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Do Parkinson's Symptoms Differ in Men and Women?
Friday April 24, 2009
Most studies of Parkinson's disease suggest that men are more likely to get 
PD than women. But what happens to men and women after PD begins? Does the 
disease affect men and women differently once they have PD? As far as I can 
see there have been only a few studies on this issue but the available 
information is interesting. Apparently motor symptoms tend to be slightly 
less severe in women than in men but women experience more frequent 
dyskinesias or bad reactions to PD medications. A study by Haaxma and 
colleagues published in 2007 found that women tended to be older than men at 
symptom onset and more often had a tremor dominant form of PD. Most 
interesting however was that these scientists used a neuroimaging technique 
SPECT to investigate dopamine activity in brains of male and female persons 
with PD.
Women had higher levels of 'striatal dopamine binding' than men when the 
disease was first diagnosed. 'Striatal dopamine binding' simply means that 
women had more and better dopamine activity in their brains than did men 
when they were diagnosed with PD. In short, when women experience their 
first motor symptoms of PD their brains have a larger pool of effective 
dopamine receptors than do men when they are first diagnosed. The authors of 
the study suggest that female hormones like estrogen exert a protective 
effect for dopamine receptors. The authors also reported that the age of 
onset of symptoms in women was associated with indicators of estrogen 
status-things like age of menopause, number of children and duration of 
fertile life span. So perhaps estrogen activity helps to protect against the 
disease or delay its onset for women but once it appears the scientists 
found that the disease kills off the dopamine cells at similar rates in men 
and women. Presumably estrogen activity declines in women who get PD and 
once estrogen levels are low estrogen can no longer protect against the 
disease.
Source: Charlotte A Haaxma, Bastiaan R Bloem, George F Borm, Wim J G Oyen, 
Klaus L Leenders, Silvia Eshuis, Jan Booij, Dean E Dluzen, Martin W I M 
Horstink; Gender differences in Parkinson's disease; J Neurol Neurosurg 
Psychiatry 2007;78:819-824.

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Rayilyn Brown
Director AZNPF
Arizona Chapter National Parkinson Foundation
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