Dr. Beal’s Favorite Resources for Trans Youth in Sports

gender affirming healthcare gender affirming medical care pediatric gender affirming care transgender continuing education online transgender health transgender health education Sep 19, 2022
Youth on play field in sports uniform kneeling around a coach learning a play

Unfortunately, a lot of states and sports organizations are creating barriers for trans athletes. And for youth navigating binary gender teams, lockers rooms, and more can be daunting. I have had several young patients quit sports they love due to these challenges. As someone who felt like a misfit in my early years and found a place in life on my track team, this breaks my heart. Track and field and my team taught me so much about life, type 2 fun, community, and social skills. It was one of the first places I felt permission to start asking questions that church and home didn’t allow. My track team was one of the first places that gave me space to find me.


I want that for all of my young trans patients who want it for themselves. As many of us are primary care providers we should be well-versed in sports participation physicals. I recommend these resources to prepare for those:

  • Brukner & Khan’s Clinical Sports Medicine. 5th ed. Volume 2. McGraw-Hill Education; 2019
    • Chapter 30 in Volume 2 discusses transgender and intersex athletes
  • PPE: Preparticipation Physical Evaluation Monograph. 5th ed. American Academy of Pediatrics; 2019
    • Overview of the preparticipation physical evaluation, including a systems-based approach with inclusion of special groups, such as transgender athletes.

For actual information about states and organizations rules or guidelines, Transathlete is a great resource. Other additional resources I recommend regularly include: 


  • Athlete Ally 
    • Focuses on ending homophobia and transphobia in sports through education and empowerment.
  • LGBT SportSafe
    • Provides training for athletic coaches and administrators on how to create a more inclusive athletic community
  • World Anti-Doping Agency
    • Guidelines for therapeutic use exemptions for transgender athletes


All athletes have the right to play and to feel safe on the team. These resources can help with that. I also like to follow trans sports advocates on social media like @pinkmantaray on Instagram.


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