EXPLAINER: How will the IOC’s framework impact transgender athletes?

The International Olympic Committee headquarters in Lausanne, Switzerland
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The International Olympic Committee on Tuesday announced a new framework for the participation of transgender and intersex athletes in Olympic sports.

The framework – which will be implemented by international sport federations – features 10 principles, beginning with inclusion. “Everyone, regardless of their gender identity, expression and/or sex variations should be able to participate in sport safely and without prejudice,” the document reads.

“As per the Olympic charter – and the fundamental principles of Olympism – is that the practice of sport is a human right and therefore inclusive of everyone,” IOC Head of Human Rights Magali Martowicz said during a media roundtable on Tuesday.

While the IOC’s new framework is a historic step forward – and one celebrated by organizations like GLAAD and Athlete Ally – the framework isn’t a definitive set of rules. Instead, the six-page document is intended to help sport federations to create their own sport-by-sport, event-by-event policies.

“The framework gives them a process by which they can [make policy], thinking about inclusion and seeing what produces disproportionate advantage,” said IOC Medical and Scientific Director Richard Budgett.

What’s the context of the IOC’s announcement?

In April 2018, track and field’s international governing body (World Athletics, then IAAF) announced that female athletes with a Difference of Sexual Development (DSD) would be required to lower their natural testosterone levels to be eligible to compete in women’s races from 400 meters to 1500 meters. South Africa’s Caster Semenya, a two-time gold medalist at 800m (one of which was awarded only after a Russian athlete was disqualified for doping), was the most high profile athlete barred by this decision, though both of her podium mates from 2016 –  Francine Niyonsaba and Margaret Wambui – were also impacted.

In the lead-up to the Tokyo Olympics, two Namibian teenagers – Christine Mboma and Beatrice Masilingi – were ruled ineligible to compete in the 400-meter competition, where they would have been medal contenders, and switched instead to the 200-meter event.

Just days after the Tokyo Games concluded, the study that was the basis for World Athletics’ testosterone regulations – published by the British Journal of Sports Medicine in 2017 – issued a correction saying that the relationship between high testosterone levels and improved performance should not be considered causal.

The Tokyo Olympics also marked the first time that out transgender athletes competed at the Games. Weightlifter Laurel Hubbard from New Zealand became the first transgender woman to compete, though she failed to complete a lift in her event. The Tokyo Games also saw the first out non-binary athletes: Canadian soccer player Quinn won gold, U.S. skateboarder Alana Smith competed in the street competition, and BMX freestyle cyclist Chelsea Wolfe traveled to Tokyo as an alternate for Team USA.

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While the IOC’s guidance was written with elite sport at the forefront, the organization also said that the same principles of inclusion and non-discrimination “should be promoted and defended at all levels of sport, especially for recreational and grass-roots sport.”

That statement is particularly remarkable given the current onslaught of anti-trans sentiment and legislation that has been seen both in the United States and internationally. In the last two years, ten U.S. states have enacted anti-trans sports bans (either through legislation or executive orders). Many of these bills impact kids of all ages, beginning as early as elementary or middle school.

The IOC won’t use testosterone to determine eligibility, but that doesn’t mean sport federations can’t

In a major change, the IOC is nixing its own testosterone-cap policy and instead encouraging each sport federation to create its own policies based on the 10-part framework.

“We are really moving away from this one-size-fits-all approach,” Martowicz said.

The IOC’s previous guidelines – last updated in 2015 – stated that transgender women would be eligible to compete if their total testosterone level in serum had been below 10 nanomoles per liter for at least 12 months. The new framework waives that requirement.

“It is perfectly clear now that your performance is not proportional to your in-built testosterone,” Budgett said.

International sport federations may decide to continue using testosterone-based criteria if research supports that approach, and after Tuesday’s announcement, World Athletics indicated that its current testosterone-based eligibility rules will remain in place. It is also possible that some federations may choose to implement a testosterone-based policy that raises the bar above 10 nanomoles per liter.

“There was a lot of agreement amongst many of us in sport that the 10 nanomoles was probably the wrong level if you’re looking at testosterone anyway,” Budgett said.

IOC acknowledges previous harm of eligibility criteria, gender verification testing

Perhaps the most important takeaway from Tuesday’s announcement was the IOC’s acknowledgement that previous eligibility criteria have “sometimes resulted in severe harm” – leading to the second principle of the framework: prevention of harm.

Beginning in the 1960s, the IOC began mandating gender verification tests for Olympians competing in women’s events. These invasive and demeaning tests continued for decades, first as physical exams, and later as chromosome and hormone testing.

Further testing and medical procedures have also been directed specifically at intersex athletes, often without their knowledge or consent.

When the IOC first opened the door for transgender women to compete in 2004, surgery was a requirement for participation. That was later replaced by the testosterone-based rule (explained above).

“We really want to make sure athletes are not pressured into making a harmful decision about their bodies for the purpose of being allowed to compete,” Martowicz said.

The new framework explicitly states that criteria to compete in a certain gender category “should not include gynaecological examinations or similar forms of invasive physical examinations.” It also says athletes shouldn’t be subjected to targeted testing aimed at determining their sex, gender identity, and/or sex variations.

As part of Tuesday’s announcement, the IOC made a point of noting that such testing and medical procedures can harm all athletes, not just trans, intersex, and non-binary athletes.

Will sport federations create policies inclusive of transgender and intersex athletes? 

While the IOC will provide international federations with guidance on how to write their own policies, “the framework is not legally binding,” said IOC Athlete Department Director Keveh Mehrabi. “What we are offering to all the international federations is our expertise and a dialogue, rather than jumping to a conclusion.”

“It’s important to stress that the sports organizations cannot pick and choose the principles. They have to take them into account together,” Martowicz said.

The IOC framework shifts the burden of proof from individual athletes to the international sport federations. It also specifies that inclusion should be the default unless “robust and peer reviewed research” presents evidence that an athlete is gaining “a consistent, unfair, disproportionate competitive advantage in performance and/or an unpreventable risk to the physical safety of other athletes.”

That said, there is not an abundance of robust or peer reviewed research on the topic, which the IOC is planning to help fix using its own research fund.

“There are a number of priorities for the medical research fund, and one of them is transgender and DSD research,” Budgett said. “It’s very important that we broaden the evidence base. There is some interesting research that needs to come to conclusion, and that will give us much more information about performance which is the issue which is really key to determining eligibility.”

Can the IOC’s framework turn an unmoored debate into a constructive conversation?

The topic of transgender and intersex athlete inclusion is nearly always framed as a debate or controversy between two sides, something the IOC called out in Tuesday’s media roundtable.

International Olympic Committee presentation

Rather than take a so-called side, the IOC instead created a tool to move the conversation forward. As such, the tenth and final principle states that eligibility criteria should be regularly reviewed to account for any “relevant ethical, human rights, legal, scientific, and medical developments.”

“I think we can clearly say we have not found the solution to this big question,” said IOC corporate communications director Christian Klaue. “This is a topic which will be with us for a long time.”

Follow Alex Azzi on Twitter @AlexAzziNBC

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    Diana Flores looks to break down gender barriers with turn as AFC defensive coordinator in 2023 Pro Bowl

    Courtesy Diana Flores
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    Diana Flores admits she was surprised when she became a viral sensation last spring, courtesy of a 15-second slow-motion clip showcasing her evasive maneuvers and fancy footwork while leaving at least three defenders in the dirt during Mexico’s 2022 national collegiate flag football championship.

    “I never expected someone to record that moment,” said Mexico City native Flores, who led her team – the Monterrey Tech Borregos – to their third consecutive national title as a senior last May. “I was just having fun. I was just playing the game I love and then days later to see that it was viral on the internet — it was crazy. But at the same time, it was exciting because I remember when I was younger, I didn’t have a lot of flag football role models to follow. So now, for me to be a role model for many boys and girls that play my sport is something that really makes me happy and proud and also motivates me to keep getting better.”

    Flores, who led the Mexico Women’s National Flag Football Team to a gold medal at the 2022 World Games, will have the chance to promote her sport on one of the world’s biggest stages this weekend when she serves as the AFC defensive coordinator for the NFL’s 2023 Pro Bowl Games, featuring the first-ever AFC vs. NFC Flag football games on Sunday in Las Vegas.

    Organized in partnership with RCX Sports, the NFL’s flag football operating partner, and the International Federation of American Football (IFAF), Sunday’s Pro Bowl event will feature three 7-on-7 AFC vs. NFC flag games. Each game will be 20 minutes in length (two halves) and played on a 50-yard field with 10-yard end zones. Flores will be joined by Peyton Manning as the AFC head coach and Ray Lewis as defensive coordinator. On the NFC side, U.S. Women’s National Flag Football team quarterback Vanita Krouch will serve as offensive coordinator, with Eli Manning as NFC head coach and DeMarcus Ware as defensive coordinator.

    “I think that this has been one of the best things in my life,” she recently told On Her Turf about her Pro Bowl appointment. “It is like a dream. I mean, I grew up watching football, watching the NFL, playing flag football. And now to be able to be part of all of this — it is bigger than my biggest dreams.”

    Flores’ football dreams began as when she was just 8 years old. Her father — who played quarterback for the perennial football powerhouse Monterrey Tech program — took her to a practice and she fell in love with the sport. But as the time there were no teams for girls her age, so she played with girls twice her age and used it to her advantage, focusing on her own abilities and sharpening her skills. By age 14 she was playing NFL Flag in Mexico, where she was the only girl in the league, and at 15 she started playing NFL Flag in the U.S, where she finally played on an all-girls team.

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    “I remember when I started playing, I used to receive a lot of like comments, directly and indirectly from other people, like, ‘Why do you play that sport? That’s not a girls’ sport, that sport is for boys, you’re get injured, you’re going to get hurt, don’t play with boys, that’s too rude.’ And the list keeps going. But my mom and dad were so supportive. They always encouraged me not to listen to anybody, to just follow my passion.

    “And I think thanks to them, I’ve always had this mentality that gender doesn’t matter. It just matters how passionate you are about your dreams, how hard you work for what you want to achieve. And that you will always demonstrate what you’re made for, depending on the hard work you do. So, I’ve lived through that [negativity], I have experienced that. And I think that it has been one of my biggest blessings to be able to experience — for myself — what sport can do and how gender barriers get broken when you follow your dreams and you connect with other people through your passion.”

    At just 16 years old, Flores made Mexico’s national team, playing in the first of four Flag Football World Championships – so far. Last summer at the World Games in Birmingham, Alabama, the 24-year-old Flores led Mexico to a 6-0 record, which included two wins over the U.S. women, who took silver. In the gold medal game against the United States, she completed 20 of 28 pass attempts for 210 yards and four touchdowns in Mexico’s 39-6 victory. She finished the tournament with 23 touchdown passes, the third-most among women’s teams, and she was the only starting quarterback to beat USA’s star QB, Krouch, who is 19-1 in international tournament play.

    All that international experience so early in her career has given Flores a wise-beyond-her-years approach to playing flag football, a sport where she was frequently the only female player on the field and often the only Latin American as well.

    “When I first came to the U.S., it was a little shocking to notice that I was probably the only Latin American girl playing,” she recalls. “But I think that it was easy for me because I got all the support from my coaches and my teammates. And since a young age, I think that I started to realize that sometimes what you do is for something bigger than yourself. That’s why you have to always give your best, in any situation. Even at that young age, I understood that I was representing more than myself on the field, I was representing Latin American people, Latin American girls in a sport that [many people thought] was meant to be for boys.”

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    One door Flores hopes to help open is the one leading to the Olympics. Flag football is on the short list being considered for inclusion in Los Angeles in 2028 Los Angeles. As an ambassador for flag football for the NFL and the International Federation of American Football (IFAF), she’s participated in talks with the International Olympic Committee, and just last month she was joined by First Lady Dr. Jill Biden in Mexico City where they joined forced to promote women’s empowerment and inclusion.

    “I think for me, that experience is one of my top three,” she said of spending time with Biden. “I call them gifts from life, something that you didn’t expect it to happen, and somehow, one day, you’re right there in front of the First Lady. I admire her for what she does for boys and girls, for empowering woman and giving opportunities for everybody to achieve their dreams. So it was truly an honor to meet her, and also to be able to keep impacting my sport, not only on the field, but [off] the field, and have the opportunity keep inspiring others and keep impacting the world.”

    As for what she hopes fans at the Pro Bowl and viewers at home take away from Sunday’s flag football showcase, Flores hopes they’ll see the characteristics that made her fall in love with flag in the first place: creativity, speed, agility, teamwork, passion and a lot of heart.

    “I hope to show to all little girls and women that dreams come true, that nothing is impossible, to keep inspiring and opening opportunities and doors for women in sports, especially in the world of the NFL and football and flag football,” she says. “We’re going to make history, and I am so proud and happy for that. I’m really hoping that it is just the first step, not only for me, but for all the women that are coming after me.”

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    Flag football star Vanita Krouch ‘living the dream’ ahead of NFL Pro Bowl debut as NFC coordinator

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    When Vanita Krouch got the news that she was named NFC defensive coordinator for the 2023 Pro Bowl Games, featuring the first-ever AFC vs. NFC Flag football games on Sunday, the U.S. Women’s National Flag Football team quarterback admits her jaw nearly hit the ground.

    And then she realized something even more profound.

    “For the longest time, thinking about the moment, everything, you’re like, ‘Oh, my gosh, this is a dream come true. Is this really happening?’” said the 42-year-old Krouch, known as the “Tom Brady of flag football” with a 19-1 record as USA’s starting quarterback in international tournaments since 2018.

    “But then I started thinking to myself: You know what? None of us grew up thinking of this as a dream to obtain. So really, it’s kind of reversed where I’m living a dream. I get to be a pioneer in this growth of flag football for all and inclusion for all, youth and adults, [women and men]. It’s such an inclusive sport, and I get to be a part of this growth and still actively play. It’s exciting. I’m literally living the dream. I’m very much like, ‘Guys, don’t pinch me. Let me keep sleeping.’”

    Organized in partnership with RCX Sports, the NFL’s flag football operating partner, and the International Federation of American Football (IFAF), Sunday’s Pro Bowl event will feature three 7-on-7 AFC vs. NFC flag games. Each game will be 20 minutes in length (two halves) and played on a 50-yard field with 10-yard end zones. Krouch will be joined by Eli Manning as NFC head coach and DeMarcus Ware as NFC defensive coordinator. On the AFC side, Mexico Women’s National Flag Football quarterback Diana Flores will serve as offensive coordinator, with Peyton Manning as head coach and Ray Lewis as defensive coordinator.

    But Krouch’s journey to the Pro Bowl stage began under the unlikeliest of circumstances and was inspired by her own family odyssey, which began in Cambodia during the horrific regime of the Khmer Rouge in the late 1970s. Krouch’s mother, Phonnary Krouch, fled the country with three young sons in tow, running by night and hiding by day to escape, finding safety initially at a refugee camp in the Philippines. That’s where she welcomed Vanita, in September 1980, and two months later the family made its way to the United States. Krouch’s father exited the picture upon their arrival in America, leaving Phonnary to raise four children alone.

    “In a nutshell, my mom is an amazing woman,” said Krouch, who first found sports via an elementary school flyer advertising youth soccer in Carrollton, Texas. “On the journey, she had a lot of trials, tribulations, … and after our dad left us, it was just mom and four kids in this little one-bedroom apartment. So, it was a challenge. I’m just so amazed by her strength and will to never give up.”

    She also credits her mom for standing up to then-stereotypical notions that Asian girls should not play sports.

    “I’m just thankful, honestly, that my mom allowed me to break the Asian culture barriers of a woman playing sports because that’s not easy,” she said. “She faced a lot of backlash from the community. But she said, ‘Hey, my child’s making good grades. She’s healthy, she’s good. She’s staying off the streets. I don’t see a problem.’ And she just let me do it. I was just lucky to have a mom that let me spread my wings.”

    Krouch also had a few mentors along the way. Her elementary school PE teacher, Toni Neibes, stepped in to pay for those initial soccer fees and continued her support as Krouch transitioned to basketball in the fourth grade. She fell in love with the sport and excelled at it as well, eventually earning a full scholarship to play college basketball at Southern Methodist University. She wears the No. 4 to this day in honor of Niebes, who wore the same number as a young athlete. She also credits her fourth-grade teacher, Judy Ward, as having a lasting impact after the teacher made a habit out of showing up for her youth basketball games.

    She pays tribute to them both through her clothing line, 4Ward Apparel, which features ever-changing collections emblazoned with relevant slogans encouraging female empowerment, inclusion and her personal mantra of “paying it forward” – something she does with the line itself. Each month, Krouch donates a portion of the sales to individuals, families or organizations in need.

    After graduating SMU in 2003, Krouch continued to play basketball in semi-pro and adult leagues, but she was still searching for something to satisfy her competitive drive. She and a former college teammate stumbled on flag football during a Google search for local Dallas-area activities, and the rest – as they say – is history.

    “It was like I drank the Kool Aid and I never looked back,” she says of her start in flag in 2006. “It’s just like every game, every play is a new challenge, and it’s addictive for a competitor, so I just fell in love with flag. I actually think I’m way better at flag than I was at basketball.”

    She moved into the quarterback position through some sly maneuvering by current USA Women’s Flag Football head coach Chris Lankford. They were playing together in a local tournament when he “tricked” her into the QB position, despite Krouch knowing “zero football language.”

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    “One day I showed up for a tournament and I asked, ‘All right, guys, who’s our quarterback?’ And he says, ‘We’re looking at her,’” she remembers. They kept the plays simple, and her team made it to the playoffs that season. Krouch has been a QB ever since.

    Krouch joined the national team in 2016 and was inducted into the National Flag and Touch Football Hall Fame that same year. Last year at the 2022 World Games in Birmingham, Alabama, a 41-year-old Krouch set a new mark as the oldest Flag football player, man or woman, in the games, and she ranked second among women with 25 touchdown passes at the tournament where USA won silver.

    She aims to bring that expertise to the field at the Pro Bowl games, where she’s looking forward to seeing NFL players take on the flag football style type of plays. “Flag is a very finesse, quick game, a lot of footwork, and these guys can’t grab or hold, no downfield contact or downfield block or anything off the line,” she explains. “So it’s going to be exciting just to see skill for skill, footwork for footwork, defense to offense, and to see flag football language with those type of elite athletes.”

    As for the biggest challenge, Krouch believes it will be crafting a concise playbook and language that puts everyone on the same page. “A challenge for me is getting a coach’s mindset,” she adds, “I have to actually come up with plays ahead of time and I don’t usually have premeditated plays in my head. I just read it so for me to tell Kirk Cousins or Geno Smith [what to do], it will be different, you know?”

    But beyond the Pro Bowl, Krouch is excited that flag is being considered for inclusion as an exhibition sport in the 2028 Summer Olympics. While she’s keeping a hopeful eye on that development, she’s also working to shape the next generation of potential athletes as a physical education teacher at La Villita Elementary in Irving, Texas.

    RELATED: NFL still pushing for Olympic flag football with a chance ahead

    “It’s an honor to be a role model – for other youth flag football players, for my students, both boys and girls,” says Krouch. “Then at my campus and in my community, it’s amazing to be able to break the barrier of like, ‘Asian women can’t do this.’ And then to be at my age, still doing this, I feel very lucky and blessed. …I think I still got some years in me.”

    As for what she hopes viewers and fans walk away with after watching the Pro Bowl flag games this weekend, Krouch feels confident folks will walk away enlightened by the show.

    “I just hope that they have fun with it,” says Krouch. “And for those who don’t know flag to be like, ‘Wow, that’s really amazing. Maybe that’s something I really can get my son or daughter into at a young age.’ So I just hope that they see that the sport is real – it’s not just something we play at recess. It’s a real thing now. I think they’ll see that the world loves it, the world can play it and is playing it.”

    Be sure to check back with On Her Turf later this week when we catch up with AFC coordinator and Mexico Women’s National Flag Football Team quarterback Diana Flores.  

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