The NCAA instituted guidelines in 2011 that were less stringent than the IOC at the time.325 (The two policies are now nearly identical.) They do not require surgery, and they require only one year on testosterone suppression for male-to-female transgender athletes. The conclusions of the consulting medical experts on the NCAA policy were unambiguous: It is also important to know that any strength and endurance advantages a transgender woman arguably may have as a result of her prior testosterone levels dissipate after about one year of estrogen or testosterone-suppression therapy. According
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