August 20, 1997

Congenital Adrenal Hyperplasia and Adult Sexual Behavior-Reply

Author Affiliations

University of California, San Francisco
University of Edinburgh Edinburgh, Scotland

JAMA. 1997;278(7):549. doi:10.1001/jama.1997.03550070041033

Dr Johnson chastises us for "the perpetuation of... negative stereotypes" about homosexuality. We submit that her reading of our text is incomplete. As pointed out in her quotation, we stated "it has been suggested," ie, the suggestion is that of others; we have done no original research in this area. However, as not pointed out in her quotation, we cited 2 references to support our statement. These references reported 2 peer-reviewed surveys of sexual behavior, body image, and sexual fantasies among women with CAH.1,2 These reports are generally consistent with the older study of Mulaikal et al3 and with 2 newer studies by Zucker et al4 and by Meyer-Bahlburg et al.5 These newer studies can direct the interested reader to an extensive literature on the behavioral correlates of prenatal exposure of the female brain to the action of androgens as well as to the difficulties in