Guest guest Posted March 1, 2012 Report Share Posted March 1, 2012 INTRODUCTION: Sexual dysfunction, as a result of selective-serotonin reuptake inhibitor (SSRI) treatment among women, is relatively common and is a factor in medication compliance. The mechanisms that underlie these side-effects of SSRIs are not well-understood. SSRIs can alter activity of catabolic enzymes that are involved in progesterone's conversion to 5 & #945;-pregnan-3 & #945;-ol-20-one (3 & #945;,5 & #945;-THP). 3 & #945;,5 & #945;-THP plays a key role in female reproductive physiology and behavior. AIMS: This study aimed to determine whether 3 & #945;,5 & #945;-THP, in the midbrain ventral tegmental area (VTA) may be a potential mechanism for fluoxetine's reduction in sexual responding of female rodents. We hypothesized that if fluoxetine induces decrements in sexual responding in part through actions of 3 & #945;,5 & #945;-THP, then fluoxetine will inhibit sexual receptivity concomitant with reducing 3 & #945;,5 & #945;-THP levels, effects which can be reversed by 3 & #945;,5 & #945;-THP administration. METHODS: & #8194; Experiment 1 investigated effects of acute systemic fluoxetine [20 mg/kg intraperitoneal (IP)] and/or 3 & #945;,5 & #945;-THP [500 µg, subcutaneous (SC)] administration on sexual responding of ovariectomized, hormone-primed rats. Experiment 2 examined effects of 3 & #945;,5 & #945;-THP administration to the midbrain VTA (100 ng) on fluoxetine-induced decrements in lordosis of ovariectomized, hormone-primed rats and hamsters. MAIN OUTCOME MEASURES: Sexual responding was determined in rats and hamsters. For rats, the percentage of times that the lordosis response occurred following mounting by a sexually-vigorous male (lordosis quotients) was utilized. For hamsters, lateral displacement, the pelvic movement that females will make to facilitate intromissions by a male hamster, was utilized. RESULTS: Fluoxetine significantly reduced lordosis, and this was reversed SC 3 & #945;,5 & #945;-THP. Intra-VTA 3 & #945;,5 & #945;-THP attenuated fluoxetine's detrimental effects on lordosis quotients and lateral displacement of rats and hamsters, respectively. CONCLUSIONS: Thus, fluoxetine's effects to disrupt female sexual responses may involve its effects on progestogens in the midbrain VTA. http://www.ncbi.nlm.nih.gov/pubmed/20412429 Quote Link to comment Share on other sites More sharing options...
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