"Damned If You Do, Doomed If You Don't": A Socio-Medical Commentary on "Of Athletes, Bodies and Rules: Making Sense of Caster Semenya"

As medical professionals, we outline the science underlying disorders or differences of sexual development (DSD), discuss the nuances of sex and gender and how terminology can differ based on medical vs. non-medical context, briefly review the evidence of the ergogenic effects of hyperandrogenism, and discuss the medical complications with the hormonal contraceptive use currently dictated by World Athletics to allow DSD athletes to compete in the female category.