Table 1

Selection of International Federations policies on integrating trans women and female athletes with differences of sexual development (DSD) into the female category of sport

International Federation
(eligibility criteria)
Rule
World Athletics
(trans women)7
The athlete must demonstrate that the concentration of testosterone in serum has been less than 5 nmol/L continuously for at least 12 months, and keep serum testosterone concentration below 5 nmol/L to maintain her eligibility.
World Athletics
(female athletes with DSD)6
The athlete, if deemed relevant, must reduce her blood testosterone level to below five (5) nmol/L for a continuous period of at least 6 months to be eligible for restricted events, and henceforth must maintain her blood testosterone level below five (5) nmol/L continuously.
USA Hockey
(trans women)29
A trans woman desiring to play girls competitive hockey must confirm by a medical professional that the athlete has undergone at least 1 year of testosterone suppression therapy. The athlete must additionally provide a personal statement, confirming the athlete’s gender identity, and written confirmation of gender identity from a healthcare provider.
World Rugby
(trans women)8
Transgender women may not currently play women’s rugby.
Scottish Women’s Football Association (trans women)11May compete in female or mixed-sex domestic competition by providing evidence that her hormone therapy has brought her blood measured testosterone levels within the range of her affirmed gender.
International Tennis Federation
(trans women)10
The Athlete must provide a written and signed declaration, that her gender identity is female; and must demonstrate that the concentration of testosterone in her serum has been less than 5 nmol/L1 continuously for at least 12 months and that she is ready, willing, and able to continue to keep it below that level for so long as she continues to compete in the female category of competition.
USA Gymnastics
(trans women)9
USAG believes that transgender and non-binary gymnasts should not be restricted from taking part in gymnastics competitions based on their gender identity. Athletes wishing to compete at the international track level must comply with the IOC guidelines for transgender athletes.
Union Cycliste Internationale
(trans women)27
A signed declaration that her gender identity is female, demonstrate that the concentration of testosterone in her serum has been less than 5 nmol/L2 continuously for at least 12 months and she must keep her serum testosterone concentration below 5 nmol/L to maintain eligibility.
World Rowing
(trans women)26
A rower is eligible to compete in a women’s event, or as a woman in a mixed event, if:
  1. The gender of the rower is Female in the rower’s passport or national identity card and

  2. where applicable, the rower meets the requirements of paragraph three below.

  1. Where, either:

  1. the rower’s gender has changed; or

  2. the rower has otherwise been required by the Executive Committee to establish eligibility to compete as a woman; the rower first satisfies the World Rowing Gender Advisory Panel that the rowers’ serum testosterone concentration has been less than 5 nmol/L continuously for a period of at least the previous 12 months and second meets any other requirements reasonably set by the Executive Committee.

World Rowing
(female athletes with DSD)26
The Executive Committee will appoint and maintain from time to time a panel of experts in the specialist areas of Gender Identification, Sex-reassignment, Hyperandrogenism, Transgender and Differences of Sexual Development (DSD) to be known as the Gender Advisory Panel.
The purpose of that panel is to evaluate cases seeking a determination of gender eligibility and to provide expert advice to the Executive Director, the Executive Committee, or the Council (as the case may require) on those specialist areas.