Woman, man or a little bit of both? How deciding Caster Semenya's gender is more complex than you might think

The family and friends of the teenager who struck gold in the women's 800 metres at the World Athletics Championships but now faces sex tests hit out yesterday at claims she could be a man.

And South African Caster Semenya was also backed by her government, who called her the country's 'golden girl' and a role model for young athletes.

Caster, whose rapid improvement over the last year raised eyebrows, won the women's title with a crushing performance in Berlin on Wednesday.

At first thought, it seems strange that the South African runner Caster Semenya needs to take a sex test to determine whether she is indeed a woman - or a man, as rumours suggest.

Track star Caster Semenya: But is this teenage golden girl all that she seems?

Track star Caster Semenya: But is this teenage golden girl all that she seems?

One would imagine that sex is something fairly clear-cut: that you are either one or the other.

It seems even stranger to discover that the International Association of Athletics Federations (IAAF) says that the tests are 'extremely complex', and that the results will not be known for days, even weeks.

Again, this seems to run contrary to common sense. Surely, one would think, determining one's sex is as simple as removing one's underwear and taking a look.

In fact, it can be rather more complicated than that. It is not generally appreciated that gender in humans - and many other species, too - is not just a binary affair, a simple case of being male or female.

While the vast majority of people are clearly either a man or a woman, many others are somewhere between the two - often with tragic consequences.

Indeed, while people have been making jokes for decades about burly, allegedly female shot putters and javelin throwers, who turn out - after often humiliating and invasive 'investigations' - really to be men, the fact is that such cases do not always involve intentional deception, and can result from true biological ambiguity.

Evelyn Sekgala, Caster Smenya's cousin

Evelyn Sekgala, Caster Smenya's cousin, has come to her defence and insists sh has always been female

Caster Semenya

Caster Semenya's aunt Martina Lamola (L) and her siblings, Thabang (13) and Nkele Semenya (R) show off her certifcates and trophies in their village of Molejie

Caster Semenya

Caster Semenya's family members and friends all insist she is a girl: from left, Paballo Choshi, 19, (cousin); Nkele Semenya, 16, younger sister; Shirley Rammabi, neighbour and Martinah Lamola aunt from Masetlong village at Moletjie in Limpopo.

To understand how, and why, we need first to clear up some semantics. The term 'sex' is a biological one, with a strict biological meaning.

'Sex' is a genetic marker, indicating the nature of the chromosomes in your body and what type of sex cells - eggs or sperm - you produce as an adult.

When it comes to sex, the vast majority of people are either 'male', in which case their cells contain a paired set of 'X' and 'Y' sex chromosomes, or 'female', in which case they have two 'X' chromosomes.

So most people are, genetically, either 'XY' (male) or 'XX' (female). Normally, this means you will develop into either a biological male or a biological female.

South Africa's Caster Semenya
South Africa's Caster Semenya

Masculine: Questions have been raised about Semenya because of her muscular build and deep voice

Your chromosomes, for example, are (largely) responsible for whether you have testicles and a penis, or a uterus, ovaries and a vagina.

Unfortunately, it isn't always as simple as that. Hormones circulating in the growing foetus, for example, can accentuate or retard the formation of certain sexual characteristics.

Too little testosterone, and male genitals, even in an XY foetus, may form incompletely, or even not be visible at all.

Meanwhile, too much testosterone in a genetically female (XX) foetus may lead to the 'masculinisation' of the external genitalia.

This may lead to a penis-like organ in place of the female clitoris, or even, rarely, wholly-formed male sex organs.

Champion: Semenya has been given with her gold medal but it could be taken away if gender tests reveal she is a man - promoting Kenya's Janeth Jepkosgei Busienei to gold and Britain's Jenny Meadows to silver

Champion: Semenya has been given with her gold medal but it could be taken away if gender tests reveal she is a man - promoting Kenya's Janeth Jepkosgei Busienei to gold and Britain's Jenny Meadows to silver

Sexual 'dimorphism' - differences in the bodies of males and females - normally continues to develop during childhood and puberty.

In 'normal' males, testosterone causes bones and muscles to develop more strongly, the voicebox to expand, and facial hair to grow.

Girls, meanwhile, grow breasts, wider pelvises and start to accumulate more body fat than their brothers.

But again, there are vast differences between people - even those who are genetically 'normal'.

Many men develop wide hips and high-pitched voices, while many biological females develop slim-hipped, muscular frames, powerful muscles and deep voices.

Humans vary a great deal. It is, perhaps, unsurprising that the world of sport - in which speed, power and endurance are paramount - has produced a number of sexually ambiguous female competitors, as it is precisely these characteristics, related to muscle mass and strength, that are associated with the markers of male biology.

South Africa's Caster Semenya

Complicated: Semenya will undergo complex gender tests as discovering the truth is not as easy as looking under her shorts

It is the case of 'intersexuality', however, that leads to the greatest degree of confusion and, often, prejudice.

As we have already seen, it is possible for a person to be genetically 'male' or female' and yet, for complex hormonal reasons, show only partial male or female bodily characteristics.

But there are several known abnormalities that can lead to specific sexual ambiguity.

So called 'XX male syndrome' occurs in people who have two X chromosomes - one of which contains a significant amount of genetic material from a Y chromosome.

These people appear to be male, but are, in fact, genetically female. Typically, they will possess male sex organs, but these will often be underdeveloped.

They will also often develop breasts and maintain a high-pitched speaking voice.

In fact, biologists now recognise a host of conditions, both genetic and otherwise, which are labelled under the umbrella term 'intersex' - which replaces older terms such as 'hermaphrodite'.

It is estimated that about one in 5,000 babies born falls into the Intersex category - although, because there are such strong taboos and prejudices concerning sex, gender and identity in most societies, the true number may be much higher.

Easy victory: Semenya was metres ahead of her competitors in the 800m race

Easy victory: Semenya was metres ahead of her competitors in the 800m race

Intersex people may be genetically female, but physiologically male. Some will be true hermaphrodites, producing both eggs and sperm.

Many will have been subjected to 'gender reassignment surgery' after birth, sometimes successfully, often not.

I once went to a talk given by a group of doctors and biologists who were all themselves intersex, and some of the tales were both moving and harrowing.

There were stories of surgical castration and remodelling, with disastrous psychological consequences later in life.

Sex testing can be harrowing as well. The Indian 800 metre runner Santhi Soundarajan, who was stripped of her silver medal and reported to have attempted suicide in the wake of her very public gender test 'failure' at the 2006 Asian games, simply did not know that she had 'androgen insensitivity syndrome'.

This means that despite having no visible male genitalia and a visibly female body, she does, in fact, have a 'male' pair of XY chromosomes.

What this sorry affair teaches us is that sport, with its emphasis on precise measurements and defined quantities, is badly equipped to cope with something as vague and emotionally charged as human sexual differentiation.

In the world of athletics, you come first - or you lose. But when it comes to being male or female, it really is possible to be something in between.

One can only hope that the 'experts' at the IAAF take this into account before testing Ms Semenya and announcing their results to the world.

Ref: dailymail.co.uk