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This site uses cookies to improve your experience and deliver personalised advertising. You can opt out at any time or find out more by reading our cookie policy. From now on women who want to compete in international competitions at distances of between meters and one mile will have to reduce their blood testosterone level to below five nanomoles per litre for at least six months before the event, and then keep it there.

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Potentially one of the most pivotal moments in modern sport occurred not on a track, pitch or court, but in a plush office building in the Swiss city of Lausanne on Wednesday. The Court of Arbitration for Sport Cas rejected Caster Semenya's challenge of rules meaning athletics' world governing body can restrict testosterone levels in female runners. A double Olympic gold medallist and three-time world champion over m, the year-old South African has won her past 29 races over the distance.

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South African runner Caster Semenya has gone into hiding and is receiving trauma counselling in the wake of claims that gender tests have shown she is a hermaphrodite. Semenya, 18, won the women's metres at the World Championships in Berlin last month. But her masculine build raised questions about her gender and tests after the race showed her testosterone levels sharply exceeded the average for a woman.

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This essay is part of our occasional series Zoom Outwhere authors explore key ideas in science and technology in the broader context of society and humanity. Middle-distance runner Caster Semenya will need to take hormone-lowering agents, or have surgery, if she wishes to continue her career in her chosen athletic events. The case was brought to CAS by Semenya, as she argued discrimination linked to a decision preventing some women, including herself, from competing in some female events.

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The tests carried out on the 18 year-old shortly after her victory in Berlin are believed to have shown that she has a chromosomal abnormality that gives her both male and female characteristics. According to reports in the Australian media, the medical tests have established that she has no womb or ovaries and that she also has internal testes — the male sexual organs responsible for producing testosterone. Earlier analysis had revealed that Semenya's testosterone levels were three times the normal level for a woman.

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Caster Semenya of South Africa celebrates after winning gold in the Women's meters. Caster Semenya crouched over the starting line, waiting for the start in the final meter race at the Olympic Games. When the gun went off, the middle-distance runner appeared to fly across the track.

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She also won the silver medal at the World Championships in the metres. She was the winner of the gold medal in the metre events at the Summer Olympics and Summer Olympics. Following her victory at the World Championships, it was announced that she had been subjected to sex testing.

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Perhaps no female athlete has faced such brutal scrutiny by fellow competitors, sports officials and journalists. When Semenya, then 18, dominated the at the world track and field championships, winning by more than two seconds, a fellow competitor called her a man. Semenya was barred from competition and subjected to sex tests.

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Inan already controversial Berlin Olympics set the groundwork for another debate that continues to this day. Female athletes Stella Walsh and Helen Stephens came under scrutiny after there was speculation that the two were actually men disguised as women, who had entered the women's meter sprint in order to gain an unfair advantage. While these claims were never proved, they did have significant repercussions, felt by female athletes even today.

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From the moment she burst into the spotlight as a teenager, sprinting to victory at the track and field world championships, Caster Semenya faced anger and suspicion. It was her broad shoulders, the set of her jaw and muscular build. For much of the last decade, Semenya has faced claims that her physique and natural but unusually high testosterone levels give her an unfair advantage over competitors.

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