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This is a Literature Review study.

Biological, genetic, neurological and environmental influences on homosexuality—a narrative review

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The study shows that multiple factors influence sexual orientation, including biological, genetic, and neurological elements.
Key evidence highlights the role of factors like androgen levels and maternal immune response in shaping sexual preferences.
An interdisciplinary analysis assesses environmental influences, including childhood gender nonconformity and exposure to trauma, on sexuality.
The findings call for ongoing research into the complex interplay of influences determining sexual orientation.

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Narrative review highlights the interaction of biological, genetic, neurological, and environmental factors in shaping sexual orientation.

Alagha et al. (2025) studied this question.

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Narrative review highlights the interaction of biological, genetic, neurological, and environmental factors in shaping sexual orientation.