FILE PHOTO: Swimming - FINA World Championships - Budapest, Hungary - June 19, 2022 General view of Alex Walsh of the U.S. in action before winning the women's 200m medley final REUTERS/Antonio Bronic
"Some of these physical advantages are structural in origin such as height, limb length, heart size, lung size and they will be retained, even with the suppression or reduction of testosterone that occurs in the transition from male to female.
Female-to-male transgender athletes who are not using exogenous androgens can compete in the women’s category. Transgender swimmers must provide FINA with a comprehensive medical history and other evidence to prove they are eligible for the competition category and be willing to undergo a physical examination.FINA can also monitor through random or targeted testing of athlete's testosterone levels.
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