Medial preoptic area/anterior hypothalamus and sexual motivation

The medial preoptic area/anterior hypothalamus (MPOA/AH) is a brain site derived from proliferative zones from the diencephalon and telencephalon. It is probably this characteristic that makes this brain region participate in different physiological and behavioral functions. The present review addresses the role of the MPOA/AH in the control of male sexual behavior. It is clear that the MPOA/AH is a crucial site in the control of sexual behavior in males of all species studied to date. But although many different publications have followed the contribution of Heimer and Larsson there is no agreement as to what is specifically the role of the MPOA/AH in sexual behavior. At least three hypotheses have been presented. The first one suggests that this brain region is involved in the consummatory aspects (execution) of sexual behavior. The second indicates that the MPOA/AH is involved in the appetitive components (motivation) of masculine sexual behavior. The third hypothesis considers that MPOA/AH neurons are involved in the regulation of consummatory and appetitive aspects of sexual behavior. From the literature reviewed, it will become evident that the evidence supporting a role of the MPOA/AH in the execution of sexual behavior is based on a number of limited studies not easy to interpret. On the other hand, several lines of evidence using a variety of methodologies support the notion that the MPOA/AH is involved in the motivational aspects of male sexual behavior.