 Silva was born intersex but had surgery in the 1990s to allow her to compete in women's sport, before any Olympics appearance. She went on to compete at four Games. [59] [1] In 1992, the majority of the sports federations under the IOC stopped performing any type of gender testing. Judo was one of the five federations that continued testing, and the IOC itself replaced the chromosome testing with a DNA-based test. This test was carried out on all female athletes in 1996. In 1999, the IOC stopped universal testing but reserved the right to test suspicious individuals. [60] The same test was used up to and including the 2008 Summer Olympics, but only when suspicions were raised. Athletes who had undergone "sex reassignment surgery" were allowed to compete, two years after surgery and meeting all other requirements. [1]
Erika Coimbra (8087171704).jpg Érika Coimbra ΔFlag of Brazil.svg  Brazil Volleyball 2000, 2004 Bronze medal icon.svgCoimbra was reported to have been born intersex but had surgery. She was subject to sex testing before being allowed to compete. [61] [62] In 1992, the majority of the sports federations under the IOC stopped performing any type of gender testing. [60] Volleyball was one of the five federations that continued testing, [63] and the IOC itself replaced the chromosome testing with a DNA-based test. In 1999, the IOC stopped universal testing but reserved the right to test suspicious individuals. [60] The same test was used up to and including the 2008 Summer Olympics, but only when suspicions were raised. Athletes who had undergone "sex reassignment surgery" were allowed to compete, two years after surgery and meeting all other requirements. [1]
Racheal Nachula ΔFlag of Zambia.svg  Zambia Athletics, Football 2008, 2024 Nachula competed in 400 m in 2008, and as part of the football team in 2024. [64] She was one of four Zambian footballers who were banned from an African competition due to natural testosterone levels above those accepted by the Confederation of African Football (CAF); there was criticism that the CAF's "gender eligibility test" was more restrictive than necessary, with FIFA also criticised for the inconsistency of requirements between tournaments. [65] [66] The DNA-based SRY test was used up to and including the 2008 Summer Olympics, but only when suspicions were raised. [1] [10]

In 2011, FIFA issued updated gender verification regulations, which state that "each participating member association shall, prior to the nomination of its national team, ensure the correct gender of all the players to be considered for such nomination by actively investigating any perceived deviation in secondary sex characteristics". [67] : 7  The testing process is not outlined, but says "sex hormone levels" must be provided (without elaboration) and, if unsatisfactory, that "the player shall undergo a physical examination performed by an independent expert." [67] : 12 

Francine Niyonsaba Rio 2016.jpg Francine Niyonsaba ΔFlag of Burundi.svg  Burundi Athletics 2012, 2016, 2020 Silver medal icon.svgNiyonsaba won silver in the 800 m race in 2016; unable to contest this event at the 2020 Games due to restrictions, she qualified and competed in the 10,000 m race. [68] Her intersex condition was revealed upon the ruling in 2019. [69] In 2012, the IOC introduced testing based on measuring testosterone. [5]

Ahead of qualifying for the 2016 Summer Olympics, the IAAF was forced to suspend testosterone testing until at least 2017 due to losing a case brought by Dutee Chand. The IOC updated its policy around the same time and, in 2016, said they would also suspend testosterone testing while the IAAF was trying to support the tests. [70]

In 2019, World Athletics (IAAF) banned female athletes from competing in middle-distance running events and some others [lower-alpha 5] if they:
  • have an XY karyotype and
  • have ≥5 nmol/L testosterone and
  • do not have androgen insensitivity
Caster Semenya (42411013704) (cropped).jpg Caster Semenya ΔFlag of South Africa.svg  South Africa Athletics 2012, 2016 Gold medal icon.svgGold medal icon.svgSemenya is an intersex woman with XY chromosomes. She has been subject to sex verification testing since the start of her professional career in 2009, at different times being allowed and disallowed to compete in events. A successful intersex sportswoman, she has been the focal point of debates and regulation regarding both intersex and trans athletes in the 21st century. She has refused to take hormone medication to reduce her natural testosterone, as instructed in 2019. [72] [37] She continues to mount legal battles against discriminatory athletic bodies. [73]
Dutee Chand.jpg Dutee Chand ΔFlag of India.svg  India Athletics 2016, 2020 Chand experiences hyperandrogenism. [74] [75] In 2014, her elevated testosterone caused the Indian Athletics Federation to remove her from its programme and ban her from events. She appealed to higher athletic bodies, which overturned the ban. [76] [77] [78] As a sprinter, she was unaffected by the 2019 restrictions on intersex characteristics in middle distance events; she offered the services of her legal team to Caster Semenya. [79]
Margaret Wambui Rio 2016.jpg Margaret Wambui †Flag of Kenya.svg  Kenya Athletics 2016 Bronze medal icon.svgWambui has elevated testosterone levels, as revealed upon the intersex restriction ruling in 2019; refusing to take medication to reduce this, she was barred from competing in the 2020 Games. She has proposed athletic bodies introduce an open category to be inclusive of intersex athletes if they insist on the separation. [68] [69] [80] Ahead of qualifying for the 2016 Summer Olympics, the IAAF was forced to suspend testosterone testing until at least 2017 due to losing a case brought by Dutee Chand. The IOC updated its policy around the same time and, in 2016, said they would also suspend testosterone testing while the IAAF was trying to support the tests. [70]

In 2019, World Athletics (IAAF) banned female athletes from competing in middle-distance running events and some others [lower-alpha 5] if they:
  • have an XY karyotype and
  • have ≥5 nmol/L testosterone and
  • do not have androgen insensitivity
2023-07-07 Fussball, Frauen, Landerspiel, Deutschland - Sambia 1DX 6960 by Stepro.jpg Barbra Banda ΔFlag of Zambia.svg  Zambia Football 2020, 2024 After their first Olympics appearance, Banda and Kundananji were two of four Zambian footballers [66] banned from an African competition due to natural testosterone levels above those accepted by the Confederation of African Football (CAF); they were soon after allowed back to compete in other African competitions, as well as tournaments sanctioned by FIFA. [81] [82] Banda reportedly takes medication to reduce her levels of testosterone; there was criticism that the CAF's "gender eligibility test" was more restrictive than necessary, with FIFA also criticised for the inconsistency of requirements between tournaments. [65] At the time of their appearance in 2024, Kundananji and Banda were the two most expensive women's football transfers. [83] In 2011, FIFA issued updated gender verification regulations, which state that "each participating member association shall, prior to the nomination of its national team, ensure the correct gender of all the players to be considered for such nomination by actively investigating any perceived deviation in secondary sex characteristics". [67] : 7  Investigation is to be pursued if any or all of the player, the association, the appointed medical officer, and/or the Chief Medical Officer, both requests and has "a direct legal interest" in the result of a gender test. [67] : 10  The testing process is not outlined, but says "sex hormone levels" must be provided (without elaboration) and, if unsatisfactory, that "the player shall undergo a physical examination performed by an independent expert." [67] : 12 
2023-07-07 Fussball, Frauen, Landerspiel, Deutschland - Sambia 1DX 6978 by Stepro.jpg Racheal Kundananji ΔFlag of Zambia.svg  Zambia Football 2020, 2024
Beatrice Masilingi at Sam Nujoma Foundation.jpg Beatrice Masilingi ΔFlag of Namibia.svg  Namibia Athletics 2020 Condition announced by World Athletics ahead of appearing at the 2020 Games. [84] The Namibia National Olympic Committee criticised World Athletics for breaking a confidentiality agreement in naming teenage sprinters Beatrice Masilingi and Christine Mboma, who could (and would) both compete over a different distance. [85] In 2019, World Athletics (IAAF) banned female athletes from competing in middle-distance running events and some others [lower-alpha 5] if they:
  • have an XY karyotype and
  • have ≥5 nmol/L testosterone and
  • do not have androgen insensitivity
Christine Mboma at Sam Nujoma Foundation.jpg Christine Mboma ΔFlag of Namibia.svg  Namibia Athletics 2020 Silver medal icon.svg
Aminatou Seyni Oregon 2022 (cropped).jpg Aminatou Seyni ΔFlag of Niger.svg  Niger Athletics 2020 Seyni primarily contests sprint distances, but also ran 800 m sporadically and 400 m regularly until 2019, when she was told she had tested positive for intersex characteristics and would be unable to race middle distance. She ran in the 200 m event, a distance over which she holds the Nigerien national record, at the 2020 Games. [68] [86]
Pedro Spajari nos Jogos Mundiais Militares (2019).jpg Pedro Spajari ΔFlag of Brazil.svg  Brazil Swimming 2020 Having broken the FINA World Junior Championship record for 100 m freestyle in 2015, [87] Spajari was diagnosed with Klinefelter syndrome, an XXY chromosomal condition in natural men, in 2016. He was aiming to qualify for that year's Games when decreased testosterone levels, which negatively affected his performances, was noticed. He was approved to take hormone supplements, and competed in 2020. [88] [89] Sex verification is not conducted on athletes in the men's categories. [90] If a male athlete's performance is considered suspicious, doping controls are used. [41]

Notes

  1. ↑ East German athletes dosed with androgen are not included.
  2. ↑ Based on the information collected on this page
  3. ↑ Where athletes have represented multiple countries, competed in multiple sports, and/or at multiple Games, the country/sport/Games they are sorted by is their first country/sport/Games chronologically.
  4. ↑ Based on most golds over total medals, then alphabetically by current surname or common nickname.
  5. 1 2 3 Including hammer throw, not including football. [71]

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<span class="mw-page-title-main">Timeline of intersex history</span> Overview of notable events in the timeline of intersex history

The following is a timeline of intersex history.

<span class="mw-page-title-main">Intersex rights in France</span> Intersex peoples rights in France

Intersex people in France face significant gaps in protection from non-consensual medical interventions and protection from discrimination. The birth of Abel Barbin, a nineteenth-century intersex woman, is marked in Intersex Day of Remembrance. Barbin may have been the first intersex person to write a memoir, later published by Michel Foucault.

<span class="mw-page-title-main">Eric Vilain</span> French-American physician-scientist

Eric Vilain is a physician-scientist and professor in the fields of Differences of Sex Development (DSDs) and precision medicine. He is the Associate Vice Chancellor for Scientific Affairs at the University of California, Irvine Health Affairs and also the director of the UCI Institute for Clinical and Translational Science. He previously was the director of the Center for Genetic Medicine Research at Children's National Medical Center and the chair of the Department of Genomics and Precision Medicine at the George Washington University School of Medicine & Health Sciences in Washington, D.C. Vilain is a fellow of the American College of Medical Genetics, serves on the International Olympic Committee's Medical Commission, and sits on the Board of Scientific Counselors for the National Institute of Child Health and Human Development (NICHD).

The testosterone regulations in women's athletics are a series of policies first published in 2011 by the IAAF and last updated following a court victory against Caster Semenya in May 2019. The first version of the rules applied to all women with high testosterone, but the current version of the rules only apply to athletes with certain XY disorders of sexual development, and set a 5 nmol/L testosterone limit, which applies only to distances between 400 m and 1 mile (inclusive), other events being unrestricted.

<span class="mw-page-title-main">Beatrice Masilingi</span> Namibian sprinter

Beatrice Masilingi is a Namibian sprinter. At the age of 18, she placed sixth in the 200 metres at the 2020 Tokyo Olympics, having made the final along with fellow Namibian sprinter and eventual silver medallist Christine Mboma. Masilingi won silver medals in both the 100 metres and 200 m at the 2021 World Under-20 Championships.

On 9 October 2001, Pratima Gaonkar, a young Indian intersex athlete and swimmer, was found dead in a well in Goa. The cause was identified as death by suicide; this was in turn was caused by Gaonkar's reaction to the disclosure and public commentary surrounding a failed sex verification test. Gaonkar was reportedly the subject of blackmail attempts, including an accusation by her mother that her coach was accusing her.

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