Relevant passages from the new FINA policy document:
POLICY DEFINITIONS
FINA recognises that some individuals and groups may be uncomfortable with the use of medical and scientific terminology related to sex and sex-linked traits. FINA respects all Aquatics athletes and has sought to avoid sensitive terminology that may cause offense. Nevertheless, some use of sensitive terminology is needed to be precise about the sex characteristics that justify separate competition categories and to ensure that the Policy’s terms are understood by all Aquatics stakeholders. Some of those terms are explained in this section.
For purposes of this Policy: “ Differences of sexual development” (DSD) are a group of conditions where external genital appearance is discordant with internal sex organs (testes and ovaries). This Policy is only concerned with 46 XY DSD, i.e., DSD affecting athletes with testes (males as defined below).
The word “female” means possession of XX chromosomes and (in the absence of medical intervention) ovaries and increased circulating oestrogen and progesterone starting at puberty.
The word “male” means possession of XY chromosomes and (in the absence of medical intervention) testes and increased circulating testosterone starting at puberty.
The word “sex” denotes natural biological differences between females and males, including chromosomes, sex organs, and endogenous hormonal profiles.
This Policy uses the word “sex” and the term “biological sex” interchangeably.
The term “Tanner Stages” denotes the five stages of puberty during which individuals develop secondary sex characteristics. Tanner Stage 2 denotes the onset of puberty. The normal time of onset of puberty ranges from 8 to 13 years old in females, and from 9 to 14 years old in males.
The term “transgender” refers to individuals whose gender identity and/or expression differs from what is typically associated with their sex.
THE POLICY OBJECTIVES
FINA is committed to the inclusion of all Aquatics athletes from all countries in the sport, subject to the eligibility requirements set out in this Policy It is committed to the separation of Aquatics sports into men’s and women’s categories according to sex, as this is necessary for the attainment of the goals for that category that are set out in the Introduction to this Policy. It is also committed to providing the opportunity for transgender and 46 XY DSD athletes to compete in Aquatics competitions pursuant to eligibility criteria that are consistent with and do not undermine those goals.
In light of these commitments, the objectives of this Policy are:
• to maintain the separation of Aquatic sports into men’s and women’s categories according to scientifically-grounded, sex-based criteria;
• to maintain the separation of Aquatic sports into men’s and women’s categories according to scientifically-grounded, sex-based criteria;
• to provide opportunities for transgender and 46 XY DSD athletes to compete in FINA competitions in the competition category that reflects their gender identity based on eligibility criteria that are consistent with and do not undermine FINA’s goals for the women’s category; and
•to provide a clear, fair, respectful, and confidential process by which athletes may establish their eligibility for FINA competitions.
THE POLICY:
Male-to-female transgender athletes (transgender women) and athletes with 46 XY DSD whose legal gender and/or gender identity is female are eligible to compete in the women’s category in FINA competitions and to set FINA World Records in the women’s category in FINA competitions and in other events recognised by FINA if they can establish to FINA’s comfortable satisfaction that they have not experienced any part of male puberty beyond Tanner Stage 2 or before age 12, whichever is later.
Specifically, the athlete must produce evidence establishing that:
i. They have complete androgen insensitivity and therefore could not experience male puberty; or
ii. They are androgen sensitive but had male puberty suppressed beginning at Tanner Stage 2 or before age 12, whichever is later, and they have since continuously maintained their testosterone levels in serum (or plasma) below 2.5 nmol/L.
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ALSO
a.All athletes must certify their chromosomal sex with their Member Federation in order to be eligible for FINA competitions. Failure to do so, or provision of a false certification, will render the athlete ineligible.
b. Member Federations must confirm their athletes’ certifications of chromosomal sex when registering their athletes to compete in FINA competitions.
c. FINA reserves the right to include a chromosomal sex screen in its antidoping protocol to confirm such certification.
https://resources.fina.org/fina/document/2022/06/19/525de003-51f4-47d3-8d5a-716dac5f77c7/FINA-INCLUSION-POLICY-AND-APPENDICES-FINAL-.pdf