Department of Psychiatry, Amsterdam Medical Centre, the Netherlands.
Centre for Psychology at University of Porto -CPUP, Faculty of Psychology and Education Sciences, University of Porto, Portugal.
Neurosci Biobehav Rev. 2021 Dec;131:164-178. doi: 10.1016/j.neubiorev.2021.09.013. Epub 2021 Sep 21.
Most of the neuroimaging studies on sexual behavior have been conducted with male participants, leading to men-based models of sexual arousal. Here, possible factors and methodological decisions that might influence brain responses to sexual stimuli, specifically for the inclusion of women, will be reviewed. Based on this review, we suggest that future studies consider the following factors: menstrual phase, hormonal contraception use, history of sexual or psychiatric disorders or diseases, and medication use. Moreover, when researching sexual arousal, we suggest future studies assess sexual orientation and preferences, that women should select visual sexual stimuli, and a longer duration than commonly used. This review is thought to represent a useful guideline for future research in sexual arousal, which hopefully will lead to a higher inclusion of women and therefore more accurate neurobiological models of sexual arousal.
大多数关于性行为的神经影像学研究都是在男性参与者中进行的，这导致了基于男性的性唤起模型。在这里，将回顾可能影响对性刺激的大脑反应的因素和方法学决策，特别是为了纳入女性。基于这篇综述，我们建议未来的研究考虑以下因素：月经周期、激素避孕的使用、性或精神疾病或疾病的病史，以及药物的使用。此外，在研究性唤起时，我们建议未来的研究评估性取向和偏好，女性应该选择视觉性刺激，并且时长要比通常使用的时长更长。我们认为，这篇综述为性唤起的未来研究提供了一个有用的指导方针，希望这将导致更多的女性参与，从而为性唤起建立更准确的神经生物学模型。
