“…Interestingly, studies with BPA and butyl paraben have both shown small, but significant, effects on AGD ( Christiansen et al, 2014 ; Boberg et al, 2016 ), which could suggest that AGD, and not NR, may be regulated by an androgen-estrogen balance, perhaps similarly to what is the case for the genital tubercle which is sensitive to estrogen-androgen balance ( Yucel et al, 2003 ; Yang et al, 2010 ; Mattiske and Pask 2021 ). Indeed, studies have shown that the perineal tissues express the estrogen receptor (ER) ( Dionne et al, 1979 ; Schwartz et al, 2019b ) and one study shows that polymorphisms in the gene encoding the ER are associated with short AGD in human boys ( Sathyanarayana et al, 2012 ). This might suggest that AGD is a more sensitive endpoint than NR for chemicals with an estrogenic mode of action.…”