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Karkazis et al. [73] have argued that there is no evidence to suggest that endogenous testosterone levels are predictive of athletic performance (apart from doping), as there is variation in how bodies make and respond to the hormone. Testosterone is only one particular portion of a person’s physiology and there are other important things (each biological and environmental) that need to be regarded as if fairness (the absence of advantage) is the aim in competitive sport. For instance, having big hands is key for manipulation in some sports (e.g. basketball), but this is not noticed as an unfair advantage. Establishing what an athletic benefit is in competitive sport would facilitate inclusion of all athletes (regardless of their gender identity) on the premise of fairness. Sexual activity ahead of competitors has been viewed as as a attainable lead to for reduced efficiency considering that ancient Greece and Rome. Lately, the hypothesis that optimal sport functionality could be influenced by a range of variables such as sexual activity prior to competition has been investigated. Having said that, few scientific information are obtainable, with the exception of anecdotal reports of individual experiences. The present systematic overview focused on the existing scientific proof on the effects of sexual activity on sport overall performance regardless of sport variety.

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