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Joe Leigh Simpson, MD
Memphis, Tenn

Arne Ljungqvist, MD, PhD
Stockholm, Sweden

Albert de la Chapelle, MD
Helsinki, Finland

Malcolm Ferguson-Smith, FRS
Cambridge, England

Elizabeth Ferris, MBBS
Alresford, Hants, UK

Myron Genel, MD
New Haven, Conn

Anke Ehrhardt, PhD
New York, NY

Alison Carlson
Hastings-on-Hudson, NY

JAMA. 1993;269(3):357-358.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In Reply.

—We are pleased to have the opportunity to respond to Dr Dingeon and to update the IAAF position on gender verification.

First, Dingeon is incorrect in stating that we advocated a physical examination for all athletes at every competition. Instead, we recommended only examination in the home country, complemented by spot checks at competition sites. Furthermore, the IAAF never advocated a "gynecological test" (presumably, an internal pelvic examination).

Since our February 1992 Commentary, the IAAF has updated its position. Gender verification has now been abandoned, as a result of a second IAAF Working Group (London, England, May 1992). None of the team physicians present at that meeting were aware of attempts by athletes to masquerade in their own country. The physicians found it incredible that men could, in the 1990s, masquerade as women, given the requirement for urine testing for doping. The urine sample obligatorily required to detect . . . [Full Text PDF of this Article]

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