The document discusses how epigenetic modifications during fetal development, rather than genetic factors, may influence sexual development and orientation. Androgen signaling and sex-specific epigenetic marks set during ontogeny can influence sexually dimorphic traits by increasing androgen sensitivity in XY fetuses and decreasing it in XX fetuses. Some of these epigenetic marks, called SA-epi-marks, may escape erasure between generations and could pair with weaker in-sex marks in opposite-sex offspring, potentially feminizing XY children or masculinizing XX children and influencing sexual preference.