We have repeated a study of the objective (labium minus temperature) a
nd subjective (semantic scales) changes in sexual arousability over th
e menstrual cycle to erotic video stimulation in 20 women with natural
cycles. We extended the study with concomitant vibrotactile stimulati
on of the clitoral region. In an earlier study women tested for the fi
rst time in their follicular phase were sexually more aroused (as indi
cated by greater increase in labium minus temperature) than women test
ed for the first time during their luteal phase. When these women were
retested in their alternative phase of the menstrual cycle, those who
were then follicular did not score higher than those who were then lu
teal. We then postulated the involvement of a cognitive or conditioned
phenomenon which was responsible for the women's repeating their init
ial phase-dependent response when tested the second time in their alte
rnative phase of the cycle. Identical results were obtained in the pre
sent study as far as sexual arousability is concerned during the first
test, i.e. follicular women generally scored higher than luteal women
; this difference in response persisted during the second test. Concom
itant vibrotactile stimulation had no effect on labium minus temperatu
re change but raised subjective sexual arousal and caused a 'more plea
surable' response to the erotic video. Subjective sexual and subjectiv
e genital arousal were positively correlated, but neither was signific
antly correlated with labium minus temperature change. The relationshi
p between menstrual cycle phase and sexual arousal was further substan
tiated by the reported greater increase in sexual desire after the fir
st erotic video in follicular women than in luteal women. This increas
ed desire, as well as more erotic fantasies, persisted during the next
24 h. In conclusion, studies into effects of menstrual cycle phase on
sexual arousability in the laboratory should seriously consider the p
ossible learning and conditioning effects as suggested by the present
investigation. Copyright (C) 1996 Elsevier Science Ltd