Causes of transsexuality Docter and others, but opposed by Charles Allen Moser, Larry Nuttbrock, Julia Serano, and the World Professional Association for Transgender Health.<section end="factors" /> A 2008 study compared 112 male-to-female transsexuals (both androphilic and gynephilic), mostly already undergoing hormone treatment, with 258 cisgender male controls. Male-to-female transsexuals were more likely than cisgender males to have a longer version of a receptor gene (longer repetitions of the gene) for the sex hormone androgen or testosterone, which reduced its effectiveness at binding testosterone. The androgen receptor (NR3C4) is activated by the binding of testosterone or dihydrotestosterone, where it plays a critical role in
Fraternal birth order and male sexual orientation studies have demonstrated that the fraternal birth order effect does not operate through social or postnatal (e.g., learning or rearing or environmental) mechanisms; rather it is biological in nature and operates prenatally. It is also known that the fraternal birth order effect on male sexual orientation is unaffected by family dynamics, living with older brothers or learning. Fraternal birth order and male sexual orientation A correlation between fraternal birth order and male sexual orientation has been suggested by research. Ray Blanchard identified the association and referred to it as the fraternal birth order effect. In several studies, the observation is