Sex-Related Features of the Reactions of Microcirculation Parameters in Symmetrical Areas of the Human Head to Hypoxic Exposure

We studied sex-related features of the microcirculation response of symmetrical areas of the human head to hypoxic loads. In 20 healthy volunteers (10 male and 10 female), short-term hypoxia was modeled using the ReOxy Cardio device (S. A. Aimediq). Microcirculation parameters were synchronously measured by laser Doppler flowmetry in the initial state and immediately after short-term hypoxic exposure. 3D graphs were constructed and regression equations were formulated that describe the relationships between changes in microcirculation on both sides of the measurement. Using a new method of geometric zoning, it was shown that the direction of reactions to hypoxia of the left microcirculatory bed is opposite in subjects of different sexes. In 80% male subjects, hypoxia led to an increase in perfusion on the left, in 20% — to a decrease. In female subjects, the picture was opposite: perfusion decreased in 90% and increased in 10% subjects. It can be assumed that these differences in the reactions of microcirculation to hypoxia in men and women are an additional confirmation of different structural and functional organization of the male and female brain, which leads to different resistance of males and females to external disturbing influences. The results of the study can be used in medical practice to develop methods for personalized assessments of circulatory disorders and differentiated approaches to the treatment of men and women with cardiovascular diseases.