International sports federations (IAAF, IOC, boxing federations, etc.) have in the past investigated cases in which female athletes had XY chromosomes and an SRY gene. This is not about cheating, but about biological variations (DSD = Disorders/Differences of Sex Development).
The SRY gene (Sex-determining Region Y) is a gene located on the Y chromosome. It plays a decisive role in sex development in humans and many other mammals.
The SRY gene is the “start button” for male development in the embryo.
Why a chromosome test is not always sufficient in sports
A simple chromosome test (XX or XY) is not always enough to clearly determine biological sex for sporting purposes. Reasons include:
An SRY test is more precise because it checks whether the “male development switch” was activated – something a chromosome test alone cannot reliably show.
The SRY gene is not always functionally active and not automatically associated with increased androgen production.
Distinction: Presence vs. functionality of SRY
Genotype | Testes present? | Testosterone production | Androgen action | Typical phenotype / upbringing | Notes |
Complete Androgen Insensitivity Syndrome (CAIS) | Yes (often intra-abdominal) | Normal to high | None (defective receptor) | Female, no body hair, no hirsutism | Very feminine body habitus; usually discovered at puberty due to absent menstruation |
Partial Androgen Insensitivity Syndrome (PAIS) | Yes | Normal to high | Partially reduced | Female, male, or ambiguous | Wide variability: from almost female to masculinized |
5α-Reductase Deficiency | Yes | Normal | Testosterone present, but no DHT (dihydrotestosterone) | At birth: usually female; at puberty: partial masculinization | Some raised as girls, then virilize in puberty |
Gonadal Dysgenesis (XY with SRY, but defective gonadal development) | Dysgenetic or absent testes | Low to none | Normal (but no hormone) | Female, absent puberty | Risk of gonadal tumors; often requires estrogen therapy |
Swyer Syndrome (complete XY gonadal dysgenesis) | No (streak gonads) | None | – | Female, absent puberty | Raised as girls; no androgens because no testes |
Turner Mosaic with Y material (45,X/46,XY) | Variable | Variable | Variable | Often female | May carry Y material without functional testes |