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T: The Story of Testosterone, the Hormone that Dominates and Divides Us Hardcover – July 13, 2021
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Through riveting personal stories and the latest research, Harvard evolutionary biologist Carole Hooven shows how testosterone drives the behavior of the sexes apart and how understanding the science behind this hormone is empowering for all.
Since antiquity―from the eunuchs in the royal courts of ancient China to the booming market for “elixirs of youth” in nineteenth-century Europe―humans have understood that typically masculine behavior depends on testicles, the main source of testosterone in males. Which sex has the highest rates of physical violence, hunger for status, and desire for a high number of sex partners? Just follow the testosterone.
Although we humans can study and reflect on our own behavior, we are also animals, the products of millions of years of evolution. Fascinating research on creatures from chimpanzees to spiny lizards shows how high testosterone helps males out-reproduce their competitors. And men are no exception.
While most people agree that sex differences in human behavior exist, they disagree about the reasons. But the science is clear: testosterone is a potent force in human society, driving the bodies and behavior of the sexes apart. But, as Hooven shows in T, it does so in concert with genes and culture to produce a vast variety of male and female behavior. And, crucially, the fact that many sex differences are grounded in biology provides no support for restrictive gender norms or patriarchal values. In understanding testosterone, we better understand ourselves and one another―and how we might build a fairer, safer society.
- Print length352 pages
- LanguageEnglish
- PublisherHenry Holt and Co.
- Publication dateJuly 13, 2021
- Dimensions6.59 x 1.2 x 9.54 inches
- ISBN-101250236061
- ISBN-13978-1250236067
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From the Publisher
Editorial Reviews
Review
Featured in The Wall Street Journal’s “10 Books to Read: The Best Reviews of July”
The Times (UK)’s Best Books of 2021
Bloomberg Opinion’s 15 Best Nonfiction Books of 2021
“[C]lear-eyed, crisply written...[T] entertains as it educates...[and Hooven] circles back to her own story, speaking to us intimately, casting her intellectual journey in a luminous chiaroscuro...Her book confronts ugly truths about male behavior, but also seeks to reintroduce nuance into our discourse by enlarging our grasp of the biological processes shaped by testosterone. T is a gorgeous culmination of an odyssey both professional and personal.”
―The Wall Street Journal
“Hooven makes a compelling case that T is a powerful influence on our bodies and brains…As the final chapter of [T] argues, it’s hard to make a start on…social improvements if we don’t fully understand why things are the way they are. Clear-eyed books like this, which mercifully avoid culture-war partisanship, are a great start on that particular quest.”
―The Times of London
“[A] clear, accessible, and accurate review of major themes in the human testosterone literature…thought-provoking and informative.”
―Evolution, Medicine, and Public Health
“One of the most compelling books on human behavior I’ve ever read, T is a scientific mystery story told with insight, intelligence, and panache.”
―Daniel Gilbert, Edgar Pierce Professor of Psychology at Harvard University and author of the New York Times bestseller Stumbling on Happiness
“Hooven’s review of what testosterone does and does not do is science-writing at its best: intriguing, personal, bold, persuasive, and most importantly, transparent. Her gripping account will fascinate, whether you’re a teenager in the throes of puberty or are just curious about the nature of sex and gender―one of the most important debates of our time.”
―Richard Wrangham, author of The Goodness Paradox
“With all the talk about testosterone in sex, sports, and politics, we need a good explanation of the science and its implications, and this one is outstanding.”
―Steven Pinker, Johnstone Family Professor of Psychology at Harvard University and author of How the Mind Works and Enlightenment Now
“Filled with fascinating―often astounding―insights, T takes us on a journey from the discovery of this powerful hormone, to its effects throughout the animal kingdom, to a crucial understanding of how it shapes human minds, bodies, and behavior. Hooven is a compelling and compassionate guide, and T is a book we need now.”
―Emily Yoffe, journalist and former “Dear Prudence” at Slate
“T is the story of the most famous, most misunderstood, and most maligned chemical in our bodies: testosterone. A fascinating, brave, and brilliant book―the best I’ve read on the topic.”
―Steve Stewart-Williams, author of The Ape that Understood the Universe
“A superb and engaging book that delivers the unfiltered truth about testosterone, sex and sex differences, told with clarity and compassion. T conveys a deep understanding about the hidden power of testosterone in our lives, but also teaches us how scientific knowledge exposes harmful misconceptions and helps us become more humane.”
―Daniel E. Lieberman, author of Exercised: Why Something We Never Evolved to Do is Healthy and Rewarding
“With wit, warmth, and a touch of motherly love, Hooven lucidly lays out a formidable scientific case for how and why the sexes are different. Boldly confronting contemporary gender issues, T speaks directly to why getting human nature right matters for making the world a better place.”
―Joe Henrich, professor of human evolutionary biology at Harvard University and author of The WEIRDest People in the World and The Secret of Our Success
“Dr. Carole Hooven has written the definitive book on testosterone…[which] examines testosterone from every possible angle…If we can educate ourselves about ‘T,’ according to Hooven, then the unfiltered truth about the impact of testosterone and the differences between the sexes will add to our knowledge-base and help us create a better society.”
―Evening Standard
“We need to be more accepting...Human beings are slow to learn, and it takes us a long time for us to adopt all this information and adapt...We need more examples like you. You're raw, and you're open, and you're confident enough to be vulnerable...It was a great conversation. I've never cried more.”
―Joe Rogan, The Joe Rogan Experience
“Truly one of the most remarkable and fascinating books that I’ve come across in a long time…Carole is that rare scientist who is able to take sometimes complicated and technical information and make it all understandable.”
―Danielle Crittenden, The Femsplainers Podcast
“This is a smart, balanced, interesting, humane, and rigorous book that pulls no punches. It helps us understand better the relations between men and women, homosexuality, transgenderism―all aspects of our lives.”
―Andrew Sullivan, The Weekly Dish
“It's a good narrative, not just an academic book, but I like that you get into the nitty gritty of the science.”
―Razib Khan, Unsupervised Learning
“[T]imely and intriguing…[T investigates] the ancient question of nature vs. nurture, and Hooven walks a fine line between the two…popular science likely to excite academic debate on sex and gender.”
―Kirkus Reviews
“Hooven separates testosterone fact from fiction in her comprehensive debut…[S]he takes readers to high-tech labs and on a day of ‘chimping’ in Uganda’s Kibale forest―and her writing is refreshingly free of jargon. The result is an approachable introduction to an often misunderstood aspect of human biology.”
―Publishers Weekly
“[Hooven] deftly details the tremendous impact of testosterone…[and t]he complex interplay between genes, hormones, social environment, and experience makes us who we are…Hooven effectively counters erroneous or misleading assertions about testosterone, a hormone so culturally familiar to most of us that it's frequently designated by a single letter.”
―Booklist
“[Hooven’s] insight into evolutionary biology and human behavior will be valuable not only to scientists but to anyone interested in social change…A provocative, academic, accessible look at the science behind human behavior.”
―Library Journal
“Employing evolutionary biology, endocrinology, and good storytelling, Hooven lays out how testosterone works, why it works as it does it, and what the consequences are...Where a careful reading and understanding of the best evidence leads, Hooven follows.”
―Philosophy Blog
“Hooven makes her case for the importance of T with a humility, humor, and grace not often seen in our cultural battles these days.”
―Stephen L. Carter, Bloomberg Opinion
“Carole Hooven, an evolutionary biologist at Harvard, explains for the general reader the effects of this hormone in making us male or female, in triggering puberty, and in relation to sexual behaviors both heterosexual and homosexual…[M]easured and thoughtful.”
―Longview News-Journal
“[A] vivid study.”
―Nature
“Testosterone (T) is the hormone we love to hate, and recently there’s been a lot of hate…Thankfully, relevant experts have stepped up to the plate to right many of those wrongs, including Carole Hooven.”
―Reason Magazine
“I can recommend Carole’s book―it’s great.”
―Jim Davies, Minding the Brain
About the Author
Product details
- Publisher : Henry Holt and Co.
- Publication date : July 13, 2021
- Language : English
- Print length : 352 pages
- ISBN-10 : 1250236061
- ISBN-13 : 978-1250236067
- Item Weight : 1.19 pounds
- Dimensions : 6.59 x 1.2 x 9.54 inches
- Best Sellers Rank: #196,172 in Books (See Top 100 in Books)
- #17 in Human Sexuality Studies
- #91 in Anatomy (Books)
- #286 in Biology (Books)
About the author

Carole Hooven teaches and co-directs the undergraduate program in the Department of Human Evolutionary Biology at Harvard University. She earned her PhD at Harvard, researching sex differences and testosterone, and has taught there ever since. Hooven has received numerous teaching awards, and her popular Hormones and Behavior class was named one of the Harvard Crimson’s “top ten tried and true.”
Top reviews from the United States
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- Reviewed in the United States on January 4, 2025What is it that explains behavioral differences between the sexes? Is it primarily a sexist culture, as gender theorists maintain? Or is it primarily the powerful effects of testosterone?
Carol Hooven is well qualified to provide an answer. She has a PhD from Harvard in biological anthropology, and she teaches at her alma mater. Her book examines the scientific evidence in detail. The bulk of that evidence suggests that while socialization has an influence on behavioral differences, the main cause does not stem from how little boys and girls are raised.
There’s an understandable concern that innate differences can be cited to reinforce patriarchy. Consequently, some would downplay or deny those differences. In citing biology, Hooven does not seek to defend or justify male violence. Nor does she support sex discrimination and patriarchy. She does favor recognizing what science tells us – instead of downplaying or denying it in the name of equality, as authors such as Angela Saini and Cordelia Fine do. “Understanding the forces that drive our priorities and behavior,” Hooven writes, “and how genes, hormones, and environment interact, helps to equip us to combat the darker parts of our nature.”
The basic facts are these:
• Men have ten to twenty times as much T as women.
• T’s main job “is to support the anatomy, physiology, and behavior that increases a male’s reproductive output.”
• “We are born into a gendered social environment, with different expectations for the sexes.” Nonetheless, “boys’ and girls’ brains are not gender-neutral blank slates.”
• In lab animals, fetal exposure to high T prevents the capacity for normal female sexual behavior.
• Differences in how young rats play are similar to those between boys and girls.
Does it make sense that human beings are the exception in the animal kingdom and sexual differences in how children play are unrelated to their brains? Hooven contends that prenatal T exposure significantly accounts for different play styles in monkeys and in humans.
Human female fetuses with CAH (a rare disorder called congenital adrenal hyperplasia) are exposed in utero to unusually high levels of T. As girls, they engage in play typical of boys more than three times as frequently as do girls without CAH. This occurs even though parents report encouraging their CAH daughters to be more feminine. Young women with CAH are also more likely to prefer male-typical professions. In sum, there is ample evidence that “exposure to high levels of T, even before we are born, masculinizes not only our bodies but also our interests, preferences, and behaviors.”
Men’s greater desire for sex without commitment is “one of the largest of all psychological sex differences in humans.” One researcher attributed this difference to “cultural influences superimposed on biological predispositions.” T levels are related to the higher libido.
Experiments with mammals also shows that male fetuses deprived of high T levels in utero have more feminized play styles as youngsters. There is no reason to assume “that humans are different from every other animal in which the relationship between T and masculinization of juvenile behavior has been observed…and that social forces alone explain why girls and boys play differently…The conclusion seems inescapable: as best we can tell, T makes boy brains.”
The evidence also suggests that T explains much of the gap between the sexes in sports. “Testosterone builds muscle, men have more of it, and it gives them a strong advantage over women in sports.” That’s why sports have been sexually segregated until recently.
One professor of gender studies claims that T levels “overlap considerably” between men and women. On the contrary, a meta-analysis of studies comparing T levels finds that adults have a “strikingly non-overlapping bimodal distribution with wide and complete separation between men and women.” The exceptions are people with DSDs or serious disorders of their endocrine glands.
Women with DSDs (disorder of sex development), whose T levels are in the high range, generally outperform women within the normal T range. One study found that women with these conditions are overrepresented in elite women’s sports by 140 times given their small proportion of the population. A study of female Swedish Olympians found that 37 percent had PCOS, which produces a T level up to five times higher than the average woman. Some sporting associations limit participation by women with naturally high T levels.
DSD occurs in about two of every 100,000 people. There was controversy about two women boxers in the Paris Olympics who apparently have DSD, which results in higher-than-average T levels. Neither is transexual, and both won gold medals.
T levels are also implicated in aggressive behavior, although some professors of gender studies attribute male aggression to cultural permission. Once again, Hooven looks at what the research shows. It is not controversial to say that T plays a “central role” in male violence for many non-human animals. Is it likely that humans are the exceptions here, too?
Aggression is used among animals to survive and to reproduce. Women are aggressive at times, but they tend to do less damage. One reason is they are smaller than men. Another reason is that women as well as various female mammals have higher levels of empathy, as reflected in related behaviors such as caregiving, cooperating, helping and comforting. T seems to reduce empathy. Men are more likely to use violence to prevent a mate from straying, often by attacking male interlopers. Men account for at least 80 percent of violent crimes in the U.S.
Does socialization account for this stark behavior difference? The violence gap widens at puberty, the time when T levels surge in boys. There’s no reason to believe that gender socialization suddenly surges at the same time in every culture.
When ideology conflicts with science, idealogues tend to distort or to deny the inconvenient truth. Carole Hoover gives a comprehensive, compelling, and readable summary of the research on testosterone and behavior. She gets the final word:
“It is within our power to close or widen sex differences in aggression – but the underlying tendencies producing those differences precede culture, and they exist because of testosterone. No good can come from denying that.” -30-
- Reviewed in the United States on October 31, 2021The central theme of this book is the assertion by the author of the crucial role of biological factors —and especially the hormone testosterone — in the various toxic manifestations of male aggression that are and have always been so much a part of human life.
While Dr. Hooven is very clear about what has motivated her to write this book, it is in no way a polemic or a diatribe: it is rather an extremely thoughtful and elegantly expressed work of scholarship, She has assembled a vast collection of results from many areas of research into a text that is clear, logical, and a pleasure to read.
While “T” is not “an easy read”, non-scientists should have no trouble understanding Dr. Hooven’s explanations of various theories and concepts that may be unfamiliar.
Carole Hooven notes that culture and the environment
have, over the centuries of civilization, exercised a moderating influence on the effects of aggression in society; however, much more needs to be understood and applied—specifically about testosterone and its associated evolutionary and genetic forces— to ensure the survival of our species.
If you haven’t already contributed to this effort, a good place to start would be to read this book.
- Reviewed in the United States on August 28, 2022“What makes a person? Is it nurture or is it nature? Is it both? And if it is both, in what proportion is it both?” These have been questions that have plagued society for quite some time. And for good reason. If the behavior of an individual is purely influenced by nurture, then some believe that simply shifting the culture would fix all the ills of society such as sexism. It is feared that if an individual's behavior is purely or even partly determined by nature, all negative or antisocial behavior will be excused. Holding people accountable for their actions and misdeeds become nigh impossible in their view if said actions have a biological component or cause. But as the book T: The story of Testosterone explains, this does not have to be an accurate fear. That even if biology plays a large role in the formation of a person’s personality, it does not have to be destiny and the person is still the ultimate decider of their life choices.
Written by Havard evolutionary biologist Dr. Carole Hooven, T: The Story of Testosterone explores the rich historical research of testosterone in animals and humans. She explores when testosterone was first discovered. She explores how testosterone influences fetal development in animals, including humans. She explores how testosterone influences aggression and sexual behavior in animals. She also explores the impact testosterone or the blocking of testosterone has on people who are undergoing gender reassignment therapy. With each exploration, she establishes the case for testosterone levels at least playing a role, if not a major role, in human behavior. And she does so with an introspective wit that prevents the subject matter from being boring. She uses anecdotes, interviews, and if possible her own experiences both as a professor at Havard and also as a mom with a son to illustrate how testosterone can shape behavior. I also feel that she is fair in her criticism of those who take a strong “testosterone has no influence on human behavior” stance. She does not insult them or they take that stance. If anything, she does empathize with them in the sense that she acknowledges that there are a lot of issues with equality among the genders. But as she says towards the end of the book, one cannot use bad science for a good cause.
I also appreciate that she avoids fatalism when discussing testosterone's influence on aggression. As she sums up in the end, having masculine feelings are not toxic nor is one toxic for having them. It is one’s actions that matter and one do have control over their actions. Thus, in her view to imply that masculinity can be toxic is somewhat simplistic and that people should embrace the complexity of human beings. That while there are patterns among males, not every male will conform to that pattern just like how every female does not conform to the pattern of being a female. I feel this sentiment is what gets lost when discussing differences among the sexes and it is nice to see it as a closing thought in a science book. All in all, I thoroughly enjoyed the book.
- Reviewed in the United States on May 21, 2025Carefully and effectively written- the be all end all of the biology of sex differences. Refreshingly clear and well-supported as well as clear as to where more research is needed.
Top reviews from other countries
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itagaki_unluckyReviewed in Japan on December 18, 20214.0 out of 5 stars 面白いですよ
ピンカーとかデブラ・ソーとかを愛読してる人だったら気に入ると思います!!
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ThiagoReviewed in Brazil on July 1, 20244.0 out of 5 stars Visão abragente
É um bom ponto de partida para conhecer mais da testosterona. Achei um pouco repetitivo e alguns pontos há um certo viés da autora, mas em geral ela busca passar uma visão técnica do tema.
KennedyReviewed in the United Kingdom on July 21, 20215.0 out of 5 stars Science writing done right.
Dialogue and writing about biology as it pertains to sex differences can easily devolve into either side using the "science" to beat one over the head with. Dr Hooven does the opposite of that. In this fascinating and accessible book, she goes through the evidence as it is currently understood to show how testosterone plays an important role in the average differences we observe between men and women. The research is presented using a writing style that makes it easy to follow and understand.
Throughout the book, the views of critics/skeptics are presented then addressed fairly, with acknowledgement being made where critics have valuable points.
This would make a good addition to the library of anyone seeking to be a well informed layman or taking a Behavioural Endocrinology 101 class.
An enjoyable and educational read!
León GrauReviewed in Mexico on April 22, 20252.0 out of 5 stars Mediocre at best
Really does not say anything new besides what we already knew about male/female biological differences, no useful conclusions, and couldn’t find information helpful for my everyday life.
Feels like the author was trying to avoid all opinion conflict, hence not making any statement.
Wouldn’t recommend :(.
Ilias, Athens, GreeceReviewed in Germany on May 17, 20255.0 out of 5 stars Illuminating and balanced
An excellent book in difficult times. Easy to understand, well-written (humor included), illuminating and balanced. We need more of this.






