Gonadal dysgenesis If a single or combination of these genes are mutated or deleted, downstream signalling is disrupted, leading to malformation of male external genitalia. SRY acts on gene SOX9 which drives Sertoli cell formation and testis differentiation. An absence in SRY causes SOX9 to not be expressed at the appropriate time or concentration, leading to a deficiency in testosterone and Anti-Müllerian hormone production. Inadequate levels of testosterone and Anti-Müllerian hormone disrupts the development of Wolffian ducts and internal genitalia that are key to male reproductive tract development. The lack of the male associated steroid hormones drives Müllerian duct development and perusal
Fraternal birth order and male sexual orientation support a prenatal origin to sexual orientation development in men and indicate that the fraternal birth order effect is probably the result of the mother's body's “memory” for both male births as well as male gestations (i.e., every instance of being pregnant with a male fetus). So even if a male fetus was not carried to term, he still increases the likelihood of homosexuality in any subsequent male fetuses gestated by the same mother. The existence of the fraternal birth order effect on male sexual orientation has been confirmed many times. One approach for establishing the ubiquity of this effect