Testosterone has two different, but coordinated, effects on the mind and body. It is involved in both design and function. It first helps organize and develop the body and brain, beginning before birth and continuing through adolescence. It then helps direct activities in the body and brain throughout life. It is like a young automotive engineer who designs a fast, powerful car and then races it. The engineer designs a car with the capacity for power and speed, and then later he uses that capacity to race. Testosterone designs a fetus with the potential for power and speed, and when the fetus grows into an adult, testoterone encourages the adult to use this potential.
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Testosterone first appears in utero , where its job is to turn a neutral fetus into a male. Sex is determined by the X and Y chromosomes; females have two X's and males have an X and a Y. There is one gene, lying along the Y chromosome of every male, that determines his development as a male. The presence of this gene, like the flip of a switch, sets the stage for all that follows. The fetus starts off as a single cell, without a brain or body. Testosterone appears in the middle third of pregnancy, and it transforms the developing fetus into a male. When the gonads first appear, they are undifferentiatedneither ovaries nor testes. Left alone, they will become ovaries. Fallopian tubes will grow out of ducts in their sides, and a female reproductive system will grow out of the fallopian tubes. If the fetus is to be male, however, the gene on the Y chromosome will act to close these ducts and develop cells that produce testosterone and later produce sperm. Males and females are built from the same basic body parts. Organs that appear to be found only in one sex are in fact present in rudimentary or modified form in the other sex. Thus, in females, the gonads remain inside the body and develop into ovaries, and in males, they descend below the body and develop into testes. Dihydrotestosterone, a potent form of testosterone, causes external genitalia in males to develop into a penis and scrotum. Otherwise the same organs develop into a clitoris and the folds around the vagina in females.
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Testosterone goes beyond determining the difference between males and females. The amount of testosterone affects the degree of
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