Cited by 288Sexual function and dysfunction studiesSexuality, Behavior, and TechnologyNeural and Behavioral Psychology Studies

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Dynamics of male sexual arousal: distinct components of brain activation revealed by fMRI

Ferretti, Antonio, Caulo, Massimo, Del Gratta, Cosimo, Di Matteo, Rosalia, Merla, Arcangelo, Montorsi, Francesco, Pizzella, Vittorio, Pompa, Paolo, Rigatti, Patrizio, Rossini, Paolo Maria, Salonia, Andrea, Tartaro, Armando, Romani, Gian Luca·2005·NeuroImage

DOI 10.1016/j.neuroimage.2005.03.025

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Abstract

The peripheral mechanisms of male sexual arousal are well known. Recently, neuroimaging techniques, such as PET or fMRI, allowed the investigation of the subjacent cerebral mechanisms. In ten healthy subjects, we have simultaneously recorded fMRI images of brain activation elicited by viewing erotic scenes, and the time course of penile tumescence by means of a custom-built MRI-compatible pneumatic cuff. We have compared activation elicited by video clips with a long duration, that led to sexual arousal and penile erection, and activation elicited by briefly presented still images, that did induce sexual arousal without erection. This comparison and the use of the time course of penile tumescence in video clips allowed to perform a time resolved data analysis and to correlate different patterns of brain activation with different phases of sexual response. The activation maps highlighted a complex neural circuit involved in sexual arousal. Of this circuit, only a few areas (anterior cingulate, insula, amygdala, hypothalamus, and secondary somatosensory cortices) were specifically correlated with penile erection. Finally, these areas showed distinct dynamic relationships with the time course of sexual response. These differences might correspond to different roles in the development and appraisal of the sexual response. These findings shed light on the psychophysiology of male sexuality and open new perspectives for the diagnosis, therapy, and possible rehabilitation of sexual…

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Authors: Ferretti, A., Caulo, M., Del Gratta, C., Di Matteo, R., Merla, A., Montorsi, F., Pizzella, V., Pompa, P., Rigatti, P., Rossini, P. M., Salonia, A., Tartaro, A., & Romani, G. L.
Affiliations: University of Chieti-Pescara (IT)
Vita-Salute San Raffaele University (IT)
Ospedale SS. Annunziata (IT)
Università Campus Bio-Medico (IT)
Corresponding author: Ferretti, Antonio
ORCID: Ferretti, Antonio
Caulo, Massimo
Merla, Arcangelo
Montorsi, Francesco
Pizzella, Vittorio
Rossini, Paolo Maria
Salonia, Andrea
Tartaro, Armando
Romani, Gian Luca
Venue: NeuroImage
Publisher: Elsevier BV
Published: 2005-07
Volume: 26
Issue: 4
Pages: 1086-1096
ISSN: 1053-8119 (ISSN-L)
DOI: 10.1016/j.neuroimage.2005.03.025
OpenAlex: W2021586194
Cited by: 288
References: 35
Citations by year: 2026: 5 · 2025: 6 · 2024: 5 · 2023: 12 · 2022: 11 · 2021: 11 · 2020: 11 · 2019: 11 · 2018: 16 · 2017: 24 · 2016: 17 · 2015: 18 · 2014: 10 · 2013: 22 · 2012: 21
FWCI: 7.60
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: NeuroImage (publishedVersion)
PubMed (publishedVersion)
Archivio Istituzionale della Ricerca - Università Vita-Salute San Raffaele (submittedVersion)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
Keywords: male sexual arousal, penile tumescence, brain activation, anterior cingulate cortex, insula, amygdala, hypothalamus, secondary somatosensory cortex, sexual dysfunction
MeSH terms: Adult, Brain, Brain Mapping, Humans, Image Interpretation, Computer-Assisted, Magnetic Resonance Imaging, Male, Nerve Net, Oxygen, Penile Erection, Photic Stimulation, Sexual Behavior

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Dynamics of male sexual arousal: distinct components of brain activation revealed by fMRI

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