our sexuality, 9th edition, robert l. crooks chapter 6: sexual arousal and response chapter 6 sexual...

Our Sexuality, 9th Edition, Robert L. CrooksChapter 6: Sexual Arousal and Response

Chapter 6

Sexual Arousal and Response

Sexual Arousal

• The role of hormones– Steroid hormones

• testosterone: male sex hormones– produced by testes, adrenal glands, & ovaries

• estrogen: female sex hormone– produced by ovaries & testes

– Neuropeptide hormones• oxytocin

Sexual Arousal (cont.)

• Hormones in male sexual behavior– testosterone and desire– castration research– androgen-blocking drugs– hypogonadism

• hormones in female sexual behavior– estrogen and ERT– positive correlation between testosterone & frequency

of activity

• The role of hormones– how much testosterone is necessary?

• two forms of testosterone• testosterone and libido• "critical mass" varies • excessive testosterone can harm both sexes over

time– testosterone replacement therapy– oxytocin and sexual response

Table 6.1 Common signs of testosterone deficiency.

• The brain– cerebral cortex (mental events)– limbic system affects feeling & behavior

• cingulate gyrus• amygdala• hypocampus• hypothalamus

– neurotransmitters

Fig. 6.1 The limbic system, a region of the brain associated with emotion and motivation, is important in human sexual function. Key structures, shaded in color, include the cingulate gyrus, portions of the hypothalamus, amygdala, and the hippocampus.

• The senses– touch is the dominant "sexual sense"

• primary erogenous zones • secondary erogenous zones

– vision is usually next in dominance• self-report: males more than females• equal physiological signs of arousal

• The senses– smell may arouse or offend

• exposure to a human pheromone increases attractiveness ratings

– taste plays a minor role – hearing plays a variable role

• Aphrodisiacs– food – alcohol and other drugs– yohimbine – role of expectations

• anaphrodisiacs• drugs: e.g.,opiates, tranquilizers• antidepressants and antipsychotics• birth control pills• nicotine constricts blood vessels, slows

vasocongestive response; reduces circulating testosterone

Sexual Response

• Kaplan's three-stage model– desire: distinct, but not required– excitement– orgasm

Sexual Response (cont.)

Fig. 6.2 Kaplan’s three-stage model of the sexual response cycle. This model is distinguished by its identification of desire as a prelude to sexual response. Source: Kaplan 1979.

• Masters & Johnson's four phases– Physiological sources of arousal– Problems:

• simplified• too literal interpretation of plateau stage• not to be used as a personal standard

• Two basic processes– Vasocongestion– Myotonia

• Masters & Johnson's four phases– Excitement– Plateau– Orgasm

• Measuring female orgasm with MRI– Resolution

• Refractory

Table 6.3 At a Glance Major Physiological Changes During Each of the Four Phases of the Sexual Response Cycle

Fig. 6.5a Major changes in external and internal male sexual anatomy during the sexual response cycle.

Fig. 6.5b Major changes in external and internal male sexual anatomy during the sexual response cycle.

Fig 6.5c Major changes in external and internal male sexual anatomy during the sexual response cycle.

Fig. 6.5d Major changes in external and internal male sexual anatomy during the sexual response cycle.

Fig. 6.5e Major changes in external and internal male sexual anatomy during the sexual response cycle.

Fig. 6.6a Major changes in the external female genitals during the sexual response cycle.

Fig. 6.6b Major changes in the external female genitals during the sexual response cycle.

Fig. 6.6c Major changes in the external female genitals during the sexual response cycle.

Fig. 6.6d Major changes in the external female genitals during the sexual response cycle.

Fig. 6.6e Major changes in the external female genitals during the sexual response cycle.

Fig. 6.7a Major changes in the internal female genitals during the sexual response cycle.

Fig. 6.7b Major changes in the internal female genitals during the sexual response cycle.

Fig. 6.7c Major changes in the internal female genitals during the sexual response cycle.

Fig. 6.7d Major changes in the internal female genitals during the sexual response cycle.

Fig. 6.7e Major changes in the internal female genitals during the sexual response cycle.

• Orgasm issues– Grafenberg spot

• area on lower front wall of vagina• sensitive to pressure• sometimes results in “ejaculation”

Fig. 6.9 Locating the Grafenberg spot. Usually two fingers are used, and it is often necessary to press deeply into the anterior wall of the vagina to reach the spot.

Fig. 6.8 Changes in the breasts during the sexual response cycle.

• Aging & the sexual response cycle– older women

• decreased vaginal lubrication; is slower • decreased flexibility of inner vagina • more rapid resolution

• Aging & the sexual response cycle– older men

• lengthened time to erection• loss of "ejaculatory inevitability"• more rapid resolution & longer• refractory period (hours to days)

• Some differences between the sexes– greater variability in female response– male refractory period– females can have multiple orgasms

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