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The prenatal sex steroid theory of autism after 25 years | Nature Human Behaviour

nature.com

After 25 years of evidence, the prenatal testosterone theory of autism is being stress-tested — and the results reveal just how messy biology-meets-behaviour science really gets.

Prenatal Sex Steroid TheoryExtreme Male Brain TheoryBiological DeterminismNeurodevelopmental Theory
The prenatal sex steroid theory of autism after 25 years | Nature Human Behaviour

Theory Briefing

  • Higher prenatal testosterone levels were linked to slower social development in early studies, giving the theory its initial momentum.
  • A quarter-century of follow-up research now complicates the picture, with mixed findings challenging a clean hormonal explanation for autism.
  • The review highlights how a compelling biological theory can shape research funding and diagnosis for decades before the evidence fully catches up.