The central subdivision of the bed nucleus of the stria terminalis (BSTc) is
sexually dimorphic. On average, the BSTc is twice as large in men as in women and contains twice the number of
somatostatin neurons. A sample of six post-mortem, long-term
hormone replacement therapy (HRT) treated
trans women (male-to-female) were found to have a female-typical number of cells in the BSTc, whereas a
trans man (female-to-male) was found to have a male-typical number. The authors (Jiang-Ning Zhou, Frank PM Kruijver,
Dick Swaab) also examined subjects with hormone-related disorders and found no pattern between those disorders and the BSTc while the single untreated male-to-female
transsexual had a female-typical number of cells. They concluded that the BSTc provides evidence for a neurobiological basis of
gender identity and proposed that such was determined before birth.
Hormone replacement therapy has been shown to influence hypothalamic size, even though the study tried to account for it by including non-transsexual male and female controls which, for a variety of medical reasons, had experienced hormone reversal. Since somatostatin-expressing neurons typically block dendritic inputs to the postsynaptic neuron, thus inhibiting signals traveling through associated structures, it is believed that the larger bed nucleus of the stria terminalis found in men (including transgender men) reduce the
startle response in men and may be responsible for the higher incidence of specific phobias in women, and a possible source for the stereotype of women being afraid of mice. Oxytocin receptor activity in the BNST is important for social recognition in rats. Both male and female rats that received a microinjection of oxytocin receptor antagonist had lower social recognition scores than rats that received a vehicle injection, and microinjections of oxytocin into the BNST enhanced social memory in male, but not female, rats. Reduction to the bed nucleus of the stria terminalis has been observed in pedophilia diagnosed patients, in addition to reductions in the right amygdala, hypothalamus and abnormalities in related structures. The authors suggest reductions in the BNST are not specific to pedophilia, and are a general feature of abnormal sexual development. ==References==