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"Pleasure and pain are both tied to the interacting dopamine..

"Pleasure and pain are both tied to the interacting dopamine and opioid systems in the brain, which regulate neurotransmitters that are involved in reward- or motivation-driven behaviors, which include eating, drinking, and sex.

In terms of brain regions, both pleasure and pain seem to activate the nucleus accumbens, the pallidum, and the amygdala, which are involved in the brain’s reward system, regulating motivation-driven behaviors.

Thus, the “high” experienced by people who find painful sensations sexually arousing is similar to that experienced by athletes as they push their bodies to the limit."

Maria Cohut, PHD
2019

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