Cited by 116Neuroendocrine regulation and behaviorEvolutionary Psychology and Human BehaviorOlfactory and Sensory Function Studies

Hormonal contraceptives suppress oxytocin-induced brain reward responses to the partner’s face

Open access
Scheele, Dirk, Plota, Jessica, Stoffel-Wagner, Birgit, Maier, Wolfgang, Hurlemann, René·2016·Social Cognitive and Affective Neuroscience

Abstract

The hypothalamic peptide oxytocin (OXT) has been identified as a key modulator of pair-bonding in men, but its effects in women are still elusive. Moreover, there is substantial evidence that hormonal contraception (HC) influences partner preferences and sexual satisfaction, which constitute core domains of OXT function. We thus hypothesized that OXT effects on partner-related behavioral and neural responses could be significantly altered in women using HC. In this functional magnetic resonance imaging study involving 40 pair-bonded women, 21 of whom were using HC, we investigated whether a 24-IU nasal dose of OXT would modulate brain reward responses evoked by the romantic partner's face relative to the faces of familiar and unfamiliar people. Treatment with OXT increased the perceived attractiveness of the partner relative to other men, which was paralleled by elevated responses in reward-associated regions, including the nucleus accumbens. These effects of OXT were absent in women using HC. Our results confirm and extend previous findings in men that OXT interacts with the brain reward system to reinforce partner value representations, indicating a common OXT-dependent mechanism underlying partner attraction in both sexes. This mechanism may be disturbed in women using HC, suggesting that gonadal steroids could alter partner-specific OXT effects.

AI snapshot

Written from the paper’s full text.

TL;DR

In 40 pair-bonded women, intranasal oxytocin increased the perceived attractiveness of the partner and partner-specific nucleus accumbens/ventral tegmental area responses in freely cycling women, but not in women using hormonal contraception. The findings suggest hormonal contraceptives may suppress oxytocin’s partner-specific reward effects.

Key findings

  • Oxytocin (24 IU) enhanced the positive attractiveness bias for the partner in freely cycling women (t(16) = 2.56, P = 0.02, d = 0.37) but not in women using hormonal contraception (t(16) = 0.66, P = 0.52, d = 0.11); the repeated-measures ANOVA showed a main effect of treatment (F(1,32) = 5.53, P = 0.03, η² = 0.15), no main effect of HC (F(1,32) = 0.07, P = 0.79), and a non-significant treatment × HC interaction (F(1,32) = 2.18, P = 0.15).
  • Oxytocin increased partner-specific NAcc and VTA responses in freely cycling women (NAcc left t(136) = 3.60, P_FWE < 0.01; right t(136) = 3.68, P_FWE < 0.01; VTA left t(136) = 3.71, P_FWE < 0.01; right t(136) = 4.06, P_FWE < 0.01), and this effect was significantly stronger than in women using HC (NAcc left t(37) = 3.20, P_FWE = 0.04; right t(37) = 4.32, P_FWE < 0.01; VTA left t(37) = 3.24, P_FWE = 0.04; right t(37) = 3.12, P_FWE = 0.057).
  • Baseline endogenous oxytocin concentrations positively correlated with partner-specific striatal responses across all women, including left NAcc (t(36) = 3.50, P_FWE = 0.03) and right NAcc (t(36) = 3.48, P_FWE = 0.03); there was no main effect of HC and no significant group difference in the partner-specific contrast [Partner_PLC > Familiar_PLC].
  • Oxytocin increased bilateral precuneus activity across all stimuli (left t(38) = 3.94 and 3.76, P_FWE < 0.01; right t(38) = 4.01 and 3.99, P_FWE = 0.03), with no significant deactivations under oxytocin compared with placebo.

Methods

  • Double-blind, placebo-controlled, within-subject randomized fMRI study of 40 healthy right-handed adult women (mean age 24.38 ± 3.26 years), 21 using hormonal contraception and 19 not using HC; all were in a heterosexual romantic relationship (mean duration 33.58 ± 28.09 months).
  • Participants received intranasal oxytocin (24 IU) or placebo 30 min before fMRI and passively viewed photographs of their partner, matched unknown men, a familiar woman, and matched unknown women; after scanning they rated all photographs for attractiveness and arousal, and saliva samples were collected before spray administration and after the experiment.
  • fMRI data were analyzed with SPM8; whole-brain analyses used P < 0.05 FWE-corrected, and region-of-interest analyses used 10-mm-radius masks for NAcc and VTA with P < 0.05 FWE-corrected; a flexible factorial model included treatment (OXT vs PLC) and bond (partner, unfamiliar, familiar) factors.

Limitations

  • The paper states that the sample size did not allow differentiation between different types or generations of hormonal contraception, that women were not tested during ovulation, that exploratory menstrual-cycle-phase analyses were limited by small subgroup sizes, and that the interval between treatment sessions was not constant (minimum 1 day, maximum 127 days/4 months).
  • The paper notes that the behavioral treatment × HC interaction did not reach significance, suggesting larger samples may be needed to detect behavioral partner-specific oxytocin effects in women using HC.
  • Evident from the text: fMRI data were unavailable for one subject in the no-HC group and behavioral data were unavailable for three participants in each group; the study used an acute single-dose oxytocin design, so it cannot directly address chronic mechanisms or long-term consequences of HC use.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1093/scan/nsv157

Cites

62 of 62 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

13 of 37 cited sources checked · 9 supported · 0 flagged · accuracy not yet measured

  • Premisecitation

    Hormonal contraception (HC) use alters women's pair-bonding behavior.

    “Importantly, HC use alters women's pair-bonding behavior, evident in decreased attractiveness ratings of masculine faces (Little et al., 2013), reduced neural response to the expectation of erotic stimuli (Abler et al., 2013), a preference shift towards olfactory cues of genetic similarity (Roberts et al., 2008) and increased sexual jealousy (Geary et al., 2001).”
    Quote in the paperSubstantial claim2 of 3 sources checked
    • cites Little et al., 2013 source
    • cites Abler et al., 2013 source
    • cites Roberts et al., 2008 source
  • Findingown data

    OXT did not alter the positive bias for the familiar person.

    “Importantly, OXT did not alter the positive bias for the familiar person (all Ps > 0.56, cf. Figure 1), suggesting that, in line with our previous findings in men (Scheele et al., 2013), OXT specifically influenced perception related to pair-bonding.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Scheele et al., 2013 source
  • Premisecitation

    Oxytocin (OXT) is a key modulator of pair-bonding in men.

    “The hypothalamic peptide oxytocin (OXT) has been identified as a key modulator of pair-bonding in men, but its effects in women are still elusive.”
    • Also stated in: § Introduction · hedged
      “Multiple lines of evidence suggest that the hypothalamic peptide oxytocin (OXT) is a key factor modulating pair-bonding behaviors (Young and Wang, 2004;Hurlemann and Scheele, 2016).”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites Young and Wang, 2004 source
    • cites Hurlemann and Scheele, 2016 source
  • Findingown data

    The OXT-induced augmentation of partner-specific responses in the nucleus accumbens was significantly stronger in men than in women who used hormonal contraception.

    “In fact, a comparison of the OXT effects in women with our previous data obtained in men (Scheele et al., 2013) showed that the OXTinduced augmentation of partner-specific responses in the NAcc (left: À9, 2, 1, t (39) ¼ 3.22, P FWE ¼ 0.04 and À15, 11, À2, t (39) ¼ 3.19, P FWE ¼ 0.04; right: 18, 8, À2, t (39) ¼ 4.35, P FWE < 0.01) was significantly stronger in men than in women who used HC.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Scheele et al., 2013 source
  • Interpretationown data

    OXT specifically influenced perception related to pair-bonding.

    “Importantly, OXT did not alter the positive bias for the familiar person (all Ps > 0.56, cf. Figure 1), suggesting that, in line with our previous findings in men (Scheele et al., 2013), OXT specifically influenced perception related to pair-bonding.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Scheele et al., 2013 source
  • May combine two claims. 10
  • Classified as probably not a substantial claim. 23
  • May combine two claims.

    Interpretationreasoning

    OXT induces a self-referential processing bias, thus increasing the conscious perception of partner value.

    “this finding resonates well with our hypothesis that OXT induces a self-referential processing bias (Scheele et al., 2014a;Hurlemann and Scheele, 2016), thus increasing the conscious perception of partner value.”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites Scheele et al., 2014a

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites Hurlemann and Scheele, 2016 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    OXT reduces arousal induced by the imagination of sexual infidelity.

    “to reduce arousal induced by the imagination of sexual infidelity (Preckel et al., 2015).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Preckel et al., 2015 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Infarction linked to bereavement and profound grief after the loss of a partner is at least partially mediated by a disruption of OXT signaling.

    “infarction (Mostofsky et al., 2012) linked to bereavement and profound grief after the loss of a partner, are also at least partially mediated by a disruption of OXT signaling (Hurlemann and Scheele, 2016).”
    Quote in the paperNot a substantial claim2 of 2 sources checked
    • cites Mostofsky et al., 2012 source

      The Results report a markedly elevated rate of myocardial infarction after the death of a significant person. But the study did not establish that acute infarctions followed the loss of a partner specifically: the Discussion says none of the participants who lost a spouse had done so within the prior day. It also did not measure profound grief. The OXT-signaling mechanism is attributed to a different citation in the citing sentence, not to Mostofsky et al. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
    • cites Hurlemann and Scheele, 2016 source

      In “Oxytocin and Social Attachment in Nonhuman Species,” the paper suggests that reduced OXT signaling after partner loss contributes to anxiety and depression in voles. Its “Translational Implications” section discusses human grief but does not link OXT disruption to infarction after bereavement. The proposed mediation of infarction is therefore unsupported by this source. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
  • Classified as probably not a substantial claim.

    Premisecitation

    The precuneus is heavily implicated in mediating interoceptive awareness and consciousness.

    “Given that the precuneus is heavily implicated in mediating interoceptive awareness and consciousness (Lou et al., 2004)”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Lou et al., 2004 source

      The Discussion links the precuneus and medial parietal region to explicit self-representation, reflective self-awareness, and conscious self-monitoring. It does not address interoceptive awareness or bodily signals, so that part of the claim is unsupported. The paper’s account of consciousness is also more specifically about self-referential awareness than consciousness generally. (LLM, conf=0.86)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Findingown data

    OXT had no effect on vital signs or mood and anxiety ratings.

    “Furthermore, we observed that OXT had no effect on vital signs (cf.Supplementary Materials) or mood and anxiety ratings (cf. Supplementary Table S4).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    There was no main effect of hormonal contraception and no significant differences between freely cycling women and women using hormonal contraception in the partner-specific contrast [Partner PLC > Familiar PLC].

    “There was no main effect of HC and we observed no significant differences between freely cycling women and women using HC in the partner-specific contrast [Partner PLC > Familiar PLC ].”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    The effects of OXT on partner attractiveness and reward responses were absent in women using hormonal contraception.

    “These effects of OXT were absent in women using HC.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingreasoning

    The concentrations of follicle-stimulating and luteinizing hormones were similar in women using and not using hormonal contraception.

    “However, since none of the women were tested during ovulation, the concentrations of the follicle-stimulating and luteinizing hormones were similar in both groups.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Partner-related effects of elevated OXT concentrations following nasal spray administration were restricted to normally cycling women, and the partner-specific neural OXT effect was significantly more pronounced in women not using HC.

    “Intriguingly, the partner-related effects of elevated OXT concentrations following nasal spray administration were restricted to normally cycling women.”
    • Also stated in: § Discussion · plain
      “Of note, the partner-specific neural OXT effect was significantly more pronounced in women not using HC”
    Quote in the paperSubstantial claim
    • Rests on an assumption: Intranasal OXT administration elevates central OXT concentrations sufficiently to affect brain reward responses.
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductnone given

    Due to technical problems, fMRI data were not available for one subject in the no HC group and behavioral data were not available for three participants in each group.

    “Due to technical problems, fMRI data were not available for one subject in the no HC group and behavioral data were not available for three participants in each group.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    Movement parameters were included as confounds in the design matrix.

    “The movement parameters were included as confounds in the design matrix.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    Direct binding of progesterone to OXTRs inhibits OXTR functioning.

    “a potential mechanism could be related to the direct binding of progesterone to OXTRs, thereby inhibiting OXTR functioning (Grazzini et al., 1998).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Grazzini et al., 1998 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    An independent sample of 10 heterosexual women rated the attractiveness, arousal and quality of the photographs.

    “An independent sample of 10 heterosexual women (age: 27.2 6 4.66 years) rated the attractiveness of and the arousal induced by all women and men as well as the quality of the photographs on a visual analog scale (0 ¼ minimum, 100 ¼ maximum) prior to the first fMRI session.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Partner preferences vary across the menstrual cycle in an evolutionarily adaptive way.

    “Previous research suggests that partner preferences vary across the menstrual cycle in an evolutionarily adaptive way.”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Little and Jones, 2012 source
    • cites Fisher, 2004 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Women exhibit higher levels of intrasexual competition related to attractiveness at peak fertility in the menstrual cycle.

    “For instance, women prefer masculine faces (Little and Jones, 2012) and exhibit higher levels of intrasexual competition related to attractiveness (Fisher, 2004) at peak fertility in the menstrual cycle.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Fisher, 2004 source
  • May combine two claims.

    Study design and conductown data

    The time intervals since subjects last saw their partners and had intimate contact were comparable between the OXT and placebo sessions.

    “The subjects reported to be passionately in love and the time intervals since they last saw their partners and had intimate contact were comparable between the OXT and PLC sessions (see Supplementary Table S3).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Women prefer masculine faces at peak fertility in the menstrual cycle.

    “For instance, women prefer masculine faces (Little and Jones, 2012) and exhibit higher levels of intrasexual competition related to attractiveness (Fisher, 2004) at peak fertility in the menstrual cycle.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Little and Jones, 2012 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationreasoning

    The non-constant time interval between treatment sessions may have increased the variance in the data.

    “this may have increased the variance in the data.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Study design and conductnone given

    No subject knew the individuals whose photographs were used as control stimuli.

    “We ensured that no subject knew the individuals whose photographs were used as control stimuli.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    OXT facilitated spontaneous anthropomorphism in samples in which the majority of women used HC.

    “facilitated spontaneous anthropomorphism (Scheele et al., 2015) in samples in which the majority of women used HC.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Scheele et al., 2015 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Estradiol treatment in mice and rats results in a several-fold increase in OXTR mRNA in the brain.

    “an estradiol treatment in mice and rats results in a several-fold increase in OXTR mRNA in the brain (Quinones-Jenab et al., 1997;Young et al., 1998).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Quinones-Jenab et al., 1997 source
    • cites Young et al., 1998 source
  • Classified as probably not a substantial claim.

    Study design and conductnone given

    The study used a randomized, placebo-controlled, double-blind, within-group design.

    “We applied a randomized, placebo-controlled, double-blind, within-group design.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    We did not test women during ovulation.

    “we did not test women during ovulation.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    OXT increases the intensity of orgasm and contentment after copulation.

    “OXT has been found to increase the intensity of orgasm and contentment after copulation (Behnia et al., 2014)”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Behnia et al., 2014 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductreasoning

    To assure attentive stimulus processing, subjects were asked to press a keypad button whenever a stimulus was presented.

    “To assure attentive stimulus processing, subjects were asked to press a keypad button whenever a stimulus was presented (percent correct responses: OXT 99.13 6 1.60, PLC 98.11 6 9.22, P ¼ 0.47).”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    The time interval between treatment sessions was not constant in all participants.

    “the time interval between treatment sessions was not constant in all participants”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Study design and conductnone given

    The selected photographs were equated for facial expression, size and luminance.

    “The selected photographs were equated for facial expression, size and luminance.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductnone given

    The study controlled for whether subjects had had an argument with their partners in the week before both test sessions and if anything important in their relationships changed between the two test sessions.

    “We also controlled for whether the subjects had had an argument with their partners in the week before both test sessions and if anything important in their relationships changed between the two test sessions.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Study design and conductown data

    Subjects were randomly assigned to intranasal administration of OXT or placebo.

    “Subjects were randomly assigned to intranasal administration of either OXT (24 IU; Syntocinon spray, Sigma Tau Pharmaceuticals, Inc., Pomezia, Italy; three puffs per nostril, each with 4 IU OXT) or PLC (containing all ingredients except the peptide) 30 min before the start of the fMRI.”
    Quote in the paperSubstantial claim
29 of 29
  • The paper relies on this without support.

    OXT proximally interacts with striatal circuits to create a rewarding neural representation of the partner's face.

    “Given that OXT proximally interacts with striatal circuits to create a rewarding neural representation of the partner's face, we hypothesized that this core mechanism would be blunted in women using HC.”
  • The paper relies on this without support.

    Peripheral estradiol and progesterone levels are altered in women using HC.

    “Peripheral estradiol and progesterone levels were found to be altered in women using HC”
  • The paper relies on this without support.

    Intranasal OXT administration elevates central OXT concentrations sufficiently to affect brain reward responses.

    “elevated OXT concentrations following nasal spray administration”
  • The paper relies on this without support.

    Baseline salivary OXT concentrations reflect central OXT levels.

    “Baseline salivary OXT concentrations of all participants irrespective of HC positively correlated with neural response to the partner”
  • The paper relies on this without support.

    The partner's face is a valid probe for partner value representations in the brain reward system.

    “neural response to the partner's face compared with a familiar person”
5 of 5

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Right VTA effect is called significant despite P = 0.057

    Minor

    The figure caption describes the VTA effect as significantly stronger in women not using HC, including a right VTA result with P = 0.057. That result does not meet the paper's stated P < 0.05 significance threshold; the left VTA result does.

1 of 1

Cites

Flagged first, then by citations

1 of the 63 references couldn’t be matched to a known paper.

Cited by

Sorted by citations

Authors
Scheele, D., Plota, J., Stoffel-Wagner, B., Maier, W., & Hurlemann, R.
Affiliations
  • Department of Psychiatry and
  • Department of Clinical Chemistry and Clinical Pharmacology, University of Bonn, 53105 Bonn, Germany, and
  • German Center for Neurodegenerative Diseases (DE)
Venue
Social Cognitive and Affective Neuroscience
Published
2015-12-31
Volume
11
Issue
5
Pages
767-774
ISSN
  • 1749-5016 (ISSN-L)
  • 1749-5024
OpenAlex
W2212451622
Cited by
116
References
63
Citations by year
2026: 2 · 2025: 9 · 2024: 5 · 2023: 7 · 2022: 10 · 2021: 11 · 2020: 26 · 2019: 12 · 2018: 13 · 2017: 13 · 2016: 4
FWCI
16.19
Type
journal article
Language
en
Open access
Locations
  • Social Cognitive and Affective Neuroscience (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • PubMed Central (submittedVersion)
  • HighWire Press Open Archive (submittedVersion)
  • DZNE Pub (submittedVersion, cc-by-nc)
Topics
  • Social Sciences › Psychology › Social Psychology › Neuroendocrine regulation and behavior
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Evolutionary Psychology and Human Behavior
  • Life Sciences › Neuroscience › Sensory Systems › Olfactory and Sensory Function Studies
Keywords
oxytocin, hormonal contraception, brain reward system, partner attractiveness, mate preferences, pair bonding, nucleus accumbens, sex steroids
MeSH terms
Facial Recognition, Adult, Brain, Contraceptives, Oral, Hormonal, Female, Humans, Magnetic Resonance Imaging, Nucleus Accumbens

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-08.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-08.

Cited sources are checked by gpt-6-sol.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review