Sexual behavior and hemispheric laterality of the focus in patients with temporal lobe epilepsy

Sexual desire and satisfaction after resective surgery in patients with mesial temporal lobe epilepsy with hippocampal sclerosis

“…Contrary to our observation, others have documented preoperative sexual dysfunction and its postoperative improvement more frequently in patients who had undergone right ATL as compared to left ATL [13,30]. Whether this difference is related to differential hemispheric distribution of sexual function with right hemisphere being dominant or indifferent in emotional behavior following right hemispheric damage resulting in underreporting on the sexual problems is uncertain [30,31]. Our inability to show such a difference may be due to the relatively small number of patients in the right and left ATL subgroups, 23 and 27, respectively.…”

Male Sexual Disorders Following Stroke: An Overview

“…Indeed, libido and ability to achieve erection may require activation of specific limbic and cortical structures, and the right hemisphere seems to be dominant for attention/activation functions and in processing emotions. Moreover, the right hemisphere dominance for male sexual activity may be related to the specific control of hypothalamus-pituitary axis, as suggested by the observation of altered sexual behaviors in patients with right temporal lobe epilepsy (Daniele et al, 1997). On the contrary, some authors did not find a significant correlation between decline of sexual intercourse after stroke and injured hemisphere (Giaquinto et al, 2003), whereas few findings reported a greater incidence of sexual disorders after left-hemisphere damage (Goddess, Wagner, & Silverman, 1979).…”

Neuroendocrine Hormonal Conditions in Epilepsy

“…105 Hyposexuality has been reported to be more prominent with right than with left temporolimbic foci. 127 The observation that left-sided TLE may be associated with PCOS and right-sided TLE may be associated with hypothalamic amenorrhea (hyperandrogenemia, hypogonadotropic hypogonadism), moreover, suggests a lateralized asymmetry in this relationship. 105…”