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Cardiovascular and Endocrine Alterations After Masturbation-Induced Orgasm in Women

Exton, Michael S. PhD; Bindert, Anne MD; Kruger, Tillmann MD; Scheller, Friedmann MD; Hartmann, Uwe PhD; Schedlowski, Manfred PhD

Original Articles

Objective The present study investigated the cardiovascular, genital, and endocrine changes in women after masturbation-induced orgasm because the neuroendocrine response to sexual arousal in humans is equivocal.

Methods Healthy women (N = 10) completed an experimental session, in which a documentary film was observed for 20 minutes, followed by a pornographic film for 20 minutes, and another documentary for an additional 20 minutes. Subjects also participated in a control session, in which participants watched a documentary film for 60 minutes. After subjects had watched the pornographic film for 10 minutes in the experimental session, they were asked to masturbate until orgasm. Cardiovascular (heart rate and blood pressure) and genital (vaginal pulse amplitude) parameters were monitored continuously throughout testing. Furthermore, blood was drawn continuously for analysis of plasma concentrations of adrenaline, noradrenaline, cortisol, prolactin, luteinizing hormone (LH), beta-endorphin, follicle-stimulating hormone (FSH), testosterone, progesterone, and estradiol.

Results Orgasm induced elevations in cardiovascular parameters and levels of plasma adrenaline and noradrenaline. Plasma prolactin substantially increased after orgasm, remained elevated over the remainder of the session, and was still raised 60 minutes after sexual arousal. In addition, sexual arousal also produced small increases in plasma LH and testosterone concentrations. In contrast, plasma concentrations of cortisol, FSH, beta-endorphin, progesterone, and estradiol were unaffected by orgasm.

Conclusions Sexual arousal and orgasm produce a distinct pattern of neuroendocrine alterations in women, primarily inducing a long-lasting elevation in plasma prolactin concentrations. These results concur with those observed in men, suggesting that prolactin is an endocrine marker of sexual arousal and orgasm.

From the Department of Medical Psychology (M.S.E., M.S.), University Clinic Essen, Essen, Germany; and the Divisions of Clinical Psychiatry (A.B., T.K., U.H.) and Nuclear Medicine (F.S.), Hannover Medical School, Hannover, Germany.

Address reprint requests to: Prof. Manfred Schedlowski, Institut fur Medizinische Psychologie, Universitatsklinikum Essen, Hufelandstr. 55, D-45122 Essen, Germany. E:mail:

Received for publication July 27, 1998; revision received December 1, 1998.

Copyright © 1999 by American Psychosomatic Society
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