Evidence map›Paper›PMID 38745001›Full record

ArticleScientific reports2024

Women and men with distressing low sexual desire exhibit sexually dimorphic brain processing.

Natalie Ertl, Edouard G Mills, Matthew B Wall, Layla Thurston, Lisa Yang, Sofiya Suladze, Tia Hunjan, Maria Phylactou, Bijal Patel, Paul A Bassett and 6 more

Abstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Dissociable effects of LSD and MDMA on striato-cortical connectivity in healthy subjects.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  3. Review
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Natalie Ertl *Invicro London, London, UK.
Edouard G Mills *Section of Endocrinology and Investigative Medicine, Imperial College London, London, UK.
Matthew B WallInvicro London, London, UK.
Layla ThurstonSection of Endocrinology and Investigative Medicine, Imperial College London, London, UK.
Lisa YangSection of Endocrinology and Investigative Medicine, Imperial College London, London, UK.
Sofiya SuladzeSection of Endocrinology and Investigative Medicine, Imperial College London, London, UK.
Tia HunjanSection of Endocrinology and Investigative Medicine, Imperial College London, London, UK.
Maria PhylactouSection of Endocrinology and Investigative Medicine, Imperial College London, London, UK.
Bijal PatelSection of Endocrinology and Investigative Medicine, Imperial College London, London, UK.
Paul A BassettStatsconsultancy Ltd, Amersham, UK.
Jonathan HowardInvicro London, London, UK.
Eugenii A RabinerInvicro London, London, UK.
Ali AbbaraSection of Endocrinology and Investigative Medicine, Imperial College London, London, UK.
David GoldmeierJane Wadsworth Sexual Function Clinic, Imperial College Healthcare NHS Trust, London, UK.
Alexander N ComninosSection of Endocrinology and Investigative Medicine, Imperial College London, London, UK. a.comninos@imperial.ac.uk.
Waljit S DhilloSection of Endocrinology and Investigative Medicine, Imperial College London, London, UK. w.dhillo@imperial.ac.uk.

Funding

Medical Research Council MR/T006242/1MRC Clinical Research Training FellowshipsNIHR Clinical Lectureship FellowshipNIHR Clinician Scientist Fellowship CS-2018-18-ST2-002NIHR Research Professorship NIHR RP-2014-05-001
6 · The paper itself

Abstract

Distressing low sexual desire, termed Hypoactive Sexual Desire Disorder (HSDD), affects approximately 10% of women and 8% of men. In women, the 'top-down' theory of HSDD describes hyperactivity in higher-level cognitive brain regions, suppressing lower-level emotional/sexual brain areas. However, it is unknown how this neurofunctional disturbance compares to HSDD in men. To investigate this, we employed task-based functional MRI in 32 women and 32 men with HSDD to measure sexual-brain processing during sexual versus non-sexual videos, as well as psychometric questionnaires to assess sexual desire/arousal. We demonstrate that women had greater activation in higher-level and lower-level brain regions, compared to men. Indeed, women who had greater hypothalamic activation in response to sexual videos, reported higher psychometric scores in the evaluative (r = 0.55, P = 0.001), motivational (r = 0.56, P = 0.003), and physiological (r = 0.57, P = 0.0006) domains of sexual desire and arousal after watching the sexual videos in the scanner. By contrast, no similar correlations were observed in men. Taken together, this is the first direct comparison of the neural correlates of distressing low sexual desire between women and men. The data supports the 'top-down' theory of HSDD in women, whereas in men HSDD appears to be associated with different neurofunctional processes.

Indexed as

BrainLibidoMagnetic Resonance ImagingSexual Dysfunctions, PsychologicalAdultBrain MappingFemaleHumansMaleMiddle AgedSex CharacteristicsSexual BehaviorSurveys and QuestionnairesYoung Adult

Identifiers

PMID38745001
PMCPMC11094107

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.