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Medical Examination for Health of All Athletes Replacing the Need for Gender Verification in International Sports: Title and subTitle BreakThe International Amateur Athletic Federation Plan FREE

Arne Ljungqvist, MD, PhD; Joe Leigh Simpson, MD
[+] Author Affiliations

A complete list of the signatories of the International Amateur Athletic Federation Work Group on Gender Verification appears at the end of this article.

Reprint requests to Department of Obstetrics and Gynecology, University of Tennessee, 800 Madison Ave, Memphis, TN 38163 (Dr Simpson).


JAMA. 1992;267(6):850-852. doi:10.1001/jama.1992.03480060096038
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FOR DECADES, success in competitive international sports has been fostered to promote national prestige and even to support superiority of certain political systems. (The former German Democratic Republic is but one prominent example of a nation in which high-level competitive sports were explicitly chosen as a vehicle to enhance a newly formed nation's identity. Other countries naturally sought to meet the competition; thus, a quasi "arms race" in sports developed.) Given the great national prestige engendered and the considerable expenditures involved in international competitive sports, it is not surprising that individual athletes or even nations were unable to resist the temptation of using illicit methods to "win at all costs." One prominent example of cheating is doping, usually with drugs. Another type of cheating, namely, the possibility that men may masquerade as women in women's events, was widely discussed in the early 1960s.

For editorial comment see p 853.

To

REFERENCES

de la Chapelle A.  Why sex chromatin should be abandoned as a screening method for 'gender verification' of female athletes. New Stud Athletics . 1986;;2:49-53.
de la Chapelle A.  The use and misuse of sex chromatin screening for 'gender identification' of female athletes. JAMA . 1986;;256:1920-1923.
Simpson JL.  Gender testing in the Olympics. JAMA . 1986;;256:1938.
Ferguson-Smith M, Ferris EA.  Gender verification in sport: the need for change? Br J Sports Med . 1991;;25:17-21.
Bassis LM.  Sex chromatin screening of female athletes. JAMA . 1987;;257:1896-1897.
Krawczynski M.  Zagadnienie intersekusulizmu w sporcie kwalifikowanum. Wiad Lek . 1978;;3:189-191.
Tachezy R.  Pseudohermaphroditism and physical efficiency. J Sports Med Phys Fitness . 1969;;9:119-122.
Jorgensen G, Eberle P. Intersexualitat und Sport . Stuttgart, Germany: G. Thieme; 1972;.
Ryan AJ.  Sex and the singles player. Physicians Sports Med . 1976;;4:39-41.
Carlson A.  When is a woman not a woman. Wom Sports Fitness . (March) 1991;:24-29.
Sakamoto H, Nahanoin K, Komatsu H, et al.  Femininity control at the XXth Universiad in Kobe, Japan. Int J Sports Med . 1988;;9:193-195.
Ehrhardt AA, Meyer-Bahlburg HFL.  The effects of prenatal hormones on gender identity, sex-dimorphic behavior, sexual orientation, and cognition. Science . 1981;;211:1312-1318.
Koopman P, Gubbay J, Vivian N, et al.  Male development of chromosomally female mice transgenic for SRY. Nature . 1991;;351:117-121.

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de la Chapelle A.  Why sex chromatin should be abandoned as a screening method for 'gender verification' of female athletes. New Stud Athletics . 1986;;2:49-53.
de la Chapelle A.  The use and misuse of sex chromatin screening for 'gender identification' of female athletes. JAMA . 1986;;256:1920-1923.
Simpson JL.  Gender testing in the Olympics. JAMA . 1986;;256:1938.
Ferguson-Smith M, Ferris EA.  Gender verification in sport: the need for change? Br J Sports Med . 1991;;25:17-21.
Bassis LM.  Sex chromatin screening of female athletes. JAMA . 1987;;257:1896-1897.
Krawczynski M.  Zagadnienie intersekusulizmu w sporcie kwalifikowanum. Wiad Lek . 1978;;3:189-191.
Tachezy R.  Pseudohermaphroditism and physical efficiency. J Sports Med Phys Fitness . 1969;;9:119-122.
Jorgensen G, Eberle P. Intersexualitat und Sport . Stuttgart, Germany: G. Thieme; 1972;.
Ryan AJ.  Sex and the singles player. Physicians Sports Med . 1976;;4:39-41.
Carlson A.  When is a woman not a woman. Wom Sports Fitness . (March) 1991;:24-29.
Sakamoto H, Nahanoin K, Komatsu H, et al.  Femininity control at the XXth Universiad in Kobe, Japan. Int J Sports Med . 1988;;9:193-195.
Ehrhardt AA, Meyer-Bahlburg HFL.  The effects of prenatal hormones on gender identity, sex-dimorphic behavior, sexual orientation, and cognition. Science . 1981;;211:1312-1318.
Koopman P, Gubbay J, Vivian N, et al.  Male development of chromosomally female mice transgenic for SRY. Nature . 1991;;351:117-121.
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