"The IAAF’s enforcement of gender normativity is also evident in its rebuttal of concerns raised by the World Medical Association and the United Nations, among others, about mandating that healthy athletes undergo medically unnecessary interventions in order to compete. Rather than viewing the serious and long-term consequences of lowering testosterone as “side effects,” the IAAF proposes that they are “the desired effects.” These changes—including reduced muscle and increased fat—are supposed to produce the kind of body that Stéphane Bermon, Director of the IAAF Health and Science Department, has presented as the “ideal female phenotype” at scientific conferences.

"Disregarding women athletes who have resisted these interventions, even to the point of bringing legal challenges against the regulation, the IAAF insists that these “medications are gender-affirming” and “change their body to better reflect their chosen gender.” The latter statement insinuates that women athletes who do not willingly modify their bodies to fit IAAF standards actively “choose” their gender, which deliberately encourages confusion with transgender athletes."

What the heck?