Dump the “dimorphism”: Comprehensive synthesis of human brain studies reveals few male-female differences beyond size
With the explosion of neuroimaging, it is clear that sex/gender is a key covariate influencing brain structure and function. Here we synthesize three decades of human brain MRI and postmortem data, emphasizing meta-analyses and other large studies, but the result is few reliable sex/gender findings and many unreplicated claims. Males' brains are larger than females' from birth, stabilizing around 11% in adults. This size difference accounts for other reproducible male/female brain differences: gray/white matter ratio (larger in F), inter- versus intrahemispheric connectivity ratio (greater in F), and regional cortical and subcortical volumes (greater in M). However, regional cortical and subcortical sex/gender differences are highly unreliable and explain only about 1% of volume variance. Connectome studies of sex/gender difference are conflicted and rarely control from brain size. Task-based fMRI has also failed to find reproducible brain activation differences between men and women in verbal, spatial, or emotion processing due to high rates of false discovery. In sum, male/female brain differences are non-binary and trivial relative to the total variance across human populations. Properly speaking, the human brain is not sexually-dimorphic.