"In a small number of cases, such screenings can indicate a need for follow-up tests as part of standard medical care with associated duty of care and support. The need for follow-up tests is primarily relevant for athletes who may have been registered as female at birth but who are males that have differences of male sexual development involving functioning testes, male puberty or testosterone in the male range and, therefore, male advantage, and who may be unaware of their condition," the report continued.