Clinical relevance of brain dimorphism in .NET framework

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Clinical relevance of brain dimorphism
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Hemispheric asymmetry and brain dimorphism have manifest implications in male and female sexual function For example, the most important sexual cues in women for increasing mental arousal as well as the mental awareness of that arousal typically involve verbal intimacy, such as having her partner s receptive and attentive ear, or having affectionate or erotic words spoken to her Men, on the other hand, rely much more strongly on visual stimulation, either in reality or fantasy, for mental and genital arousal Much disappointment and frustration results when these two primary sexual cues are polarized in a couple; the consequent mental dissatisfaction may then potentially contribute to sexual dysfunction and even to sexual avoidance [9,12,15] Another main neuroanatomic difference between men and women lies in the medial preoptic area of the hypothalamus, the key center of the autonomic nervous system in both sexes [1,6] Located within this region is a set of nuclei known as the interstitial nuclei of the anterior hypothalamus (INAH) that express their products in a tonic or relatively continuous secretory state in men, while they exhibit a cyclic pattern of secretion in fertile, ovulating women This variability has many important consequences on brain function and sexual behavior as well as many other somatic effects Notably, while the hypothalamic hormone oxytocin is the primary peptide in female sexual circuitry, the male sexual cycle is most represented by vasopressin [1,6,7,9] Need detectors located within the hypothalamus are responsible for the activation of the four basic emotional command systems of the brain: seeking, rage, fear, and panic [1,5] These hypothalamic detectors are typically switched on and off by different hypothalamic regions Prefrontal connections also in uence the hypothalamic detectors, typically to inhibit the basic drives [1,4,5,10,11] Many additional cognitive and perceptual inputs and cues serve
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Anatomy and Physiology of Women s Sexual Function to regulate the basic emotional command systems, as well The hypothalamic dimorphisms correlates with gender-related reproductive and sexual behaviors For example, male sexual behavior is typically stable over the entire adult male life span; this may potentially be explained by a typical male s lifelong production of testosterone at a relatively tonic, constant rate (notwithstanding the gradual decrease in serum levels that has been described from the second decade of life onwards) In contrast, the physiology of female sexuality is highly discontinuous, both during the regular menstrual cycle, as well as during major reproductive life events such as pregnancy, puerperium, abortion, and menopause [9,15,16 18] Interestingly, it has also been shown that while receptivity to pheromones remains relatively stable over life in men, there is a peak in pheromone receptivity during ovulation in women, as well as an overall greater level of odor discrimination ability during the years of fertility After menopause, odor discrimination ability in women decreases signi cantly and much resembles physiologic male levels [19] Pheromones may be responsible for mediating interactions in the mid-cycle variations observed in women, which may in turn be triggered by the ovulatory androgen peak, promoting the atresia of nondominant follicles in the ovary as well as a mental and physical peak in sexual desire, arousability and receptivity [20] The biologic rami cation of these relationships is to increase female sexual responsiveness when the likelihood of conception is at its highest Human pheromones and their role in sexual attraction and reproduction have been recently reviewed [20] Central nervous system dimorphisms may well represent the biologic basis for the differences in sexual desire, perception, and expression experienced by men and women, including the disparities in the frequency, content, and intensity of erotic fantasies, nocturnal erotic dreams, and sexual daydreams; the perception of central arousal; the quality and quantity of expression of the sexual response, and the likelihood and emotional resonance of orgasm [1,6 9,12,15 18,21 27] A more dynamic understanding of the continuous interactions between the somatic body and the psy-
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chic mind and how these processes differ between men and women, will help to clarify the similarities that are neglected by the polarized focus on contextual factors in women and on biologic factors in men
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