I'm not sure if it makes sense to include the effects of medical interventions for the purposes of determining which group, athletically speaking, trans-women s

I'm not sure if it makes sense to include the effects of medical interventions for the purposes of determining which group, athletically speaking, trans-women should belong to. My understanding is that trans-women are women, not because they received medical treatments that affirm their gender, but because they identify as women. Thus, gender identity, except to the extent that it correlates with biological sex, has very little direct effect on athletic performance. Yes, some choose to receive treatments that reduce their athletic performance, but that's true of many other athletes - sometimes you have to choose between your own health and competition and making the best choices for health often means forgoing a chance to be a top athlete. If anything, going by biology is more inclusive because it allows both trans-women and trans-men to compete fairly against others that share their biological sex, as long as they postpone treatments until their athletic career is over. If we go by this evolving combination of gender identity and hormone level checks, pre-treatment trans-women aren't allowed in any category, post-treatment trans-women have a massive advantage over biologically female bodies, pre-treatment trans-men cannot compete at all and post-treatment trans-men are still at an extreme disadvantage.