 While such sex tests are not compulsory for competitors, the International Association of Athletics Federations can request that contenders take such tests at any time, and include intensive evaluation by a gynecologist, a geneticist, an endocrinologist, a psychologist, and an internal medicine specialist.Reports initially suggested that her upbringing in impoverished rural India, where she reportedly only started eating proper meals in 2004, could be a factor behind the test result.In a 2016 video petition, Santhi Soundarajan disclosed that she has been told she has androgen insensitivity syndrome.