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Prof. Dr.Mohamed Hamdy Abouel-Hassan

Prof. Dr.Mohamed Hamdy Abouel-Hassan

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gastrointestinal systems (e.g., blurred v<br />

tuberoinfundibular<br />

indigestion) (Goldstein I et al, 1998).<br />

ision,<br />

Central Neurotransmitters and Neural Hormones<br />

Review of literature<br />

headache, facial f<br />

A variety of neurotransmitters (dopamine, norepinephrine, 5-HT, and<br />

oxytocin) and neural hormones (oxytocin, Prolactin) have been implicated in<br />

regulation of sexual function. It is suggested that dopaminergic and<br />

adrenergic receptors may promote sexual function and that 5-HT receptors<br />

inhibit it [Foreman et al, (1989)].<br />

Dopamine<br />

There are many dopaminergic systems in the brain with ultrashort,<br />

intermediate, and long axons. The cell bodies are located in the ventral<br />

tegmentum, substantia nigra, and hypothalamus, one of which, the<br />

system, secretes the dopamine into the portal hypophysial<br />

vessels to inhibit Prolactin secretion (Ganong, 1999a). Five different<br />

dopamine receptors have been cloned (D 1 to D 5), and several of these exist<br />

in multiple forms (Ganong, 1999b). In men, apomorphine, which stimulates<br />

both D 1 and D2 receptors, induces penile erection that is unaccompanied by<br />

sexual arousal (Danjou et al, 1988). Dopamine agonists (apomorphine and<br />

pergolide) and dopamine uptake inhibitors (nomifensine and bupropion)<br />

have been reported to enhance sexual drive in patients (Jeanty et al, 1984).<br />

In animal studies, selective activation of D 2 -dopaminergic receptors by the<br />

systemic administration of agonists such as apomorphine and quinelorane<br />

increases sexual behavior, and this effect can be counteracted by centrally<br />

acting antagonists.<br />

lushing,<br />

36

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