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Factors Influencing Sexual Behavior *

Among the many factors that shade and color the intensity and direction of human sexuality are gonadal integrity, chromosomal determinants, external genital adequacy, socio‐economic influences, endogenous and exogenous hormonal dependency, and possibly hypothalamic sensitization during fetal life. Neither gonads nor chromosomal sex decide the direction of overt sexual behavior. Libido, in great measure, is a chemical test‐tube equation. Testosterone is the hormone that intensifies sexual drive in both man and woman; it is particularly useful in restoring sexual drive in the woman who once knew, but has lost her libido. Testosterone in the adult female does not alter the direction of sexual behavior or amatory responsiveness. Age need not alter performance nor eliminate the satisfaction and pleasure that attend sexual gratification. Several illustrative cases are presented.