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The Transgender Athlete

January 25, 2010

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"I was really worried about coming out as transgender to anyone else because I knew there weren’t any policies. I was so afraid that my school would ban me from my sport and that was the only thing I had at the time. I finally decided to come out my senior year of college because I was going down a slippery slope and I didn't think I could pull myself out if I didn't come out."

--A transgender former college athlete

Many transgender athletes relate similar experiences that make their participation on college teams painful and frustrating: An athlete is called "she/he" and "it" by opposing players during a game. An athlete stops playing sports in college because it becomes too uncomfortable to use the locker room. An athlete has to change clothes in a utility closet separate from the rest of the team. An athlete quits the team because it becomes too painful to keep reminding coaches and teammates about the athlete's preferred pronouns. None of the institutions or athletic conferences in which these athletes compete have a policy governing the inclusion of transgender student-athletes on sports teams.

These descriptions and many others like them characterize the experiences of many young people who identify as transgender and want to play on their colleges' athletic teams. Transgender is a broad term used to describe the experiences of people whose gender identity and expression do not match the sex they were assigned at birth. Some people transition to live as their preferred gender by changing their names and the pronouns they use to refer to themselves. They express their preferred gender through choice of clothes, hairstyles and other manifestations of gender expression and identity. Some transgender people undergo reconstructive surgery or take hormones to make their bodies more congruent with their internal sense of themselves. Others do not.

Since the increased visibility of a transgender rights movement in the 1980s and a school-based LGBT "safe schools" movement in the 1990s, more young people have the language and information they need to identify the gender dissonance they experience between the sex they were assigned at birth and the gender identity that they know to be true for them. They are increasingly identifying themselves as transgender and they are doing it at earlier ages. In addition, parents are much more likely to support their transgender children and advocate for them in schools. As more states add "gender identity and expression" to non-discrimination legislation and as these legal protections are applied to schools, transgender students and their parents have increased leverage to ensure that educational institutions address their needs. K-12 school and college educators find themselves playing catch up as they learn to accommodate the educational needs of trans-identified students and protect them from bullying and harassment in school or at college.

Many of these young people want to play on their schools' or colleges' sports teams. As a result, athletic directors and coaches increasingly find themselves unprepared to make decisions about what team a transgender student is eligible to play for. As the number of transgender students who want to play on school sports teams increases, school athletic leaders must identify effective and fair policies to ensure their right to participate. Though the issue of accommodating the needs of transgender students, staff and faculty in higher education has received attention, it has not been adequately addressed in athletics. Many colleges have changed policies on access to bathrooms, residence halls or face controversy because they have not done so. In athletics, conversations about accommodating transgender students have only recently begun.

For the most part, athletic teams at high schools and colleges are segregated by sex and divided into men’s and women’s teams. For transgender students, determining on which gender’s team, if any, they will be allowed to play can be a difficult process fraught with misconceptions, ignorance and discrimination. Few high school or collegiate athletic programs, administrators or coaches are prepared to address a transgender student’s interest in participating in athletics in a systematic, fair and effective manner. Few athletes have been given the information that would prepare them to participate on a team with a teammate whose gender identity is different from the sex they were assigned at birth.

The vast majority of school athletic programs have no policy governing the inclusion of transgender athletes and athletic staff have no idea how to accommodate a transgender student who wants to play on a college sports team. Even basic accommodations can be confusing, such as what pronouns or name to use to refer to that student, where that student should change clothes for practice or competition, what bathroom that student should use, or how to apply team dress codes.

Washington is the only state that has a policy identifying the process for enabling transgender students to participate in high school athletics. The National Collegiate Athletic Association does not prohibit transgender students from participating in NCAA sponsored events, but recommends that NCAA member institutions use a student’s official identity documents (birth certificate, driver’s license or passport) to determine whether a student-athlete is eligible to compete on the men’s or women’s team. Because of wide variations in state requirements for changing identity documents, however, the NCAA recommendation unintentionally creates an inequitable situation depending on where the student is enrolled.

Applying the 2004 International Olympic Committee policy governing the participation of transsexual athletes in IOC sanctioned events to collegiate athletics is problematic for a number of reasons. The IOC policy, though pioneering, is criticized by knowledgeable medical experts and transgender advocates for requiring genital reconstructive surgery as a criterion for eligibility. Moreover, applying the IOC policy to collegiate sports does not take into account the eligibility limits placed on individual athletes or the age and developmental needs of this age group.

After a number of informal discussions with collegiate athletic leaders and transgender students who want to participate in sports, the National Center for Lesbian Rights Sports Project and the Women’s Sports Foundation initiative, It Takes A Team! joined forces to organize a national meeting on these topics in the fall. Two of the guiding principles for the discussion were 1) Participation in interscholastic and intercollegiate athletics is a valuable part of the education experience for all students and 2) Transgender student-athletes should have equal opportunity to participate in sports.

The 40 participants, including representatives from the NCAA and Interscholastic High School Athletic Association leaders, were an impressive group of experts from a range of disciplines — law, medicine, sports, advocacy, and athletics — all of whom share an interest in transgender issues. The goals were to identify best practices and develop model policies for high school and collegiate athletic leaders to ensure the full inclusion of transgender student-athletes. A report will be issued in 2010 outlining specific recommendations for high school and collegiate athletic programs.

Specific issues discussed included:

  • From a medical perspective, what are the salient factors that should be used to determine for which team (women’s or men’s) a transgender student is eligible to participate?
  • From a policy and school regulation perspective, how can we develop policies governing the participation of transgender students in athletics that adhere to state and federal laws protecting students from discrimination based on gender identity and expression?
  • From an athletic perspective, how can we address concerns about "competitive equity" or "unfair advantage" while acknowledging the broad diversity of performance already exhibited within both women’s and men’s sports?
  • From an education perspective, how can we ensure that athletic administrators, staff, parents of athletes and student-athletes have access to sound and effective education related to the participation of transgender students in athletics?

In our forthcoming report, we provide recommendations to address each of these questions.

The most powerful information came from the transgender student-athletes in attendance, who detailed their challenges and triumphs and the importance of high school and collegiate sport participation. Their stories reinforced the necessity of developing sound policies and practices that enable transgender student-athletes to play the sports they love in an environment where their gender identity and expression are accepted as one more aspect of the diversity typical of school and college sports teams.

Pat Griffin is director of It Takes A Team. Helen Carroll is director of the National Center for Lesbian Rights Sports Project.

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Comments on The Transgender Athlete

  • Simple Solution
  • Posted by Mountaineer on January 25, 2010 at 1:30pm EST
  • If you have XX chromosomes your on the women's team. If you're XY you're on the men's team. Deal with it.

  • Thinking aboutTransgender Athletes
  • Posted by Howie Schaffer , Vice President at Cook Ross Inc on January 25, 2010 at 2:15pm EST
  • Integrating sports teams by and across gender is going to be an uphill battle. This is an area where people hold lots of fear and hidden beliefs. The post above about chromosomes reminds me of the comments of early resisters to integrating the armed forces by race and by sex. Identity is a very complicated matter that involves myriad internal and external factors and influences. Hopefully an inclusive and respectful conversation about gender identity can be held so that everyone learns more about the experience of other people trying to navigate outside mainstream.

  • It's not that simple.
  • Posted by John on January 25, 2010 at 2:15pm EST
  • XX and XY? it's really not that simple. So what about XXY individuals? Also, we are all not so black and white.

  • Yes, it's fairly simple
  • Posted by ADD on January 25, 2010 at 3:30pm EST
  • The incidence of XYY is about 0.2% and of XXY is about 0.1%. People with these genes are usually called XYY males or XXY males.

  • it's complicated
  • Posted by Liz on January 25, 2010 at 4:15pm EST
  • Trans athletes obviously ought to be treated respectfully - I think that means referred to by the pronouns of their choice, given an open, fair, and not burdensome process for deciding what teams they're eligible for, etc. But it's not clear to me that the fact that " Few athletes have been given the information that would prepare them to participate on a team with a teammate whose gender identity is different from the sex they were assigned at birth" is really a problem. We sex-segregate athletics because in most sports, female athletes are not physically capable of competing against men. This distinction is valid and necessary to preserve womens' sports. In most areas of society, I think that self-identification ought to be the way society identifies someone when it comes to gender: the way you want to be referred to should be the way you're referred to (and treated.) But this is different. If you are trans but genetically male, there is probably not a place for you in womens' competitive sports. If you are genetically atypical in terms of biological sex, there may not be a place for you in womens' competitive sports. This can be unfortunate, this can be sad - and schools should have processes for figuring this out, although it's understandable why they don't, since we're not talking about very big groups - but the solution is probably not to let people compete on teams on the basis of their gender self-identification.

  • Posted by Erin on January 25, 2010 at 5:30pm EST
  • For high school and college sports I think that you should play for the team that fits your gender identity regardless of chromosomes or physical characteristics. If you are biologically a woman but identify as a man, then you try out for the men's team, and if you are biologically a man but identify as a woman, then you try out for the women's team. I know people worry that a biological man may have advantages, but a woman who is 6'10" in a basketball league also has advantages over a woman who is 5', and that is just as genetic as chromosomes.

  • Posted by talleyrand on January 25, 2010 at 8:30pm EST
  • I agree with Liz: it's complicated. The people whose gender identity is different from the biological sex must receive justice in every way that does not encroach unfairly on justice for others. Allowing biological males to participate in women's sports could undo what title IX has accomplished though. A poster above reduces basketball talent to height, but height is not a talent. What about a point guard with the physical strength of a man to drive through two or three defenders to get to the basket and draw the foul for a chance at the extra point? What if that 6'10" player has a man's vertical leap and blocks everything the biological women put up? It would be grossly unfair.

    The chromosomes have got to be the filter, as far as I can see, to preserve women's athletics in the sports both men and women play.

  • Posted by Jane T Doe on January 26, 2010 at 5:15am EST
  • Iif you went by chromosomes alone, a surprisingly large number of currently competing athletes would be disqualified.

    Sex differentiation is a lot more complicated than you think. XX female, XY male, that's it? Hell no, there are a lot more shades of grey than the simplistic model. It's an extremely useful simplification for over 90% of the population, but falls flat if you're trying to be comprehensive.

    What about XY-female women with CAIS, whose cells literally cannot react to testosterone? Though lacking a womb or ovaries, their inability to process ANY of the testosterone running through their veins leaves them hyper-feminized - see, all women produce testosterone, and all men produce estrogen - it's just that people with testes produce more male hormones, and people with ovaries produce more female hormones. XY women with CAIS technically have very large amounts of testosterone, but it cannot interact with their cells at all, so their bodies are even less masculinized than typical XX women.

    What about XY women with Swyer Syndrome, who have no testosterone production (or typical gonads at all)?

    What about people with XY/XX chimerism, whose chromosomal makeup isn't the same from cell to cell, and who may exhibit any range of sexual differentiation?
    (And I've barely scratched the surface, and haven't even gotten into XX males, or the diversity of combinations of chromosomes other than XX and XY.)

    So, just on the face of it, gender and even "biological sex" are far, far more complicated than a simple XX female / XY male dichotomy. Sure, for the most part, we can use it to describe how most of you people work, but when the specific subject is those of us for whom this model falls flat, well... stubbornly sticking to it is pretty stupid.

    So with that in mind, what about people without any intersex traits who are trans?

    It's important to actually know what transition is before making decisions about it. For example, to quote talleyrand:
    "What about a point guard with the physical strength of a man to drive through two or three defenders to get to the basket and draw the foul for a chance at the extra point? What if that 6'10" player has a man's vertical leap and blocks everything the biological women put up? It would be grossly unfair."
    At face value, this seems rock-solid, but it's based on assumptions about trans people that aren't actually true. Sorry, time to get technical again.

    What gives someone "the physical strength of a man," or "a man's vertical leap"? Obviously, there are a lot of strong women and weak men out there, as individuals range widely in ability, but (phisiological) males do have higher average strength than do (physiological) females. What's behind this? In a word: testosterone.

    Male and female hormones do a lot of things to the body, and testosterone in particular is a potent mutagen: it promotes muscle production, general muscle density, and many other factors of both everyday life and people's growth and development. But the thing about trans people is, almost all of us go through hormone replacement therapy (HRT). Trans women are typically given some form of estrogen to counteract the effects of masculinizing hormones in our bodies and promote feminization, and trans men are given testosterone for the opposite reason. In fact, it's the decision to pursue HRT that draws a line between people who actually have divergent gender identity and those who simply cross-dress.

    So, a trans woman (for example) who's been undergoing HRT (or has had surgery) has hormone levels typical of women, and her body has been deliberately altered to reverse the effects of those male hormones. And hormones do a LOT, affecting fat distribution, muscle mass, skin quality, scent, hair, mood, sex drive, et cetera, et cetera... in fact, there is very little hormones DON'T do. I can list all of the things hormones don't change (assuming HRT is taking place after puberty):
    -The skeleton
    -Vocal cords
    -Overall shape of genitalia
    -Facial hair

    The only one of those that is possibly relevant to athletic ability is the skeletal structure. To make a very long story short, then, a trans woman does NOT have "the strength of a man"; she has the physical strength of a woman.

    Of course, skeletal structure will still play a role. We trans women have a taller average height than do other women, and this plays a role in many sports - but is this really enough to ban us from the field, to denounce us as an impurity, to declare us "not woman enough"? There's a huge range of physiological factors that will affect atheltic performance anyway - are we going to ban ALL women, both trans and cis, who fall above a certain height limit? And there's no reason to limit that to women, either. Since hormone levels exhibit natural variance, are we going to ban anyone who naturally falls on the high end of the testosterone bell curve? Will we check for the people with unusually strong cardiovascular systems (eg Lance Armstrong), or people with disproportionate body shapes that make them particularly suited to their sports (eg Shawn Johnson, Michael Phelps)? All of these other physiological differences have a very significant impact, since variance between individual people is so high. There's no valid reason to block out trans women from women's sports without also testing people on all these other sorts of criteria - if you're really concerned with making sure that only the "most average" people are allowed to take part.

    Of course, I'm assuming that the women in question are taking HRT. Some trans women, of course, don't have access to hormones - several months of therapy are required before we're allowed access to HRT, good doctors in specialized fields like endocrinology are hard to come by, endocrinologists often refuse to work with trans clients, treatment is expensive, and insurance companies almost always refuse to offer any coverage of trans-related procedures like HRT. Since it's legal to discriminate against us and fire us without cause, employment is much less steady - so paying for expensive pills out-of-pocket (and travel costs necessary to reach good doctors) is a major problem. As such, there are many trans women - usually the poor - who still do have male-typical hormone levels. I don't have an easy answer regarding sports participation for women in these circumstances, though arguably they have enough other factors holding them back from their full potential that hormone levels are arguably less important...

    [As a side note, the regulations put in place by states like Washington may seem to be steps in the right direction, but they aren't actually helpful. They depend on legal gender - and legal documents are notoriously difficult to change. From a time a doctor looks between your legs at birth and declares your sex, it's impossible to correct that official status until after genital surgery. Unlike hormones, the shape of your crotch really doesn't affect athletic performance at all. It's a very idiotic criteria on which to base a person's eligibility to be on a men's or women's team.]

  • Posted by Passing Through on January 26, 2010 at 8:45am EST
  • Jane T Doe makes some good points, but also makes some big mistakes.

    Regarding hormones making a trans woman the same as a genetically born woman is not necessarily true. This possibility is impacted by MANY factors, such as age when cross gender hormones were started. If started pre-puberty, the changes will likely be greater. If started at age 20 for a college athlete, it may take 2 years or more, as recgonized by the IOC, for cross gender hormones to negate the impact of the biological hormones and "equal" the strength issue for a male to female transexual. Other factors are the type of hormone taken, blockers for the biological hormone and more.

    Additionally, she mis-stated Washington's policy which does NOT require an athlete to compete in the gender which matches their documentation. It actually allows an athlete just the opposite, so they compete in the gender matching their consistent identity opposite their official gender marker, with proper documentation.

  • Life isn't fair, deal with it.
  • Posted by Mountaineer on January 26, 2010 at 10:00am EST
  • No, Jane Doe, it's not more complicated than I think. The incidence of XXY, XYY, etc. is less than 1%. The inborn errors of metabolism about which others spoke are similarly rare. I view this as a cost/benefit issue. Creating a complicated set of rules so that a tiny percent of athletes can play on the team of their choice simply is more trouble than it's worth to high school and college sports as a whole.

  • you can't just ignore things that are complicated
  • Posted by sportsnut on January 26, 2010 at 5:00pm EST
  • Mountaineer--

    With all due respect, you're focusing on something here that's not really relevant for the issue at hand. First of all, chromosomal makeup does not indicate that the person will have gender identity issues. We all know that Jamie Lee Curtis is XXY but she does not identify as a "male." As far as I know, these rare chromosomal abnormalities are not at all the cause for gender identity issues. It's an entirely separate issue. Numerous other factors can influence what a person's gender identity is, such as exposure to testosterone in the womb and other environmental factors during gestation. So, you're focusing on the wrong stats.

    Secondly, even if it is a small population who encounter these issues, it doesn't mean we can ignore them. There are tons of populations of people who encounter health conditions that the vast majority of the population do not. But just because they are relatively small in number does not mean that they don't exist. We still need to design policies to help these people live their lives. If you don't want to spend your time researching this sort of thing or reading these articles, don't! We're not asking you to. It might be helpful for you to get to know a transgender person and hear about the issues they face--seems like your biggest challenge is your lack of knowledge about this topic. You should probably start by learning more about it to better inform your opinions.

  • Equality means Accepting Differences.
  • Posted by Jarvis on January 26, 2010 at 5:45pm EST
  • So how many commenting here have actually ever had their DNA mapped to prove their XX or XY status exactly? Does this mean every single person should now be tested at birth? That's ridiculous.

    I'll come right out and point out my bias here. I am a transman. In high school I loved sports and sucked it up that when I was on the water polo team and swim team there wasn't a chance in heck that I'd be allowed to compete with and against the other guys (namely because most cisboys are too sissy to play water polo against me even to this day). While my polo team made me feel right at home and respected me, the swim team was coached by a militant Catholic woman who kept publicly harassing me to swim only in a one piece, and to leave my shorts behind. Why should I be harassed over something like swim trunks? They aren't giving me an advantage or disadvantage (yes yes, water drag... whatever).

    It's been years since high school now, but I still do wish I'd had a simpler time just being a member of my school community. That's what's really at the heart of this matter. Not giving anyone an edge, just creating framework to ensure equality.

  • Posted by Liz on January 26, 2010 at 7:45pm EST
  • No one is suggesting testing everyones' chromosomes. They're not relevant at all for most schooling, employment, etc. What they may sometimes be relevant for are competitive athletics, where we've -validly- decided that women compete in one category and men compete in another, and so the times where sex doesn't fit into a binary, and where this has consequences for performance, present cases that can't be solved in a way that is fair to other competitors by just saying "compete based on your gender identity."

    Accepting differences doesn't necessarily mean there's going to be a happy outcome for everyone. For instance, with people who encounter rare health conditions: a) most of them are also not able to participate in competitive sports and b) we do generally expend fewer resources on research related to their condition than for more widespread conditions.

    This isn't about voting, or holding employment, or being able to get married [some of which are definitely unfair to transpeople, and deny them full participation in society]. This is about competitive athletics, in which it is necessary to draw distinctions between sex and gender self-identification.

  • Complicated
  • Posted by Keelin on January 26, 2010 at 8:45pm EST
  • As a Transman and an athlete both in college and out it is far more complicated than anyone gives it credit for. There are more complications than just the biology of the matter, there is also the social constructs of sports and people's minds that have to be dealt with since those are some of the biggest barriers for trans-athletes to deal with. Also what about the transitioning man or woman? Where are the athletes starting hormone therapy going to go, which division can they compete in? Or the gender-queer/variant athlete? Maybe they can compete in the sport they chose biologically and chromosomally but what about socially? It is more then the chromosomes you are born with they don't always match the soul of the person sporting them. Being a Trans-athlete is beyond complex for the athlete and those around the athlete trying to make it work or not make it work. There can be no simple solution and it is completely ludicrous to think that that was possible.

  • Posted by LT on January 27, 2010 at 12:45pm EST
  • I really think Jane T Doe said it best, and as a trans man, I agree with Keelin when he says that the situation is "far more complicated than anyone gives it credit for." For all you, "it less than 1% of the population" folks, we're still talking almost 100,000 people is the U.S., assuming that percentage is even accurate, which I doubt. They are certainly not insignificant.

  • Nuanced discussion...
  • Posted by Dayita Angelis on January 28, 2010 at 5:30am EST
  • ...is not usual in the USA, but I find myself sympathetic with both sides of the argument here. There are real problems having to do with the social and economic structures of sports - especially at the collegiate level, where people are sorted out into those with a professional athletics career and those who will pursue athletics recreationally for the rest of their lives. A proper examination of the topic would require more analysis than I am prepared to go into for a blog comment, but the tension between fairness and oppression seems like it might be best resolved with a combination of factors, including at a minimum: hormonal levels, strength/performance tests, and daily gender performance.

    The last factor is certainly problematic, but it is probably the most essential issue for transgendered individuals, whose main contention is that their physical identity is not congruent with their desired social roles. It is also important so that playing for the women's team does not become a fall-back option for self-identified men who have the desire to compete at a certain level, but lack the ability to compete with others of their chosen social gender at that level. I would not be at all surprised to find that the gender performance issue overwhelms the debate; however nuanced we might try to be because it is the one that cuts to the heart of all the emotional issues of identity, class, power, and control.

    And as a final note, cane we please leave poor Jamie Lee Curtiss out of this? Her gender variance is long-speculated but, thus far, still neither documented nor proven in any way. Do your homework, please. http://urbanlegends.about.com/od/jamieleecurtis/a/jamieleecurtis.htm

  • A Different Solution?
  • Posted by neitheronenor theother on January 28, 2010 at 12:15pm EST
  • What about creating a third, gender-neutral category of competition open to absolutely anyone? This would meet the goal of allowing everyone access to competitive athletics while eliminating the need to come up with criteria to distinguish females from males when that seems to be a near-impossible task, given chromosomes, hormone levels, hormone sensitivity, various laws on documenting gender, and so on.

  • Posted by Kim on January 28, 2010 at 10:45pm EST
  • It would be patently unfair for female athletes to have to compete against a highly-ranked male athlete just because that male athlete identifies as a woman. The International Olympic Committee has rules regarding the participation of transsexual people.

    This discussion would be clearer if people recognised the difference between sex (biology) and gender (personal and social identity). Sports are segregated by sex, not by gender. People should compete according to their sex (biology). Male-to-female transsexuals should undergo a medical transition before competing as women. If — for whatever reason — they can't transition, they should compete against other people who are biologically male, as they are, regardless of the own internal sense of gender.

    Maybe it's not possible for everyone to get everything they want and to treat everyone fairly, all at the same time. Maybe some people will have to make choices.

    By the way, I'm a trans woman.

  • Posted by Mike Crichton on January 29, 2010 at 11:15pm EST
  • Mountaineer: What about the XX athlete who's been on several years of testosterone therapy? That person would have a considerable advantage over their competitors if they competed with chromosomal females who weren't taking that hormone. It seems to me that the fair thing to do would be to have all trans athletes compete in whichever category has the higher performance standards for their sport.

  • I just want to say thanks for writing
  • Posted by big kate on February 6, 2010 at 7:45am EST
  • I planning to use this article when talking to my local gym about geting access to use the pool

    I love sports, I really enjoyed doing them despite being suicidal since the age of 6 and getting too depressed to suicide by the age of 9. Btw yes I am transexual. Since coming out at 12 I've rarely felt safe to do sports at all. I watch from afar and wonder about all the years of enjoyment I have lost. I am now in my 40's dangerously morbidly obese (at least 150 pounds over weight) and unable to have the surgery I was given permission to have 20 years ago because I cant exercise safely. I can walk, I can ride but they don't give me the same degree of support a physio at a gym would. And I cant use a gym, or swim or do any team sport because of the discrimination i would recieve. I may die soon as result of the side effects of the depression and the discrimination.

    I just hope that when I die it isn't because of red tape.