4.7 Article

Specific factors and methodological decisions influencing brain responses to sexual stimuli in women

Journal

NEUROSCIENCE AND BIOBEHAVIORAL REVIEWS
Volume 131, Issue -, Pages 164-178

Publisher

PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.neubiorev.2021.09.013

Keywords

Sexual arousal; Women; Brain; Neuroimaging; Functional magnetic resonance imaging; Positron emission transmission

Funding

  1. Portuguese Foundation for the Science and Technology [FCT-PTDC/PSI-GER/30520/2017]

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Most neuroimaging studies on sexual behavior focus on men, but future research should consider factors specific to women such as menstrual cycle and sexual orientation, as well as use more representative sexual stimuli. This review provides useful guidelines for more inclusive research on sexual arousal and may lead to more accurate neurobiological models.
Most of the neuroimaging studies on sexual behavior have been conducted with male participants, leading to men-based models of sexual arousal. Here, possible factors and methodological decisions that might influence brain responses to sexual stimuli, specifically for the inclusion of women, will be reviewed. Based on this review, we suggest that future studies consider the following factors: menstrual phase, hormonal contraception use, history of sexual or psychiatric disorders or diseases, and medication use. Moreover, when researching sexual arousal, we suggest future studies assess sexual orientation and preferences, that women should select visual sexual stimuli, and a longer duration than commonly used. This review is thought to represent a useful guideline for future research in sexual arousal, which hopefully will lead to a higher inclusion of women and therefore more accurate neurobiological models of sexual arousal.

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