Fraternal birth order (FBO) appears as a prenatal cause of 15% of homosexual males (gays) through mnemonic maternal anti-male factors. Non-right-handed men seem to be protected from homosexuality. Four hypotheses are proposed: (1) androgenic factors of nonright-handedness neutralize anti-male factors; (2) non-right-handedness and homosexuality are lethal or produce mental impairment; (3) non-right-handed male embryos are insensitive to anti-male factors; (4) mothers of non-right-handed fetuses do not produce antimale factors. Studies of the sex ratio (SR) of older and younger siblings show: (1) a significant heterogeneity in the SR of siblings of right or non-right handed heterosexual men and women; (2) lesbians are born among siblings with high SR; (3) siblings of righthanded gays show a higher SR than non-right-handed gays that present a low SR. Based on our discovery of maternal tolerancerejection processes, associated with genetic systems (ABO, Rh), where zygotes or embryos different from their mother induce better pregnancy and maternal tolerance than do those that share antigens with their mothers, I propose a new explanation for sexual relationships, sexual orientation, handedness and sibling SR. Lesbian embryos could induce tolerance from mothers with anti-female factors. Non-right-handedness could induce maternal tolerance, or change the maternal compatibility of "gay" embryos. Alternatively, gay embryos could be poor inducers of maternal tolerance towards male traits.Key terms: homosexuality, handedness, sex ratio, birth order, fetomoternal tolerance, genetic distortions biological brothers, reared together or apart from the index homosexual case, are responsible for FBO effect. The probability of being homosexual increases as the number of older brothers increases. Handedness interacts with homosexuality and the SR of siblings; homosexuality, due to FBO, affects non-right-handed men less (Blanchard, 2001(Blanchard, , 2004Blanchard and Bogaert, 1996;Cantor et al., 2002;Bogaert, 2003Bogaert, , 2005Bogaert, , 2006, a relationship explained hypothetically by four prenatal mechanisms Lippa, 2006, 2007;Blanchard, 2008): (1) androgenic factors associated with non-right-handedness could cancel maternal anti-male factors leading to homosexuality; (2) homosexuality and non-right-handedness together may lead to death, neuro-psychic impairment or any condition that confers a low probability of being ascertained; (3) non-right handed fetuses my be insensitive to maternal anti-male factors; (4) mothers of non-right handed fetuses do not produce anti-male factors. The FBO was found also in transsexuals whose sexual identity, rather than their sexual orientation, is altered (Green, 2000). These hypotheses are in contradiction with the fact that non-righthandedness is more frequent in homosexual men (gays) and women (lesbians) than in heterosexuals (Lalumiére et al., 2000; this study). A hypothetical reconciliation of these contradictory facts was presented by Blanchard (2008). The authors (of the FBO hypoth...