This should give them the confidence and stimulus to put these rules in place." Under the previous IOC guidelines, approved in 2003, athletes who transitioned from male to female or vice versa were required to have reassignment surgery followed by at least two years of hormone therapy to be eligible to compete. Now, surgery will no longer be required, with female-to-male transgender athletes eligible to take part in men's competitions "without restriction". Meanwhile, male-to-female transgender athletes will need to demonstrate that their testosterone level has been below a certain cut-off point for at least one year before their first competition. "The overriding sporting objective is and remains the guarantee of fair competition." "To require surgical anatomical changes as a precondition to participation is not necessary to preserve fair competition and may be inconsistent with developing legislation and notions of human rights," it added.
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