What does this mean?
In elite level or collegiate athletic competition, where a 1-2%
advantage in speed or strength is often the difference between victory
and defeat, governing bodies need to re-examine guidelines for inclusion
of transgender and other women with elevated testosterone levels and
determine what evidence-based changes are required to ensure a level
playing field. They will need to stand up to legal scrutiny. In youth
and recreational sports there is such a broad range of ability,
training, and development that differences from prior testosterone after
12 months of suppression may not have a meaningful competitive impact
and the benefits of inclusion of all athletes should take priority. When
establishing guidelines for youth and recreational sports, the question
has to be: “What is the best thing for all our athletes?”