374 - The evolutionary biology of testosterone: male development & sex-based behavioral differences
3651 segments
Hey everyone, welcome to the Drive
Podcast. I'm your host, Peter Aia.
Carol, thank you so much for coming out
to Austin. Great to great to meet you in
person.
>> Thank you so much for having me. I'm
thrilled to be here.
>> This is a topic that we we talk a lot
about on the podcast, but usually from a
pretty narrow lens, right, which is in
the form of replacement. Um, we talk
about hormones. um both in men and women
uh sex hormones and we talk about how
they they wax and wayne as a as an
individual ages. We obviously then talk
about you know sort of the medical use
of them but I don't think we've spent
any time understanding the more basic
fundamentals of these hormones, the role
they play in our evolution. Um, and
anecdotally,
you know, I I'll just share with you
kind of the observation that any parent
probably has uh if they have male and
female children, right? So my my first
child was a girl and
I we my wife and I very very stupidly
and arrogantly thought we were the
perfect parents because like she was so
well behaved and we were like what do
all of these other parents with their
boys running around misbehaving? Like
what are they doing wrong? And like how
could we teach them how to be as good as
we are? I mean, we didn't actually say
that, but there was undoubtedly an
annoying smuggness to us.
Um, and if you believe in a god, that
god smacked us into our place with two
boys that followed who were for all
intents and purposes treated the same
way, socialized the same way. And there
is a level of aggression in them, a fury
in them that I've never seen probably
unless I were to go back and hear
stories of what my mom said I was like.
How old are your boys now?
>> Uh, eight and almost 11.
And they're a diff they're not I
wouldn't say they're a different sex. I
would say they're a different species.
>> Yeah, I was just going to say that.
>> Yeah. So, all of that is to say
I don't I don't feel we did anything
different and yet they couldn't be more
different. And I I appreciate that
that's not going to be the case for
every parent. Um, but I also don't know
how much, well, what I hope to learn is
how much testosterone has to do with
that because I also am under the
impression that at this age the
testosterone levels wouldn't be that
much different. And I understand and
we'll probably talk about the
differences in testosterone levels
during the embryologic phase because
obviously that led to the differences.
But anyway, with that as backdrop,
>> yeah,
>> how did you get interested in this
topic?
>> Great. Okay. So, I want to make sure to
come back to everything that you just
said. Um,
so how did I get interested? I'm going
to start at the beginning, which is that
I grew up with three older brothers, and
I'm assuming that this had something to
do with my interest in testosterone. We
They were different than I was I am in
some in some consistent ways. I don't
think I thought much about that. And I
think that probably
made me really want to understand what
motivates um male behavior in general
and why it's different from female
behavior.
That wasn't sort of an idea that I had
when I was in college that I was going
to go study this, but I did become
intensely interested in the evolutionary
origins of human behavior in general and
what makes us different from other
animals. And that happened, I think,
because of traveling. I traveled
to a lot of different places in the
world mostly by myself uh during and
after college and there were such
extreme differences culturally. Egypt
with your family's Egyptian. That was
one of the places I went that really
freaked me out because I that really
shook me um because the cultural
differences
>> were so profound in terms of the
incredibly important role that sex plays
in social life and the segregation uh
and different rules that applied to
males and females. I was I was alone
traveling by myself as a young woman,
totally ignorant of what I was getting
into in Egypt. I was harassed endlessly.
Um, some of that was my fault for not
understanding the culture well enough
and what I was getting into. Uh
so this combination of
being immersed in not only different
societies that treated sex and sex roles
very differently but also different
ecologies. I spent some time um in
Africa and Kenya and Tanzania and got
really interested in all of the animal
behavior and why we are different from
other animals etc. So I had a whole
other career before graduate school and
I ended up leaving that career and
applying uh to Harvard to try to do a
graduate degree where I could um do more
to understand the evolutionary basis of
human behavior. I ended up uh getting
rejected and I just persisted and then
was offered this job out in Uganda
studying chimps for what was supposed to
be a year. And that is what really
triggered my interest in sex differences
and testosterone because
we I think to a certain extent are
indoctrinated uh to believe that most
human sex differences are cultural or if
you think that they're not it it's
better you don't say that out loud to
too many people are in the wrong place.
Uh, so when I spent time with the
chimps, I was really blown away by the
ways that the sex difference in the sex
differences in the chimps paralleled
human sex differences. Of course, not
exactly the same, but the very basic
things that you just described um, even
just in terms of energy and aggression
are present in the chimps in terms of
being higher in the males and lower in
the females. And I'm getting goosebumps
because the reasons for that are so
profound and far-reaching and start with
sperm and egg. And that's what sex
really is about is the um not just the
ability to produce sperm or eggs, but
kind of the way that the organism is
designed and the uh reproductive
phenotype including body and behavior.
And then that in humans plays out in
these really complex ways in terms of
social systems. So I thought I really I
got interested in testosterone because
this is one thing I could grab on to
that links very clearly humans,
chimpanzees and every other mammal in
terms of um males having much higher
levels than females. And it's not just
mammals. There are other forms um of
steroid hormones that uh other species
have but this is um pervasive and just a
very powerful way to understand
approximately that means what's
happening sort of here and now in the
organism why the sexes are different and
then there are these deep evolutionary
pressures that have to do with
reproductive strategies for organisms
that produce sperm versus organisms that
produce eggs and so then I ended
uh reapplying to Harvard and getting
into the grad program there and I did my
dissertation on testosterone and sex
differences in cognition
um and the way we think and process
information and I had men watch sexy
videos and also videos of dental surgery
and collected uh their saliva and
measured their testosterone in the lab
and uh and then I just stayed on at
Harvard uh mostly just teaching. So, I
want to go back to something you you you
sort of said a second ago, which is the
distinction between mammals and non-
mammals. Uh, and I never really thought
of it until you said this, but if if I
were to
look at a a male great white shark and a
female great white shark, first of all,
do they have testosterone in them as the
androgen or sex form?
>> Vertebrates, most vertebrates will have
testosterone or something very, very
close
>> to testosterone. Yep. Now, if you again
go back to the example of great white
sharks,
>> yeah,
>> typically the females are larger. I
would reckon they're just as aggressive
as the males. Is that reflected in
comparable levels of testosterone in
those species?
>> So, sharks I don't know about
specifically, but first of all, uh males
are not always bigger than females.
Males will do whatever they need to do
generally to compete for mates. And in
many species, it's not uh to be larger.
Also there are differences in the
ability to defend a territory or defend
mates in air and water and land and
that's really a interesting way to
understand some male competitive
strategies.
So, but generally when in the species if
the female is just as aggressive, often
it's uh maternal aggression and not
necessarily uh mate competition. And if
it's
>> uh maternal aggression tends to be
mediated more by estrogen than
testosterone, even in hyenas that uh
which are very difficult to tell apart,
the females are very difficult to tell
apart from the males. They have this
clitoris that looks exactly like a penis
and experts often can't even tell the
difference. They're highly aggressive.
Um, and that seems not to be mediated by
adult in the adult at least with uh by
comparable levels of testosterone. There
seems to be potentially something going
on in early development. But often I I
don't know of good evidence that
testosterone acts similarly in females
to mediate um say mate aggression that's
we'll say mating aggression.
>> So so just make sure I understand in the
hyenas if you took an adult male and an
adult female hyena would they have
similar levels of testosterone and
estrogen?
>> No the males would be higher.
>> The males would be higher. Um,
>> despite the fact that phenotypically
they look the same and they're both
equally aggressive.
>> I believe they're either just as a
aggressive if not more so. I think
they're I believe that they're dominant
to the males.
>> Got it.
>> Uh, and there's something going on with
potentially adrenal and like maternal
adrenal androgens when the fetus is
developing that becomes the aggressive
female. But I don't think it's uh
completely worked out. I haven't looked
at the literature on that in ages. So
the the
extent of my recollection from um from
medical school on this topic was that
and again we can come back and talk
about the edge cases but
99.9% of cases are either XX or XY
right in terms of humans humans. Yes.
>> Yeah. Right. So we can talk about
Turners and Klein filters and things
like that later, but in the 99.9% of
cases of XX and XY,
what are the steps
and um how do they involve sex hormones
that create the phenotypic differences
in the embryo?
>> Yes. So phenotypic um we'll just stick
to the body and then we can also talk
about the behavior.
>> Yes. Yes. Exactly. That's what I want. I
just want to start with let's get
through the first nine months
>> and then like let's help understand how
those those two options of chromosomes
lead to two different body types.
>> And I just want to say right at the
outset that we have a sex determination
system that relies on chromosomes, but
not every animal does. So chromosomes do
not equal sex. And birds have used
chromosomes, but they have a different
system where the female is the one that
has hetererozygotic um chromosomes. So
there's temperature dependent sex
determination. So people should not
confuse uh the sex hormones themselves
with the definition of sex. However,
>> the chromosomes are the sex hormones.
>> Sorry, sorry. Sorry. Did I say sex
hormones? Sex chromosomes. Sorry.
>> Yes.
>> Uh thank you. So se the in in mammals
the chromosomes determine sex but do not
define sex. Again across sexually re
almost all sexually reproducing
organisms it's the um gameamt type that
the organism is basically designed
around uh the re that the reproductive
system is designed around that defines
sex. So and also we can have other
organisms have um can be hemaphroditic
have uh produce both gameamt types at
the same time or they can be sequential
hermaphrodite. So I just want to
>> yep
>> get that out first. So in humans the uh
mom the mother's egg is always the the
sex chromosome is always going to be an
X that it donates um in its egg and it's
going to combine with a sperm. 50% of
the sperm are going to have a Y sex
chromosome and 50% of the sperm are
going to have a X chromos uh gonna have
an X in general. So those two uh combine
and the developing embryo is going to be
either XX and XY. So
let's just start with the XY.
Uh so you were an XY. I had a son who
was an exy, which is weird for women
because they h they will have a
something inside of them that has
testicles that's producing that produce
testosterone. Uh, which I think is
interesting. And so an XY fetus
around
uh five or six weeks.
I should just say that XX and XY are
both uh
almost completely they're almost
identical until that time.
>> And the Y chromosome has a gene on it
called the sex determining region of the
Y chromosome that produces a protein
called the SRY protein. And this is a
very important protein because it
triggers the differentiation of the
undifferentiated gonad. So what's really
cool and interesting is that before that
time we all have a gonad that can become
>> both
>> either one. It can become um testes or
it can become ovaries. And that's sort
of an amazing design. And that's
evolution's way of not wasting energy,
not have having to have two
>> two systems,
>> two different systems that one develops
and the other gets discarded at least in
terms of the gonads. So they come first.
And
so in terms of sexual differentiation
that means that for XY
um individuals the gonads are going to
develop along the testicle route and
without the SRY gene they will by
default when I say by default that
doesn't mean that nothing else has to
happen. other genes have to be expressed
and and that's an active process. It's
not a passive process. But without the
SRY gene, those undifferiated gonads
will differentiate in the female
direction to form ovaries. So, so I
remember my overly simplistic and this
is almost 30 years ago, but I could have
sworn I used to think about this in the
embryology class as by default we are
female and this gene had to turn on to
basically take the X-wise and make them
male phenotypically. But that's
obviously oversimplified.
>> Yes. So, in some ways that is true. Uh
I would not
put it that way be but
by default you the individual will
develop say female
>> because if you have an XY that is
missing that region you will be
phenotypically
female but chromosomally male.
>> So you will be uh chromosomally male.
Sure. um
you will not develop but you won't
develop functional ovaries. Correct. You
won't be able to reproduce that but you
would look for all intents and purposes
you would look female. Correct.
>> Yes. So your external genitalia would
appear to be female
>> and we we'll get into those cases. Again
these are kind of these edge cases.
>> Yeah. If you think about what the
genitalia look like in a early
developing fetus, it looks female. It
doesn't have to change that much. It
gets bigger. Y
>> but to if you take what looks like um
even adult female genitalia, basically
you modify the clitoris and and the
labia to get what looks like um typical
male genitalia. So that has to do a lot
of growing and changing. And it's like
that in in the embryo or sorry in the in
the fetus. So if we're going down the
the male route, you get the expression
of SRY. And what that does is it um
causes certain cells in this
undifferentiated gonad to develop into
first uh leig cells and then later
cerolely cells. So that's happening and
then later ovarian uh differentiation
takes place.
So two things happen. The lady cells
start producing testosterone
uh first. And
I'm going to go back and just talk about
the wolfian ducts and the malarian
ducts.
>> Oh my god, I have not heard that term
since medical school. I I what a blast
from the past. Okay, so this is du
cts, not duck like quack-quack. So these
are ducted systems. Yeah.
>> And so here's another kind of cool
thing. So we start out with this
>> um
two primordial or primitive gonads that
can become either
>> and they're high. I remember they're in
the almost in the chest. And so
obviously the males have to descend into
what becomes the scrotum and the females
just stay there.
Um and and that seems very sensible.
>> You you know we still don't completely
understand why males take all this
valuable
>> stuff and keep it outside of their body.
That's a whole other
>> maybe temperature regulation.
>> Yeah. I wrote about this in my book and
I researched it um
pretty thoroughly and came up with no
answer because elephants uh have their
testicle elephants and whales and um but
I think elephants might there's oh one
other vo or something that has their
testes inside but all other mammals it's
outside and yes it's there certainly is
temperature regulation uh but then why
don't we have the system however it is
that the elephants can get
genetic.
>> I'm just going to take you down a stupid
detour for your next book.
>> Um, we were at my younger son's uh
baseball party at the end of the season.
And so now picture at the, you know, at
the time a bunch of, I don't know, 27y
old boys running around the pool playing
baseball, playing football, goofing off.
And me and the dads were sitting there
hanging out and we were observing their
behavior and and I came up with this
observation which is
there's estimated to be about 110
billion humans that have lived right
over the past 250,000 years inclusive of
of course the eight or so billion that
are alive today. And just watching this
small group of 20, you could already see
the number of times one boy would walk
up to the other and sort of flick him in
the nuts. Okay. And I was like, "All
right, to the dads."
>> How many times How many times in the
history of 250,000 years has one male
gone up to another male to flick him in
the nuts? How what's that number?
>> So it go it's goes back. So the chimps
did this.
>> Well, so but let finish the punch line.
The punch line is whatever that number
is, it's enormous.
>> Yeah.
>> Now, what's the number of females that
have gone up to another female and gone
and tried to flick them in the clitoris?
Like zero.
>> There is sometimes a little breast play,
I guess, teenagers, but nothing like
what boys.
>> Is this like what it's you're talking
about a ratio of 0 to 87 bill432
million.
>> All right. Give me your hypothesis about
why this happens.
>> I mean, my only hypothesis is that boy,
males are idiots. Like, it's such an
evolutionary stupid thing to do to like
that's a very precious part of real
estate.
>> That's the point. So, why would they do
that?
>> So, maybe it's threaten. It's like
basically I'm going to make sure you
can't reproduce. Like, I'm going to be
dominant. I'm going to I'm going to
reduce your probability of reproduction.
>> So, these are kids who are good friends
usually, right?
>> Yes.
>> And only a good friend could do it.
>> Yeah. Well, only a good friend will get
away with it.
>> Like if a stranger did it, then you're
going to come across.
>> Okay, so that so that's the point, I
think. Um,
>> so male intimacy involves insults.
Uh, the the the harsher the insult
somehow the more intimate unless it's
rejected like you just described with
the flick. So chimps,
>> and this was amazing to see because I
didn't know about it. uh when they're in
a high stress or or conflict situation
or there has been a conflict, they will
uh the subordinate will cup the balls of
the dominant one and and and they also
sort of play sex from behind kind of,
but it's this intimate trusting weird
situation where I think it really is
saying I'm down for you. I'm not gonna
hurt you. I'm holding your testicles and
you can trust me. I think, you know, I I
don't know, but uh that's that's
interesting.
>> It it just blows my mind because again,
the dads, we sat around and we laughed
hysterically at this because most of us
have daughters and we're like our our
girls have never once behaved in this
way.
>> Yeah.
>> Anyway, sorry, carry on. I apologize. So
I'm going to be
>> So there's all these things we don't
understand and one of them is why would
you leave this precious real estate
outside your body if you could
potentially thermmore regulate inside
the body.
>> I mean maybe there's an answer now and I
haven't found it and someone will you
know write in
>> we'll hear about it in the comment
section. Yeah.
>> Um so I'm just going to go through the
ducts a little more quickly. That's
there's two different systems. So the
wolfian ducks become what I'll just say
is the male internal plumbing and
thearian malarian ducts become what is
the female internal plumbing.
>> So what's what's important is that the
lady cells produce testosterone which
stabilizes the development of the
wolfian ducts. The testicles have to
produce uh two hormones. Lady cells
produce testosterone to stabilize the
wolfen ducts to connect the um sperm
producing organ to the delivery system
ultimately which is the penis and they
have to cause the degeneration of the
malarian duct. So that's antimmalarian
hormone and testosterone. So healthy
testes and this is important when we
talk about uh the disorders or
differences of sexual development.
Healthy testes will have those effects.
And you can also think about well what
happens if they can't produce
antimmalarian hormone or what happens if
there's no receptor for testosterone or
no no receptor for malarian hormone.
>> And by the way is there at any point is
any of this testosterone being converted
to DHEA in any meaningful amount? Not
that I know of. DHT for sure. Yep.
That's extremely important and that
comes next. Uh so I would like to
>> Sorry, I meant DHT. I'm sorry. I'm
sorry. Yeah. Yeah. So I I want to make
sure I can just talk about it a little
bit now. Uh so so that conversion is via
the enzyme five alpha reductase that's
present that's present in uh high
concentrations in the genital tissue. So
what's interesting about this is that
you have a mechanism to achieve high
concentrations of a more potent androgen
without that uh having to circulate
through the general circulation which
you do not want in a developing fetus.
You want to be able to control um the
development of the penis say which is
one of the things that DHT does. It
takes the uh so this so so the genital
tubrical can become the clitoris or the
penis essentially in the presence of
testosterone and functional uh five
alpha reductase it becomes a penis the
labia grow and then fuse to become the
scrotum uh and that and also the
prostate the uh DHT is necessary for
full prostate development and can later
uh sustain the function of the prostate
so what's it it is interesting because
it is this solution to in to providing
very strong androgenic signals in the
tissues that need it without wasting
energy on uh strong androgenic signals.
>> I've never actually unders I've never
thought about this until now. Is that
why DHT has such a high affinity for the
androgen receptor? You think? Yes. Is so
that you could permit it to only have a
local effect? Yes.
>> During embryologic development because
otherwise I don't know that it would
matter as much in me at this old age
that DHT is that much more potent than
testosterone. Right. So, I don't think
it would matter as much uh
>> because I'm I'm okay to be exposed to
circulating
androgens in a way that the fetus
presumably you wouldn't want.
>> I think that DHT is something like two
to five times more potent. So, and I
just
>> I thought it was even more than that.
>> It could be more. But what this means is
that it binds the receptor more tightly
and it stays on for longer, which means
that it um produces more of whatever the
protein is that it's um upregulating
because it's a steroid. Testosterone is
a steroid. Estrogen is a steroid. And
steroids, this is the way that they
typically act is by either inhibiting
but generally upregulating um androgenic
genes. So
yeah, I think that's super interesting.
And of course, there's a disorder five
alpha reductase uh deficiency where
individuals are
basically just typical males, but they
happen not to be able to produce DHT,
which seems not to, we can talk about
this later, but it seems not to have any
DHT is not what masculineizes the brain,
but it does masculineize external um
genitalia. So without that, you're going
to have what look like female genitalia
in a male. Yeah.
>> Whose otherwise typical male because the
testosterone works and the androgen
receptors are present.
>> Unfortunately, these
>> these are really really rare conditions
because that's
>> I mean these are Yeah, I I sort of It's
funny in medical school you you come
away thinking these things occur all the
time because of how much time you spend
studying these these very very rare uh
disorders. Um but but again fortunately
they're not common
>> but they do help I I used to teach a lot
about these cases because
uh yes they really help to understand
the typical pathway but also how
powerful even tiny little mutations in
little genes how powerful those
mutations can be and
uh I think it increases compassion when
we understand what the pathway is that
leads to these differences or disorders
how you know
>> because going back to that specific case
>> you have an individual that is born that
I assume at birth looks female
>> it depends where they're born if they're
born and this will become relevant if we
talk about this later in terms of sports
if they're born in places without a sort
of modern medical care often they are
sexed as uh female
But I think it becomes apparent quick
pretty quickly in childhood that that um
they're actually male. That's a whole
complicated,
>> right? Because they look male everywhere
else, right?
>> Uh
yeah, we should probably talk about that
later. But they the body the body will
look male once puberty hits. But there
is a lack of facial hair and other body
hair
>> and that do they have ovaries?
>> No no no testes. No ovaries.
>> No they have testes
>> but they haven't descended.
>> Uh they may or may not have generally.
So the the ones that really do appear to
be female and can even be uh yeah people
may believe that they're female until
puberty when they start developing male
musculature
>> uh
>> because then they're producing totally
normal testosterone levels. Yes. Just
not DHT.
>> That's right.
>> Which Yeah. The testosterone at this
point is the determining factor.
>> Um determining what?
>> Muscle mass, body hair, things like
that. Well, it can. If you don't make
DHT, some body hair will won't be
produced. You won't have full uh male
typical levels. You certainly won't have
any facial hair.
>> You won't have uh male generally, I
don't think you have male pattern
baldness.
>> Uh so the and and
the so the lack of facial hair really
makes a huge difference.
>> Yeah, that's so interesting.
>> Um because it gives a sort of more
feminine appearance to the facial skin.
So DHT is important. Um and and the the
reason part of why five alpha reductase
deficiency is relevant now is because uh
there are people who are sexed as female
and are legally female who are coming
from say a rural town in South Africa
because they've been running uh as a
female on female sports teams and then
or boxing for instance.
>> This is obviously the case we're all
familiar with. brings up complicated
social issues about what to do and that
really that means that we really do need
to understand the science there. And the
important thing from my point of view is
that um DHT has been clearly as I think
pretty clearly shown not to be uh
necessary for male typical patterns of
musculature and and other um physical
features that would give men an
advantage over women which is difficult
because sometimes these people have you
know been in a female social role
depending on where they
>> although that's also an easy experiment
to do. You could imagine giving a male a
five alpha reductase inhibitor from
birth.
>> Oh, from birth.
>> Like as a thought experiment, right? If
you took if you took a normal
chromosomally phenotypically normal male
and from the time they were call it 5
years old, you just gave them five alpha
reductase inhibitor.
>> Yeah.
>> All you're doing is turning their DHT
down to zero and doing nothing else.
You're basically asking the question,
will they develop normal musculature?
>> Yes. So Bessine Challenger Bessine and
at all have done that experiment and
there's no difference between uh this
animal and no they did it in humans.
>> How did they get an IRB for that?
>> I Yeah. Well, you know, I'm you know I
think you know his work. They've gotten
an IRB for a lot of um incredible
studies that are
>> would never be done today.
>> Super rigorous and gold standard and
>> Yeah. Interesting. Okay.
>> So, all right. You and I are probably
the only ones at this point this excited
about this discussion because we're now
so far down the weeds of embryology.
But, um, sort of bringing it back to the
surface, the takeaway here is that
XXXY start out for about 5 weeks
indistinguishable.
At about that fivew week mark, a gene on
the Y chromosome specifically begins to
trigger the differentiation pattern.
That differentiation pattern triggers
the transcription of hormones that then
transcribe
>> transcription of genes.
>> Transcription of genes that turn on
hormones that are going to
>> further activate and drive sex
differentiation.
>> So yes, thank you for that last piece.
Uh that's very important. So the
production of testosterone
in the testes,
this is really important and just
fundamental to understanding sex
differences. It's not that we have so
many different genes. So at the same
time, I should say there is we're
learning more about the role of the 70
to 100 genes on the Y chromosome, many
of which are crucial for uh typical
development of male uh reproduction and
and reproductive function.
uh but also it appears that there's some
role even prior to the production and
action of testosterone on the body and
brain. The there may be early expression
of genes on the Y chromosome that act in
the brain to shape later patterns of
behavior. Uh so that there's a lot of
work going on there to understand that.
Excuse me.
Um, so there are genetic differences and
I also want to say that the genetic
differences don't just stop at the
differences with those genes on the Y.
Uh, all the other genes are the same
except for the sex chromosomes, but
having one X versus two X's makes a huge
difference. It's extremely important. Uh
so typically so people think that the
that females completely silence one of
their X chromosomes
uh in each cell which is something that
basically does happen so that we don't
have a double dose of X chromosome genes
compared to males. So that's something
called a bar body.
>> But if that were true then wouldn't it
must be more complicated or else you
wouldn't have Turner syndrome.
>> It is so yes. So what happens is and
that's right and we can talk about
Turner syndrome but uh something like
20% and here someone might correct me
but I think around 20% of the genes on
the silenced X escape inactivation and
that turns out to be important that
there are some genes in females that
need where where the female needs the
double dose of those genes and if she
doesn't have the double dose
as in uh Turner syndrome. That's a
>> which we can define for folks as single
X chromosome
>> which presumably they got from mom and
then they didn't get a chromosome from
dad or do we know that
>> they can get it from mom or dad and
that's another rabbit hole we could go
down. There are imprinted genes um
depending on the the parental origin,
meaning certain genes are preferentially
expressed or suppressed in the mom's ex
versus the dad's for interesting
evolutionary reasons because the mom and
dad have
>> uh competing interests in what happens
to the kid.
>> And phenotypically, a woman with Turner
syndrome does appear phenotypically
female. Yes. But I believe she's not
able to reproduce.
>> That's correct. As far as I understand,
I think that there's some evidence that
there's technology now where where they
could
>> reprod but she's sterile and maybe
natural.
>> I think in some rare cases that can
happen, but generally the ovaries don't
uh
>> but her stature is distinctive, right?
She's going to be shorter
>> and there's a sort of
>> there's a sort of wider neck and a few
other uh characteristics,
>> but generally they're uh not Yeah. Yeah.
And and so um something about these 20%
or thereabouts of genes on the
supposedly silenced X chromosome are
clearly making the difference because
that would be the biggest difference you
would notice.
>> I don't know if that's the total uh
complete difference. I don't I don't
know enough about Turner but Turner's
but they turn out to to yes be important
and I don't even know if it's well
unders I think there is actually some
research on exactly which genes are
typically uh escaping but
>> and is it always the same genes
>> yeah
I don't know I don't know
>> okay
>> but so I just wanted to make the point
that in terms of the test so at this
point we have a high level of
testosterone in the fetus that is
approaching concentrations that uh in
male puberty. So this is not happening
in the female. This is a huge difference
and the reason it matters is because
testosterone
as a steroid is then going around and
acting as a transcription factor when it
uh binds with this receptor to alter
gene transcription on thousands of
genes. So uh that is happening in males
and not in females.
>> At about what stage of development? How
many months or weeks
>> we're talking? So I think around 8 weeks
it begins peaking around
15 to 20 weeks and then of course after
birth
>> it goes back down.
>> It well it goes down at birth but then
it goes up for uh peaking at 3 months
after birth and that's called mini
puberty. So this
>> I don't I don't even remember this.
>> Okay. So let because it's new you
probably didn't learn about it in
medical school. Now it's getting a lot
of attention.
>> But the point is somewhere in the second
early second trimester
that level of testosterone in a male
fetus is comparable to what it
>> it's lower. It's a it's not exactly as
high but it's very high.
>> But it's if a male in puberty is at
1,200 nanogs per deciliter this could be
600 nanogs per deciliter.
>> Maybe 400.
>> Okay.
>> Uh if I remember correctly
>> but still screaming high
>> but it's very high. And the point is
that this is affecting the development
of the brain. So I'm really interested
in behavior and from an evolutionary
point of view, what is going on
in this
early environment is extremely
important. The body is realizing, the
male body is realizing that it's going
to be a sperm producing animal. So the
brain is and we have very firm evidence.
We can't do these experiments in humans.
So people don't like it when all the
evidence comes from non-human animals,
but most of it does. And that's just
because we can't manipulate genes and
hormones and developing fetuses and see
to see what happens. We have some quote
natural experiments, but all the
evidence shows that testosterone is a
potent regulator of neural development
and differentiation from females, which
is why boys and girls aren't the same.
That is why it is 100% the reason and it
is 100% in my view uh this you know
>> this explains the birthday party
phenomenon.
>> Yes. If there could be new evidence that
comes out in humans, but all the
evidence we have points to testosterone,
>> socialization matters, right? If you
punish your kid for not playing mas,
being masculine enough, or being too
masculine, which happens because now
toxic masculinity and rough and tumble
play is supposed to be toxic. It's not.
It's healthy. It's necessary.
>> I didn't know that. I didn't even I I
missed that memo, fortunately.
>> Sorry. I get worked up about this
because there's lots of evidence showing
that first of all it is testosterone.
So even in I'll just go back to the
chimps. The males play more roughly than
the females. In many mammals where there
is a sex difference in play, the males
are playing more roughly. There's a
reason.
>> And and just to make sure people are
following this logic because I there's
one part of the swing we didn't finish.
Okay? Because it's because I keep
interrupting you. So, it's my fault, but
I'm going to do my best to synthesize
this.
>> Bring us back.
>> So,
>> testosterone, you have this real peak
difference in testosterone during a
critical window of development when the
brain is developing. And so, you have a
female brain that is developing in the
absence of testosterone. And you have
>> I wouldn't I just got to pause. We got I
I wouldn't necessarily call it Yeah, I
guess u a female brain because you've
got the the genes. You've also got XY in
every
>> When I say female, I'm just meaning
>> more female t you got a feminized. It's
it's more the XX brain is developing in
the absence of testosterone. The XY
brain is developing in the presence of
high amounts of testosterone.
Testosterone then falls. By the time
these two babies are born, they both
have really low testosterone.
Then it sounds like you're saying
unbeknownst to me until a few minutes
ago, you have this little mini puberty
that comes three months later. How how
high does testosterone get there and
what are the
>> Okay, I want to go back to the critical
period. This is also extremely important
and it's been shown
uh in non-human animals. So there are
the critical period in development.
You've got the period where testosterone
is being produced. um in the fetus and
within that there are
certain developmental periods where
different parts of the brain and body
are receptive to testosterone's actions.
And this is um there are different we
know from um non-human primates that
there are different per critical periods
for say development of the genitalia
other parts of the reproductive system
and potentially for sexual and
aggressive behavior separately. So,
uh that's interesting because
when we want to understand certain
aspects of male behavior or differences
in male behavior, uh it's helpful to
know that possibly
uh aggressive and sexual behavior may
have different thresholds for male
typical versus female typical
>> and that there may be different um
critical periods. So that we don't
really know in humans. Also in males
once you hit your sort of male typical
level of testosterone, we're just
talking about male versus female typical
patterns of behavior. In males there,
it's not really in adulthood at any
stage. There isn't really a dose
response relationship. It's more you're
at a level that's like 10 to 20 times
more than females. female have some
testosterone exposure in uterero and and
some females have more than uh would be
typical and we should talk about that
there there is a dose response
relationship because our levels are so
low and we're extremely sensitive to
differences but males have so much more
those um differences don't seem to make
uh a difference
>> once you cross this threshold.
>> Yes. Yes. Thank you. But I think the
main thing I'm hearing you say, Carol,
is that when you observe
5-year-old boys and 5-year-old girls
behaving completely differently,
the most obvious explanation for the why
is a behavioral difference, not a diff
and the behavioral difference is driven
by potentially the way their brains
developed during that critical window of
being bathed in testosterone as opposed
to the differences in testosterone. one
in a 5-year-old boy versus a 5-year-old
girl, which are dimminimous.
>> Okay, thank you so much.
>> Is that correct?
>> Yes. And thank you for saying it so
clearly because there are some really
important points here.
>> People and and I think what you just
said and what we're going to talk about
in terms of childhood shows that you
cannot judge anyone by their current
testosterone levels. You can't predict
that much.
You can't attribute
uh all variation in behavior and
individual differences in behavior
necessarily to current testosterone
levels. And even within that, if you do
have current levels, um often, yeah, you
can't predict much in terms of say
sexual behavior or aggressive behavior.
You certainly can't with kids because
they don't have any differences. They
hardly have any testosterone at all.
What they do have is on average I I
should have said this before but all of
this is on average there is tremendous
variation. The only thing that
differentiates the sexes cleanly and
essentially is the gameamt the gameamt
production.
>> Define that again because I I want to
make sure the listener understands when
you're referring to gameamt what you're
talking about and the production of them
>> sperm and eggs. So, what road are what
does evolution what has evolution
designed you for? If you're XY and
you're going to be making sperm and that
uh there's going to be a suite of
characteristics
generally that are going to be different
from the suite of characteristics that a
female who has egg who's has ovaries and
eggs will need to maximize reproduction.
So all evolution cares about is how many
uh what portion of your genes are making
it into future generations. So the
design here is about reproductive
strategies that coordinate how your body
grows, what your body is like, what
physical features you develop,
coordinates uh the hormones coordinate
that with certain um patterns of
behavior on average. every all of the
the bodies and the behavior can vary
across XX and XY, but what we're talking
about is these broad patterns mostly to
do with sex and aggression that tend to
differ between males and females. So,
it's really all and this is across
sexually reproducing organisms for the
most part. So, all the other stuff can
vary. It's not that like all XY people
are going to have a higher sex drive and
be some more aggressive. That's just not
the case. It's bodies vary, behavior
varies.
>> I know you weren't consulted during the
design phase, but do you have a sense of
why the female gameamtes are all
produced up front?
>> Oh god.
>> And you you basically get your lot at
birth and then you that's it. It's a
rate of attrition versus why the male
gameamt is just produced on demand.
>> I mean, again, I'm being a bit
facicious. Of course, we don't know
this, but do you do you have an insight
into why that's the case? I
I'm sure there's a better answer, but
here's what I think. And I um
and I hope people will write in with the
better answers.
Making eggs is expensive calorically
and in terms of time and calories, it
they're expensive
and organisms.
So, what we are designed to do is
convert energy into offspring. That's
basically what evolution uh put us here
to do. And you want to do that as
efficiently as possible.
>> So eggs are energetically expensive.
Sperm is less energy energetically
expensive. And I don't know what happens
in terms of how the eggs that go atic.
So we start out with what is it
10 million? I know you just had
>> I know I just talked about this with
Paula. the numbers are sort of
staggering how much attrition there is
between birth and uh
>> so and then you end up at birth you have
1 million and something like that okay
I'm not 100 right yeah
>> but most of them just die so maybe
there's some selection process there
there's an over production and then
because
>> for females there's so much that goes
into the production of each egg and time
and energy and each egg um that you
produce produce is going to limit your
ability. If it takes a long time, that
means you can only have like eight or 10
or however many kids over a lifetime.
Um,
so they're very valuable. So, we're
talking about testes and sperm being
uh testes sort of being not so well
protected, but the eggs are
extraordinarily
well protected if they're um made early
and then just stored.
>> Yeah,
>> I I think and uh that they resume
meiosis of course when when they are
ovulated.
So maybe there's this store and then
there's a selection process that goes on
throughout.
>> That's interesting. I that's a very
interesting idea, right? Which is maybe
you make and let's just pretend we got
these numbers right, but directionally
let's say you make a million, you have
the first 18 years of life or whatever
it is or 16 years of life to select the
best of those. And so it's not a
stochastic process that takes you from
the million to the 10,000 or whatever
the number is. It's truly a winnowing
down of the best of the best of the
best.
>> It could be.
>> Again, this is a teologic BS discussion,
but
>> it is a super interesting question and I
should know uh more about it, but it
does,
>> I think, illustrate the the you know,
the reason why we have different
strategies. It's because
the uh time and energy that females
have to put into reproduction. If say
imagine we're living as hunter
gatherers, there's no birth control.
We're not going through life getting our
periods over and over and going to Whole
Foods and having a job. We're having kid
after kid after kid. We're nursing.
We're, you know, producing the milk with
our own bodies. We have to grow the baby
in an energy relatively energy
restricted environment. The burden for
female mammals, the energetic and time
burden for female mammals is enormous to
produce each offspring. And if you don't
have the right egg or the right sperm,
you you should care about where you're
getting the sperm, then you've lost, you
know, a huge chunk of your potential
reproductive output. Men don't lose a
big chunk of their that just doesn't
happen to them. And this is the you know
sex difference in parental investment
that shapes that's why eggs and sperm
matter in terms of our bodies and our
behaviors because we have to do very
different things and live in different
ways to maximize our reproduction. Okay.
So I wanted to I don't want to get I
want to come back to what you said um
about mini puberty and uh the
differences in hormones. So, I do think
it's the differences in in the increase
in testosterone that males have that
explain
uh why they're more likely to have rough
and tumble play, more energy.
>> And by the way, how high a peak is this
mini puberty and how long does it last?
>> It starts uh within a month after birth,
but then peaks around three months and I
think then goes down until something
like six months. uh
and it appears that it has important
effects on brain development and on the
putting the like lengthening the penis.
So it seems to be an important and
>> but does the female do it as well? In
other words, does the female experience
a rise in estrogen? Yes, there's a a
lower postnatal peak, but the mini
puberty in boys appears to
also be associated with activity levels
in the boys and growth even growth
trajectories. So,
and so that's interesting. Um, but
>> there's a very narrow window of time,
right? Three to six months.
>> Yes. Yes. So in terms of the activity
levels uh you know it could be that that
post-natal
time that that the play in boys is has
something to do with differences in
activity levels, differences in novelty
seeking, different temperament, less uh
fear also. And but if you think about it
from an evolutionary point of view in
male mammals that have to compete for
status and uh operate in a dominance
hierarchy, there's a a lot of male
mammals have dominance hierarchies which
tend to function to reduce aggression
overall because instead of duking it out
every time there's a fertile female or a
delicious piece of fruit in a tree, you
just signal, I'm not going to take your
fruit. I'm subordinate to you. Uh so you
can get along kind of as a group. Yes,
there's there's infighting just like
humans have, but humans have dominance
hierarchies also. And if you don't learn
how to compete physically with other
males as a kid, this has been shown in
in non-human animals and there's some
evidence for this in humans
that uh you have more trouble.
Sorry, it just occurred to me that this
is obviously happening with social
media. People are using their iPhones to
compete instead of getting out in the
yard and play fighting or fighting with
other boys. That's actually healthy
because it ends up reducing aggression.
It it helps especially young boys and
young men learn their place in the
hierarchy, what they're capable of
physically, how to be threatening and
when to be threatening, uh when to
signal that they're submitting. you
know, all of that happens and it's fun.
So, they're driven to do it because it's
adaptive for them evolutionarily. So, I
just wanted to throw that in. And
females tend to have more nurturing
play. I had three older brothers. I was
climbing trees. I was wrestling with
them. But the girls almost never play by
choice just uh with each other. Like,
they don't have a play date where they
just tackling each they're tackling each
other. My son is 16 now. he's still
doing it and he's six feet and his
friends are like one of them is like 62
and it makes me very very nervous. Um
because they can really hurt each other
now. But yeah, they're still doing it.
But
>> yeah, it's it's it's
so it's such a beautiful thing to watch
if you if you just stop judging it for a
moment and just ask yourself the why
question like what is driving this
behavior? Right? Again, for whatever
reasons that are tragic, this has become
a political discussion, but it's really
not. It's simply a discussion of
biology, and it's endlessly fascinating,
right? Like, why is it that when I walk
into the pantry and I see a candy bar
versus a cheese stick or something, I
want to eat the candy bar? Well, that's
evolution. Like I can't I can make a
choice not to do it, but it would be
silly for me not to appreciate how much
my brain looks at the candy bar and sees
the sweetness, the energy density, the
fat, the sugar, and it's like, yeah,
that's what I want. Versus like, you
know, whatever, pick the bland,
healthier option.
>> And similarly, when we watch kids play,
um I find it very interesting. I wasn't
obviously aware of half of what you're
saying, but this idea that um if you let
boys kind of duke it out the way we all
did um
that ultimately it settles them down
again because it's probably too soon to
tell what the results are of the natural
experiment where kids play less. I mean,
we there's certainly no shortage of
discussion about what happens when kids
are all the anxiety and things that come
from endless social media, but this is
kind of a deeper uh and more interesting
question, which is what does it teach us
about aggression uh or lack thereof? And
um I'm I'm curious, have have people
been studying that as closely as they've
been studying the effects of social
media on anxiety and some of
>> I know that there are I'm not sure. um
what the
current literature is on how social
media is affecting play other than it's
not happening as much.
>> Yeah.
>> Which I think is obviously bad. Uh
you're out there, you're being physical,
you're learning about your body, you're
uh
developing relationships with other boys
in particular that are trusting but in
can involve physical aggression. And you
mentioned something about there about um
wanting to have what did you say the
chocolate bar? What was it?
>> Yeah. Yeah. Just like your knee-jerk
reaction is to always eat something
that's sweeter, more calorie dense. Yes.
You know, it's it's
>> okay. So, that's a mis we have a
mismatch. We're designed to be motivated
to seek out these foods and we have to
expend energy to get high calorie foods.
say like we would have maybe gotten
honey and that would have been super
rewarding and we only would have had a
little bit and then we would have ran
around and spent those calories and now
we have you know you can just get your
chocolate bar. So that's a mismatch
situation that's maladaptive.
And
what's interesting is that we've figured
out what to do to some degree with the
male uh any women watching this who are
super competitive and aggressive. That's
a thing, too. It's not that women are
not this way. They certainly are. And I
see more and more examples on my iPhone
from like basketball games and stuff
recently. Um but they're not they tend
to be less physically competitive than
men
>> on average
>> on average. So we have sports that
ritualize this um
motivation or this you know this desire
especially on the part of men and we
have a lot more men who are interested
in watching sports because they're kind
of getting that need met vicariously.
They're like jumping out of their
chairs. often their testosterone is uh
responding also to even the vicarious
participation in sport.
>> Given that we want to um
for the males to get this aggression out
physically,
what do we say about boys that play a
ton of video games and get their
aggression out there? So, you could
argue, well, you know, if they're
playing with their other friends,
they're also, you know, I don't I don't
I don't know enough about video games,
so I'm gonna embarrass myself, but like
I I'm sure there are super aggressive
video games where you're killing each
other and doing something in a virtual
world that you would do if you were, you
know, wrestling. Um, is there a positive
to that? Is there aside from the fact
that they're not getting exercise of
course and not being physically active?
Do we know if that serves as even a
reasonable proxy? I as far as I know
there isn't any getting your aggression
out um getting that need met if it is a
need you know some people don't have
that and in fact most men are not
terribly physically uh aggressive
there's a competitive
uh yeah this is a good question I think
you could sort of compare it to
pornography and ask are men getting out
their sexual need I there's more
evidence that maybe they are getting
some need met there. Uh but in terms of
aggression, I'm not sure
that that it works the same way.
>> So if a parent is listening to this,
is there anything that they should be
concerned about? Um in other words, we
know that all siblings are a little bit
different. So even my two boys are
different. So they're clearly both a
step function more aggressive and
physical than their sister was at a
comparable age, but they're quite
different themselves. The younger one is
a still a step ahead in aggression of
the middle one. That meaning of
>> the younger boy is more aggressive than
the older boy.
>> Can you say what you mean when you say
aggressive?
>> So there's three years between them.
>> Yeah. And
and the obviously the older one is
larger,
the younger one will instigate
physically more.
>> Okay.
>> Right. So if if if if he's unhappy,
>> Yeah. he will attack the the larger
older boy
>> and he doesn't have that same he doesn't
respond maybe even
uh aggressively or
>> well it's you know the the the he he's
just um he just hits not like he'll hit
anything and anyone that stands in his
way whereas the middle one is you know
he's not quite that bad I feel horrible
saying all this stuff my wife's going to
kill me she's like you make them sound
like monsters they're not monsters but
it's like they're just they're boys and
this is boys,
>> but like with with other kids, they're
pretty they're they're more in control,
but with each other, they're they're at
their worst. And which of course I think
is normal for for male siblings. But my
point being is just even between them,
there's quite a difference in
aggression. And maybe it's birth order,
right? Maybe when you're the younger
one, you have to you have to stand your
ground even more.
>> He used to hit my uh older my older
brother, so I was kind of a big hitter
myself. So, so is there anything that I
guess my point is should a parent just
say, "Look, I'm just going to let these
kids do what they're going to do and
understand that there are differences.
Some boys are going to be aggressive,
some are going to be less aggressive,
some are going to play rough, some are
not going to play that rough." Like, are
we is is the best thing you can do as a
parent from from any available evidence
just let them do their thing?
>> So, this is an interesting question. I
hadn't thought about it in this way. So,
I would say the rough play generally if
they're having fun, if they're smiling
and laughing, let them go for it and
don't they need to learn to work their
stuff out and I think the more play the
better and we are designed to play boys
and girls in different ways and it helps
us learn how to be social and have
social relationships and respond
physically and all of that is so
important. important and if we're not
doing that then I think we're going to
have more trouble as adults but when it
gets
uh where it's not so much fun and people
are getting hurt yeah then I think that
the parent has you know
>> so let me let me give you let them work
that out too let me give you a specific
example are boys more likely to bully
than girls
>> I don't think so uh so here's
there there's this difference where boys
will say to your face, you fat f uh you
know, they'll insult you to your face
and bully to your face. Girls are very
aggressive also, but what's interesting
is that they tend not to do it in a
direct confrontational way where they're
exposing themselves as the perpetrator.
Yeah. So they can hide from physical
harm and they c which is adapt more
adaptive but they can denigrate the
reputation say of other girls which they
do because they're their competition in
terms of um mating competition for say
high status males. So they can denigrate
the appearance or behavior especially
sexual behavior and it's cruel. It's
extremely cruel the way that um this
sort of feminine aggression and they
don't have the uh it
>> do we see that kind of behavior amongst
other mammals?
>> Oh, that's a great question.
Well, we certainly see more face-to-face
aggression among male mammals. We do
what? Sorry. What we do see in female
hierarchies sometimes is that there's
harassment
say in um some monkeys there's
harassment of a subordinate female by
the dominant so much so that cortisol
goes up in the one who is being harassed
and the and it interferes with her
capacity to reproduce. So that is uh not
a physical
necessarily confrontation. It's just
harassment. But the uh sex difference in
human aggression with fe with females
doing more of this passive aggression. I
think part of that is that females have
not evolved the same skills to resolve
conflicts so that the hierarchy can sort
of be reinstated. Males can get onto the
basketball, you know, have a pickup game
on the basketball court. It can get
rough. They can insult each other, but
by the end they've sort of worked it
out. Maybe there's a change in the
status hierarchy, but they've worked it
out. It's over. It doesn't go on for
weeks. You don't have to talk about it
endlessly. Females do not have the same
ability to resolve those kinds of
complex social what for us would be very
complex social conflicts. That that is
such an obvious statement the way you
make it for from I mean I I I don't
think of it that way but you I
completely noticed that even thinking
back to high school.
>> Yeah.
>> Like we would as boys get into huge
fights and it would be over by the end
of the day. But there's something
that feels fair about that and to sort
of backstab and not give somebody the
opportunity to and not to be able to
work it out and to gossip about behind
people's backs. So I don't think men
deserve yes more you know out of there's
murder and rape and men are over
represented in those in in horrible
crimes but we shouldn't
glorify you know feminine ways of
interacting necessarily and and try to
get men to be more feminine because
there's a lot of issues also with
typical feminine behavior.
>> So let's talk a little bit about the
pathology though. You just alluded to
it, right? There aren't too many female
murderers and rapists and the the
disproportionate representation of men
in violent crime is, you know, you don't
need statistics to understand that
>> but we definitely do have the statistics
like 95% of murders everywhere are
>> okay
>> male and obviously sexual assault is you
know 98% or something.
>> So what what do what role does
testosterone play in that? So here
again, I think just like with play, uh
people aren't going to like this, but I
want to make sure I so I want to make
sure I I say it clearly. I do think that
the difference, this broad pattern is
similar to what we see in nonhuman
animals where the males are much more
likely to kill each other than the
females. There's many more violent or
aggressive
interactions. So, we have the same like
if you look at both of us, we have
different bodies. You are bigger and
stronger. I started lifting weights
because of you a year ago, so I'm I'm
getting there, but I'll never get to
where you are. Also, I'm older, but um
so physically, men are developed for
competition for ma essentially malemale
competition for mates.
this plays out in this destructive way
in in society. Um, and so I'm I I
believe that the ultimate reason for the
difference is testosterone.
Uh,
however,
the uh crime say the murder rates in
Canada,
men are committing, you know, fewer
murders in Canada than they are in the
US. We can't attribute that to
testosterone levels.
>> So that's not because of differences in
testosterone level.
>> It is because socialization and culture,
religion, the laws uh you know all have
a huge impact on what the values are in
any particular society, what is
tolerated, what is encouraged. Some
societies basically allow men to beat
and rape their wives, right? So it's so
you have higher rates of those male
behaviors where it's not tolerated and
the culture is totally different. You
have lower rates of those behaviors, but
everywhere
>> you're you will have the sex difference
with all of these behaviors higher in
men. Uh, so
I'm glad you asked this because the re I
think the main reason people don't like
biological explanations for sex
differences is is because they
misinterpret
uh a tendency or a predisposition
for a behavior or um
or a biological explanation as
suggesting that it's impossible to
change behavior. It's not uh you know
that there's no variation across the
sexes in behavior. there is and just
because there might be a biological
explanation or even a a genetic
explanation
uh
the important thing to remember is that
we develop within an environment every
you know it's gene environment
interactions we develop within a society
and how we develop
and even how our hormones say respond to
different kinds of interactions is
impacted by the social system and and by
the ecology and everything else. So it's
complicated. Um but yeah, I think that
the re the ultimate reason is is because
of gen the genetic difference which is
the Y chromosome and the hormones that
it hormonal differences that it leads
to. And I, you know, we haven't talked
about female behavior, but of course,
nurturing, if you're going to be growing
and producing and holding and feeding
and caring for a baby, and you're the
one who absolutely has to do it, and
that's the female. Of course, we get
help from men. Um, and sometimes men
even take over as the uh primary
caregivers, which is extremely unusual
in animals uh in mammals. But so men are
capable of all of that nurturing if the
society values it because some societies
don't value that and then they're still
capable but they're not apt to do that.
Uh but so for females it just doesn't
pay reproductively
in general to be super aggressive. We
need our bodies to be healthy and we
have to live a long life. So the longer
our lives, the longer our reproductive
output. Men can live short uh you know
die young and have great reproductive
success. Yes. If they take risks and
physical risks and that just doesn't
have the same payoff for females. There
are some uh primates for instance where
the females are you know relatively
aggressive but it's almost never to the
same extent um as males. It's so
interesting when you think about
how as humans, right, like we we hold
ourselves to a higher standard than we
would hold animals, right? And and and
look, but I'll give you I'll give you a
very concrete example. Okay? So,
>> if we go back in time 500 years, first
of all, neither of us would be alive.
So, let's forget that part of the
discussion. But let's just say 500 years
ago, if you had a male that was 25 years
old, he would readily reproduce with a
14year-old female, right? That would be
completely normal and evolutionary
evolutionarily wise.
But we've made a decision, at least in
our society, that that's unacceptable.
>> And I think most people think that
that's a good decision, right?
>> Yeah. So that's an example of we have
made a societal norm that says it's
unacceptable for a 14-year-old girl to
be reproducing um certainly at the hands
of an older man. So if she gets pregnant
from her 14-year-old boyfriend, we
that's a different discussion and we can
help them both out. But
>> in this country anyway. Yeah. My point
of the story is we've made a decision
that this is no longer acceptable. Just
as we've made a decision that a husband
can't rape his wife, we have just
decided that that's not, you know, maybe
that was cool 200 years ago, it's not
cool today.
>> Yeah.
>> So to play the other side of some of
these arguments, right? Is there someone
watching us who's saying, "Peter, Carol,
you guys are talking about all this
aggression stuff, but we're humans
living in the 21st century, like we have
to change. We have to evolve as a
species. Is there a case to be made that
men should be less aggressive because
all of these evolutionary reasons that
you described aren't as necessary? Women
and men are going to live through their
evolutionary uh pardon me, their
reproductive lives. We don't have this
urgency. We don't need this competition.
Again, I'm not saying I agree with that
or anything, but I'm just saying like
there there's a steel man for the other
side of this, just as in those extreme
examples of we don't have sex with 14y
olds and we don't rape our wives.
>> So, what would it take for you to not
eat that chocolate?
>> Well, it's interesting, right? Food is a
really tough one, isn't it? Um, it can
be done. It just takes a ton of
willpower. That's the truth. I think it
can be. So the food is a great way to
think about it. There's food and sex. Uh
and aggression is for ultimately in a
way for sex.
>> Yeah. Well, I mean for both Yes. But
people will
>> Yes. Yeah.
>> Um so for men more than women,
aggression is certainly more about
>> but like to to play off that I don't
need to be an alpha male to get as much
food as I need today. Like,
>> but you are an alpha male and you have a
lot of food and you have like you
>> but I don't need we don't need to be an
alpha male to get food.
>> No, that's right.
>> That's my point. Today I don't
>> So you're saying we should get rid of
the drive. Okay. I'm not saying I I'm
just exploring this idea exploring
because I think so there's physical
competition which we certainly do not
need
>> but think about what we get from the
male. So there is a sex difference in
certain drives. Uh men tend to be more
sort of
driven to achieve specific and more
narrow goals and like hyperfocused on
certain goals and to achieve via you
know um
to be the top of the heap in in one
thing like chess. I wrote some article
on sex differences in chess and learned
a lot about, you know, cuz I was like,
what? Why are men consistently better at
chess than women? And they are.
>> No, no, I'm only laughing. If you only
knew of the of the rabbit hole, we could
go down on that front, but I'm going to
refrain.
>> So, I'm really interested in that. and
what and I had what I suspected was not
uh appears not to be the case in terms
of it's not doesn't seem to be explained
by differences in cognition at least
that's not necessarily the driving force
what is the I think the driving force is
that men boys and men are much more
willing to spend countless hours
studying the moves and practicing and
seeing their coach and you know trying
to beat their competition. And for
women, like there are other things to do
that matter in their lives more. They're
just certainly there are some women who
do who do that kind of focus, but there
are way more men. And I'm saying this
because
there's that competitive drive. chess. I
don't know what we're like getting out
of that, but uh
>> You haven't played, have you?
>> No, I have.
>> You have? Okay. All right.
>> And not super seriously, but my son was
really into it for a while. My my
brother I I know a lot of people who are
>> obsessed with it. Um but when I say what
we're getting, I mean so socially. So
competitive men super and people I'm not
again I want to I'm not saying that
women are not competitive or haven't
made incredible adv you know social
advances in all kinds of domains but
what I am saying is that if we want to
interfere with the male desire to
compete we are also interfering with
whatever products we get or advances we
get from that intense drive in Being in
academia as I was you know for 25 years
there's a lot that's that is produced
because people want to be first. They
want to nail finding this gene or be the
f you know be the first to make a
certain discovery. There's a it's
tremendously productive often that
insane drive that men have and I think
women have less of it because we have
kids. We are designed to have the kids.
We don't we don't have the same I must
do something else, you know, have to
produce this other thing with the same
drive. Again, there's tons of variation
here. There's tons of crossover. This is
just a pattern. I think men have more of
that potentially because they're not
designed to have kids to produce them
with their own bodies.
>> So, so let me play back to you what I
think I'm hearing and with a little bit
I'm in
>> trouble. I hope no with just a little
bit of inference looped into it. Right.
So, what what I think you're saying is
look,
>> um, for most of 250,000 years, male
aggression was absolutely essential for
males to reproduce and find and forage
for food and protect.
>> More so, certainly.
>> Yep. Yep. Okay.
The past 100 years or so has largely
done away with that, right? Meaning a
couple things have become true, right?
We basically have domesticated crops in
agriculture and livestock and we're no
longer in a food scarce environment
certainly for the last 50 or 60 years.
>> Uh lifespans have extended enough that
there isn't a race to reproduce. You can
actually live through your reproductive
years. So, it's not like you have to get
this done before you die at the hands of
a saber-tooth tiger. Uh, third, um,
infant mortality and maternal mortality
rates have plummeted. So the success of
your offspring skyrockets
and basically
all of the other reasons that we used to
need to be hyperaggressive with each
other to compete for mates again food
and all these other things have largely
dwindled.
But that's a fire that's been burning
for millennia.
So we have to channel into something
else. And so in many cases in the in the
most polished cor corridors of society,
we've channeled that into professional
excellence or things that would have
been sports are totally unnecessary and
superfluous hundreds of years ago that
don't even like again nobody thought of
discovering jeans or you know trying to
be the you know leading scorer in the
you know pick your favorite sport. Um,
and so it's been a easier
or maybe more logical transition of
aggression from evolutionary needs into
gratuitous needs, making more money,
being more successful, being more
famous, being being more respected in
some way. Um,
and the maternal need
of
caring for the offspring hasn't,
again, as it's coming out of my mouth,
I'm sure I'm just butchering this, but
it hasn't evolved as much in the sense
away from its original goal, which was
making sure the offspring were perfectly
protected.
>> So, there's an asymmetry in this
evolution of evolution. is that that's
what you um yeah I think I agree with
the general
>> thrust um
>> I mean what's interesting is thinking
about how say nurturing we still need to
n we basically still you can we still
need to nurture there are you know we
you can I I my my baby
was not always you know with me when I
was working uh so there are solutions to
that but I think that nurturing drive is
still super strong and valuable and that
that
uh is probably best for the kid if we
indulge indulge that
>> and and now paternal attention can be
given much more to kids.
>> Yes. Well, I think it h there's it's
interesting because even in hunter
gatherers there's very different
traditions across huntergatherer
societies in terms of um expectations
for paternal involvement. And when
there's high involvement, there's lower
testosterone in those males. That
applies to humans and
>> sorry in the in the father or in the
child.
>> In the father. So for fathers to be very
attentive. Yes.
>> The testosterone generally is suppressed
and that's true in birds where the males
are contributing. If you raise it, they
neglect their kids. So there is a
hormonal
>> uh support there for parenting. So
that's something that you know men can
do to increase their reproductive
success. So I just want to say that I
think that's something that has
>> So we don't want the lesson here to be
if you're if you're a man out there
listening with low tea, ignore your
kids.
>> With low tea.
>> If your if your tea is low, you should
ignore your kids to raise your tea. Is
that the implication?
>> Right. Right. Um it doesn't drop by that
that much. And what matters is that
you're in an environment where you see
your little kids. Like if you're a guy
and you're mated and you have a partner
and you're around your baby and you're
interacting with your baby, your te's
going to drop a little bit and that's a
good thing. And this is one of the
reasons that supplementing with
exogenous testosterone, there are so
many different ways that testosterone,
male testosterone rep responds and in to
influences social dynamics. And this is
one of them that's really important.
you're a better uh dad potentially if
your testosterone does drop. You're
potentially a better husband and uh you
know more attentive to your wife and
your kids there. This is seems uh I
don't know that there's the experiment.
>> Do we know that there's causality here?
I mean this is a pretty bold statement.
>> We do. I would say yeah we do know.
>> So what what by what magnitude are we
talking about here? Yeah, that's a good
question and I don't I should have had
the data and I don't have the answer,
but it's shown across lots of different
populations in humans and non-human
animals. Uh
that fatherhood, first of all, mating
being in a a pair bond, this like it's
like what birds do when they finally
they're very aggressive when they're
setting up their territory. Their
testosterone is high in in the males.
when they find the female and establish
a territory with her, the testosterone
tends to drop because it's not adaptive
to have high testosterone all the time.
>> And that's why animals have mating
seasons, etc.
>> Sorry.
>> It would make us go out and look for
other mates when we don't need to.
>> You're aggressing and fighting for
status and singing or flexing your
muscles or ignoring your kids or being
an [ __ ] to your wife. I mean, all of
these um
you're also not
uh reinforcing adaptive behaviors with a
bit of a testosterone spike. Like if
you're around a attractive woman and
you're trying to seduce her, there
there's very possibly going to be a
testosterone increase which stimulates a
dopamine surge and reinforces a behavior
if you're successful.
>> How much can that happen? I'm just
saying when you shut all that off, it's
like when women go on birth control and
and they don't um respond to men
necessarily in the same way that they
would have because they have just
screwed up that entire hormonal birth
control. system. There's a system in
women and in men uh where those sex
hormones are giving you signals about
what's happening in the environment and
what your role is in your potential.
>> Wait, there's a lot for me to unpack.
That's a whole other thing.
>> No, no, no, but but I want to I want to
talk about this because I didn't
Everything you're saying is totally new
to me. So, I want to make sure I'm here.
But I don't want to get away from the
fatherhood because that's this is very
well established this drop uh and it h
it it happens not just in humans but in
other uh males where paternal investment
increases survival of the offspring
which it does.
>> Okay. So let's talk about that first but
then I want to go back to the the birth
control and stuff like that. So um if if
a male
has a ch so so you know man and wife
have baby
man decides
uh after you know a few years I'm going
to stay home more and spend more time
with my child and uh you know forego
whatever else I was doing. Right. So I
used to be working 80 hours a week. I'm
now going to work 30 hours a week.
>> Oh no. He'll keep working 80. No, men
work harder when they and make more
money. Tend to do that.
>> But but in this experiment, Yes.
>> this guy,
>> okay,
>> decides to stay home half the time now.
>> Okay.
>> His testosterone will drop.
>> No,
because he the kid's too old
>> because the kid's five.
>> Then he's going to get then he'll start
his he's going to start looking for
other females. like there's serial mon
you know there's serial monogamy where
the man the man is more likely to stay
around during the early years and that's
when maybe a critical period um I'm not
sure for this effect it's really when
the the offspring is dependent and young
and the mother is very the mother needs
to be supplemented uh you know again in
a huntergather situation the woman is
not just going to have one kid she's
going to have several and she's going to
be nursing or weaning and or andor are,
you know, about to get pregnant and um
so she's in a situation where she can
really benefit from investment from a
male and he benefits reproductively.
>> He benefits reproductively because
that's a critical window in which his
protection is producing his survival.
>> Protection. Yeah. So I just want to
pause here and I want to get back to
everything else you said. Um there are
different strategies that different men
can use to maximize their output say in
a natural fertility society. One is pair
up forever with one woman. Mateguard
her. Be good to her. I'm going to like
getting teareyed for some reason.
Invest in her. Oh my god. I have no idea
what this is about. Um I it's just I
have estrogen and estrogen increases
crying. Um which it actually does.
testosterone inhibits it. Although I
also put on my testosterone gel this
morning. Anyway, um so that's one
strategy. And he had to compete and have
certain status to get that woman, right?
You want a high quality female. You want
to keep her. You can do very well
reproductively from for your lifetime
output and you're not out on the mating
market constantly being vigilant,
constantly trying to take down other
males, constantly fighting for status.
You can have sex with a lot of women,
which is what you want. You're designed
to want sex with, you know, more
partners than females are designed to
want sex with, but who knows how many of
them are going to get pregnant and who
knows how many of those babies are going
to survive. But that is one strategy
where if you're a high status man, you
can be very successful. You can have way
more than eight kids, right? But that's
a high risk strategy. A lot of men are
going to fail and they won't have the
sure thing of the one female where they
can invest in her. That seems to be not
a lower testosterone man strategy, but
it does seem that we we know that when
the kid is young, if the guy is
physically involved with the uh a small
dependent offspring that there will be
suppression in testosterone and that is
a good thing. It doesn't mean that your
muscles are will be smaller necessarily
as far as I know. I'm not sure how big
the drop is, but it does facilitate
potentially more contentment with that
life. If you have higher testosterone,
what has been shown in non-human models
is that the attention to the mate and
the offspring is reduced. There's more
attention to status seeking
um you know, aggression, getting sex
from other partners. etc. Like, so I
think it's worth trying to understand
what the um exogenous testosterone,
which shuts down that system, does in
men who, you know, I think there are
potentially some very important
behavioral and social effects that
people don't think about because they're
so psyched to get jacked and have more
social status and have the dopamine hit.
You know, it feels good. Um,
I don't know. Uh, it's I think it's
worth looking into.
I mean, there's so much to unpack there,
and it's it's it's such a again, these
evolutionary discussions are so
interesting because
I I have to imagine that most
guys who have chosen the path on your uh
right uh which is I'm going to have as
many partners as possible are not doing
that because of reproductive fitness.
they are often choosing not to have
kids.
>> So,
how do we reconcile that right from an
evolutionary perspective? I get it. The
desire to have as many partners as
possible increases your probability.
>> Even just, you know, serial monogamy
where you're in a relationship and then
you sort of move on or you divorce your
wife and get a younger partner and then
divorce your wife again and get a
younger partner. And is that rooted in
evolution of reproduction or is that
rooted in the evolution of status in a
way that is distinct from reproduction?
You say
>> so do you mean so I don't think status
is distinct from reproduction. Do you
mean psychologically what is the driver?
It's not reproduction. It's sex.
>> It is sex.
>> Which is interesting. So this is the
first time we're basically talking about
sex independent of reproduction.
>> Yeah. I it's um
ultimately
I think it is uh of course we have love
and we have relationships and all of
that but that is for reproduction. That
whole love thing is just to get the gene
the kid's genes into the your genes into
the next generation via the the kid and
the love of the wife is to have is to
ensure that you know maximize the
chances of that happening. So
>> but are we are we is there any other
species that does what we do as humans
which is so you and your husband have a
16-year-old and
>> that's it.
>> Okay. So in two years or three years
when he's off in college I know I know
it's terrible right? So um you guys will
have done your job as parents but and
>> no we're going to keep doing it until
Okay but my point is
>> um the the love you will have for each
other the the support you will have for
each other is really not in the service
of making sure your genes survive
anymore. So, is there another are there
other examples of animals that continue
in that behavior, which is when they're
past their reproductive age, when their
offspring are gone, they stay together?
>> Well, there aren't really uh too many
other animals that are past that get
past their reproductive age. Uh
>> so, elephants and all these other
longived mammals can
>> menopause, you mean who has menopause?
Yeah. So, um some whales, maybe captive
chimp, or maybe there's some wild chimps
who have had menopause. It's just very
rare. I
>> But this is kind of another human
socialization.
>> So, but grandmothers make a massive
contribution to their daughters and
their daughter's kids in terms of
knowledge and support.
>> So, I'm not So, someone who is no longer
capable of reproducing, that's valuable.
You don't want to be reproducing in your
80s because it's a total waste of energy
and you're likely to die. potentially
from trying. You can invest in your
genes that are in your uh daughter and
her kids. So, that makes a big um
difference,
but I I think I'm still not sure what
question you're asking exactly. I think
you were saying
>> no, it's just it's
>> why don't we have more why do we stay
together in a bond? Is there an
evolutionary reason for why
>> um
humans specifically stay monogamous even
after it's not necessary for the
survival of their offspring?
>> Yeah, I think increases the survival of
their offspring. So that trust and
commitment
>> uh is even if you don't have kids, you
still have you behave as though you do
because you would have. there's no way
you wouldn't have kids. So, any couple
that's having sex would have been having
kids uh when there's
>> still acting that way. There's these the
same genes are being transcribed as
though they had kids.
>> So, so if even though we only have the
one kid, it's as though you know he
could he's 16, he might have had a kid
already. So the two of us together with
our bond and we're our experience and
our relationship with our kid, we're
going to help increase the survival of
the um our grandkids. So our genes are
really going to potentially do much
better if we stay together.
>> Yeah.
>> But we are liberated from that and
people, you know, get divorced and find
other partners.
you mentioned. So again going back to
kind of testosterone and estrogen. I
want to talk a little bit about estrogen
now. So um obviously estrogen is a very
important hormone for men and women.
It's appreciated more I think in women
than men. But um
you know to cite one study that I've
talked about many times in the past.
It's about a 13-year-old study that took
men
uh took a large group of men, chemically
castrated them all, and then re, you
know, made them replete with different
doses of testosterone. Yeah. With and
without an astral.
>> So, oh, right.
>> So, this study basically
gave men, you know, I think there were
five groups of testosterone and with and
without an astral. So for folks
listening an estraol would inhibit the
conversion of testosterone to estradiol.
So you
>> so it just inhibits aromatase.
>> That's right. It's aromatase inhibitor.
So you have
>> you know from low to high five levels of
tea with and without estrogen.
>> Okay.
>> So it's a pretty elegant study, right?
Do you know
>> it was in the New England Journal of
Medicine. I don't remember who who
published this. We'll link to it in the
show notes. Now um the question was what
did these 10 groups how did they differ
>> um with respect to uh body composition
uh mood affect sexual desire all these
sorts of things I don't remember if bone
density was studied
>> um it might not have been a long enough
study I I did it's been so long since
I've looked at it okay
>> but here was the big takeaway that the
TLDDR was by far the best producing
outcome was the highest tea with high
estrogen
producing outcome for
>> everything for body composition, mood,
you name it. So in other learning to me,
it wasn't surprising that higher
testosterone was better than lower
testosterone for all the metrics that
were measured.
>> The surprising insight at the time,
again, it's we now I think understand
this much more, but for me at the time,
the surprising insight was more estrogen
was better than less for men.
>> Not just with respect to how they felt,
but even body composition. And this was
a wakeup call because I think there were
a lot of doctors out there who were
prescribing aromatase inhibitors to keep
estrogen as low as possible in men,
>> you know,
>> in men who were
>> who were taking testosterone,
>> who were taking it.
>> Yeah.
>> In within uh
>> within physiologic norms. Yeah. Okay. So
again, yeah, putting aside bodybuilders
who were taking
>> Yeah.
>> you know, a thousand milligrams of
testosterone where you do have to block
some of the aromatization. Uh but if you
have a guy who's taking, you know, 100
or 150 milligrams of testosterone a
week, which would put him to a
physiologic upper limit of normal, um
really it seems to me you ought to let
estrogen go as high as necessary or as
high as it goes naturally shy of
producing a symptom.
>> Yeah.
>> Um and so let's let's just spend a
minute now talking about the role of
estrogen and what its role in the brain.
I mean, what what what do we know about
this? And do we know
about for example why at at a minimum in
some of these studies and even
anecdotally if a male's estrogen level
is too low it has a negative impact on
his mood.
>> Do you know what the specific outcomes
were? Was it like libido or
>> libido was definitely one. I don't
recall. Gosh, I wish I'd looked at the
paper recently because I could have
spoke.
>> Let's just say libido. Yeah.
>> Okay. So this is interesting and I don't
know the paper. Um
what I will say first of all is that as
far as estrogen in males in rodents for
example just what just talking about uh
masculineization very in very early
development. Masculineization in rodents
clearly occurs via conversion of
testosterone. Once that gets into the
brain uh via aromatase. So it
testosterone if you block aromatase you
get essentially female uh female rodent
brain. So
>> does that mean that you need aromatase
to get testosterone in the brain or does
it need mean that you need the
testosterone to become estrogen to go
into the brain?
>> No, the testosterone
only the testosterone gets into the
brain. Estrogen is actually prevented
the um
peripheral testosterone is prevented by
a protein called alpha feta protein in
rodents and it's so maternal estrogen is
bound
>> uh so that females are not
masculineized. So tea enters the brain
and is aromatized
produced the te the testosterone from
the male testicles
>> is high that gets into the brain once it
gets passes the blood well it's yes gets
in there
>> once it gets past because it doesn't
have the alpha protein that's a pretty
elegant solution
>> it is an elegant solution so it is uh
clear that it's um estrogen acting via
estrogen receptors that are
masculineizing sexual and aggressive
behavior which is just very clear in
rodents because you have lordosis in
females and mounting in males and you
have higher rates of male aggression
etc. So um that's via
>> but this doesn't happen in humans.
>> This does not happen in humans and I've
uh I know that there's misunderstanding
about that. A lot of people just think
of course that applies also to humans
but it can't apply to humans because our
alpha protein does not effectively bind
estrogen. We also have um men who have
uh can't produce aromatase and don't
have estrogen and they are fully t
they're typically masculine in their
behavior. they have other issues like
with bone. Um and we also have
congenital uh sorry we also have
complete androgen insensitivity syndrome
where you have XY individuals who have
testicles but have a defective androgen
receptor and essentially develop as full
um they have testicles and XY sex
chromosomes and high testosterone but
they develop as females because their
testosterone is converted into estrogen.
Uh, so they have no testosterone
whatsoever, yet they do have estrogen.
They're exposed to maternal estrogens.
They're very feminine.
>> Wow, what an interesting phenotype. They
must have sky high estrogen given that
all of their testosterone, male levels
of testosterone are being converted to
estradile.
>> They have. So they go through female
essentially female puberty and discover
many of them will discover that they
have testes and XY sex chromosomes. um
when they don't get their period. So,
they're like very feminine and um but
the point here is that so we know for
sure that and this seems this is the
case in um
>> and by the way human primates do they
develop with a male pattern of
aggression or a female pattern of
nurturing?
>> Totally feminine. Totally feminine. So
without so this is interesting because
in the brain point mutation in the
androgen receptor gene
one small mutation everything else is
just typical male. You just get the one
mutation in the androgen receptor that
is disabling it and you take what would
have been a typical male and you have
someone with testes and XY sex
chromosomes. So you still have you don't
have the double X, you have all the
genes on the Y, but you have a totally
typical for all intents of purposes uh
girl and then a woman.
>> So outside of the sterility, I assume
this individual, she go on to be a
completely normal woman.
>> Totally more like more feminine I would
say than
>> that's incredible.
>> Other women who have
>> So really not a pathologic condition
outside of the sterility.
>> No, I mean no.
>> Wow. never even heard of this.
>> Okay, so it there's like
incontrovertible evidence that um
est that estrogen is not the
masculinizing hormone
acting via the estrogen receptor in
early development in humans. Okay. But
then you're raising all these questions
about the role of estrogen in adulthood.
And I think so this one study is
interesting and I think we I think it is
important but I couldn't say like with
authority exactly how um it's important
for bone you know it's important for the
body but in terms of behavior
I believe it's important for se for
sexual behavior but we do have these
guys who don't make estrogen who seem to
be normal and I should also
>> meaning they don't they don't have the
aromatase capac capacity.
>> Sorry that yes. Um and I should mention
also that in these women
uh who have complete androgen
insensitivity syndrome,
they seem to be sexually normal. They
have uh there's no differences in sex
drive and orgasmic capacity even though
they have zero testosterone.
Um, so that's interesting and there's
limited data I should say but because
it's a rare condition but what we do
have suggests that they have estrogen
and that the estrogen somehow
>> and they have the same libido
>> from everything from the studies that I
have seen. Yes. Um I don't know if you
know maybe the peak isn't as high in
puberty or something like that. Maybe
there are differences there, but I don't
see that in the literature.
>> And they have presumably they must have
a little more difficulty putting on
muscle mass.
>> Well, I um
>> Do they shave their tried to? They don't
have to.
>> Yeah,
>> they have no acne. Yeah.
>> Uh they don't have to shave. I I worked
with a student very closely who had this
condition and um
>> Yeah.
>> Yeah. It's a difficult condition when
you're a normal teenager and you learn,
you know, that's a difficult
situation. A lot of these are very
challenging and
>> and and I to me the most interesting
outcome of the study was not to my
recollection that the men with higher
testosterone felt better.
>> Yeah.
>> Um it was that they actually put on more
muscle mass as well.
>> You mean with the more with the
estrogen?
>> Yeah. With the higher estrogen level.
>> Yes. No, that is my understanding. And I
don't um know enough about exactly why
that is and how it works. I'm not
surprised. I think estrogen is very
important in men, in adults. Um
it may be important in early development
in some ways that we don't yet
understand.
>> So what do you think all of this teaches
us about the role of testosterone
replacement therapy in both men and
women? Right. So let's go back
>> to something you said some time ago. So,
if we didn't muck around with nature,
men would experience a pretty steady
decline in testosterone from puberty on
down. It never really
>> in western populations because we don't
hunter gatherers tend not to have that.
>> Oh, okay. We'll say more about that.
>> Yeah. Um, well, they start out with
lower testosterone because again,
testosterone is expens high testosterone
is expensive to maintain. Most animals
keep it low and only raise it when
females are fertile and they need to
compete. So that's why
>> So that's the rut. Like we're animals
like like the red deer, you know, grow
their their testicles grow. They grow
weapons on their head. They become
horny. They become aggressive when the
females are fertile. If the females
aren't fertile, all that stuff goes
away. Testosterone drops. Okay? So
humans are also designed to keep
testosterone low which is why if there's
a situation
uh a competitive situation say
testosterone might go up but generally
it's going to be kept low when it can be
but we are overnourished in western
populations. We don't have to worry we
have enough calories to run our immune
system and to do everything else we need
to do. We have the luxury of being able
to elevate testosterone over what it
would be naturally.
>> But but sorry Carol to interrupt.
>> In the case of the deer,
>> yes,
>> all of the females go through estrace at
the same time. So it's easier for the
bucks to say for these nine months.
Great point. I don't need testosterone
because all of the doese's are
infertile. And then bingo, now they're
going through S trace. We're going to go
through the rut and it's a party. But
with humans, I understand there's some
literature that says the more women that
are together, the more their cycle
sinks. But that's got to be weak.
>> It is.
>> And and by the way, women are ovulating
every month.
>> I'm so glad you brought this up. Um this
is why you have per you guys are the
hormonal ones. Let's say that. So
everyone says women are hormonal. You're
the hormonal one, right? You have this
high testosterone all the time. We just
don't notice that you're hormonal
because it starts in uterero and you're
permanently hormonal basically. So,
let's just get that out there. But you
are hormonal because there's always
going to be fertile females around. So,
that's just an interesting point. Um so
but given you have to maintain high
testosterone levels throughout your
entire life. We h we only maintain our
you know high estrogen through a fixed
time our reproductive career which is um
when we're most attractive. If you look
at hunter gatherers they have like a
high a high pathogen load. They have
fewer uh calories coming in. They have
high energy expenditure. They have other
um stress stressful energetically
stressful situations to deal with that
we don't necessarily. So they keep their
testosterone levels lower. The peak is
significantly lower. I think it's like
at least a third lower
>> and then there's no real drop off. So
they're uh and they stay active and
healthy uh relatively healthy uh
throughout the rest of their lives. in
the testosterone, they don't have that
1%
uh loss say per year. And there's no
problem with fertility even though their
levels are much much lower than ours.
And which makes me skeptical about some
of the explanations for the um trend
that we see of a a drop in testosterone
levels in men and a drop in fertility.
uh because it's definitely if you look
at these natural fertility populations
you see that we are starting out really
high and we should be able to um men
should not have I wouldn't I don't
really see why there would be a
reduction in fertility per se that isn't
caused by other health issues for
instance
>> in other words you're saying it's hard
for us to blame fertility in the western
world on declining testosterone
>> just the testoster because I think the
testosterone must be declining because
of all these other things that are
affecting
>> Yeah. It could be the inflammation that
arises from the metabolic dysfunction
the
>> belly exactly what other Yeah. Exactly.
Um okay so let's going back to to kind
of western society. So we see this
>> roughly 1% per year drop in
testosterone. And so a guy in his 50s
now has I mean hell a guy in his 30s
today has a lower testosterone than a
guy in his 50s did 40 years ago. So a
guy in his 50s today has pretty low
testosterone
>> and we certainly know that medically
it's a completely safe thing to replace.
Um and we know that there are great
outcomes with respect to bone health uh
with respect to uh frailty and
subjective many subjective findings,
right? And we know that it's not
increasing the risk of prostate cancer
and heart disease and all the things we
used to worry about outside of the edge
case of hypertension which can be
managed. But all of that said, is there
a case to be made that we should not be
replacing testosterone in men because
um
it turns us backwards in terms of this
aggression and it's more likely to make
that 55year-old guy want to find himself
the 14, you know, the the 20year-old
girlfriend.
>> I don't know that that's been shown. But
so you're saying,
look,
>> is there a downside?
>> Testosterone is great. Why shouldn't we
give it to people?
>> No, no. I'm asking the opposite
question. I'm saying given
>> everything we've just learned about
testosterone,
>> is there a reason, is there a negative
consequence to taking a 55year-old guy
and restoring his testosterone to what
it was when he was 18?
>> Why do you think he say make the
argument for why that should happen? why
you should restore it back to when he's
18. Yes.
>> Um, so
>> do do you think that should happen?
>> I think it it totally depends on the
symptoms would be my take, right? So if
a guy is having difficulty putting on
muscle mass, if he's complaining of
something, see, again, there are some
guys who say, "I'd like to have sex once
a week and my wife would like to have
sex once a week and that's what we do
and that's fine." Conversely, there are
other guys who say, "My wife wants to
have sex every day and I want to have
sex once a month." Yeah,
>> this is now this is a problem. But if my
testosterone is what it was when I was
18, I'd like to have sex every day. My
wife would like to have sex every day.
Now we're happy, right? So So again,
it's there isn't a formula here, but
that's one example of how you're trying
to
>> match the symptoms and and what the
patient is saying to what you can do,
right? There are some guys who have no
difficulty putting on muscle mass
despite having a testosterone at the
20th percentile. It might be that they
had, you know, their genetics are such
that that was the case or they put on a
lot of muscle mass when they were
younger and it's just easier to maintain
it. Um there's certainly evidence that
insulin resistance can be ameliorated by
um by correcting hypogonatism. Um so
anyway, there are there are reasons to
consider doing it. What I'm trying to
get at is are there negative
consequences of doing it from a
behavioral standpoint? And I'm not
talking about roid rage and things like
that which has largely been sort of
debunked um outside of again these edge
cases where people are taking sort of
super physiologic doses. Um but in terms
of being a productive non-assolic member
of society uh and and not being overly
aggressive or being you know engaging in
harmful behavior, risky behavior,
>> you know, what's what's the pro and con
case for that in your mind?
>> Yeah. So I imagine that the doses that
you're giving I mean it's I think been
shown pretty clearly that if men are
within the typical range even at the low
end you don't see a lot you don't see
changes in sexual or aggressive behavior
within the normal range right you see
muscle m you see differences in physical
parameters but not
>> yeah the most complicating thing that if
if I could if I could wave a magic wand
wave one magic wand in medicine right
Now what would I have? I would have a
PSA equivalent for breast cancer. Come
back to why that would be a gamechanging
solution down the line. The second thing
which would not be nearly as important
would be I would love to have an assay
to measure androgen receptor density.
>> Oh, thank you for bringing that up
>> because what we can't
>> and what we we tell all our patients
this and it's they look at us like
>> just measure it and I'm like no no you
don't understand. we don't have a test
for it and they're like how do you not
have a test for this?
>> Can you do the KAG repeat?
>> Um I mean I guess you could that would
be that Yeah. I mean it's just is there
a commercial test for that? I mean and
you can do that in the lab but
>> yeah I don't know if there's a
commercial test.
>> Yeah. Like I would like someone should
develop a clea approved assay for this
because
>> does everybody know what the
>> No, they don't. But but I think the
point I really want to make is we don't
know like why is it that one guy can
have a testosterone of 400 and feel
totally fine and another guy can have a
testosterone of 400 and feel totally
depleted and if you took both of those
guys up to a thousand the first guy
would be like I don't feel any better
and the second guy would be like you've
changed my life.
>> Can I ask you a question about that
because you know a lot more about this I
think than I do. If you have the guy who
feels bad on 400,
do you
eliminate all the other things that
could possibly how like how can you
eliminate all the other things that
could be causing him
>> that are going on in his world?
>> No, you can't. But you can just change
one variable at a time. But if you
change that one variable, is that
overriding
the negative potentially negative
effects of inflammation or or depressing
situation in his social life or whatever
it is to
>> you know typically tea won't fix a lot
of those things, right? So so you know
the most obvious thing you try to sleep
you try to sleep the most obvious things
you try to fix are sleep, nutrition, and
exercise, right? So, if a guy's
regardless of what his testosterone
level is, if it's 400, which is very
low, um especially if his free
testosterone is is equivalently low,
>> um
>> and he's got sort of these vague
symptoms, it's like, well, look, if
you're not sleeping well, eating well,
and exercising well,
>> like let's fix those first.
>> Or obesity, do you have to?
>> Yeah, sure. Absolutely. Right. But you
can't always fix those things to the nth
degree without wanting to at least
experiment, especially when it comes to
body composition stuff or energy levels.
So,
um, by making the one variable change at
a time, you can sort of say, look, let's
do the experiment, right? If your T is
now 900
um and we haven't made a change during
that period of time other than that T
and you're telling me I don't really
feel that much different. My hypothesis
is you have a pretty low density of
androgen receptors and they're largely
saturated at 400
>> and interesting and therefore this isn't
really the fix. There's something else
we need to be looking at. Um,
>> yeah. I just I'm glad you brought up the
androgen receptors because I think
people don't appreciate the the fact
that uh one person's 400 is not another
person's 400 because and I I know you
talk about this a lot about carrier
proteins, but also there's the the um
genetic differences in the receptor
itself, which is the KAG repeat, which
predict
>> the binding
>> the the efficiency of its ability to
transcribe um the androgen responsive
proteins and just the overall
concentration. How where are the and
where are your androgen receptors and
how uh highly concentrated are there? Of
course, there's different it's going to
be different in different parts of your
brain and body. So, all of that really
makes much more complex the
interpretation of a single measurement.
So that being said, yeah, I don't know.
I don't know. I'm coming from a place of
thinking about how this all works
naturally to promote
uh especially behaviors that are
adaptive. I'm on progesterone,
testosterone, and estrogen. I'm 59. I'm
definitely And I had my ovaries out a
couple years ago. And I have to say, I
just want to say when that happened, I
was 57.
So, I was already in menopause pretty
much and uh everything changed after
that. Like it made a huge difference. My
hair started falling out. My sex drive
plummeted.
>> Sorry, just to be clear, you were on
hormone replacement therapy prior to No.
>> No. Okay.
>> And I had my I just was I just want to
throw that out there because even I'm
supposed to be an expert in hormones and
>> I had my ovaries out at 57 and it was a
huge had a huge impact. even though you
were already in menopause.
>> Yeah, I mean I guess I wasn't we found
out I wasn't actually I had some fresh
corpus ludium in my ovaries. So they
said I wasn't actually in menopause but
uh
>> yeah it's just amazing even when they're
pumping out low levels of hormones I
think still pretty impactful. So yeah,
I'm on
>> So why did you decide to only go on
hormone replacement therapy at the age
of 57 when presumably you believed you
were uh in menopause prior and didn't go
on HRT?
>> That's a good question. I guess cuz I
felt fine and it wasn't until
>> it was gradual.
>> It was gradual. Yeah. And and but that's
a great question. Um I think especially
the I I because of you I started lifting
weights a year ago. it total total.
>> You look like you you look like you've
been at it for years.
>> Oh, thank you. No, I was just a runner
and you know, Pelaton and biker and all
that. And uh it's made a huge
difference. I just want to say to to um
get into lifting. Now I'm addicted to
that and now I have a back injury um
which you'll have to help me with later.
So um I think the testosterone must be
helping there in terms of my like really
getting into the workouts and how much I
can lift potentially. Um, I can't even
remember what you asked me now, but Oh,
I guess I'm saying I myself am on these
hormones
>> and it sounds like you feel better as a
result of it.
>> Yeah, I think so. I think I feel better,
but I definitely feel better when I'm
working out and the drive to, but I
maybe I would have done that anyway. But
I have no issue with people doing what
they need to feel better. I just think
people don't consider that especially
testosterone and I think also estrogen.
These are hormones that give us signals
not about I mean about what's going on
in our own bodies uh like are we making
eggs? Are we making sperm? Are we
healthy? Are we sick? You know, all of
that is communicated like if you're
sick, your uh those systems are
suppressed and your hormone levels are
going to be lower, which is adaptive and
it it will help you, you know, and that
won't happen if you're taking it all
exogenously and there's a lot of social
signaling.
Uh so all of that goes away, but
yeah, I think that's for each individual
to decide. I I do think there should be
some regulation around testosterone
because from what I understand it really
is addictive and also can uh permanently
cause someone to you know cause someone
to become infertile. Uh that's something
obvious that I don't know that people
young people in particular really
understand. So I think it's different uh
when people are you know after the age
of 40 or 50 is a different situation
from someone who's young and healthy and
is doing it
>> and is getting addicted. I think at the
at
>> younger ages I think we should be much
more careful.
>> Yeah that's an interesting point is um
because as as you know but maybe some of
the listeners don't um testosterone is a
regulated scheduled drug uh hormone
whereas estrogen is not. So, um,
estrogen can be prescribed without any
sort of DHEA scheduling. Testosterone is
a schedule. I believe it's a schedule 4.
Um, and that's a real big DHEA
scheduling.
>> Did I say DHEA instead of DH? You did.
It's what is it?
>> Uh, the DEA.
>> What is wrong with me today? Oh my god.
Let's come up with an acronym for drug
enforcement agency. That is DHEA. um the
the Drug Health Enforcement Agency. Um
so, but that's an interesting point that
you raised, right, which is it's
>> one reason to consider scheduling it is
the potential for abuse is much more
significant in younger men which might
who might not realize and and sadly a
number of them don't realize
um hey, if I take this stuff for three
years in my 20s, it could significantly
and potentially permanently affect my
fertility.
>> Yeah. And it's hard to come off, right?
I mean, from what I understand, it's
very hard to h tolerate the transition
and and the withdrawal where you now you
can't get an erection. Your libido
tanks, right?
>> Again, I don't have I just don't have
experience with it because it's just
it's simply not our patient population.
So, I can't speak to that at all. And my
guess is everything you're describing
would be
>> more the result of abuse. Yeah. Yeah.
And I I I I don't like sort of um uh
using a judgy term like that, but I I
reserve that term for kind of
non-medical use that is
hyperphysiologic.
>> So you Sorry. So educate me on this. So,
um, if you have a or if there is a
25year-old
who's just supplementing to get to the
high end of normal range, he's still
going to shut down his
>> He's going to shut his HPA down
>> and then he will have
>> but but here's the thing. I I I have a
really hard time believing that a
25-year-old should ever be on exogenous
testosterone,
>> right? So, in other So, so to be clear,
>> they are, right? It's really increasing
at these
>> I assume. So, I I have to plead
ignorance here. I really have no sense
of how widely Yeah. Yeah. But to be
clear, um, when I was
>> 28
2930, so when I was in my residency, my
testosterone level was 220 Nanog saying
this on another show. So I was like,
>> so you were not sleeping totally the
level of a woman instead of 10x or, you
know, 5x or whatever. Right. Yeah. So,
um, but did that mean that I should have
been on TRT when I was 30?
>> Definitely not.
>> No, it meant that I needed to get the
hell out of residency and actually start
sleeping at night.
>> And that's what you did, right?
>> Yeah. And then whatever, like, you know,
four years later, 5 years later, I had
normal testosterone. So, um,
>> Wow.
So, so again, if if if a 25year-old is
walking around with a testosterone of
three to 400,
I would be much more inquisitive about
fixing a whole bunch of things uh and
much slower to move towards replacement.
And by the way, even if I was going to
replace it, I would not be using
testosterone. I'd be using hCG.
>> Right.
>> Right. I'd be preserving gonatal
function as opposed to completely
suppressing it.
>> I see. Um whereas if a guy's 60
if if he's fine with testicular
shrinkage which would be the fundamental
difference in that in in using exogenous
tea when you suppress his HPA access um
then um you know I think it's less of an
issue. Um so but again I I don't I don't
want to speak for any authority on
treating young people. I simply don't
have that experience and I don't I don't
have even a sense of how widely used it
is. Uh but but I guess it is a good
additional hurdle to have it be uh DEA
mandated, regulated, scheduled. So
>> um
so
what are you up to right now?
>> So I um am trying to finish a book
proposal. I'm spending a little more
time with my son, which is nice that I'm
home when he gets home from school. and
I have a part-time job at a DC think
tank which I'm really enjoying. Um, and
I do some writing. Um, and
uh, yeah, that's about I mean I have
other things that I do, but
>> yeah,
>> those are the relevant things.
>> So,
I don't want to go too far down the
rabbit hole of what many people if they
Google you are going to learn about the
horrific experiences you had, but how
long ago was all of that? That was about
three years ago. So that was happened
started in 2021. Yeah.
>> So four years ago. So
how how has this experience been for
you? You're four years on the other side
of
I think what any reasonable person would
would look at and say is just a complete
and total injustice. uh a lot of
incredibly cowardly people that I'm sure
at one point you felt were friends and
colleagues that you know completely sat
by silently as a as a as a as a minority
mob went after you. Um how are how are
you recovering from that experience?
It's been really difficult because
uh I was just reading
my acknowledgements in my um book on
testosterone and
I wrote you know I have a great job. I
have the privilege of interacting with
these amazing young people and it's it
was teaching and advising
undergraduates
uh is hard you know it's hard I I teach
about some really controversial and
detailed and intricate uh topics and I
loved that I love putting in the effort
and feeling the reward you know every
day and I loved have the relationships
and changing people's lives and having
them change mine. And it's a big, you
know, that's work that is challenging
and so deeply rewarding and it helps to
provide a sense of meaning in life and a
sense of accomplishment and all these
things. So not having that
um is hard and it's hard coping with the
reason I don't have that and all the
people and the institution I trusted and
gave so much to and feel yeah I feel
that I was treated pretty horrifically.
So it's hard. It's a transition. I know
that it's a transition. I've had
transitions before. Uh but this is a big
one. I thought I'd be in that job
forever.
Um, but what it has done for me is made
me much more committed to doing
something like what you do, which is why
I'm a hu part of why I'm a huge fan of
yours. And I'll probably start to cry
again. Um, and I think it's very rare
that there that people get so into the
scientific weeds with I don't detect any
bias on your part. I detect your very
open and honest struggle to understand
the evidence and to talk about the
evidence and where it points. And that's
what I've always tried to do. And I
think it is so important not just for
science, but for people to be able to
communicate with each other and share
facts. Maybe we disagree about the
implications of the facts. Uh but it's
so important to take ideology and bias
out of our understanding of reality.
reality is there whether we like it or
not. It's always to our benefit to
understand it and to try to figure out
then to use like democratic processes to
figure out what to do with reality or or
how to improve human health or whatever
the issue is. So I guess that experience
has just made me much more committed to
doing that and to advocate for that. um
which isn't always easy and it you know
some of the things I said today are
controversial but you know I'd love for
to hear what um if people disagree why
and then that's how we learn is by
having our views and interpretation of
evidence challenged. So given how in
many ways successful you were as a
professor, how much your undergraduate
students loved you, um it's certainly
one vehicle through which you can
communicate this passion. Do you see
yourself going back to that situation?
Do you see yourself winding up back at a
different university one day or do you
feel like, you know, the scars are
sufficient that you don't feel like
being in that arena again?
>> So yeah, we didn't say what happened.
I'll just say that I wrote a a book tea,
the story of testosterone, the hormone
that dominates and divides us. And I
went on Fox News and um said that there
are two sexes, male and female. and
someone who was representing themselves
as uh speaking on behalf of Harvard in
my department accused me of transphobia.
And then there was there were other bad
things that happened and it resulted in
me feeling I had no choice but to leave
my job that I'd been in for over 20
years and and loved.
Um and now I forgot your question.
>> Would you see yourself back? Yeah. So no
because I'm so traum I was traumatized.
I was in shock. I could not believe how
people were behaving. And I learned a
lot. And one of the things I learned is
that I was way too trusting.
And whatever I do, I want to throw
myself into it. And I threw myself into
that job. And that's why it hurt so much
because that was me. That was like all
of me. I mean, I kept some of me uh for
for other parts of my life, but I really
threw myself into it and they everyone
who worked with me knows that and so it
feels way too risky. I don't I won't
trust an institution like that again. Um
or I don't know. I'll have trouble
Yeah. Academia for me right now, not a
fan. So
>> I think I'm sure a lot of people can
relate to that because anybody who's put
every bit of themselves take an example
like your first love, right? The first
person you fall in love with, if they
break your heart,
>> you're going to sit there and say
>> that wasn't worth it. Like I'm not I'm
not doing that again. The the the bliss
of that experience wasn't worth the pain
I'm experiencing today. Um,
and I'm not going to sit here and
suggest that you have to do it again
because of, you know, look, look at all
the students you were able to help
because there's other ways to do it and
you're obviously writing another book.
And so, um, you know, the truth of the
matter is being on a podcast probably
reaches more people than you would reach
in 10 years of teaching, right?
>> Um, what is what is your next book about
if you're are you comfortable talking
about what the subject is?
>> Totally. I'm really excited. It's about
what's happening with masculinity and
I'm really interested in the cultural
narrative. Here's why I also cry and
that's how I knew I needed to write a
book because why am I crying about
masculinity and men being denigrated uh
which I get very upset about that. uh
and I wanted to really understand what
was happening culturally, why we are in
a place where masculinity is um
not valued and also to explore the
interaction between
biology and genes and hormones and
what's happening culturally. Why is it
that these cultural changes that we've
had are affecting men in the ways that
are different from how they're affecting
women? Like economic changes um
uh you know men are falling behind in
education for instance and why is why
what's happening in schools and why are
schools maybe less hospitable to typical
male ways of behaving than typical
females. So, I really want to dive into
that intersection
um and to explore some of the questions
that we you were asking today about
aggression and sort of men's we were
talking about men's need um to compete
and how it's different from women and
how that plays out socially. So I want
to explore those issues really with an
eye to understanding what's called the
masculinity crisis and what I think has
been um that there's a kind of backlash
going on right now which I think is
interesting
um in that men and their needs and their
right to be masculine I think has been
under attack and now I think there's a
bit of yeah uh
some men are feeling freer to be more
masculine I say today what I want to
explore is the denial of sex differences
and how that plays out socially because
if you believe that men and women are
equally interested in engineering then
you don't believe in sex differences.
You don't believe there are you
important meaningful differences between
the sexes that play out in society that
are not all the result of the patriarchy
say. Certainly there are social
influences it and and that all matters
but there's this denial of that of of
real differences um that we need to
grapple with socially. And if it's if
you um
believe that all the differences are the
result of society, then you're justified
>> yes
>> in uh say
>> potentially you're more justified in
trying to create equal outcomes,
>> right? But if you deny biological
differences, um then you have more of a
reason to do that. But if you appreciate
that they're real and that we have to
grapple with them socially, then it's
going to be more complicated, right?
>> Yeah. I I mean, I I completely agree. I
mean, I I joke about this with my wife
all the time, right? Like
the the reaction she has to a naturally
aspirated V8 engine screaming at 10,000
RPM versus my reaction.
>> So, you go towards, she goes away,
basically.
>> I mean, like, it's the greatest sound
I've ever heard. and she is like, "What
is that awful noise?"
>> And there's no socialization that
creates that difference. Like
>> on average, cuz we we can only talk
averages here, men are way more
hardwired to love that sound. Like, and
and I there are incred.
>> Sure. Sure. But there are incredible
YouTube videos where you can literally
listen to every engine.
>> Oh, and it's like ASMR for you.
>> Yeah. the V8 and V10 naturally aspirated
engines screaming is the greatest sound
I've ever
>> I don't know what naturally aspirated
just mean it's that you don't have
forced induction of air so it revs very
high and but but yes like if I if I had
my wife listen to that she would she
first of all she wouldn't hear the
difference between any of them and she
would think they all sound awful they're
too loud
>> and can we just remind your listeners
that we are definitely not saying that
there are no women interested in cars or
that they're plenty of them but on
average what we're talking about is
differences on average, especially those
not with the cars, but a lot of what
we've been talking about are differences
on average that persist throughout
history around the globe and that are
shared with non-human animals and for
which we have a mechanism which makes
sense um and that is differences in sex
hormones. So, how do you think as you
write this book, you will be able to do
the seemingly impossible task, which is
to write about this in a manner that is
scientifically objective
without getting dragged into an
ideologic
>> political mud pit.
>> Yeah. I mean, I think I did it with my
last book. like I pulled that off in the
writing in the book. It was being in
academia and talking about it in a way
just saying that male and female are
real that was taken as undermining
undermining the rights of a certain
group essentially and there's just
nothing that you can do about that. I
think the way to respond is to encourage
people to engage with arguments instead
of assassinate character. So, you know,
that's part of what is very important to
me is encouraging that and teaching
people how to do that. And that's what I
did in my teaching in my classroom. And
it was great. There was like really
never an issue in my own classes even
though we got into the most
controversial
>> subjects. So,
I'll just keep doing, you know, trying
to stick to the evidence and being
always remembering these are people's
lives, you know, and being compassionate
and uh emphasizing that biology is not
destiny. There's a huge amount of
variation and it's perfectly normal to
be a little boy who wants to play with
dolls like that. It's even hard for me
to talk about because it's heartbreaking
that um you know people feel stigmatized
for not being sex typical. But that's
something where if you understand the
science, you understand variation and
you understand what is normal and
there's there is a spectrum, a huge
spectrum of behavior across the sexes.
There's just not there's just only two
sexes and we should learn to deal with
that, you know, kind of reality. Well,
Carol, really appreciate this
discussion. Um, and appreciate, you
know, uh, without, you know, having
experienced it personally, what you've
been through, which, which I think is,
uh, it's it's heartbreaking. Um, I know
I know several others who I'm close to
who have been, um, similarly, uh, just,
you know, decimated by, um,
you know, individuals who, yeah, the
mob, the the the the angry mob. So, um
the I think the good news is you've
you've you know
virtually all reasonable people um can
agree on a set of facts and and but you
can't please everybody and and there's
going to be certain individuals who who
are going to have their their points of
view.
>> Um excited to hear you're working on
another book.
>> Um and excited that you've got more time
at home to to do so.
>> Thank you so much for having me. It was
great.
Ask follow-up questions or revisit key timestamps.
This podcast episode features a discussion between Peter Aia and Dr. Carol, exploring the biological and evolutionary basis of sex differences, primarily focusing on testosterone and its effects on behavior and development. They delve into how chromosomes, hormones, and genetics shape individuals from conception, discussing the roles of testosterone in early development, aggression, and cognitive functions. The conversation also touches upon the complexities of sex determination beyond XX/XY chromosomes, the impact of hormones on behavior in both humans and animals, and the societal implications of these biological differences. Dr. Carol shares her personal experiences and research, highlighting the importance of understanding the scientific basis of sex differences while acknowledging the influence of culture and environment.
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