Karpas A E
J Med Assoc Ga. 1992 May;81(5):227-31.
Many hormones are involved in the control of human sexuality. Clearly both androgens and estrogens are important parts of the picture. The physiologic role of prolactin, thyroid hormones and gonadotropins is not clear. The part played by neurotransmitters can only be guessed at. The neuroendocrine interaction governing female sexuality is far less understood than in the male. For example while there is a loss of tumescence in the vaginal tissue in diabetic females there is no loss of sexual function as in the male. The effects of deletion and addition of sex steroids in the female are far less predictable than in the male. Environmental and psychosocial factors are probably more important in the total picture. The role of hormones in the sexual function and psychological makeup of women is important. The exact role of the endocrine system in their psychosexual function is by no means clear. A great deal of research is required to ratify or disprove many of the speculative assertions found in today's literature. Studies of female sexuality would seem to have acquired a new urgency. Too often attempts at such serious study is met with a snicker and little or no funding is forthcoming. Unfortunately we know more about the sexuality of most animal species than our own. We have to take the study of female sexuality far more seriously to solve these problems.
许多激素参与人类性行为的调控。显然,雄激素和雌激素都是其中的重要组成部分。催乳素、甲状腺激素和促性腺激素的生理作用尚不清楚。神经递质所起的作用只能靠猜测。与男性相比,对调控女性性行为的神经内分泌相互作用的了解要少得多。例如,糖尿病女性的阴道组织会出现肿胀消退,但她们不会像男性那样出现性功能丧失。女性体内性类固醇增减的影响比男性更难预测。在整体情况中,环境和社会心理因素可能更为重要。激素在女性性功能和心理构成中的作用很重要。内分泌系统在她们性心理功能中的确切作用绝不清楚。需要进行大量研究来证实或反驳当今文献中许多推测性断言。对女性性行为的研究似乎变得更加紧迫。这类严肃研究的尝试常常遭到嘲笑,而且很少或根本没有资金支持。不幸的是,我们对大多数动物物种性行为的了解比对自身的了解还多。我们必须更加认真地对待女性性行为研究,以解决这些问题。