The International Olympic Committee (IOC) settled the issue of transgender athletes in 2004, when it released the rules for them to compete.319 These were updated in 2016 by removing surgical requirements and bringing the period of HRT in line with existing National Collegiate Athletic Association (NCAA) rules. The current IOC rules boil down to four basic points: • They do not need to have had gender reassignment surgery. • They must have legal recognition of their assigned gender. • They must have been on HRT for at least one year. • Their (transgender women) testosterone levels must fall
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