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Orgasms, sexual pleasure, and opioid reward mechanisms

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023752%3A_____%2F25%3A43921574" target="_blank" >RIV/00023752:_____/25:43921574 - isvavai.cz</a>

  • Alternative codes found

    RIV/00216208:11240/25:10512323

  • Result on the web

    <a href="https://academic.oup.com/smr/article/13/3/381/8127191" target="_blank" >https://academic.oup.com/smr/article/13/3/381/8127191</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1093/sxmrev/qeaf023" target="_blank" >10.1093/sxmrev/qeaf023</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Orgasms, sexual pleasure, and opioid reward mechanisms

  • Original language description

    Introduction: Sexual activity produces pleasure related to sexual arousal, desire, and genitosensory and erogenous stimulation. Orgasmsproduce a whole brain and body rush of ecstatic pleasure followed by relaxation and refractoriness. This pleasure results from the activation ofneurochemical reward pathways in the brain. This is differentiated by spinal pathways that control climax, the particular motor movements ofthe pelvic floor and the experience of tension release.Objectives: To relate the activation of key neurochemical reward and bonding systems, notably dopamine, oxytocin, and opioids, to the pleasureof sexual activity in general and orgasms in particular.Methods: A narrative review of the neurochemical and neuroanatomical mechanisms activated during sexual stimulation and orgasm in rats andhumans, and how they are related overall to the generation of sexual pleasure and reward.Results: Appetitive sexual pleasure involves the activation of dopamine and oxytocin release in hypothalamic and mesolimbic regions thatregulate sexual arousal and desire, and are reinforced by localized opioid activity. Orgasms are thought to result in part from a massive releaseof opioids into these regions that inhibits dopamine and oxytocin transmission, but that initiates molecular changes to sensitize both systemsand induce sexually conditioned place and partner preferences. Serotonin is also activated at orgasm and contributes to feelings of satietyand refractoriness. Orgasm disorders are distressing, cause resentment and conflict in a relationship, and diminish overall sexual health andwell-being.Conclusions: Orgasms are an important component of sexual pleasure for humans and perhaps all vertebrates. Endogenous opioids like βendorphin that bind to mu opioid receptors are likely responsible for sexual pleasure and reward.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30103 - Neurosciences (including psychophysiology)

Result continuities

  • Project

  • Continuities

    V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Others

  • Publication year

    2025

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Sexual Medicine Reviews

  • ISSN

    2050-0513

  • e-ISSN

    2050-0521

  • Volume of the periodical

    13

  • Issue of the periodical within the volume

    3

  • Country of publishing house

    US - UNITED STATES

  • Number of pages

    13

  • Pages from-to

    381-393

  • UT code for WoS article

    001484112700001

  • EID of the result in the Scopus database

    2-s2.0-105010374586