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SEXUAL AROUSAL IS A SENSITIVE ISSUE

SEXUAL AROUSAL IS A SENSITIVE ISSUE. The Influence of Sexual Arousal on Genital and Non-Genital Sensation in Women. Kimberley A. Payne 1 , Lea Thaler 2 , Caroline F. Pukall 3 , Rhonda Amsel 1 , Samir Khalifé 4 , & Yitzchak M. Binik 1,5

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SEXUAL AROUSAL IS A SENSITIVE ISSUE

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  1. SEXUAL AROUSAL IS A SENSITIVE ISSUE The Influence of Sexual Arousal on Genital and Non-Genital Sensation in Women Kimberley A. Payne1, Lea Thaler2, Caroline F. Pukall3, Rhonda Amsel1, Samir Khalifé4, & Yitzchak M. Binik1,5 1Department of Psychology, McGill University; 2Department of Psychology, University of Nevada, Las Vegas; 3Department of Psychology,Queen’s University; 4Faculty of Medicine, McGill University, and the Department of Obstetrics and Gynecology, Jewish General Hospital; 5Sex & Couple Therapy Service, Department of Psychology, McGill University Health Center (Royal Victoria Hospital)

  2. Sexual Arousal and Sensation • Does sexual arousal influence sensation in women? • Vaginal stimulation produced decreased finger pain sensitivity (Whipple & Komisaruk, 1985). • Sexual arousal produced increased hand pain sensitivity (King & Alexander, 2000).

  3. Sexual Arousal and Dyspareunia • Is dyspareunia • associated with a • lack in sexual • arousal? • Women with dyspareunia obtained decreased genital response to a coital stimulus (Wouda et al., 1998). • Women with dyspareunia obtained higher genital responses to a coital stimulus (Brauer et al., 2004).

  4. Present Study - Procedures Q1 - What is the influence of sexual arousal on genital and non-genital sensation in women? Q2 - Is Dyspareunia associated with low sexual arousal? • 20 healthy women and 20 women suffering from VVS underwent genital and non-genital sensory testing at baseline and in response to sexually explicit and neutral video stimuli.

  5. Sensory Testing Modified Von Frey Filaments1 Vulvalgesiometer Set2 1Eliav and Gracely, 1998; 2Pukall et al., 2004

  6. Labial Thermistor Clip

  7. Labial Thermistor Clip

  8. Results - Participants ***P<0.001

  9. Results – Physiological Sexual Arousal

  10. Results – Subjective Sexual Arousal • On subjective reports women with VVS reported: • lower mental sexual arousal • less desire to engage in intercourse

  11. Results - Touch

  12. Results - Pain

  13. Discussion • Does sexual arousal influence genital and non-genital sensation? • Sexual arousal resulted in increased vulvar sensitivity. • Is pain during intercourse associated with a lack of sexual arousal? • Women with VVS exhibited similar levels of physiological sexual arousal but decreased subjective sexual arousal as compared with healthy participants.

  14. Implications • Sensation is basic to sexuality • Genital / Non-Genital Distinction • Treatment of Dyspareunia

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