Patterns of Genital and Subjective Sexual Arousal in Cisgender Asexual Men.

Human asexuality has been defined as a lack of sexual attraction to others, although its nature is not well understood. Asexual men's genital and subjective sexual arousal patterns were compared to sexual men's to better understand asexual men's sexual response patterns. Using a penile plethysmograph to measure genital arousal, 20 asexual, 27 heterosexual, and 22 gay cisgender men (M age = 28.28, SD = 9.41) viewed erotic films depicting sexual activity or masturbation, and a subsample engaged in sexual fantasy of their choosing. Questionnaires assessing sexual function and behavior were also completed. Asexual men scored lower on sexual desire and orgasmic function, higher on sexual aversion, and did not differ on overall sexual satisfaction. Compared with gay and heterosexual men, asexual men demonstrated lower genital and subjective sexual arousal to the erotic films but displayed similar sexual arousal when engaging in sexual fantasy. Asexual men's lower levels of sexual excitation rather than their higher levels of sexual inhibition were associated with lower responses to the erotic films. These findings suggest asexual men have preferred sexual stimuli that differ from sexual men and have a similar capacity for sexual arousal as sexual men. Collectively these findings add to a growing literature aiming to understand the nature of asexuality.

Ace and Aro: Understanding Differences in Romantic Attractions Among Persons Identifying as Asexual.

First characterized by Kinsey in 1948, asexuality can be broadly defined as an absence of sexual attraction, with approximately 1% of the population identifying as asexual. While asexuality research has flourished recently, very few papers have investigated the unique mechanism of romantic attraction in asexual people, notably that some experience romantic attraction (romantic asexual) while others do not (aromantic asexual). This study compared romantic and aromantic asexual individuals through secondary data analysis on demographic, behavioral, psychological, and physiological measures as the primary objective and compared asexual people to allosexual people on some measures as a secondary aim. After combining data from seven previous asexuality studies (n = 4032 total), we found that 74.0% of asexual people reported experiencing romantic attraction. No significant difference was found in distribution of men and women between the aromantic and romantic asexual groups, though the asexual group showed higher proportions of women and non-binary genders compared to the allosexual comparison group. Romantic asexual participants reported a diverse range of romantic orientations, with only 36.0% reporting a heteroromantic orientation, compared to 76.2% of allosexual participants. As predicted, romantic asexual individuals were more likely to have been in a relationship when completing the survey, reported more past romantic and sexual partners and more frequent kissing than aromantic asexual people, and experienced more partner-oriented sexual desire than the aromantic asexual group. There were also differences in personality as romantic asexual people were less cold, more nurturant, and more intrusive than the aromantic asexual group. No difference was seen between romantic and aromantic asexual individuals in demographic characteristics, likelihood of having children, solitary sexual desire, physiological sexual functioning, frequencies of masturbation and sexual fantasy, or depression. These similarities and differences between romantic and aromantic asexual people highlight the diversity within the asexual community.

Sexual Fantasy and Masturbation Among Asexual Individuals: An In-Depth Exploration.

Human asexuality is generally defined as a lack of sexual attraction. We used online questionnaires to investigate reasons for masturbation, and explored and compared the contents of sexual fantasies of asexual individuals (identified using the Asexual Identification Scale) with those of sexual individuals. A total of 351 asexual participants (292 women, 59 men) and 388 sexual participants (221 women, 167 men) participated. Asexual women were significantly less likely to masturbate than sexual women, sexual men, and asexual men. Asexual women were less likely to report masturbating for sexual pleasure or fun than their sexual counterparts, and asexual men were less likely to report masturbating for sexual pleasure than sexual men. Both asexual women and men were significantly more likely than sexual women and men to report that they had never had a sexual fantasy. Of those who have had a sexual fantasy, asexual women and men were significantly more likely to endorse the response "my fantasies do not involve other people" compared to sexual participants, and consistently scored each sexual fantasy on a questionnaire as being less sexually exciting than did sexual participants. When using an open-ended format, asexual participants were more likely to report having fantasies about sexual activities that did not involve themselves, and were less likely to fantasize about topics such as group sex, public sex, and having an affair. Interestingly, there was a large amount of overlap between sexual fantasies of asexual and sexual participants. Notably, both asexual and sexual participants (both men and women) were equally likely to fantasize about topics such as fetishes and BDSM.

Asexuality: Sexual Orientation, Paraphilia, Sexual Dysfunction, or None of the Above?

Although lack of sexual attraction was first quantified by Kinsey, large-scale and systematic research on the prevalence and correlates of asexuality has only emerged over the past decade. Several theories have been posited to account for the nature of asexuality. The goal of this review was to consider the evidence for whether asexuality is best classified as a psychiatric syndrome (or a symptom of one), a sexual dysfunction, or a paraphilia. Based on the available science, we believe there is not sufficient evidence to support the categorization of asexuality as a psychiatric condition (or symptom of one) or as a disorder of sexual desire. There is some evidence that a subset of self-identified asexuals have a paraphilia. We also considered evidence supporting the classification of asexuality as a unique sexual orientation. We conclude that asexuality is a heterogeneous entity that likely meets conditions for a sexual orientation, and that researchers should further explore evidence for such a categorization.

A validated measure of no sexual attraction: the Asexuality Identification Scale.

Human asexuality has been described as a lack of sexual attraction toward anyone or anything. One percent of the adult population is thought to be asexual, and research suggests that asexuality is best conceptualized as a sexual orientation. A serious limitation in past research on asexuality has been the complete lack of a validated tool to measure asexuality. Due to limitations in recruiting sufficiently powered local samples, most studies have relied on recruiting via online web-based asexual communities. This is problematic because it limits the sample to individuals who have been recruited through established asexuality networks/communities. The present study aimed to develop and validate a self-report questionnaire to assess asexuality. The questionnaire was intended to provide a valid measure independent of whether the individual self-identified as asexual and was developed in several stages, including: development and administration of open-ended questions (209 participants: 139 asexual and 70 sexual); administration and analysis of resulting 111 items (917 participants: 165 asexual and 752 sexual); administration and analysis of 37 retained items (1,242 participants: 316 asexual and 926 sexual); and validity analysis of the final items. The resulting Asexuality Identification Scale (AIS), a 12-item questionnaire, is a brief, valid, and reliable self-report instrument for assessing asexuality. It is psychometrically sound, easy to administer, and has demonstrated ability to discriminate between sexual and asexual individuals. It should prove useful to allow researchers to recruit more representative samples of the asexual population, permitting for an increased understanding of asexuality.

Asexuality: an extreme variant of sexual desire disorder?

INTRODUCTION: Human asexuality is defined as a lack of sexual attraction to anyone or anything. Various theories have been proposed to explain how asexuality should best be classified, and some have maintained that asexuality is an extreme variant of hypoactive sexual desire disorder (HSDD)-a sexual dysfunction characterized by a lack of interest in sex and significant distress. To date, this has never been empirically examined. AIM AND METHOD: Using measures of sexual desire and behavior, sex-related distress, personality, and psychopathology, the aim of the current study was to compare individuals scoring above the cutoff for asexuality identification (AIS >40) (n = 192) to sexual individuals (n = 231). The sexual group was further divided into a control group (n = 122), a HSDD group (n = 50), and a group with symptoms of low desire that were nondistressing (n = 59). RESULTS: Analyses were controlled for age. Individuals in the AIS >40 group had a greater likelihood of never previously engaging in sexual intercourse, fantasies, or kissing and petting than all other groups and a lower likelihood of experiencing sex-related distress than those with HSDD. For women, those in the HSDD and AIS >40 groups had significantly lower desire than the subclinical HSDD and control groups. Men in the AIS >40 group had significantly lower desire than the other three groups. Symptoms of depression were highest among those with subclinical HSDD and HSDD, whereas there were no group differences on alexithymia or desirable responding. A binary logistic regression indicated that relationship status (long-term dating/married), sexual desire, sex-related distress, and lower alexithymia scores were the best predictors of group membership (HSDD vs. AIS >40). CONCLUSION: Taken together, these results challenge the speculation that asexuality should be classified as a sexual dysfunction of low desire.

Biological markers of asexuality: Handedness, birth order, and finger length ratios in self-identified asexual men and women.

Human asexuality is defined as a lack of sexual attraction to anyone or anything and it has been suggested that it may be best conceptualized as a sexual orientation. Non-right-handedness, fraternal birth order, and finger length ratio (2D:4D) are early neurodevelopmental markers associated with sexual orientation. We conducted an Internet study investigating the relationship between self-identification as asexual, handedness, number of older siblings, and self-measured finger-lengths in comparison to individuals of other sexual orientation groups. A total of 325 asexuals (60 men and 265 women; M age, 24.8 years), 690 heterosexuals (190 men and 500 women; M age, 23.5 years), and 268 non-heterosexuals (homosexual and bisexual; 64 men and 204 women; M age, 29.0 years) completed online questionnaires. Asexual men and women were 2.4 and 2.5 times, respectively, more likely to be non-right-handed than their heterosexual counterparts and there were significant differences between sexual orientation groups in number of older brothers and older sisters, and this depended on handedness. Asexual and non-heterosexual men were more likely to be later-born than heterosexual men, and asexual women were more likely to be earlier-born than non-heterosexual women. We found no significant differences between sexual orientation groups on measurements of 2D:4D ratio. This is one of the first studies to test and provide preliminary empirical support for an underlying neurodevelopmental basis to account for the lack of sexual attraction characteristic of asexuality.

The International Index of Erectile Function: a methodological critique and suggestions for improvement.

The International Index of Erectile Function is a well-worded and psychometrically valid self-report questionnaire widely used as the standard for the evaluation of male sexual function. However, some conceptual and statistical problems arise when using the measure with men who are not sexually active. These problems are illustrated using 2 empirical examples, and the authors provide recommended solutions to further strengthen the efficacy and validity of this measure.

Physiological and subjective sexual arousal in self-identified asexual women.

Asexuality can be defined as a lifelong lack of sexual attraction. Empirical research on asexuality reveals significantly lower self-reported sexual desire and arousal and lower rates of sexual activity; however, the speculation that there may also be an impaired psychophysiological sexual arousal response has never been tested. The aim of this study was to compare genital (vaginal pulse amplitude; VPA) and subjective sexual arousal in asexual and non-asexual women. Thirty-eight women between the ages of 19 and 55 years (10 heterosexual, 10 bisexual, 11 homosexual, and 7 asexual) viewed neutral and erotic audiovisual stimuli while VPA and self-reported sexual arousal and affect were measured. There were no significant group differences in the increased VPA and self-reported sexual arousal response to the erotic film between the groups. Asexuals showed significantly less positive affect, sensuality-sexual attraction, and self-reported autonomic arousal to the erotic film compared to the other groups; however, there were no group differences in negative affect or anxiety. Genital-subjective sexual arousal concordance was significantly positive for the asexual women and non-significant for the other three groups, suggesting higher levels of interoceptive awareness among asexuals. Taken together, the findings suggest normal subjective and physiological sexual arousal capacity in asexual women and challenge the view that asexuality should be characterized as a sexual dysfunction.

Psychological interventions for the sexual sequelae of cancer: a review of the literature.

INTRODUCTION: Despite the frequency of sexual side effects of cancer, treatment outcome studies focus almost exclusively on pharmacologic agents, most of which are completely ineffective for women. We conducted a systematic review of the literature on psychological interventions for sexual difficulties following cancer. METHODS: We searched eight research databases using the terms "sexual dysfunction," "cancer," and "psychological therapy" for empirical studies (not case illustrations). Three independent raters evaluated studies using a modified version of the Oxford Centre for Evidence-Based Medicine System to rate the level of evidence for every retrieved study. RESULTS: We identified 27 papers ranging in level of evidence from 1b (randomized controlled trial) to 4 (expert committee report or clinical experience). Youth showed positive outcomes on sexual knowledge, body image, and sexual functioning, and treatments administered by paraprofessionals were equally effective. Thematic counseling, addressing mental health, social functioning, and sexual functioning, significantly improved quality of sexual relationships, independent partner presence, whereas other studies revealed more pronounced benefits if the partner participated. Despite the importance of talking to a cancer care provider about sexual difficulties, interventions designed to empower patients to do so were ineffective. Treatments addressing sex education were more effective if they also addressed motivation and self-efficacy. Only three treatment outcome studies focused on ethnic minority (African-American or Hispanic) sexual concerns and one focused on sexual minority (Lesbian) issues. DISCUSSION: There was moderate support for the effectiveness and feasibility of psychological interventions targeting sexual dysfunction following cancer but attrition rates are high, placebo response is notable, and there are often barriers impeding survivors from seeking out psychological interventions for sexual concerns. IMPLICATIONS FOR CANCER SURVIVORS: Despite the prevalence of sexual difficulties following cancer treatment, psychological interventions are a viable, but not often sought after option to help improve sexual functioning, intimacy, and quality of life for cancer survivors and their partners.

Sexual arousal in East Asian and Euro-Canadian women: a psychophysiological study.

INTRODUCTION: Studies of ethnic differences in self-report measures of sexuality have shown East Asian women to be more sexually conservative and less sexually experienced than Caucasian women. There is also strong evidence supporting the notion of ethnic group differences in general measures of nonsexual psychophysiological arousal; however, there have been no previous studies exploring ethnicity and physiological sexual arousal. AIM: The objective of this study was to explore group differences in self-reported and physiological sexual arousal in Euro-Canadian and East Asian women living in Canada; we also aimed to explore the association between level of acculturation (both mainstream and heritage) and sexual arousal in East Asian women only. METHODS: Seventy-five women (N=38 Euro-Canadian, N=37 East Asian) completed a battery of questionnaires and underwent psychophysiological sexual arousal testing using the vaginal photoplethysmograph. They also completed a self-report measure of subjective arousal before and after erotic stimulus exposure. MAIN OUTCOME MEASURES: All women completed the Female Sexual Function Index, Vancouver Index of Acculturation, and Sexual Beliefs and Information Questionnaire. Change in genital sexual arousal (vaginal pulse amplitude; VPA), and change in subjective sexual arousal were measured during exposure to erotic stimuli. RESULTS: The groups did not differ in the percent increase in VPA induced by erotic stimuli, nor was there a correlation between VPA and subjective sexual arousal. Among East Asian women alone, neither heritage nor mainstream acculturation was correlated with change in VPA. CONCLUSIONS: East Asian and Euro-Canadian women who show similar ratings of sexual behaviors and self-reported sexual arousal do not differ in physiological or subjective arousal induced by erotic stimuli in the laboratory.

Do East Asian and Euro-Canadian women differ in sexual psychophysiology research participation?

Evidence from studies of ethnic differences in sexual conservativeness and Papanicolaou (Pap) testing behaviors suggests that there may be culture-linked differences in rates of participation in physically invasive sexuality studies, resulting in volunteer bias. The effects of ethnicity and acculturation on participation in female psychophysiological sexual arousal research were investigated in a sample of Euro-Canadian (n = 50) and East Asian (n = 58) women. Participants completed a battery of questionnaires and were given either course credits or $10 for their participation. Participants were then informed about the opportunity to participate in a second phase of the study, which involved psychophysiological sexual arousal testing and which was completely optional. Contrary to expectations, the results showed that the East Asian women were more likely to participate in Phase 2 than the Euro-Canadian women. Among the East Asian women, greater heritage acculturation and lower mainstream acculturation predicted a lower likelihood of Phase 2 participation. The findings suggest the need to be wary of overgeneralizing female psychophysiological sexual arousal research results and may have implications for improving Pap testing behaviors in East Asian women.

Associations among physiological and subjective sexual response, sexual desire, and salivary steroid hormones in healthy premenopausal women.

INTRODUCTION: Few studies have examined how sexual arousal influences healthy premenopausal women's hormones, limiting our understanding of basic physiology and our ability to transfer knowledge from clinical and nonhuman populations. AIM: To examine how sexual arousal and steroid hormones (testosterone [T], cortisol [C], estradiol [E]) were linked, to see whether hormone levels influenced and/or changed in response to sexual arousal elicited via visual erotic stimuli in healthy women. METHODS: Participants included 40 healthy premenopausal women not using exogenous hormones. MAIN OUTCOME MEASURES: Change in genital sexual arousal (vaginal pulse amplitude), change in subjective sexual arousal, sexual desire (via the Sexual Desire Inventory and Female Sexual Function Index scales), as well as T, C, and E via saliva samples taken before and following viewing of erotic stimuli as genital arousal was recorded via a vaginal photoplethysmograph. RESULTS: E increased in response to sexual stimuli but this was not statistically associated with genital sexual arousal, whereas C decreased in association with genital sexual arousal, and T showed no statistically significant change. Relationship status was linked to genital but not subjective sexual arousal such that dating women exhibited higher genital sexual arousal than single or partnered women. Results indicated that all three hormones were associated with self-reported genital arousal (via the Detailed Assessment of Sexual Arousal scales) and sexual desire in different domains, and both T and E were associated with self-reported orgasms. CONCLUSION: Findings point to the need to examine multiple hormones in multiple ways (e.g., baseline, changes, stimulated) and question using erotic stimuli-induced arousal as a model for women's endocrine responses to sexuality.