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Because of strong interests in public health, most epidemiological data on pain conditions come from Europe and particularly the Scandinavian countries. However, we have attempted to select studies from a range of geographic regions and cultures. Attention, memory, and spatial ability are key cognitive functions affected by testosterone in humans. Preliminary evidence suggests that low testosterone levels may be a risk factor for cognitive decline and possibly for dementia of the Alzheimer’s type,[47][48][49][50] a key argument in life extension medicine for the use of testosterone in anti-aging therapies. Much of the literature, however, suggests a curvilinear or even quadratic relationship between spatial performance and circulating testosterone,[51] where both hypo- and hypersecretion (deficient- and excessive-secretion) of circulating androgens have negative effects on cognition. Male sex differentiation is known to require a delicate dosage balance among male determining genes, including SOX9.

  • In complex sampling designs, weighting adjustments can account for some bias, but whether this has occurred is seldom described in the papers we have reviewed.
  • We will review several large studies that compared the prevalence of headaches, musculoskeletal pain, and abdominal pain in children and adolescents.
  • Using a large representative sample of the French population, Bouhassira et al44 assessed neuropathic pain using their symptom-based screen for pain with neuropathic qualities43 and found higher 3-month prevalence in females (8%) compared with males (6%).
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  • Sex hormones can affect disease pathophysiology, which can affect disease-related pain.

Gender Bias in Pain Treatment

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Although testosterone levels normally evolve during puberty, deficient testosterone production after a β-hCG stimulation test becomes evident and hypergonadotropic hypogonadism with severe testicular atrophy and azoospermia in biopsied testes is clearly manifested in adulthood15,16). In this case, there was normal response in the plasma testosterone level after β-HCG stimulation performed at the age of 4.2 years, and this result only suggested that testis tissue was present. As testicular atrophy progresses with age, follow-up stimulation test performed during adolescence might show abnormal response as testicular atrophy progresses.

Biological effects

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  • The amount of testosterone synthesized is regulated by the hypothalamic–pituitary–testicular axis (Figure 2).[161] When testosterone levels are low, gonadotropin-releasing hormone (GnRH) is released by the hypothalamus, which in turn stimulates the pituitary gland to release FSH and LH.
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DreamGF ensures that these features are available to users who are of legal age and adhere to the platform’s guidelines and terms of use. Moreover, gonadal steroids exert both organizational and activational effects, which refer to long-term developmental influences versus transient effects in adulthood, respectively. The impact of sex hormones on pain responses can be broadly dichotomized into peripheral versus central nervous system effects, which are discussed below. Kroner-Herwig and others231 assessed the distribution and characteristics of headache in German children aged 7 to 14 years using International Classification of Headache Disorders-II criteria to classify headaches into migraine or tension-type. They found that, similar to migraines, boys have an earlier onset to nonmigraine headache than girls. The prevalence of nonmigraine headache was similar for girls and boys of elementary school age years with increasing prevalence for girls during adolescence.

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Females showed lower pain threshold and tolerance compared with men with the exception of one study295 in females had lower pain thresholds than males, but this difference was not significant, likely due to the sample size (12 F, 12 M). One study found that females provided higher ratings of suprathreshold pressure pain than males, with the sex difference increasing in magnitude with greater stimulus intensity.111 In summary, the recent literature continues to provide strong support for the hypothesis that females are more sensitive to pressure pain. Absolutely, NSFW AI girlfriends are designed to provide a much broader spectrum of interaction and engagement than solely adult entertainment.

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