Pubertal testosterone predicts mental rotation performance of young adult males
Open accessAbstract
Robust sex differences in some spatial abilities that favor males have raised the question of whether testosterone contributes to those differences. There is some evidence for prenatal organizational effects of testosterone on male-favoring spatial abilities, but not much is known about the role of pubertal testosterone levels on adult cognitive abilities. We studied the association between pubertal testosterone (at age 14) and cognitive performance in young adulthood (at age 21-23), assessing male-favoring, female-favoring, and sex-neutral cognitive domains in a population-based sample of 130 male and 178 female twins. Pubertal testosterone was negatively associated with performance in the Mental Rotation Test in young adult men (r=-.27), while among women no significant associations between testosterone and cognitive measures were detected. The significant association among men remained after controlling for pubertal development. Confirmatory within-family comparisons with one-sided significance testing yielded a negative correlation between twin pair differences in testosterone levels and Mental Rotation Test performances in 35 male twin pairs (r=-.32): the twin brother with higher testosterone performed less well on the Mental Rotation Test. That association was evident in 18 pairs of dizygotic male twin pairs (r=-.42; analysis controlling for shared environmental effects). In contrast, the association of differences was not evident among 17 monozygotic male twin pairs (r=-.07; analysis controlling for shared genetic influences). Results suggest that pubertal testosterone levels are related specifically to male-favoring spatial ability and only among men. Within-family analyses implicated possible shared genetic effects between pubertal testosterone and mental rotation ability.
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Pubescent testosterone levels may partially explain group differences in spatial performance.
“which may partially explain group differences (Vuoksimaa et al., 2012).”
From Factors Related to Mean Score Group Differences on Cognitive Ability Tests: A Systematic Review (2025) · cites this paper as Vuoksimaa et al., 2012
The Introduction says testosterone has been suggested to play a role in sex differences in spatial ability. The Discussion reports that pubertal testosterone predicted later mental-rotation performance only among men; it does not show that pubertal testosterone explains differences between groups. (LLM, conf=0.82)
Experimental — accuracy not yet measuredA longitudinal study found pubescent testosterone levels were related to adult spatial performance in men.
“Lastly, a longitudinal study found pubescent testosterone levels were related to adult spatial performance in men”
From Factors Related to Mean Score Group Differences on Cognitive Ability Tests: A Systematic Review (2025) · cites this paper as Vuoksimaa et al., 2012
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Ostatníková, D., Lakatošová, S., Babková, J., Hodosy, J., & Celec, P. (2021) · Physiological Research · doi:10.33549/10.33549/physiolres.934592 · Cited by 28 · see citing works
Regulation of cognitive function by androgens and estrogens
Hampson, E. (2018) · Current Opinion in Behavioral Sciences · doi:10.1016/j.cobeha.2018.03.002 · Cited by 30 · see citing works
Durdiaková, J., Lakatošová, S., Kubranská, A., Laznibatová, J., Ficek, A., Ostatníková, D., & Celec, P. (2013) · Neuropsychologia · doi:10.1016/j.neuropsychologia.2013.05.016 · Cited by 22 · see citing works
Exploring the sex and gender correlates of cognitive sex differences.
Kheloui, S., Brouillard, A., Rossi, M., Marin, M.-F., Mendrek, A., Paquette, D., & Juster, R. (2021) · Acta Psychologica · doi:10.1016/j.actpsy.2021.103452 · Cited by 20 · see citing works
Sex Hormones as Cognitive Enhancers?
Núñez, F., Maraver, M. J., & Colzato, L. S. (2019) · Journal of Cognitive Enhancement · doi:10.1007/s41465-019-00156-1 · Cited by 20 · see citing works
Sex Differences in Brain and Behavioral Development
Beltz, A. M., Blakemore, J. E., & Berenbaum, S. A. (2013) · Elsevier eBooks · doi:10.1016/b978-0-12-397267-5.00064-9 · Cited by 21 · see citing works
Kim, G., Joo, Y. Y., Ahn, G., Wang, H., Moon, S., Kim, H., Ahn, W., & Cha, J. (2022) · Human Brain Mapping · doi:10.1002/hbm.25888 · Cited by 17 · see citing works
Sex differences in brain and behavioral development
Beltz, A. M., Kelly, D. P., & Berenbaum, S. A. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-814411-4.00027-5 · Cited by 20 · see citing works
Quaiser-Pohl, C., Jansen, P., Lehmann, J., & Kudielka, B. (2016) · Developmental Psychobiology · doi:10.1002/dev.21333 · Cited by 16 · see citing works
Shirazi, T. N., Self, H., Cantor, J., Dawood, K., Cárdenas, R., Rosenfield, K. A., Ortiz, T. L., Carré, J., McDaniel, M. A., Blanchard, R., et al. (2020) · Hormones and Behavior · doi:10.1016/j.yhbeh.2020.104712 · Cited by 15 · see citing works
The interaction of genetic sex and prenatal alcohol exposure on health across the lifespan
Bake, S., Rouzer, S. K., Mavuri, S., Miranda, R. C., & Mahnke, A. H. (2023) · Frontiers in Neuroendocrinology · doi:10.1016/j.yfrne.2023.101103 · Cited by 16 · see citing works
“…in endocrine function, such as elevated testosterone in adolescent males and females with PAE, may impact cognitive performance (Carter et al., 2014), as pubertal testosterone levels have been negatively associated with spatial reasoning performance in young adult males (Vuoksimaa et al., 2012).”
Shirazi, T. N., Self, H., Dawood, K., Cárdenas, R. A., Welling, L. L. M., Rosenfield, K. A., Ortiz, T. L., Carré, J. M., Balasubramanian, R., Delaney, A., et al. (2020) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2020.104733 · Cited by 13 · see citing works
Latvala, A., Rose, R. J., Pulkkinen, L., Dick, D. M., & Kaprio, J. A. (2013) · Alcoholism Clinical and Experimental Research · doi:10.1111/acer.12254 · Cited by 12 · see citing works
Self-citationAdolescent development and the math gender gap
Borra, C., Iacovou, M., & Sevilla, A. (2023) · European Economic Review · doi:10.1016/j.euroecorev.2023.104542 · Cited by 8 · see citing works
Testosterone, gender identity and gender-stereotyped personality attributes.
Casto, K., Cohen, D., Akinola, M., & Mehta, P. H. (2024) · Hormones and Behavior · doi:10.1016/j.yhbeh.2024.105540 · Cited by 8 · see citing works
“…on sex differences in spatial cognition, for example, has tested both early exposure and adulthood levels of testosterone as a mediator and found mixed results (Alarc ´ on et al., 2014; Erdmann et al., 2019; Falter et al., 2006; Puts et al., 2010; Toivainen et al., 2018; Vuoksimaa et al., 2012).”
ResultKubranská, A., Lakatošová, S., Schmidtová, E., Durdiaková, J., Celec, P., & Ostatníková, D. (2014) · General Physiology and Biophysics · doi:10.4149/gpb_2014005 · Cited by 9 · see citing works
Androgen receptor polymorphism, mental rotation, and spatial visualization in men.
Sankar, J., & Hampson, E. (2021) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2021.105239 · Cited by 8 · see citing works
Eye-movements during number comparison: Associations to sex and sex hormones
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“, 2007), while in men even negative associations have been observed (Gouchie & Kimura, 1991; Yonker et al., 2006; Martin et al., 2008; Vuoksimaa et al., 2012).”
BackgroundSex differences in cognitive performance persist into your 80s
Julian, R., Fröhlich, S. M., Müller, K., Dammhahn, M., & Voelcker‐Rehage, C. (2025) · GeroScience · doi:10.1007/s11357-025-01585-x · Cited by 6 · see citing works
“Evidence suggests that prenatal androgens influence spatial performance in girls with congenital adrenal hyperplasia [52] and serve as predictors of spatial cognition in males [53].”
Psychoneuroendocrine protocol to comprehensively study sexually dimorphic cognition
Kheloui, S., Rossi, M., Jacmin-Park, S., Larocque, O., Vallée, M., Kerr, P., Bourdon, O., & Juster, R. (2021) · Comprehensive Psychoneuroendocrinology · doi:10.1016/j.cpnec.2021.100050 · Cited by 5 · see citing works
“Moreover, it appears that pubertal testosterone surges were negatively associated with mental rotation performance later on for young adult males [118].”
BackgroundPerception: A dynamic interplay between genetics and neuroplasticity
Proverbio, A. M. (2022) · Frontiers in Cognition · doi:10.3389/fcogn.2022.1004576 · Cited by 4 · see citing works
Sex and Gender Differences in Pain and Mental Health
Mendrek, A., Marchand, S., & Gaumond, I. (2014) · Springer eBooks · doi:10.1007/978-2-8178-0414-9_5 · Cited by 3 · see citing works
Gender Differences in Cognitive Abilities in Human Adults
Nanova, P., Kolev, V., & Yordanova, J. (2024) · Proceedings of the Bulgarian Academy of Sciences · doi:10.7546/crabs.2024.05.01 · Cited by 4 · see citing works
“Spatial processing is suggested to be enhanced in the presence of medium levels of androgens [67,83–85], although disconfirming results also exist [48,83,84,86–91].”
BackgroundCooke, M. E., Stephenson, M. E., Brislin, S. J., Latvala, A., Barr, P. B., Piirtola, M., Vuoksimaa, E., Rose, R. J., Kaprio, J. A., Dick, D. M., et al. (2024) · Addiction · doi:10.1111/add.16629 · Cited by 1 · see citing works
“Further information about each task is reported in the Supplemental Methods and in Vuoksimaa et al. [42] We note that the object location memory task was added to the cognitive battery midway through data collection and is, therefore, only available on a subset of the sample ( n = 339).”
MethodSelf-citationHampson, E. (2025) · Hormones and Behavior · doi:10.1016/j.yhbeh.2025.105800 · Cited by 1 · see citing works
“…endocrine contexts (e.g., Hampson and Rovet, 2015; Heil et al., 2011; Moffat and Hampson, 1996; Shirazi et al., 2020; Slabbekoorn et al., 1999; Vuoksimaa et al., 2012), we expected to find better performance on visuospatial tests and possibly reduced verbal fluency among former users of…”
Adolescence Development and the Math Gender GapPreprint
Borra, C., Iacovou, M., & Sevilla, A. (2022) · SSRN Electronic Journal · doi:10.2139/ssrn.4122090 · Cited by 1 · see citing works
The effect of sex hormones on brain development and functioning
Russell, D. H., & Coghill, D. (2022) · Elsevier eBooks · doi:10.1016/b978-0-12-818872-9.00117-5 · Cited by 2 · see citing works
Factors Related to Mean Score Group Differences on Cognitive Ability Tests: A Systematic Review
Cuppello, S., Zibarras, L. D., & Corr, P. J. (2025) · Trends in Psychology · doi:10.1007/s43076-025-00504-5
Assessing Pubertal Timing and Dynamics in a Large Longitudinal Sample of Adolescent Males
Khairullah, A. (2013) · TSpace (University of Toronto)
Juraska, J. M. (2020) · Oxford University Press eBooks · doi:10.1093/oso/9780190645908.003.0014
Gene × sex interactions on cognition in the Philadelphia neurodevelopmental cohort
Mollon, J., Knowles, E. E. M., Mathias, S. R., Rodrigue, A., Gur, R. C., Peralta, J. M., Weiner, D. J., Robinson, E., Raznahan, A., Gur, R. E., et al. (2026) · Biology of Sex Differences · doi:10.1186/s13293-026-00929-2
“Moreover, genetic factors may become more expressed in males due to maturational and/or hormonal factors, such as testosterone-driven amplification of genetic factors during puberty [67, 68].”
Treatment for Gender Transition & Parental Obligations
Smith, E., & Rusavuk, A. L. (2026) · Journal of Controversial Ideas · doi:10.63466/jci06010008
- Authors
- Vuoksimaa, E., Kaprio, J., Eriksson, C. J. P., & Rose, R. J.
- Affiliations
- University of Helsinki (FI)
- Corresponding author
- Vuoksimaa, Eero
- Venue
- Psychoneuroendocrinology
- Publisher
- Elsevier BV
- Published
- 2012-11
- Volume
- 37
- Issue
- 11
- Pages
- 1791-1800
- ISSN
- 0306-4530 (ISSN-L)
- PMC
- PMC3670426
- OpenAlex
- W2134635976
- Cited by
- 43
- References
- 55
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 3 · 2023: 2 · 2022: 4 · 2021: 4 · 2020: 5 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 1 · 2015: 4 · 2014: 5 · 2013: 6 · 2012: 1
- FWCI
- 2.06
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Psychoneuroendocrinology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- STM:n Hallinnonalan avoin julkaisuarkisto (Julkari) (submittedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (K05AA000145, R01AA012502, R01AA009203, R37AA012502)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Sexual Differentiation and Disorders
- Physical Sciences › Engineering › Automotive Engineering › Spatial Cognition and Navigation
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Abilities and Testing
- Keywords
- mental rotation, spatial ability, sex differences, young men, twin studies, dizygotic twins, monozygotic twins, genetic factors, shared environment, cognitive performance, pubertal development
- MeSH terms
- Adolescent, Depth Perception, Female, Humans, Intelligence Tests, Male, Puberty, Rotation, Sex Factors, Testosterone, Twins, Young Adult
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