Caster Semenya Gender Test: Outrage, Worry In South Africa Over Report

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CELEAN JACOBSON | 09/11/09 09:23 PM | AP

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Caster Semenya

PRETORIA, South Africa — Caster Semenya had heard the taunts and whispers – that she was different from other girls. Now the most intimate details of her anatomy are headline news, and there is worry about how the 18-year-old runner from a poor South African village will handle it all.

Two Australian newspapers reported Friday that gender tests show the world champion athlete has no ovaries or uterus and internal testes that produce large amounts of testosterone. The international sports federation that ordered the tests wouldn't confirm the reports.

The International Association of Athletics Federations, which ordered the gender tests, refused to confirm or deny the reports. In a statement, the IAAF said it is reviewing the test results and will issue a final decision in November.

South African Sports Minister Makhenkesi Stofile expressed horror at the handling of the affair and insisted Caster is female.

"We think her human rights have been violated and her privacy invaded," Stofile said, adding that Semenya should be given legal advice and counseling.

Semenya dropped out of sight Friday. The South African Press Association quoted her coach, Michael Seme, as saying she would not take part in a 4,000-meter race at the South African Cross Country Championships in Pretoria on Saturday because she was "not feeling well." Seme had said earlier in the week that she would run.

Semenya won the 800-meter race at the world championships in Berlin on Aug. 19 by 2.45 seconds in a world-record 1 minute, 55.45 seconds. Even before that, though, her dramatic improvement in times, muscular build and deep voice had prompted speculation about her gender.

The international federation had asked South African track and field authorities to conduct the gender verification test after she posted a world-leading time of 1:56.72 at the African junior championships in July.

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Some people may have the physical characteristics of both genders, a chromosomal disorder, or simply have ambiguous features. The condition is generally referred to as a sexual development disorder, and sometimes intersexuality. An older term for someone with both male and female organs is hermaphrodite.

Dr. John Park, a pediatric urologist at the University of Michigan, said a likely scenario is a condition called androgen insensitivity syndrome. The person is genetically male but doesn't develop external male genitals and appears to be female, or the person can have both male and female physical characteristics.

The disorder is found at birth in the case of abnormal genitals. But often it isn't diagnosed until puberty, Park said. The teen doesn't menstruate because there is no uterus.

In those cases, at birth "they look completely like a girl. There is no ambiguity whatsoever," Park said.

Semenya's father, Jacob, expressed anger when contacted by The Associated Press on Friday, saying people who insinuate his daughter is not a woman "are sick. They are crazy."

Winnie Madikizela-Mandela, a lawmaker and former wife of Nelson Mandela, urged South Africans to support the young athlete.

"The poor innocent child is a victim of all this, and it is not of her making," Madikizela-Mandela told The Star newspaper. "I think it is the responsibility of South Africa to rally behind this child and tell the rest of the world that she remains the hero she is, and no one will take that away from her."

International Olympic Committee President Jacques Rogge said the case could have serious psychological repercussions.

"This is something that touches the very soul of the individual," Rogge told the AP in a telephone interview. "The psychological but also social consequences are really tremendous. This is something that preferably should be handled discreetly if you have the time to do that."

Before the latest development, Semenya told reporters she is happy the way she is. She seemed to take the controversy in stride when she appeared on the cover of a South African magazine earlier this week wearing makeup, jewelry and a dress.

"She's born a female, raised as a female through puberty. Whatever is found, with the exception of deliberate substance abuse, she's going to have to be allowed to compete as a female," said Dr. Myron Genel, a professor emeritus of pediatrics at Yale University who was part of a special panel of experts the IAAF convened on the subject.

Women like Semenya who are born and raised as females before the onset of puberty "should be allowed to compete in women's events, period, end of discussion," Genel said. He said there's a separate issue for people who change gender after puberty.

Some disorders are noticeable at birth. Others aren't noticed until a girl doesn't develop periods or pubic hair during puberty, Genel said. Others don't get noticed until a woman tries unsuccessfully to conceive.

Among athletes the issue is even more confusing because many female athletes due to their training and lack of fat don't menstruate and thus don't realize that they have a sexual development disorder, according to Genel and Dr. Joe Leigh Simpson, past president of the American College of Medical Genetics and a member of IAAF panel.

There is a wide variety of these types of genetic gender disorders. Individually they are rare, but put all together they are not uncommon, Genel and Simpson said.

"There's a whole range of disorders there," Genel said. "The unfortunate thing about this particular case is that it's being played out in the bright lights of the international media."

South Africans, who have embraced Semenya as "our golden girl," took offense at the way the case has been handled.

"It shouldn't have been made public because the girl is 18 years old. ... How is she going to handle that? She may think of killing herself. She has lived her whole life as a woman and now she is told she is a bit of both," said Richard Redman, 25, a film student in Johannesburg.

"I pity her because of the way she found out," said Fiona Dube, a 22-year-old waitress. "I think her privacy has been invaded. Now the whole world knows. It is not like she chose to be that way."

The IAAF has said Semenya probably would keep her medal because the case was not a doping matter.

Even South African President Jacob Zuma weighed in, saying the media have exploited Semenya.

"I don't think we should play around with people's lives and their privacy," Zuma said. He said that the reports violate principles of respect and privacy and that doctor and patient confidentiality should be upheld.

In the northern South African village of Ga-Masehlong, where Semenya was raised, 18-year-old Mapula Phano said he is upset, as are many of the runner's former neighbors.

"Caster is a woman. I don't like having to hear people from outside saying otherwise. Here in our village it doesn't sit well with us," Phano said. "The stuff they have been saying about her could destroy her confidence."

Erina Langa, a neighbor of Semenya's grandmother, said she has been impressed by how Semenya has behaved in the last few, difficult weeks.

"She is very, very, very brave," Langa said. "She's like her grandmother, she's a tough lady. Anything that she wants, she can do it. She trusts herself."

___

Associated Press writers Nkemeleng Nkosi in Johannesburg, Donna Bryson in Ga-Masehlong, Courtney Brooks in Kleinmond, South Africa, Science Writer Seth Borenstein in Washington and Stephanie Nano in New York contributed to this report.

(This version Corrects to note the new term for condition is 'sexual development disorder.' Moving on general news and sports services. AP Video.)

PRETORIA, South Africa — Caster Semenya had heard the taunts and whispers – that she was different from other girls. Now the most intimate details of her anatomy are headline news, and the...
PRETORIA, South Africa — Caster Semenya had heard the taunts and whispers – that she was different from other girls. Now the most intimate details of her anatomy are headline news, and the...
Featured Comments:
hereinmiami
Although i thought this was a pretty thoughtful article, the language it uses is problematic to me. Its scientists who call all of this gender variation things like disorders, abnormalities, and... more >>

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- ladydragon I'm a Fan of ladydragon 10 fans permalink

I feel so bad for this young woman, it's already hard enough trying to navigate your way through life'; but for the media to make something like this so public was just cruel. I hope her country finds some kind of way to provide her with the proper counseling that she's going to need and the love and support from her family.

    Favorite    Flag as abusive Posted 08:02 AM on 09/14/2009

Does anyone know where/how to write a letter of support to Caster that has a remote chance of getting to her?

    Favorite    Flag as abusive Posted 12:48 AM on 09/14/2009

There is no reference to her having any internal or external female organs. Yes whyn you are in front of thousands, it is not easy. whether you fall, win lose, are different.
This is not a good deal for anyone involved.

    Favorite    Flag as abusive Posted 10:28 PM on 09/13/2009
- LovelyGirl I'm a Fan of LovelyGirl 41 fans permalink

I don't understand this disorder. Why are news outlets saying she has both male and female organs, etc. when it appears she has uterus or ovary, but she has testes. I don't understand what they are saying. Why did they think she was female in the first place?

    Favorite    Flag as abusive Posted 10:20 PM on 09/13/2009
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I understand that it's on account of the ambiguous external genitalia that is associated with male pseudo-her­maphrodite­.

A true hermaphrodite has both ovaries and testicles - though not necessarily functional.

A pseudo-her­maphrodite has ambiguous external genitalia
A MALE pseudo-her­maphrodite has ambiguous external genitalia and testes.
A MALE pseudo-her­maphrodite has ambiguous external genitalia and ovaries.

    Favorite    Flag as abusive Posted 11:19 PM on 09/13/2009
- Texleft I'm a Fan of Texleft 6 fans permalink

I say leave the poor GIRL alone and quit acting like sports is some form of high religion. Where is the outcry of steroid use turning our big sluggers into women? And if it is to be a big deal let me just say: Hemaphrodites Rule!

    Favorite    Flag as abusive Posted 10:01 PM on 09/13/2009
- Tugar I'm a Fan of Tugar 33 fans permalink
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NOW FAIR MUST BE FAIR, AND COME ON NOW !!!

I understand this young woman has both male and female organs. So, if she is competing against other women, she has an advantage over them because she has the power and strength of a male, and will always outrun, out-jump another female !

    Favorite    Flag as abusive Posted 09:15 PM on 09/13/2009
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There are no female organs. No ovaries. No uterus. No breasts.

Only testicles.

    Favorite    Flag as abusive Posted 11:16 PM on 09/13/2009

I have the same intersex condition that Caster almost certainly has. It is called CAIS: Complete Androgen Insensitivity Syndrome. I belong to a national organization of other XY ladies with this and similar conditions. I have met 100 plus or minus other people with this condition. I have not met anyone muscular, or "buff" in the way that Caster is. No one I know, including me, has any athletic ability advantage. Caster is where she is because she has worked her butt off through years of hard work, training and determination. She needs the public to leave her alone right now. She has just found out that she has internal testes, that she can never have children and doctors will suggest surgical removal of the testes because they will likely develop cancer. I, like Caster, was diagnosed at the age of 18, 30 years ago. It is a trauma that I have worked hard to overcome but will never completely overcome. I can't imagine learning about my condition when I did with the world watching. Let's all leave Caster and her family alone.

    Favorite    Flag as abusive Posted 08:26 PM on 09/13/2009

Thanks for this.
Well said!

    Favorite    Flag as abusive Posted 09:55 PM on 09/13/2009

Hi Wally,

thanks for your comments. Since the rate of AIS is about 1/50,000 the U.S.
should have at least 6,000 people with the same syndrome. Some who
are diagnosed as children may grow up with less trauma and may not need
as much support from the national organizations and thus not join. But it's
great that the organizations will always be there for them should they need
extra support.

Since both the international sports organizations and the press are on the
topic, I hope it becomes a teaching moment to learn facts about the syndrome.
People some times want to either engage in excessive gossip or avoid altogether
medical issues that they feel uncomfortable with. Some people feel queasy towards
ANY topic of medical genetics.

I do agree that athletic ability is a combination of genetic ability + effort. EVERYONE
benefits somehow from taking steroids but the benefits are based on your abilities.
If you are a couch potato and get double or triple the dose of steroids from an
external source you might run faster, and hit a ball harder than people at your
neighborhood pick-up games. If you are a world class athlete and get double
or triple the dose of steroids, you are going to have an edge on other athletes
who train just as hard and have the same work ethic that you have.

Anyway, thanks for adding to the discussion.

    Favorite    Flag as abusive Posted 10:34 PM on 09/13/2009
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With all due respects, Caster Semenya is, technically speaking, a male pseudo-her­maphrodite­, and does not suffer from androgen insensitivity. If Caster was insensitive to androgens, he wouldn't have a beard, a deep voice, wide shoulders, narrow hips, etc.

There is nothing female about this person - except maybe in his mind, from having been raised thinking he's a woman.

Physically, he's a man.

    Favorite    Flag as abusive Posted 11:15 PM on 09/13/2009

Yes, thank you for this. I think it is especially helpful to hear you say that she is where she is because of her hard work and dedication. I hope that someone with your insights is counseling the panel that will decide her fate in competitive athletics.

    Favorite    Flag as abusive Posted 12:46 AM on 09/14/2009
- nkhogan I'm a Fan of nkhogan 72 fans permalink

Thank you so much for sharing your story. People here need to learn more about this condition before they begin passing judgement.

Caster is an amazing athlete and people should leave her alone. And I think she should continue to compete as a woman.

And I wish you all the best as well. It took courage to share your story here.

    Favorite    Flag as abusive Posted 06:38 AM on 09/14/2009
- escobar I'm a Fan of escobar 18 fans permalink

She is not a man.
She has a right to her win.
She is what God made her.
The gender tests are to eliminate drug use. She is a natural being.
She is a woman.
She has some differences but it isn't wrong or unnatural.
I can't believe they want to abuse her like this.

    Favorite    Flag as abusive Posted 08:08 PM on 09/13/2009
- gayleg I'm a Fan of gayleg 10 fans permalink

How horrible. She only found out because of these tests they gave her.

I feel so bad for her. She's just a kid from a small, poor village. I hope she'll be okay.

    Favorite    Flag as abusive Posted 07:36 PM on 09/13/2009
- Debanne I'm a Fan of Debanne 3 fans permalink
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Rights, what does having a right have to do with the other runners or participants of the race? It is unfortunate that this young lady had to be treated this way, because she is different. But how has she violated the other runner's rights?

Because she will probably win every race is this a violation of the rights of the other runners? I do not think so.

    Favorite    Flag as abusive Posted 07:06 PM on 09/13/2009
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Even Caster Semenya had to know something was off.

First clue, no menstruation.
Second clue, a beard.
Third clue, the deep voice.
Fourth clue, absolutely not a hint of breasts.

Then there's the Adam's apple, the wide shoulders, the narrow hips...

Caster Semenya has no ovaries and no uterus. But he has internal testicles. That makes Caster Semenya a man, with imperfect genital apparatus. He's not even a hermaphrodite, and least of all a woman.

He's a dude with undescended testicles, and undeveloped weiner.

    Favorite    Flag as abusive Posted 06:01 PM on 09/13/2009
- nilotic I'm a Fan of nilotic 13 fans permalink

I think you are correct; however, this was too public. He/she is only 18, and this must be extremely tough to handle with global attention. Caster should never compete as a woman, as she/he is clearly not a woman. Women do not have internal testes, nor do women "produce large amounts of testosterone."

    Favorite    Flag as abusive Posted 10:44 PM on 09/13/2009
- nkhogan I'm a Fan of nkhogan 72 fans permalink

Lots of teenage female athletes don't have periods or breasts because of training.

Leave the woman alone.

    Favorite    Flag as abusive Posted 06:39 AM on 09/14/2009
- anitaj I'm a Fan of anitaj 8 fans permalink

Sex is biological. Gender is cultural.

Ms. Semenya has lived as a girl for almost two decades. She is dealing with a difficult issue that has been inappropriately been revealed in a public way. I do not want to know the specifics of her genital configuration ... it is none of my business.

The concerns here should be for 1) Ms. Semenya's health; 2) Determining if she has an unfair advantage over biological women in competition and determining where she should be able to compete in the future; and 3) ensuring that the IAAF and other governing bodies never mishandle a situation like this again.

    Favorite    Flag as abusive Posted 07:44 PM on 09/15/2009
- rodnacious I'm a Fan of rodnacious 5 fans permalink
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This is not the way to have handle a matter as delicate as this...

    Favorite    Flag as abusive Posted 04:46 PM on 09/13/2009

Semenya is obviously ANDROGYNOUS. All humans possess both male AND female attributes in varying degrees but in some (like Semenya) the results of this reality yields gender uncertainty. We often see "delicate," slender men and "tough", muscular women; however, it is rare that anyone finds it necessary to open up and explore their bodies publicly for the world to ridicule. These "blended beings" and their parents select which gender they will be raised as. The medical report verifies that Semenya does NOT have external male genitals so it seems natural to me that her parents assumed her to be female at birth! I am sure that they were pleased that their DAUGHTER was faster and stronger than other girls. In Africa, the standards of beauty are different than in the West and many women have outstanding muscular definition and running speed.. And in many cultures, deep, female voices are often considered "sexy." In the case of Semenya, I am sure that the bottomline is the fact that her victories will place her in a position to earn megabucks and her financial gain will be some other runner's loss. However, if I am wrong and the true issue is her genitalia and hormone balance, then ALL ATHLETES should have their genitalia and hormones examined and the results published. Ultimately, the criteria for which event an athlete could enter would be their hormones and genitalia rather than simply their [ambiguous] gender appearance. New horizons with Semenya as the sacrificial yellow canary.

    Favorite    Flag as abusive Posted 04:02 PM on 09/13/2009
- Softnsweet I'm a Fan of Softnsweet 9 fans permalink
photo

She will not be making anything if the people who put this out to the world can help it.

    Favorite    Flag as abusive Posted 07:55 PM on 09/13/2009
- nilotic I'm a Fan of nilotic 13 fans permalink

African women are not masculine or manly, so please stop it with that insult about African standards of beauty. You don't know what you are talking about at all. Femininity is extremely important to most African women. You sound so ignorant....

    Favorite    Flag as abusive Posted 10:50 PM on 09/13/2009

I did NOT say we are masculine. I said many African and African American women have "outstanding [meaning wonderful] muscular definition and running speed". Please note the Olympics and the often often lovely defined arms of many women throughout the African diaspora -- including Michelle Obama. My point was that this is NOT necessarily masculine.

    Favorite    Flag as abusive Posted 02:13 AM on 09/14/2009
- nilotic I'm a Fan of nilotic 13 fans permalink

African women are not masculine or manly, so please stop it with that insult about African standards of beauty. You don't know what you are talking about at all. Femininity is extremely important to most African women. You're obviously not an African....

    Favorite    Flag as abusive Posted 11:02 PM on 09/13/2009

This is so cruel. This whole thing stinks. That girl should have not learned of the death of her being in this manner. Think about it, unless her family was rich in Africa, she was under served in so many ways; health care, education, the power of the press and being famous. Who wants to be famous as the most obvious male/female bio cross. Her life is long and she has only started. She is someone's child. Now the parents are shocked. Should have taken her to a doctor long ago. In America the school would have recommended a doctor and test. She has my sym.

    Favorite    Flag as abusive Posted 03:03 PM on 09/13/2009
- TrnsNtnl I'm a Fan of TrnsNtnl 2 fans permalink

Gender and sexuality are private matters but at the same time I cant help but be greatfull that this has become a public issue. Getting sexuality and gender into the public discourse is important for decreasing violence against transgendered, middle sexed, bi, gay queer etc people. I only hope that some shade or dignity and respectfulness can remain in peoples minds when considering the exploitative plight of one human considered "abnormal" because of social constructs all of us are responsible for propping up.

    Favorite    Flag as abusive Posted 02:47 PM on 09/13/2009
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