The evolutionary biology of testosterone: how it shapes male development and sex-based behavioral differences, | Carole Hooven, Ph.D.

Peter Attia

1 dic 2025

Episode description

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Carole Hooven is a human evolutionary biologist whose research centers on testosterone, sex differences, and behavior. In this episode, she explores how prenatal testosterone orchestrates male development in the body and brain, how early hormonal surges shape lifelong behavioral tendencies, and what rare natural experiments—such as 5-alpha-reductase deficiency—reveal about the biology of sex differentiation. She discusses distinct male and female aggression styles through an evolutionary lens, how modern environments interact with ancient competitive drives, and the implications of attempting to suppress them. The conversation also covers testosterone across the lifespan, the role of hormone therapy in both men and women, and Carole's own experience after surgical menopause, culminating in a broader discussion of masculinity, cultural narratives, and the consequences of denying biological sex differences.

We discuss:

  • How Carole became interested in exploring the biological and evolutionary roots of sex differences and the role of testosterone [2:30];

  • How testosterone and other hormones influence sex differences in aggression and behavior across species [9:45];

  • How chromosomes, the SRY gene, and early hormones direct embryonic sexual differentiation [12:15];

  • A stark contrast of male social bonding compared to females, and evolutionary parallels in chimpanzees [19:30];

  • How hormones like DHT shape sexual differentiation, and how 5⍺-reductase deficiency reveals the distinct roles of these hormones [22:45];

  • How sex chromosomes and prenatal testosterone shape early brain development and explain sex differences in childhood behavior [31:30];

  • How gamete differences shape reproductive strategies, energetic costs, and sex-specific behavior [42:30];

  • How evolutionary biology shapes sex differences in play, aggression, and conflict resolution (and how modern environments and cultural messaging can disrupt those patterns) [49:00];

  • Why males commit disproportionately more violent crime, and how cultural and environmental forces shape aggression [1:01:00];

  • Why females evolved different behavioral strategies: nurturing, risk aversion, and the cultural norms that overr

Episode description

View the Show Notes Page for This Episode

Become a Member to Receive Exclusive Content

Sign Up to Receive Peter's Weekly Newsletter

Carole Hooven is a human evolutionary biologist whose research centers on testosterone, sex differences, and behavior. In this episode, she explores how prenatal testosterone orchestrates male development in the body and brain, how early hormonal surges shape lifelong behavioral tendencies, and what rare natural experiments—such as 5-alpha-reductase deficiency—reveal about the biology of sex differentiation. She discusses distinct male and female aggression styles through an evolutionary lens, how modern environments interact with ancient competitive drives, and the implications of attempting to suppress them. The conversation also covers testosterone across the lifespan, the role of hormone therapy in both men and women, and Carole's own experience after surgical menopause, culminating in a broader discussion of masculinity, cultural narratives, and the consequences of denying biological sex differences.

We discuss:

  • How Carole became interested in exploring the biological and evolutionary roots of sex differences and the role of testosterone [2:30];

  • How testosterone and other hormones influence sex differences in aggression and behavior across species [9:45];

  • How chromosomes, the SRY gene, and early hormones direct embryonic sexual differentiation [12:15];

  • A stark contrast of male social bonding compared to females, and evolutionary parallels in chimpanzees [19:30];

  • How hormones like DHT shape sexual differentiation, and how 5⍺-reductase deficiency reveals the distinct roles of these hormones [22:45];

  • How sex chromosomes and prenatal testosterone shape early brain development and explain sex differences in childhood behavior [31:30];

  • How gamete differences shape reproductive strategies, energetic costs, and sex-specific behavior [42:30];

  • How evolutionary biology shapes sex differences in play, aggression, and conflict resolution (and how modern environments and cultural messaging can disrupt those patterns) [49:00];

  • Why males commit disproportionately more violent crime, and how cultural and environmental forces shape aggression [1:01:00];

  • Why females evolved different behavioral strategies: nurturing, risk aversion, and the cultural norms that overr

Mindsip insights from this episode:

Challenge age-related testosterone decline by learning from hunter-gatherers

Unlike men in Western societies, hunter-gatherer men tend to have lower peak testosterone levels that do not significantly decline with age, suggesting our age-related drop is not inevitable.

Embrace fatherhood to nurture and balance testosterone levels

Men who are physically involved with their young, dependent children experience a natural suppression of testosterone, an adaptive trait that promotes nurturing over mate-seeking.

Understand 'mini puberty' in male infants for brain and penis development

Male infants experience a testosterone surge peaking around three months after birth, known as 'mini puberty,' which influences brain development and penis growth.

Encourage rough-and-tumble play to foster social skills in boys

Rough-and-tumble play in boys is an evolutionarily necessary behavior that helps them learn social hierarchies and physical capabilities, which can ultimately reduce aggression in adulthood.

Recognize ongoing ovarian hormone production post-menopause

Even after menopause, ovaries continue to produce impactful levels of hormones, as evidenced by the significant negative effects experienced after their removal in a 57-year-old.

Understand DHT's potency for fetal development

DHT's high potency is likely an evolutionary solution to create strong, localized androgenic signals for fetal development, like forming the penis, without flooding the entire body.

Understand prenatal testosterone's role in shaping behavior

Behavioral differences between young boys and girls are not due to their current hormone levels, but how their brains were permanently organized by a testosterone surge during prenatal development.

Allow estrogen to rise for improved outcomes in testosterone therapy

For men on testosterone therapy, allowing estrogen to rise naturally is linked to better outcomes in body composition and mood, not just libido.

DESCARGA LA APLICACIÓN

Descubre la sabiduría de la longevidad

DESCARGA LA APLICACIÓN

Descubre la sabiduría de la longevidad

DESCARGA LA APLICACIÓN

Descubre la sabiduría de la longevidad