Introduction Current physiological measures of sexual arousal are intrusive, hard to compare between genders, and quantitatively problematic. Aim To investigate thermal imaging technology as a means of solving these problems. Methods Twenty-eight healthy men and 30 healthy women viewed a neutral film clip, after which they were randomly assigned to view one of three other video conditions: (i) neutral (N=19); (ii) humor (N=19); and (iii) sexually explicit (N=20). Main Outcome Measures Genital and thigh temperatures were continuously recorded using a TSA ImagIR camera. Subjective measures of sexual arousal, humor, and relaxation were assessed using Likert-style questions prior to showing the baseline video and following each film. Results Statistical (Tukey HSD) post-hoc comparisons (P <0.05) demonstrated that both men and women viewing the sexually arousing video had significantly greater genital temperature (mean=33.89°C, SD=1.00) than those in the humor (mean=32.09°C, SD=0.93) or neutral (mean=32.13°C, SD=1.24) conditions. Men and women in the erotic condition did not differ from each other in time to peak genital temperature (men mean=664.6 seconds, SD=164.99; women mean=743 seconds, SD=137.87). Furthermore, genital temperature was significantly and highly correlated with subjective ratings of sexual arousal (range r =0.51–0.68, P <0.001). There were no significant differences in thigh temperature between groups. Conclusion Thermal imaging is a promising technology for the assessment of physiological sexual arousal in both men and women.
Thermography is a promising technology for the physiological measurement of sexual arousal in both men and women. This study was designed to extend our previous college student thermography study findings to an older sample (M age = 37.05 years), add an anxiety control group to further examine the specificity of temperature change, and examine the relationship between genital temperature and a continuous measure of subjective sexual arousal. Healthy men (n = 40) and women (n = 39) viewed a neutral film clip after which they were randomly assigned to view one of four other videos: neutral (n = 20), humor (n = 19), anxiety provoking (n = 20) or sexually explicit (n = 20). Genital and thigh temperature were continuously recorded using a TSA ImagIR thermographic camera. Continuous and discrete reports of subjective sexual arousal were also obtained. Results supported the validity of thermography as a measure of sexual arousal: temperature change was specific to the genitals during the sexual arousal condition and was significantly correlated with subjective continuous and discrete reports of sexual arousal. Further development should assess the potential of thermography as a tool for the diagnosis and treatment evaluation of sexual arousal difficulties and for studying sex differences.
Introduction Research, theory, and popular belief all suggest that penile sensation is greater in the uncircumcised as compared with the circumcised man. However, research involving direct measurement of penile sensation has been undertaken only in sexually functional and dysfunctional groups, and as a correlate of sexual behavior. There are no reports of penile sensation in sexually aroused subjects, and it is not known how arousal affects sensation. In principle, this should be more closely related to actual sexual function. Aim This study therefore compared genital and nongenital sensation as a function of sexual arousal in circumcised and uncircumcised men. Methods Twenty uncircumcised men and an equal number of age-matched circumcised participants underwent genital and nongenital sensory testing at baseline and in response to erotic and control stimulus films. Touch and pain thresholds were assessed on the penile shaft, the glans penis, and the volar surface of the forearm. Sexual arousal was assessed via thermal imaging of the penis. Results In response to the erotic stimulus, both groups evidenced a significant increase in penile temperature, which correlated highly with subjective reports of sexual arousal. Uncircumcised men had significantly lower penile temperature than circumcised men, and evidenced a larger increase in penile temperature with sexual arousal. No differences in genital sensitivity were found between the uncircumcised and circumcised groups. Uncircumcised men were less sensitive to touch on the forearm than circumcised men. A decrease in overall touch sensitivity was observed in both groups with exposure to the erotic film as compared with either baseline or control stimulus film conditions. No significant effect was found for pain sensitivity. Conclusion These results do not support the hypothesized penile sensory differences associated with circumcision. However, group differences in penile temperature and sexual response were found.
Introduction The article consists of six sections written by separate authors that review female genital anatomy, the physiology of female sexual function, and the pathophysiology of female sexual dysfunction but excluding hormonal aspects. Aim To review the physiology of female sexual function and the pathophysiology of female sexual dysfunction especially since 2010 and to make specific recommendations according to the Oxford Centre for evidence based medicine (2009) “levels of evidence” wherever relevant. Conclusion Recommendations were made for particular studies to be undertaken especially in controversial aspects in all six sections of the reviewed topics. Despite numerous laboratory assessments of female sexual function, genital assessments alone appear insufficient to characterise fully the complete sexual response.
Clitoral ultrasonography has recently been suggested as a possible replacement for standard vaginal photoplethysmography, used in most physiological studies of female sexual arousal. An early study of clitoral ultrasonography demonstrated that it is possible for two independent ultrasonographers to
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