Removal of testes still will not change the body's programming to develop the body as it has been already genetically programmed.
A castrated child will likely be taller than average, maybe taller than they would have grown with their testes intact. This is still an advantage that these males continue to have despite ‘puberty blockers’. This is where future studies will start to focus on these cases. This may also then bring in those athletes with CAIS who are currently not the focus of regulations.
Lidewij Sophia Boogers, Chantal Maria Wiepjes, Daniel Tatting Klink, Ilse Hellinga, Adrianus Sarinus Paulus van Trotsenburg, Martin den Heijer,
Sabine Elisabeth Hannema
published: 06 June 2022
academic.oup.com/jcem/advance-article/doi/10.1210/clinem/dgac349/6603101
It doesn't change the fact that even at the age of about 6 years old, male children are still beating female children consistently.
Plus never had an issue with menstrual cycles.
https://www.economist.com/science-and-technology/2021/06/24/acl-injuries-are-a-growing-problem
Plug this into archive dot is for the full version.
One of the most curious features of ACL injuries, though, is that they afflict women far more often than men—as much as eight times more, some investigations suggest. Why this might be is the subject of intensive research. But a clue lies in an apparent connection with the menstrual cycle.
A study published in 2013, of a group of women skiers in the Alps, for example, found that those in the pre-ovulatory stage of the cycle were more than twice as likely to suffer an ACL tear than were those in the post-ovulatory stage. A four-year survey of 113 female England footballers, published in March, also found a clear correlation. Muscle and tendon injuries were far more common in the late follicular phase of the cycle, just prior to ovulation, than in the other phases.
The reason for this menstrual-cycle link is unclear. The ACL has oestrogen receptors, which might help to explain what is happening. But it is not unique among ligaments in this, and the receptors’ job is, in any case, obscure. Levels of oestrogen in the body do spike just before ovulation—the point when tear-frequency rises—but uncertainty remains about the exact link.
Other contributory factors to women’s higher ACL tear rate may be female body shapes and movement patterns. Compared with men, women have wider hips, more inverted knees and “over-dominant“ quad muscles (meaning that the quadriceps femoris muscle group in front of the thigh bone is relatively stronger than the hamstring group behind it). All these factors put pressure on the elaborate workings of the knee joint. Women also tend to land in a more flat-footed manner than men do, and to pivot more awkwardly.