Plasma oxytocin increases in the human sexual response
Abstract
The purpose of this study was to determine whether plasma oxytocin (OT) levels change during human sexual responses and, if so, to demonstrate the temporal pattern of change. Plasma OT levels were measured by RIA before, during, and after private self-stimulation to orgasm in normal men (n = 9) and women (n = 13). Blood samples were collected continuously through indwelling venous catheters. The subjects pressed a signal to indicate the start and finish of orgasm/ejaculation. Objective assessment of sexual arousal and orgasm was obtained by measuring blood-pulse amplitude and electromyographic activity, recorded continuously throughout testing from an anal device containing a photoplethysmograph and electromyograph electrodes connected to a polygraph located in an adjacent room. These measures allowed collection of data from men and women of changes in blood flow and muscle activity in the lower pelvic/pubic area. Plasma OT levels increased during sexual arousal in both women and men and were significantly higher during orgasm/ejaculation than during prior baseline testing. We suggest that the temporal pattern of secretion could be related to smooth muscle contractions of the reproductive system during orgasm.
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OT plasma levels increase in both men and women during sexual arousal, peaking during orgasm.
“OT plasma levels have also been reported to increase in both men and women during sexual arousal, peaking during orgasm [136].”
From The Neurobiology of Love and Pair Bonding from Human and Animal Perspectives (2023) · cites this paper as [136]
Carmichael et al. (1987) found plasma OT increased around orgasm in men and women, remaining raised for at least 5 min after orgasm.
“Carmichael et al. (1987) found that plasma OT increased around the time of orgasm in men and women, remaining raised for at least 5 min after orgasm.”
From The endocrinology of sexual arousal (2005) · cites this paper as Carmichael et al. (1987)
OT is released in humans during hugging, touching, massage, nipple stimulation, and orgasm, and promotes increased eye gaze, trust, and attention to emotional cues.
“OT is released in humans during hugging, touching, massage, nipple stimulation, and orgasm (Carmichael et al 1987; Christensson et al 1989; Turner et al 1999; Light et al 2000; Light et al 2005), and promotes increased eye gaze, trust, and attention to emotional cues (Kosfeld et al 2005; Domes et al 2007; Guastella et al 2008; Andari et al 2010).”
From The behavioral, anatomical and pharmacological parallels between social attachment, love and addiction (2012) · cites this paper as Carmichael et al 1987
In independent studies in rodents and sheep, contexts or behaviors shown to have central oxytocin involvement also show positive increases in plasma oxytocin levels.
“In independent studies in rodents and sheep, contexts or behaviors shown to have central oxytocin involvement also show positive increases in plasma oxytocin levels (rodents: Ogawa et al., 1980; Carmichael et al., 1987; Stock and Uvnäs-Moberg, 1988; Juszczak and Stempniak, 1997; Neumann et al., 2000; sheep: Keverne et al., 1983; Kendrick et al., 1986).”
From Endogenous peripheral oxytocin measures can give insight into the dynamics of social relationships: a review (2014) · cites this paper as Carmichael et al., 1987
Oxytocin is released during sexual arousal and orgasm.
“Oxytocin is released during sexual arousal and orgasm (Blaicher et al., 1999, Burri et al., 2008, Carmichael et al., 1987, but see Kruger et al., 2003, Murphy et al., 1987).”
From Oxytocin, motivation and the role of dopamine (2014) · cites this paper as Carmichael et al., 1987
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“…and interaction effects of time and gender: see Table 1. ignificant difference with corresponding basal value: *P < 0.05; **P < 0.01; ***P < 0.0 999; Carmichael et al., 1987; Murphy et al., 1987), and psychosoial stress (Kirschbaum et al., 1993; Pierrehumbert et al., 2010) and ost likely reflect…”
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“Sexual experience also stimulates oxytocin release in the periphery, as well as in the brain (Stoneham et al., 1985; Carmichael et al., 1987; Waldherr and Neumann, 2007).”
BackgroundOxytocin and human social behavior.
Campbell, A. (2010) · Personality and Social Psychology Review · doi:10.1177/1088868310363594 · Cited by 232 · see citing works
“More directly, OT level have been reported to rise during genital stimulation, copulation, and orgasm (Carmichael et al., 1987; Uvnäs-Moberg, 1998), though rises in response to massage (typically given by a masseur unacquainted with the participant) are usually nonsignificant (Turner et al., 1999;…”
BackgroundSalonia, A., Nappi, R. E., Pontillo, M., Daverio, R., Smeraldi, A., Briganti, A., Fabbri, F., Zanni, G. E., Rigatti, P., & Montorsi, F. (2004) · Hormones and Behavior · doi:10.1016/j.yhbeh.2004.10.002 · Cited by 229 · see citing works
Central control of penile erection: Role of the paraventricular nucleus of the hypothalamus
Argiolas, A., & Melis, M. R. (2005) · Progress in Neurobiology · doi:10.1016/j.pneurobio.2005.06.002 · Cited by 227 · see citing works
Oxytocin and social motivation
Gordon, I., Martin, C., Feldman, R., & Leckman, J. F. (2011) · Developmental Cognitive Neuroscience · doi:10.1016/j.dcn.2011.07.007 · Cited by 211 · see citing works
“Consistent with these findings, OT is released during sexual activity in both men and women (Carmichael et al., 1987).”
Walter, M., Bermpohl, F., Mouras, H., Schiltz, K., Tempelmann, C., Rotte, M., Heinze, H. J., Bogerts, B., & Northoff, G. (2008) · NeuroImage · doi:10.1016/j.neuroimage.2008.01.040 · Cited by 210 · see citing works
“In humans, paraventricular hypothalamic secretion of oxytocin was reported to be increased during SA in males and females (Carmichael et al., 1987, 1994).”
BackgroundBiological Aspects of Social Bonding and the Roots of Human Violence
Pedersen, C. A. (2004) · Annals of the New York Academy of Sciences · doi:10.1196/annals.1330.006 · Cited by 209 · see citing works
Regional cerebral blood flow changes associated with clitorally induced orgasm in healthy women
Georgiadis, J. R., Kortekaas, R., Kuipers, R., Nieuwenburg, A., Pruim, J., Reinders, A. A. T. S., & Holstege, G. (2006) · European Journal of Neuroscience · doi:10.1111/j.1460-9568.2006.05206.x · Cited by 205 · see citing works
“, 1994), but also plasma concentrations of oxytocin (Carmichael et al., 1987; Carmichael et al., 1994) and prolactin (Exton et al.”
BackgroundOxytocin role in enhancing well-being: A literature review
IsHak, W. W., Kahloon, M., & Fakhry, H. (2010) · Journal of Affective Disorders · doi:10.1016/j.jad.2010.06.001 · Cited by 201 · see citing works
Waldinger, M. D. (2007) · Drugs · doi:10.2165/00003495-200767040-00005 · Cited by 199 · see citing works
Ueda, P., Mercer, C. H., Ghaznavi, C., & Herbenick, D. (2020) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.3833 · Cited by 198 · see citing works
Crockford, C., Deschner, T., Ziegler, T. E., & Wittig, R. M. (2014) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2014.00068 · Cited by 187 · see citing works
The hormonal control of ejaculation
Corona, G., Jannini, E. A., Vignozzi, L., Rastrelli, G., & Maggi, M. (2012) · Nature Reviews Urology · doi:10.1038/nrurol.2012.147 · Cited by 187 · see citing works
Orgasm-induced prolactin secretion: feedback control of sexual drive?
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Functional MRI of the Brain during Orgasm in Women
Komisaruk, B. R., & Whipple, B. (2005) · Annual Review of Sex Research · doi:10.1080/10532528.2005.10559829 · Cited by 181 · see citing works
Central and peripheral effects of oxytocin administration in prairie voles (Microtus ochrogaster)
Witt, D. M., Carter, C. S., & Walton, D. M. (1990) · Pharmacology Biochemistry and Behavior · doi:10.1016/0091-3057(90)90042-g · Cited by 181 · see citing works
MacDonald, K., & Feifel, D. (2013) · Frontiers in Neuroscience · doi:10.3389/fnins.2013.00035 · Cited by 181 · see citing works
“…in OT levels in states like pregnancy (Kuwabara et al., 1987; Fuchs et al., 1992; Lindow et al., 1996), breastfeeding (Jonas et al., 2009; Grewen et al., 2010), orgasm (Carmichael et al., 1987), parenting (Feldman, 2012), and certain stressors (Nussey et al., 1988; Sanders et al., 1990).”
BackgroundThe role of oxytocin and the paraventricular nucleus in the sexual behaviour of male mammals
Argiolas, A., & Melis, M. R. (2004) · Physiology & Behavior · doi:10.1016/j.physbeh.2004.08.019 · Cited by 177 · see citing works
Specificity of the neuroendocrine response to orgasm during sexual arousal in men
Kruger, T., Haake, P., Chereath, D., Knapp, W., Janssen, O., Exton, M., Schedlowski, M., & Hartmann, U. (2003) · Journal of Endocrinology · doi:10.1677/joe.0.1770057 · Cited by 175 · see citing works
“Moreover, no control groups were included in these studies (Carmichael et al. 1987, Murphy et al. 1987, 1990, Carmichael et al. 1994, Blaicher et al. 1999).”
BackgroundInfluentialCardiovascular and Endocrine Alterations After Masturbation-Induced Orgasm in Women
Exton, M. S., Bindert, A., Kruger, T., Scheller, F., Hartmann, U., & Schedlowski, M. (1999) · Psychosomatic Medicine · doi:10.1097/00006842-199905000-00005 · Cited by 174 · see citing works
The acute effects of intranasal oxytocin administration on endocrine and sexual function in males
Burri, A., Heinrichs, M., Schedlowski, M., & Kruger, T. H. C. (2008) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2008.01.014 · Cited by 168 · see citing works
Oxytocin receptor density is associated with male mating tactics and social monogamy
Ophir, A. G., Gessel, A., Zheng, D.-J., & Phelps, S. M. (2012) · Hormones and Behavior · doi:10.1016/j.yhbeh.2012.01.007 · Cited by 161 · see citing works
“Oxytocin is released during vaginocervical stimulation or mating (Kendrick et al., 1986; Ross et al., 2009a; Sansone et al., 2002) and during human orgasm (Carmichael et al., 1987), presumably enhancing the association between an individual and the hedonic reward elicited by mating.”
Neumann, I. D. (2009) · Frontiers in Neuroendocrinology · doi:10.1016/j.yfrne.2009.04.012 · Cited by 162 · see citing works
“OXT secretion into blood is induced by massage and stroking [195] as well as during sexual behaviour and mating – the most intense form of social behaviour found in males [27,184].”
Anatomy and neurochemistry of the pair bond
Young, L. J., Murphy Young, A. Z., & Hammock, E. A. D. (2005) · Journal of Comparative Neurology · doi:10.1002/cne.20771 · Cited by 163 · see citing works
“OT and AVP are released into the blood during sexual arousal and orgasm in humans (Carmichael et al., 1987; Murphy et al., 1987).”
BackgroundPattij, T., De Jong, T. R., Uitterdijk, A., Waldinger, M. D., Veening, J. G., Cools, A. R., Van Der Graaf, P. H., & Olivier, B. (2005) · European Journal of Neuroscience · doi:10.1111/j.1460-9568.2005.04252.x · Cited by 163 · see citing works
“, 1987) and during ejaculation in blood plasma of humans (Carmichael et al., 1987).”
BackgroundThe role of oxytocin in male and female reproductive behavior
Veening, J. G., A, T. R. D. J., Waldinger, M. D., Korte, S. M., & Olivier, B. (2014) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2014.07.045 · Cited by 156 · see citing works
“tions in rats, rabbits and humans (Carmichael et al., 1987; Hillegaart et al., 1998; Kruger et al., 2003; Murphy et al., 1987; Stoneham et al., 1985; Uckert et al., 2003) presumably has a function.”
BackgroundRutigliano, G., Rocchetti, M., Paloyelis, Y., Gilleen, J., Sardella, A., Cappucciati, M., Palombini, E., Dell’Osso, L., Caverzasi, E., Politi, P., et al. (2016) · Psychiatry Research · doi:10.1016/j.psychres.2016.04.117 · Cited by 149 · see citing works
“Originally, ADH and OT have been described as hormones, involved respectively in antidiuresis, osmolality regulation, direct vasoconstriction and hepatic glycogenolysis (Appelgren, 1982; Robertson, 2001) and labor (Husslein, 1984), lactation (Crowley, 2015), and sexual activity (Carmichael et al., 1987).”
Neuropeptides and sexual behaviour
Argiolas, A. (1999) · Neuroscience & Biobehavioral Reviews · doi:10.1016/s0149-7634(99)00068-8 · Cited by 148 · see citing works
Oxytocin—its role in male reproduction and new potential therapeutic uses
Thackare, H., Nicholson, H. D., & Whittington, K. (2006) · Human Reproduction Update · doi:10.1093/humupd/dmk002 · Cited by 146 · see citing works
“In several animals including the human male, a pulse of OT probably of hypothalamic origin is associated with ejaculation (Ogawa et al., 1980; Carmichael et al., 1987; Murphy et al., 1987).”
BackgroundNeuropeptides and central control of sexual behaviour from the past to the present: A review
Argiolas, A., & Melis, M. R. (2013) · Progress in Neurobiology · doi:10.1016/j.pneurobio.2013.06.006 · Cited by 141 · see citing works
Communicating affection: interpersonal behavior and social context
(2007) · Choice Reviews Online · doi:10.5860/choice.44-3351 · Cited by 142 · see citing works
Burleson, M. H., Trevathan, W. R., & Todd, M. W. (2006) · Archives of Sexual Behavior · doi:10.1007/s10508-006-9071-1 · Cited by 143 · see citing works
“For example, massage-like touch causes release of oxytocin in rats (Lund et al., 2005) and sexual arousal and orgasm cause enhanced release of oxytocin in human males and females (Carmichael et al., 1987).”
InfluentialSources of Marital Conflict in Five Cultures
Dillon, L. M., Nowak, N. T., Weisfeld, G. E., Weisfeld, C. C., Shattuck, K. S., İmamoğlu, O., Butovskaya, M., & Shen, J. (2015) · Evolutionary Psychology · doi:10.1177/147470491501300101 · Cited by 137 · see citing works
Physiology and Pharmacology of Ejaculation
Clément, P., & Giuliano, F. (2015) · Basic & Clinical Pharmacology & Toxicology · doi:10.1111/bcpt.12546 · Cited by 134 · see citing works
The role of central oxytocin in obsessive compulsive disorder and related normal behavior
Leckman, J. F., Goodman, W. K., North, W. G., Chappell, P. B., Price, L. H., Pauls, D. L., Anderson, G. M., Riddle, M. A., McDougle, C. J., Barr, L. C., et al. (1994) · Psychoneuroendocrinology · doi:10.1016/0306-4530(94)90021-3 · Cited by 133 · see citing works
Ishunina, T. A., & Swaab, D. F. (1999) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.84.12.6187 · Cited by 132 · see citing works
“men and in women (15), and the number of OT neurons in”
BackgroundNeuropeptides and the social brain: potential rodent models of autism
Lim, M. M., Bielsky, I. F., & Young, L. J. (2005) · International Journal of Developmental Neuroscience · doi:10.1016/j.ijdevneu.2004.05.006 · Cited by 129 · see citing works
“Oxytocin has been shown to be critical for the formation of mother–infant bonds in sheep.”
BackgroundMelis, M. R., & Argiolas, A. (2010) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2010.10.014 · Cited by 129 · see citing works
The Neurobiology of Social Affiliation and Pair Bonding
Carter, C. S., & Keverne, E. B. (2009) · Elsevier eBooks · doi:10.1016/b978-008088783-8.00004-8 · Cited by 128 · see citing works
The oxytocin antagonist d(CH2)5Tyr(Me)-Orn8-vasotocin inhibits male copulatory behaviour in rats
Argiolas, A., Collu, M., Gessa, G. L., Melis, M. R., & Serra, G. (1988) · European Journal of Pharmacology · doi:10.1016/0014-2999(88)90675-9 · Cited by 125 · see citing works
Chronic fluoxetine inhibits sexual behavior in the male rat: reversal with oxytocin
Cantor, J. M., Binik, Y. M., & Pfaus, J. G. (1999) · Psychopharmacology · doi:10.1007/s002130051018 · Cited by 123 · see citing works
“With regard to human sexual behavior, plasma levels of oxytocin rise during sexual stimulation in both men and women ( Carmichael et al. 1987, 1994; Murphy et al. 1987, 1990).”
BackgroundA relationship between oxytocin and anxiety of romantic attachment
Marazziti (2006) · Clinical Practice and Epidemiology in Mental Health · doi:10.1186/1745-0179-2-28 · Cited by 124 · see citing works
Oxytocin in the socioemotional brain: implications for psychiatric disorders
Kirsch, P. (2015) · Dialogues in Clinical Neuroscience · doi:10.31887/dcns.2015.17.4/pkirsch · Cited by 122 · see citing works
The orgasmic history of oxytocin: Love, lust, and labor
Magon, N., & Kalra, S. (2011) · Indian Journal of Endocrinology and Metabolism · doi:10.4103/2230-8210.84851 · Cited by 127 · see citing works
“[23] This “cuddle drug” can indeed make partners cuddle up, and can have a larger role in treatment for infertility in future! Can it indeed increase the lust for love? Interestingly, at least two studies have found increases in plasma oxytocin at orgasm---in both men and women.[24,25]”
When Sex Primes Love: Subliminal Sexual Priming Motivates Relationship Goal Pursuit
Gillath, O., Mikulincer, M., Birnbaum, G. E., & Shaver, P. R. (2008) · Personality and Social Psychology Bulletin · doi:10.1177/0146167208318141 · Cited by 118 · see citing works
“Similar findings in studies of humans suggest that certain behaviors such as foreplay (kissing, hugging, caressing), sexual intercourse, and sexual orgasm tend to result in the secretion of oxytocin and various opioids into the blood stream (e.g., Carmichael et al., 1987; Filippi et al., 2003).”
ResultSex Buffers Intimates Against the Negative Implications of Attachment Insecurity
Little, K. C., McNulty, J. K., & Russell, V. M. (2009) · Personality and Social Psychology Bulletin · doi:10.1177/0146167209352494 · Cited by 114 · see citing works
“Indeed, levels of oxytocin are elevated during both sexual arousal (Carmichael et al., 1987) and sexual climax (Carter, 1992), and increased levels of oxytocin have been linked to both pair bonding in animals (e.g., Cho, DeVries, Williams, & Carter, 1999) and perceptions of closeness in humans…”
Oxytocin and vasopressin: genetics and behavioral implications
Caldwell, H. K., & Young, W. S. (2006) · Handbook of Neurochemistry and Molecular Neurobiology · doi:10.1007/978-0-387-30381-9_25 · Cited by 113 · see citing works
Oxytocin and Vasopressin: Genetics and Behavioral Implications
Caldwell, H. K., & Young, W. S. (2006) · Springer eBooks · doi:10.1007/0-387-30395-2_25 · Cited by 113 · see citing works
OxytocinSynthesis, Secretion, and Reproductive Functions
BURBACH, J., YOUNG, L., & RUSSELL, J. (2006) · Knobil and Neill's Physiology of Reproduction · doi:10.1016/b978-012515400-0/50063-4 · Cited by 113 · see citing works
Nonsocial Functions of Hypothalamic Oxytocin
Yang, H.-P., Wang, L., Han, L., & Wang, S. C. (2013) · ISRN Neuroscience · doi:10.1155/2013/179272 · Cited by 111 · see citing works
“Plasma OXT levels increase during sexual arousal in both women and men and are significantly higher during orgasm/ejaculation than during prior baseline levels [90].”
BackgroundChen, K., Chan, S. H. H., Chang, L. S.-S., & Chan, J. Y. H. (1997) · The Journal of Urology · doi:10.1097/00005392-199707000-00078 · Cited by 109 · see citing works
Detection, processing and reinforcement of social cues: regulation by the oxytocin system
Menon, R., & Neumann, I. D. (2023) · Nature Reviews Neuroscience · doi:10.1038/s41583-023-00759-w · Cited by 100 · see citing works
“Furthermore, OXT secretion into the blood is stimulated by sexual activity 138 , mother–infant interactions 139 , psychosocial stress 140 or intense interactions with pets 141 .”
Background
- Authors
- CARMICHAEL, M. S., HUMBERT, R., DIXEN, J., PALMISANO, G., GREENLEAF, W., & DAVIDSON, J. M.
- Affiliations
- Stanford Medicine (US)
- Venue
- The Journal of Clinical Endocrinology & Metabolism
- Publisher
- The Endocrine Society
- Published
- 1987-01
- Volume
- 64
- Issue
- 1
- Pages
- 27-31
- ISSN
- 0021-972X (ISSN-L)
- 1945-7197
- OpenAlex
- W2035261481
- Cited by
- 554
- References
- 36
- Citations by year
- 2026: 7 · 2025: 16 · 2024: 9 · 2023: 18 · 2022: 19 · 2021: 18 · 2020: 16 · 2019: 20 · 2018: 36 · 2017: 19 · 2016: 32 · 2015: 27 · 2014: 13 · 2013: 23 · 2012: 30
- FWCI
- 11.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Funders
- School of Medicine, Stanford University
- Claude Pepper Older Americans Independence Center, Wake Forest School of Medicine
- National Institute on Aging (AG 01435)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (5F32HD-01/02)
- Topics
- Social Sciences › Psychology › Social Psychology › Neuroendocrine regulation and behavior
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
- Keywords
- plasma oxytocin, human sexual response, sexual arousal, orgasm, ejaculation, self-stimulation, smooth muscle contraction, reproductive system, sex differences
- MeSH terms
- Adult, Ejaculation, Electromyography, Female, Humans, Male, Muscle Contraction, Muscle, Smooth, Orgasm, Oxytocin, Pelvis, Pulse, Radioimmunoassay, Regional Blood Flow
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