Our methodolgy was based on review of the litterature; Ovarian hormones direct the menstrual cycle and are essential for reproduction. They do not seem to be directly linked to sexual behavior and function which seems to be strongly influenced by cognitive processes like thinking, imagining, learning etc. Observational and interventional studies with ovarian hormones indicate that the effects of hormones seem to be more indirect and permissive rather than “causal“. Oestrogens help maintain structural integrity, receptivity for sensual stimuli and seem to be linked to “attractivity“. Testosterone seems to enhance interest in sexual activity. Progesterone’s function is to a large degree unclear. Other hormones like thyroid hormones, adrenal hormones etc. can modulate sexual behavior by their general effects on mood, activity level etc.
Hormones have an indirect modulating effect on sexual behavior and function with a large intraindividual variablity which is probably due to the impact of cognitive processes.