Statement of FISA sports medicine commission: biological effects of testosterone

Steinacker, Jürgen M.; Koubaa, Donia; Nielsen, Henrik Skov; Hannafin, Jo A.; Hiura, Mikio; Poli, Pier Francesco; Smoljanovic, T; Wilkinson, Mark; Zupet, Petra; Lacoste, A; Ackerman, KE

doi:10.5960/dzsm.2019.368

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“…[5][6][7][8][9][10][11] For instance, the Sports Medicine Commission of World Rowing, also known as the World Rowing Federation (previously Fédération Internationale des Sociétés d'Aviron (FISA)), concluded that 'the FISA Sports Medicine Commission, in acknowledgement of the scientific and medical literature, see an important role of testosterone for performance, training, and regeneration in rowing and therefore supports the listing of testosterone in the World Anti-doping Agency (WADA) prohibited list (International Standard)'. 12 Given the above, this joint position statement aims to present an evidence-based critique that is consistent with a more rounded view of human rights and promote discussion of this new framework, especially among those responsible for the care of athletes. This joint position statement of the International Federation of Sports Medicine (FIMS) and European Federation of Sports Medicine Associations (EFSMA) has been prepared by expert members of the respective Executive Committees and relevant Commissions, members and affiliates of the FIMS Collaborating Centres of Sports Medicine and other invited medical experts from the international sports and exercise medicine community, including Chief Medical Officers of numerous International Federations (IFs).…”

Section: Open Accessmentioning

confidence: 99%

“…The 2021 IOC framework’s position of ‘no presumption of [performance] advantage’ that states ‘until evidence determines otherwise, athletes should not be deemed to have an unfair or disproportionate competitive advantage due to their sex variations, physical appearance or transgender status’ is in stark contrast with the outcome of the 2015 IOC consensus, the scientific evidence,3 4 and the subsequent assessment of numerous sports medicine associations/commissions 5–11. For instance, the Sports Medicine Commission of World Rowing, also known as the World Rowing Federation (previously Fédération Internationale des Sociétés d'Aviron (FISA)), concluded that ‘the FISA Sports Medicine Commission, in acknowledgement of the scientific and medical literature, see an important role of testosterone for performance, training, and regeneration in rowing and therefore supports the listing of testosterone in the World Anti-doping Agency (WADA) prohibited list (International Standard)’ 12…”

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Joint position statement of the International Federation of Sports Medicine (FIMS) and European Federation of Sports Medicine Associations (EFSMA) on the IOC framework on fairness, inclusion and non-discrimination based on gender identity and sex variations

Pigozzi

Bigard

Steinacker

et al. 2022

BMJ Open Sport Exerc Med

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The IOC recently published its framework on fairness, inclusion and non-discrimination based on gender identity and sex variations. This framework is drafted mainly from a human rights perspective, with less consideration for medical/scientific issues. The framework places the onus for gender eligibility and classification entirely on the International Federations (IFs), even though most will not have the capacity to implement the framework. The position of no presumption of advantage is contrary to the 2015 IOC consensus. Implementation of the 2021 framework will be a major challenge for IFs that have already recognised the inclusion of trans and women athletes with differences of sexual development (DSD) using a scientific/medical solution. The potential consequences for sports that need to prioritise fairness or safety could be one of two extremes (1) exclusion of all transgender or DSD athletes on the grounds of advantage or (2) self-identification that essentially equates to no eligibility rules. Exclusion of all transgender or DSD athletes is contrary to the Olympic charter and unlawful in many countries. While having no gender eligibility rules, sport loses its meaning and near-universal support. Athletes should not be under pressure to undergo medical procedures or treatment to meet eligibility criteria. However, if an athlete is fully informed and consents, then it is their free choice to undergo carefully considered or necessary interventions for gender classification for sport to compete fairly and safely in their chosen gender. Free choice is a fundamental human right, but so is the right to fair and safe competition.

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Section: Open Accessmentioning

confidence: 99%

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