Childhood Gender Nonconformity in Boys Linked to Early Androgens

Summary: Male children with isolated GnRH deficiency (IGD), a rare endocrine disorder associated with a lack of sex hormone during the second trimester of development, report more gender non-conformity than males without IGD. The same was not true for females with IGD.

Source: Penn State

In laboratory animals, sex differences in behavior occur because different hormone levels produced by males and females influence patterns of gene expression in the developing brain. However, the origins of sex differences in human behavior are not as well understood, according to a team of researchers.

“In the lab, you can do experiments on how these hormones effect animal brains and perform other experimental manipulations,” said David Puts, associate professor of anthropology. “We can’t do those things to people, so we looked to a natural experiment.”

The natural experiment studied by Puts and his collaborators is isolated GnRH deficiency (IGD), a rare endocrine disorder. Individuals with IGD lack sex hormones beginning in the second trimester of development and continuing until they begin hormone replacement therapy to induce puberty. 

However, because the external genitals develop earlier, during the first trimester, people with IGD are unambiguously male or female at birth and are raised in a manner consistent with their chromosomal and apparent sex. Their condition is usually detected when they fail to start puberty.

Consequently, IGD provides the opportunity to study psychology and behavior in people who were raised as boys but exposed to low testicular hormones during early development or were raised as girls but exposed to low ovarian hormones during early development.

The researchers looked at 97 individuals with IGD and 1665 individuals with typical hormonal development. The researchers recruited IGD subjects through collaborations at Massachusetts General Hospital, Harvard Medical and the National Institute of Child Health and Human Development and from online support groups for people with IGD. Because only one in 130,000 people has IGD the number of IGD subjects was necessarily low.

By comparing the two groups, the researchers attempted to isolate the direct influence of sex hormones on the developing brain from the influence of gender socialization — boys being encouraged toward active play, girls pushed to more passive pursuits, for example — because all subjects would have been similarly socialized according to their physical sex.

The researchers asked subjects to recall behaviors they had as children.

“We asked them, ‘When you read a book, were you the male or female in the story?’, ‘Where your friends boys or girls?’, ‘Did you play with dolls or trucks?’,” said Talia N. Shirazi, doctoral recipient in anthropology now working in the reproductive health industry.

According to Puts, such so called childhood gender role behaviors are among the largest behavioral sex differences. Typically, males will say they were the male character, played with other boys and preferred trucks, while females will say they were the female character, played with other girls and preferred dolls. 

However, males with IGD reported more gender non-conforming in these types of behaviors. The researchers report in an upcoming issue of Psychological Science, that men with IGD recalled a higher level of childhood gender non-conformity than typical men, while women with IGD did not differ from typical women in childhood gender conformity.

‘”We don’t see this effect in the women with IGD,” said Shirazi.

This indicates that having low levels of ovarian hormones such as estrogen does not have a large effect on childhood gender role behaviors, she added.

This shows children playing in a red pull wagon
According to the researchers, so-called childhood gender role behaviors are among the largest behavioral sex differences. Typically, male adults will say they were the male character, played with other boys and preferred trucks, while female adults will say they were the female character, played with other girls and preferred dolls. Credit: Patrick Mansell, Penn State

“Our results suggest that in humans, androgens, such as testosterone produced by the testes, influence male brain development directly as they do in other mammals, rather than only indirectly by influencing external appearance and consequently gender socialization,” said Puts.

“Both the direct influence of androgens on the developing brain and gender socialization probably play important roles in producing sex differences in childhood behavior.”

Puts and Shirazi agree that despite their modest sample of participants with IGD, they are encouraged that the results were very similar in subjects who came from a clinical setting and those recruited from support groups.

“It would be nice to be able to identify people with IGD when they are younger, before they reach what should be puberty,” said Shirazi. “We need to focus on recruitment for our studies because there is a lot that can be learned about the cause of gender behaviors.”

Other researchers from Penn State include Heather Self, former lab coordinator in Puts’ lab; Kevin A. Rosenfeld, doctoral candidate, anthropology; Khytam Dawood, teaching professor in psychology; and Rodrigo Cárdenas, assistant teaching professor in psychology.

Also working on the project were Lisa L. M. Welling, former Penn State postdoctoral fellow, now an associate professor of psychology, Oakland University; J. Michael Bailey, professor of psychology, Northwestern University; Ravikumar Balasubramanian, physician, Reproductive Endocrinology Unit, Massachusetts General Hospital; Angela Delaney, physician, St. Jude’s Research Hospital; and Marc Breedlove, Barnett Rosenberg Professor of Neuroscience, Michigan State University.

Funding: The National Science Foundation, National Institutes of Health, Penn State Social Science Research Institute and the American Institute of Bisexuality funded this research.

About this neurodevelopment research news

Author: A’ndrea Messer
Source: Penn State
Contact: A’ndrea Messer – Penn State
Image: The image is credited to Patrick Mansell, Penn State

Original Research: The study will appear in Psychological Science

Join our Newsletter
I agree to have my personal information transferred to AWeber for Neuroscience Newsletter ( more information )
Sign up to receive our recent neuroscience headlines and summaries sent to your email once a day, totally free.
We hate spam and only use your email to contact you about newsletters. You can cancel your subscription any time.