Endocrine, psychological and genital response to sexual arousal in men.

The endocrine, genital, and cognitive--affective responses of sexually functional men were compared under sexually arousing and non-arousing conditions. Sexually aroused subjects showed significantly higher serum luteinizing hormone concentrations than non-aroused subjects. Testosterone concentration was correlated with higher levels of penile response, but it did not prime further sexual arousal. Cortisol and prolactin concentrations decreased in both groups, more in the non-aroused group, and appeared to both inhibit and facilitate sexual response, depending on the level of anxiety reported by the subjects. Cortisol was correlated with self-reported worry, and testosterone with relaxation. These results support a multidimensional approach to the endocrine study of sexual arousal that includes both cognitive and genital response components.