A1 Refereed original research article in a scientific journal

Endogenous Opioid Release After Orgasm in Man: A Combined PET/Functional MRI Study




AuthorsJern Patrick, Chen Jinglu, Tuisku Jouni, Saanijoki Tiina, Hirvonen Jussi, Lukkarinen Lasse, Manninen Sandra, Helin Semi, Putkinen Vesa, Nummenmaa Lauri

PublisherSociety of Nuclear Medicine Inc.

Publication year2023

JournalJournal of Nuclear Medicine

Journal name in sourceJournal of Nuclear Medicine

Volume64

Issue8

First page 1310

Last page1313

DOIhttps://doi.org/10.2967/jnumed.123.265512

Web address https://doi.org/10.2967/jnumed.123.265512

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/180906074


Abstract

The endogenous m-opioid receptor (MOR) system plays a key role in the mammalian reward circuit. Human and animal experiments suggest the involvement of MORs in human sexual pleasure, yet this hypothesis currently lacks in vivo support.

Methods: We used PET with the radioligand [11C]carfentanil, which has high affinity for MORs, to quantify endogenous opioid release after orgasm in man. Participants were scanned once immediately after orgasm and once in a baseline state. Hemodynamic activity was measured with functional MRI during penile stimulation.

Results: The PET data revealed significant opioid release in the hippocampus. Hemodynamic activity in the somatosensory and motor cortices and in the hippocampus and thalamus increased during penile stimulation, and thalamic activation was linearly dependent on self-reported sexual arousal.

Conclusion: Our data show that endogenous opioidergic activation in the medial temporal lobe is centrally involved in sexual arousal, and this circuit may be implicated in orgasmic disorders. 


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Last updated on 2025-27-03 at 21:54