“…Digit ratio also varies predictably between women with typical female prenatal development and women exposed to more "masculine" prenatal hormone levels because of an endocrine disorder (congenital adrenal hyperplasia or CAH) (Brown, Hines, Fane, & Breedlove, 2002;Okten, Kalyoncu, & Yarvis, 2002; but see Buck, Williams, Hughes, & Acerini, 2003). Some evidence suggests that the 2D:4D ratio is a direct correlate of prenatal sex steroid levels (Lutchmaya, Baron-Cohen, Raggatt, Knickmeyer, & Manning, 2004;Manning et al, 1998). However, a recent proposal is that digit ratios may be better described as a measure of perinatal androgen action (McIntyre, 2006), consistent with findings that smaller digit ratios are associated with androgen receptor alleles showing fewer terminal domain CAG repeats (Manning, Bundred, Newton, & Flanagan, 2003), a marker of greater androgen sensitivity (Chamberlain, Driver, & Meisfeld, 1994;Kazemi-Esfarjani, Trifiro, & Pinski, 1995).…”