In psychobiological research on sexual orientation, the prenatal hormo
ne theory has a central position. This article examines the hypothesis
that prenatal estrogens contribute to the development of human sexual
orientation. Several groups of women with a history of prenatal expos
ure to diethylstilbestrol (DES), a nonsteroidal synthetic estrogen, we
re compared with several samples of control women in the context of a
comprehensive study of the psychiatric and psychologic effects of pren
atal DES. Various aspects of sexual orientation were assessed by syste
matic interview. Consistently across samples, more DES-exposed women t
han controls were rated as bisexual or homosexual (scores 2-6 on Kinse
y-format scales ranging from 0 to 6). The data are compatible with the
hypothesis that prenatal estrogens may play a role in the development
of human sexual orientation.