Background: The present investigation was designed to provide the firs
t empirical examination of the effects of ephedrine sulfate, an alpha-
and beta-adrenergic agonist, on subjective and physiological sexual a
rousal in women. The purpose was to help elucidate the effects of incr
eased peripheral adrenergic activity on sexual response in women. Meth
ods: Twenty sexually functional women participated in 2 experimental c
onditions in which subjective (self-report) and physiological (vaginal
photoplethysmography) sexual responses to erotic stimuli were measure
d following administration of either ephedrine sulfate (50 mg) or plac
ebo in a randomized, double-blind, cross-over protocol. Results: Ephed
rine significantly (P<.01) increased vaginal pulse amplitude responses
to the erotic films and had no significant (P>.10) effect on subjecti
ve ratings of sexual arousal. Conclusions: Ephedrine tan significantly
facilitate the initial stages of physiological sexual arousal in wome
n. These findings have implications for deriving new pharmacological a
pproaches to the management of sexual dysfunction in women.