“…Though speculative, this might reflect that GID in girls does not develop under the influence of prenatal androgens or at least not during the same critical time window as when androgens exert influences over OAEs. CEOAEs click-evoked otoacoustic emissions, GID gender identity disorder, Ctrl control a CEOAE data used in the one-way ANOVAs b CEOAE data used in the mixed model ANOVAs In accord with numerous past findings (Aidan, Lestang, Avan, & Bonfils, 1997;Driscoll, Kei, & McPherson, 2000;Ismail & Thornton, 2003;Kei, McPherson, Smyth, Latham, & Loscher, 1997;Keogh, Kei, Driscoll, & Smyth, 2001;Saitoh et al, 2006), CEOAEs obtained from left ears showed consistently lower mean response amplitudes compared to right ear measurements in each group, except for the control boys, who showed similar mean CEOAEs in both ears. Of note, all three female groups (female natal sex and/or female gender identity) showed significantly stronger right than left ear CEOAEs compared to the control males, which is in line with previous studies (Ismail & Thornton, 2003;Markevych, Asbjørnsen, Lind, Plante, & Cone, 2011), reporting that women had greater (right[left) ear asymmetriesthan men.Otherstudies, however, foundstronger asymmetries in males (Newmark, Merlob, Bresloff, Olsha, & Attias, 1997;Saitoh et al, 2006) or observed no significant differencesinearasymmetrybetweenmalesandfemales .…”