In March 2023, Khelif was disqualified for failing to meet eligibility criteria shortly before her gold medal bout at the
2023 IBA Women's World Boxing Championships. The
Algerian Olympic Committee said Khelif was disqualified for medical reasons. It was later reported that the disqualification was due to
high levels of testosterone.
[7][8] International Boxing Association president
Umar Kremlev said
DNA testing of Khelif and other athletes "proved they had
XY chromosomes and were thus excluded from the sports events".
[9] Khelif is not
transgender, but has a
disorder of sex development (DSD), which causes some females to have XY chromosomes and blood
testosterone levels typical of a male.
[10][11] In Algeria, the country that Khelif represents, transgender identity is prohibited, changing gender or sex on identity documents is not permitted, nor are medical or hormonal treatments allowed to transition to another sex. Khelif made an appeal before the
Court of Arbitration for Sport but later withdrew it,
[3] making the IBA decision
legally binding.
[12] In 2024, the IBA said that Khelif and others "did not undergo a testosterone examination but were subject to a separate and recognized test, whereby the specifics remain confidential".
[13]