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Review

Structural Dichotomy of the Mind—The Role of Sexual Neuromodulators

by
Ion G. Motofei
1,* and
David L. Rowland
2
1
Department of Surgery and Psychiatry, Carol Davila University, Bucharest, Romania
2
Department of Psychology, Valparaiso University, Valparaiso, IN, USA
*
Author to whom correspondence should be addressed.
J. Mind Med. Sci. 2016, 3(2), 131-140; https://doi.org/10.22543/2392-7674.1053
Submission received: 31 July 2016 / Revised: 31 August 2016 / Accepted: 20 September 2016 / Published: 24 September 2016

Abstract

:
The mind (mental function) and sexuality represent two distinct environmental functions, but which are supported within the brain by a common (somatic-autonomic) neurobiological substrate. As a consequence, mental function takes on autonomic characteristics from the sexual-autonomic system (like autonomy, duality), while sexual function takes on features from mental functioning (such as lateralization). In this paper we discuss the lateralized action of two classes of sexual neuromodulators: hormones and pheromones. This process of lateralization is assimilated with the structural dichotomy of the mind. A relatively similar process but related to informational dichotomy of the mind will be presented in a forthcoming paper. Structural and informational dichotomies of the mind represent essential aspects that need clarification in order to continue the solving of the mind-body process, a work in progress articulated through a succession of papers.

Introduction

Sexuality is a complex bio-psycho-social process in humans, which relies on the involvement of specific neuro-endocrine/erogenous modulators (hormones and pheromones) for activation and response. The erogenous role of sexual hormones is fairly well documented in the research literature, from both physiologic and pathologic perspectives [1]. In contrast, a potential implication of human pheromones in sex-based neuro-biological mechanisms and the corresponding sex-related behavioral responses are still an ongoing study, with most initial data regarding these odiferous sexual compounds obtained through non-human studies [2].
Our previously published work posited that the human mind exists independent of the physical body, and that this human specific mental existence/entity takes place within the brain where it interacts only within the context of an internal mental (cognitive or sexual) reality. This mental information can be internally derived—for example through memory or imagination—or result from a procession of external information under action of cognitive and sexual neuromodulators [3,4].
To explain the functioning/role of sexual neuromodulators and to differentiate between the roles of hormones and pheromones, it is necessary to present both the structural (in this article) and the informational (a forthcoming paper) dichotomies of the mind.

Discussion

From an anatomical perspective, the human brain is delineated by the median plane into two distinct/symmetrical hemibrains. Usually, each cerebral function is processed in only one hemibrain (referred to as dominant), the other hemibrain serving mainly for neurological connection between the dominant hemibrain and the peripheral receptors/effectors. Such asymmetrical functioning of the brain (known as lateralization) is well documented for multiple cerebral functions such as hand preference [5], language [6], memory [7], emotion [8], sexuality [9,10], etc. In support of this, the lateralization of cognition, for example, favors deployment of multiple psychological tasks enhancing cognitive abilities [11], while decreased or aberrant hemispheric lateralization predisposes to poor cognitive functioning or even mental disorders like schizophrenia, bipolar disorder, ADHD, etc. [12,13].
The lateralization process of the brain appears to have a genetic component, being physiologically possible through intervention of several/different relational neuromodulators, which channel the environmental information within the brain towards either the left or the right hemibrain [14]. Without such channeling, the two distinct hemibrains would receive, process, and elaborate two distinct (possibly competitive, if not contradictory) responses to the same external stimulus/information, a situation that, from a physio-psychological perspective, would be inefficient and even counterproductive [3,4].

Sexual hormones modulating sexuality on a lateralized basis

Several studies show that estrogens likely modulate environmental inputs predominantly in left handed subjects, either male or female. Accordingly, women who are prenatally exposed to diethylstilbestrol (a synthetic estrogen) are more likely to acquire afterwards (for writing) a left hand preference [15]. In support of this, administration of Tamoxifen (an antiestrogenic compound) seems to decrease sexual function predominantly in left handed men [16]. The competitive/opposite class of hormones, namely androgens, appear to channel the same environmental inputs especially in right handed persons towards the opposite/competitive hemibrain [17]. In support of this, administration of Bicalutamide and Finasteride (antiandrogenic compounds) decrease sexual function predominantly in right handed men [9,10]. From an evolutionary perspective, cortical maturation during puberty involves especially the left hemibrain in human males, and the right hemibrain in human females [18,19,20].

Olfaction and pheromones in humans

Pheromonal signals are essential for the perpetuation of many animal species, acting as neuromodulators within the brain in order to ensure the finding of an eligible mate and further the initiation of the necessary sexual reflexes/responses [2]. Humans have traditionally been considered having an olfactory sense inferior to other mammals, the olfactory receptors being underexpressed due to the fact that about 70% of the corresponding genes became nonfunctional during evolution [19]. As a consequence, olfaction has generated little interest within the study of human sexuality until fairly recently [20], especially since the vomeronasal organ (specialized in animals for pheromone detection) seemed to be vestigial in humans [21]. This restricting perspective had been reinforced by the idea that human sexual response is strongly linked to and governed mainly by visual cues [22]. However, during the past 20 years substantial data have accumulated, implicating pheromones in humans, not only with regard to gender and sexual orientation [23,24] but also with respect to the behavioral, neurophysiological, and endocrinological roles of these odoriferous compounds [25,26,27]. Accordingly, a number of authors now believe that the role of human sexual pheromones had been underestimated by the medical sciences and that the implication of olfaction in sexuality deserves reconsideration [22,28,29].
Classically, mammals have two distinct olfactory systems: the main olfactory system (that originates in the main olfactory epithelium) designed for recognizing common/general odorant molecules, and an accessory olfactory system (that originates in the vomeronasal organ) responsible for detection of pheromonal compounds conveying sexual cues/signals [21,22,24]. The two olfactory systems send afferent impulses to the brain via distinct input routes [25,26,27,28], such that the two distinct information(s) are processed in different brain centers so as to induce distinct behavioral and neuro-endocrinological output responses [29,30,31]. In fact, recent studies on mammals show that not only the vomeronasal organ but also the main olfactory epithelium are actively involved in pheromonal communication [32,33]. In other words, the main olfactory system of mammals detects both general odors and pheromonal molecules as distinct chemosensory information, which are then sent either to the main olfactory brain for general olfactory processing (namely to amygdala, piriform, orbitofrontal, insular and cingulate cortex) or towards the accessory (hypothalamic) olfactory brain for pheromonal/sexual signal processing [29,34,35]. It has been argued that the function of the accessory olfactory system has been absorbed in humans into the main olfactory system [29]. As a consequence, activation of the hypothalamus by pheromones seems to be possible in humans even when the vomeronasal organ is occluded [36].
In addition, humans could detect sexual pheromones not only through the main olfactory epithelium/system (according to mammalian studies) but also through a specialized chemosensory epithelium, which is unique to the human body and, from an anatomical perspective, corresponds (according to electron microscopy studies) to a vomeronasal organ [37]. From here, pheromonal signals could be sent to the brain through a designated nerve (referred in humans as the nervus terminalis). This nerve, an additional cranial nerve implicated in reproductive behavior, had not been recognized when cranial nerves were first numbered [29,38]. Furthermore, new anatomical evidence supports the idea that the vomeronasal organ could yet have a certain activity/function in humans [2].
In support of pheromonal communication among humans, studies have shown that the human body produces pheromone-like signals, that the human nose can detect such signals, and that such signals have the potential to modulate behavioral and endocrine reactions [29]. Specifically, human sexual pheromones induce among opposite gender individuals specific endocrinological responses, and subsequently behavioural changes involved in the initiation of romantic courtship. Thus, male pheromones like androstenol and androstenone (from male sweat) seem to have a direct impact on the female menstrual cycle, making it more regular [28,39], presumably by modulating the timing of ovulation through increasing frequency of pulsatile LH secretion [26]. Moreover, women smelling androstadienone (also from male sweat) presented a higher level of the salivary hormone cortisol [40]. In turn, female pheromones like copulins (from vaginal secretion) may induce hormonal changes in males, thereby modulating male perception of females [28]. Such hormonal changes have also been related to female axillary pheromones from T-shirts of ovulating women, thereby inducing higher levels of testosterone in exposed men compared to men either exposed to the scent of non-ovulating women or to a control scent [41].

Pheromonal signals modulating sexual activation on a lateralized basis

Based on the existing literature, sexual pheromones are implied in humans not only in the neuroendocrine processes of the brain related to finding an eligible mate, but also directly in sexual activation and response, modulating the cerebral processes of sexual drive/libido and sexual arousal [39,40,41]. As an example, the male sexual pheromone androstadienone has been demonstrated to increase the physiological level of arousal in women, having a sympathetic-like effect [42]. Moreover, human male sexual pheromones seem to be important also for men—in heterosexual men, for example, increasing their sexual attractiveness and motivation to initiate socio-sexual behavior with women [43]. At the same time, female sexual pheromones are important for both men and women, being able to increase, for example, sexual attractiveness of women to men [44]. In summary, some men and women may be dependent primarily on male sexual pheromones, while other men and women may be dependent primarily on the opposite class of (female) sexual pheromones [1,16,21]. Such patterns are conceivable if the genes encoding the dominant hemibrain (namely the pheromonal class that activate it) are different from the genes encoding the person’s gender [25].
In support of a lateralized action of sexual pheromones, literature data suggest that the process of sexual activation implicates participation of the right hemibrain (right hippocampus, right parahippocampal gyrus, etc.) in heterosexual men (sensitive to female pheromones), while the process of sexual activation implicates the the left hemibrain (the left angular gyrus, left caudate nucleus, etc.) in homosexual men (sensitive to male pheromones) [45]. According to other studies, heterosexual men and homosexual women (lesbians) present a rightward volumetric cerebral asymmetry (with connections which are more widespread from the right amygdala), while homosexual men and heterosexual women present connections that are more widespread from the left amygdala [46]. Other data also show that homosexual and heterosexual men differ with respect to the sizes/volume of hypothalamic nuclei [47].

Perspectives

The results of these and related studies suggest a number of new avenues for investigation. If androgens are generally more important for sexual activation in right handed persons, estrogens might be more important for sexual activation in the opposite hemibrain/left handed group [15,17]. Interestingly, the incidence of breast cancer is higher in left handed/estrogen dependent persons [48]. Yet these estrogens may intervene not only in sexual function but also in cognitive/mental function [49,50], perhaps manifested by the fact that depression is typically more commonly encountered in women than men [51]. Furthermore, the incidence of depression is higher in left handed persons who present a hyperactive right-hemisphere, due perhaps to an excessive/inadequate activation of this lateralized structure [52]. Reproductive-related depression (premenstrual depression, postpartum depression, and climacteric depression) is usually treated with transdermal estrogens (the first-choice therapy rather than antidepressants) [53,54]. Yet, in postmenopausal women, testosterone administration not only improves libido in some women but also decreases the incidence of breast cancer, due perhaps to its antiestrogenic effect [55,56]. Thus, when viewed as a possible cognitive-sexual interrelated disorder, depression can be better understood; for example, depression in men is correlated with both the psychological and physical aspects of sexual dysfunction [57].

Conclusions

The research literature (clinical and imaging studies) shows that sexual neuromodulators-hormones and pheromones- modulate the brain through a lateralized action, channeling information from the environment towards either the left or the right hemibrain. This anatomical dichotomy is necessary to avoid simultaneous processing of environmental information in both (left and right) hemibrains, and thus to avoid generation of two distinct (possibly competitive, if not contradictory) responses to the same external stimulus/information.
Summarizing, androgens and female pheromones would activate the right hemibrain, while estrogens and male pheromones seem to activate the left hemibrain. New investigations are therefore essential to establish whether androgens and female pheromones have either synergistic or competitive actions on the right hemibrain, a similar question also being relevant regarding the actions of estrogens and male pheromones within the left hemibrain. To clarify these aspects it will be necessary to first address aspects of the informational/mental dichotomy of the brain (perhaps in forthcoming paper), and to integrate it with structural dichotomy of the brain presented above.

References

  1. Savic, I.; Berglund, H.; Lindström, P. Brain response to putative pheromones in homosexual men. Proc Natl Acad Sci USA 2005, 102, 7356–61. [Google Scholar] [CrossRef] [PubMed]
  2. Wessels, Q.; Hoogland, P.V.; Vorster, W. Anatomical evidence for an endocrine activity of the vomeronasal organ in humans. Clinical Anatomy 2014, 27, 856–60. [Google Scholar] [CrossRef]
  3. Motofei, I.G.; Rowland, D.L. Solving the mind-body problem through two distinct concepts: Internal-mental existence and internal mental reality. J Mind Med Sci. 2015, 2, 100–112. [Google Scholar] [CrossRef]
  4. Motofei, I.G.; Rowland, D.L. The mind body problem, part three: Ascension of sexual function to cerebral level. J Mind Med Sci. 2016, 3, 1–12. [Google Scholar] [CrossRef]
  5. Seizeur, R.; Magro, E.; Prima, S.; Wiest-Daessle, N.; Maumet, C.; Morandi, X. Corticospinal tract asymmetry and handedness in right- and left-handers by diffusion tensor tractography. Surg Radiol Anat 2013, 36, 111–24. [Google Scholar] [CrossRef]
  6. Fagard, J. Early development of hand preference and language lateralization: Are they linked, and if so, how? Dev Psychobiol. 2013, 55, 596–607. [Google Scholar] [CrossRef]
  7. Persson, J.; Herlitz, A.; Engman, J.; Morell, A.; Sjölie, D.; Wikström, J.; Söderlund, H. Remembering our origin: Gender differences in spatial memory are reflected in gender differences in hippocampal lateralization. Behav Brain Res 2013, 256, 219–28. [Google Scholar] [CrossRef]
  8. Duerden, E.G.; Arsalidou, M.; Lee, M.; Taylor, M.J. Lateralization of affective processing in the insula. Neuroimage 2013, 78, 159–75. [Google Scholar] [CrossRef]
  9. Motofei, I.G.; Rowland, D.L.; Popa, F.; Kreienkamp, D.; Paunica, S. Preliminary study with bicalutamide in heterosexual and homosexual patients with prostate cancer: A possible implication of androgens in male homosexual arousal. BJU International 2011, 108, 110–5. [Google Scholar] [CrossRef]
  10. Motofei, I.G.; Rowland, D.L.; Georgescu, S.R.; Baconi, D.L.; Dimcevici, N.P.; Paunica, S.; Constantin, V.D.; Balalau, C. A pilot study on the sexual side effects of finasteride as related to hand preference for men undergoing treatment of male pattern baldness. BJU International 2013, 111, E221–6. [Google Scholar] [CrossRef]
  11. Gotts, S.J.; Jo, H.J.; Wallace, G.L.; Saad, Z.S.; Cox, R.W.; Martin, A. Two distinct forms of functional lateralization in the human brain. Proc Natl Acad Sci USA 2013, 110, E3435–44. [Google Scholar] [CrossRef] [PubMed]
  12. Alary, M.; Delcroix, N.; Leroux, E.; Razafimandimby, A.; Brazo, P.; Delamillieure, P.; Dollfus, S. Functional hemispheric lateralization for language in patients with schizophrenia. Schizophrenia Research 2013, 149, 42–7. [Google Scholar] [CrossRef] [PubMed]
  13. Savitz, J.; van der Merwe, L.; Solms, M.; Ramesar, M. Lateralization of hand skill in bipolar affective disorder. Genes, Brain and Behavior 2007, 6, 698–705. [Google Scholar] [CrossRef] [PubMed]
  14. Motofei, I.G. A dual physiological character for cerebral mechanisms of sexuality and cognition: Common somatic peripheral afferents. BJU International 2011, 108, 1634–9. [Google Scholar] [CrossRef]
  15. Smith, L.L.; Hines, M. Language lateralization and handedness in women prenatally exposed to diethylstilbestrol (DES). Psychoneuroendocrinology 2000, 25, 497–512. [Google Scholar] [CrossRef]
  16. Motofei, I.G.; Rowland, D.L.; Popa, F.; Bratucu, E.; Straja, D.; Manea, M.; Georgescu, S.R.; Paunica, S.; Bratucu, M.; Balalau, C.; et al. A Pilot Study on Tamoxifen Sexual Side Effects and Hand Preference in Male Breast Cancer. Arch Sex Behav. 2015, 44, 1589–94. [Google Scholar] [CrossRef]
  17. Hampson, E.; Sankar, J.S. Hand preference in humans is associated with testosterone levels and androgen receptor gene polymorphism. Neuropsychologia 2012, 50, 2018–25. [Google Scholar] [CrossRef]
  18. Nguyen, T.V.; McCracken, J.; Ducharme, S.; Botteron, K.N.; Mahabir, M.; Johnson, W.; Israel, M.; Evans, A.C.; Karama, S. Testosterone-related cortical maturation across childhood and adolescence. Cerebral Cortex 2013, 23, 1424–32. [Google Scholar] [CrossRef] [PubMed]
  19. Frey, J. Pheromones: An underestimated communication signal in humans. Annales de Biologie Clinique (Paris) 2003, 61, 275–8. [Google Scholar]
  20. Sobel, N.; Prabhakaran, V.; Hartley, C.A.; Desmond, J.E.; Glover, G.H.; Sullivan, E.V.; Gabrieli, J.D. Blind smell: Brain activation induced by an undetected air-borne chemical. Brain 1999, 122, 209–217. [Google Scholar] [CrossRef]
  21. Berglund, H.; Lindström, P.; Savic, I. Brain response to putative pheromones in lesbian women. Proc Natl Acad Sci USA 2006, 103, 8269–74. [Google Scholar] [CrossRef]
  22. Grammer, K.; Fink, B.; Neave, N. Human pheromones and sexual attraction. Eur J Obstet Gynecol Reprod Biol. 2005, 118, 135–42. [Google Scholar] [CrossRef] [PubMed]
  23. Martins, Y.; Preti, G.; Crabtree, C.R.; Runyan, T.; Vainius, A.A.; Wysocki, C.J. Preference for human body odors is influenced by gender and sexual orientation. Psychological Science 2005, 16, 694–701. [Google Scholar] [CrossRef] [PubMed]
  24. Lübke, K.T.; Hoenen, M.; Pause, B.M. Differential processing of social chemosignals obtained from potential partners in regards to gender and sexual orientation. Behav Brain Res 2012, 228, 375–87. [Google Scholar] [CrossRef]
  25. Motofei, I.G.; Rowland, D.L. The ventral-hypothalamic input route: A common neural network for abstract cognition and sexuality. BJU International 2014, 113, 296–303. [Google Scholar] [CrossRef]
  26. Shinohara, K.; Morofushi, M.; Funabashi, T.; Kimura, F. Axillary pheromones modulate pulsatile LH secretion in humans. Neuroreport 2001, 12, 893–5. [Google Scholar] [CrossRef] [PubMed]
  27. Motofei, I.G. A dual physiological character for sexual function: Libido and sexual pheromones. BJU International 2009, 104, 1702–8. [Google Scholar] [CrossRef]
  28. Grammer, K.; Jütte, A. Battle of odors: Significance of pheromones for human reproduction. Gynakol Geburtshilfliche Rundsch 1997, 37, 150–3. [Google Scholar] [CrossRef]
  29. Bhutta, M.F. Sex and the nose: Human pheromonal responses. Journal of the Royal Society of Medicine 2007, 100, 268–274. [Google Scholar] [CrossRef]
  30. Sergeant, M.J.; Dickins, T.E.; Davies, M.N.; Griffiths, M.D. Women’s hedonic ratings of body odor of heterosexual and homosexual men. Arch Sex Behav 2007, 36, 395–401. [Google Scholar] [CrossRef]
  31. Singh, D.; Bronstad, P.M. Female body odour is a potential cue to ovulation. Proc Biol Sci. 2001, 268, 797–801. [Google Scholar] [CrossRef]
  32. Tirindelli, R.; Dibattista, M.; Pifferi, S.; Menini, A. From pheromones to behavior. Physiol Rev. 2009, 89, 921–56. [Google Scholar] [CrossRef]
  33. Baum, M.J.; Kelliher, K.R. Complementary roles of the main and accessory olfactory systems in mammalian mate recognition. Annu Rev Physiol. 2009, 71, 141–60. [Google Scholar] [CrossRef]
  34. Baum, M.J.; Cherry, J.A. Processing by the main olfactory system of chemosignals that facilitate mammalian reproduction. Hormone Behavior 2015, 68, 53–64. [Google Scholar] [CrossRef] [PubMed]
  35. Keller, M.; Pillon, D.; Bakker, J. Olfactory systems in mate recognition and sexual behavior. Vitamins & Hormones 2010, 83, 331–50. [Google Scholar]
  36. Frasnelli, J.; Lundstrom, J.N.; Boyle, J.A.; Katsarkas, A.; Jones-Gotman, M. The vomeronasal organ is not involved in the perception of endogenous odors. Hum Brain Mapp 2010, 32, 450–460. [Google Scholar] [CrossRef] [PubMed]
  37. Jahnke, V.; Merker, H.J. Electron microscopic and functional aspects of the human vomeronasal organ. Am J Rhinol. 2000, 14, 63–7. [Google Scholar] [CrossRef]
  38. Vilensky, J.A. The neglected cranial nerve: Nervus terminalis (cranial nerve N). Clin Anatomy 2014, 27, 46–53. [Google Scholar] [CrossRef]
  39. Cutler, W.B.; Preti, G.; Krieger, A.M.; Huggins, G.R.; Garcia, C.R.; Lawley, H.J. Human axillary secretions influence women’s menstrual cycles: The role of donor extract from men. Hormone Behavior 1986, 20, 463–73. [Google Scholar] [CrossRef]
  40. Wyart, C.; Webster, W.W.; Chen, J.H.; Wilson, S.R.; McClary, A.; Khan, R.M.; Sobel, N. Smelling a single component of male sweat alters levels of cortisol in women. J Neuroscience 2007, 27, 1261–5. [Google Scholar] [CrossRef]
  41. Miller, S.L.; Maner, J.K. Scent of a woman: Men’s testosterone responses to olfactory ovulation cues. Psychological Science 2010, 21, 276–83. [Google Scholar] [CrossRef] [PubMed]
  42. Bensafi, M.; Tsutsui, T.; Khan, R.; Levenson, R.W.; Sobel, N. Sniffing a human sex-steroid derived compound affects mood and autonomic arousal in a dose-dependent manner. Psychoneuroendocrinology 2004, 29, 1290–9. [Google Scholar] [CrossRef] [PubMed]
  43. Cutler, W.B.; Friedmann, E.; McCoy, N.L. Pheromonal influences on sociosexual behavior in men. Archives of Sexual Behavior 1998, 27, 1–13. [Google Scholar] [CrossRef] [PubMed]
  44. McCoy, N.L.; Pitino, L. Pheromonal influences on sociosexual behavior in young women. Physiology & Behavior 2002, 75, 367–75. [Google Scholar]
  45. Hu, S.H.; Wei, N.; Wang, Q.D.; Yan, L.Q.; Wei, E.Q.; Zhang, M.M.; Hu, J.B.; Huang, M.L.; Zhou, W.H.; Xu, Y. Patterns of brain activation during visually evoked sexual arousal differ between homosexual and heterosexual men. American Journal of Neuroradiology 2008, 29, 1890–6. [Google Scholar] [CrossRef]
  46. Savic, I.; Lindström, P. PET and MRI show differences in cerebral asymmetry and functional connectivity between homo- and heterosexual subjects. Proc Natl Acad Sci USA 2008, 105, 9403–8. [Google Scholar] [CrossRef]
  47. LeVay, S. A difference in hypothalamic structure between heterosexual and homosexual men. Science 1991, 253, 1034–1037. [Google Scholar] [CrossRef]
  48. Fritschi, L.; Divitini, M.; Talbot-Smith, A.; Knuiman, M. Left-handedness and risk of breast cancer. Br J Cancer 2007, 97, 686–7. [Google Scholar] [CrossRef]
  49. Gillies, G.E.; McArthur, S. Estrogen actions in the brain and the basis for differential action in men and women: A case for sex-specific medicines. Pharmacol Rev. 2010, 62, 155–98. [Google Scholar] [CrossRef]
  50. Senanarong, V.; Vannasaeng, S.; Poungvarin, N.; Ploybutr, S.; Udompunthurak, S.; Jamjumras, P.; Fairbanks, L.; Cummings, J.L. Endogenous estradiol in elderly individuals: Cognitive and noncognitive associations. Arch Neurol. 2002, 59, 385–9. [Google Scholar] [CrossRef] [PubMed]
  51. Rohr, U.D. The impact of testosterone imbalance on depression and women’s health. Maturitas 2002, 41, S25–S46. [Google Scholar] [CrossRef] [PubMed]
  52. Denny, K. Handedness and depression: Evidence from a large population survey. Laterality 2009, 14, 246–55. [Google Scholar] [CrossRef] [PubMed]
  53. Studd, J.; Nappi, R.E. Reproductive depression. Gynecol Endocrinol. 2012, 28, 42–5. [Google Scholar] [CrossRef] [PubMed]
  54. Epperson, C.N.; Wisner, K.L.; Yamamoto, B. Gonadal steroids in the treatment of mood disorders. Psychosom Med. 1999, 61, 676–97. [Google Scholar] [CrossRef]
  55. Glaser, R.L.; Dimitrakakis, C. Reduced breast cancer incidence in women treated with subcutaneous testosterone, or testosterone with anastrozole: A prospective, observational study. Maturitas 2013, 76, 342–9. [Google Scholar] [CrossRef]
  56. Dimitrakakis, C.; Jones, R.A.; Liu, A.; Bondy, C.A. Breast cancer incidence in postmenopausal women using testosterone in addition to usual hormone therapy. Menopause 2004, 11, 531–5. [Google Scholar] [CrossRef]
  57. Pastuszak, A.W.; Badhiwala, N.; Lipshultz, L.I.; Khera, M. Depression is correlated with the psychological and physical aspects of sexual dysfunction in men. Int J Impot Res. 2013, 25, 194–9. [Google Scholar] [CrossRef]

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Motofei, I.G.; Rowland, D.L. Structural Dichotomy of the Mind—The Role of Sexual Neuromodulators. J. Mind Med. Sci. 2016, 3, 131-140. https://doi.org/10.22543/2392-7674.1053

AMA Style

Motofei IG, Rowland DL. Structural Dichotomy of the Mind—The Role of Sexual Neuromodulators. Journal of Mind and Medical Sciences. 2016; 3(2):131-140. https://doi.org/10.22543/2392-7674.1053

Chicago/Turabian Style

Motofei, Ion G., and David L. Rowland. 2016. "Structural Dichotomy of the Mind—The Role of Sexual Neuromodulators" Journal of Mind and Medical Sciences 3, no. 2: 131-140. https://doi.org/10.22543/2392-7674.1053

APA Style

Motofei, I. G., & Rowland, D. L. (2016). Structural Dichotomy of the Mind—The Role of Sexual Neuromodulators. Journal of Mind and Medical Sciences, 3(2), 131-140. https://doi.org/10.22543/2392-7674.1053

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