Male and female fetuses differ in testosterone concentrations beginning as early as week 8 of gestation. This early hormone difference exerts permanent influences on brain development and behavior. Contemporary research shows that hormones are particularly important for the development of sex-typical childhood behavior, including toy choices, which until recently were thought to result solely from sociocultural influences. Prenatal testosterone exposure also appears to influence sexual orientation and gender identity, as well as some, but not all, sex-related cognitive, motor and personality characteristics. Neural mechanisms responsible for these hormone-induced behavioral outcomes are beginning to be identified, and current evidence suggests involvement of the hypothalamus and amygdala, as well as interhemispheric connectivity, and cortical areas involved in visual processing.
Human sexual differentiationWhy do males and females differ behaviorally? Certainly, there is much differential socialization of the sexes, but is there an inborn element as well? Darwin's sexual selection theory 1 suggests that competition for mates and discriminative mate choices have shaped the evolution of sex differences 2 . Efforts to apply this theory to understanding sex differences in human behavior have been controversial 3 , and because they are distal explanations of behavior, evolutionary theories can be difficult to subject to direct scientific scrutiny. However, whatever distal genetic forces have shaped the evolution of human sex differences, they appear to act through proximal mechanisms that can be evaluated more directly. Prominent among these mechanisms are differences in the amount of testosterone to which male and female fetuses are exposed.The hypothesis that prenatal testosterone influences human neural and behavioral development derives from thousands of experimental studies in non-human mammals. In these studies, animals are assigned at random to various hormonal manipulations during critical periods of early development and influences on brain and behavior are observed (Box 1). These studies show that prenatal or neonatal levels of gonadal hormones are a major determinant of sex differences in brain development and in subsequent behavior, with direct genetic effects playing a smaller role. The hypothesis that hormones exert similar influences on human neurobehavioral development has been debated, but recent studies provide convincing evidence that prenatal androgen exposure influences children's sex-typed play behavior. In addition, there is growing evidence that other behaviors that show sex differences, including