Two studies examined sex differences in responsiveness of the hypothal
amic-pituitary-adrenal cortical axis, a major component of the stress
response. The first measured pituitary-adrenal responses to ovine cort
icotropin-releasing hormone (oCRH) in 24 healthy men and 19 healthy wo
men. Plasma adrenocorticotropin hormone (ACTH) responses to oCRH were
significantly greater among women than among men. In contrast, cortiso
l concentrations were similar in both groups, though elevations were m
ore prolonged in women. Differences in corticotropin-releasing activit
y between men and women may help account for these findings; such diff
erences in central components of the stress response might play a role
in the known epidemiological differences in diseases of stress system
dysregulation between men and women.