P. Vignetti et al., SEX PASSPORT OBLIGATION FOR FEMALE ATHLETES - CONSIDERATION AND CRITICISMS ON 364 SUBJECTS, International journal of sports medicine, 17(3), 1996, pp. 239-240
In Ancient Greece determination of sex was made by direct observation
of the all-male athletes participating in the Olympic Games. In 1966 t
he International Olympic Committee (I.O.C.) established that female at
hletes must submit to a complete physical examination before each inte
rnational competition. In 1968 they further established that each fema
le participant be granted a ''Sex Passport'' based upon the findings o
f a medical and gynaecological examination as well as chromosomal sex
determination. The authors, whose department has been responsible for
granting Sex Passports for more than 20 years, examined 364 female ath
letes aged 16 to 29 years using I.O.C. criteria. They found three chro
matin-negative cases (0.8 %). The present work indicates several scien
tific shortcomings of the current I.O.C. examination criteria, illustr
ates three chromatin-negative cases, their consequences and proposes a
return to original criteria for examination except in doubtful cases.