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Article

Sexual Arousal in Men Who Have Sex Exclusively with Men: Its Relationship with Sexual Cognitions of Dominance and Submission

by
Juan Carlos Sierra
*,
Federico Mercedes-Jiménez
,
Carlos Pérez-Amorós
and
Laura Elvira Muñoz-García
Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, 18011 Granada, Spain
*
Author to whom correspondence should be addressed.
Healthcare 2026, 14(12), 1611; https://doi.org/10.3390/healthcare14121611
Submission received: 6 March 2026 / Revised: 4 May 2026 / Accepted: 5 June 2026 / Published: 8 June 2026

Abstract

Background/Objectives: The sexuality of LGBTQIA+ individuals has been less studied than that of heterosexuals. This study aimed to examine, in cisgender men who have sex exclusively with men, the association of positive (PSC) and negative (NSC) sexual cognitions of dominance and submission with sexual arousal and erection in the contexts of solitary masturbation and sexual relationships. Methods: A sample of 253 men, aged 18 to 67 years old, completed an online survey assessing the frequency of PSC and NSC and their sexual functioning in solitary masturbation and sexual relationships. Mixed linear models were used to analyze the association of PSC and NSC of dominance and submission with sexual arousal and erection in both contexts. Results: The results revealed, first, a lack of association between PSC and arousal/erection, except for a negative association with a submission PSC (“being sexually victimized”). Regarding NSC, on one hand, a positive relationship of a specific dominance cognition (“whipping or spanking someone”) with arousal and erection was found. On the other hand, a negative association of a specific submission cognition (“being whipped or spanked”) with arousal was found. Furthermore, the interaction of this NSC of dominance with the context was significant. Conclusions: The results obtained in this study highlight the complexity of the relationship between positive (PSC) and negative (NSC) sexual cognitions of dominance and submission with sexual arousal and erection in cisgender men who have sex exclusively with other men.
Keywords: sexual cognitions; dominance; submission; sexual arousal; erection; men who have sex exclusively with men sexual cognitions; dominance; submission; sexual arousal; erection; men who have sex exclusively with men

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MDPI and ACS Style

Sierra, J.C.; Mercedes-Jiménez, F.; Pérez-Amorós, C.; Muñoz-García, L.E. Sexual Arousal in Men Who Have Sex Exclusively with Men: Its Relationship with Sexual Cognitions of Dominance and Submission. Healthcare 2026, 14, 1611. https://doi.org/10.3390/healthcare14121611

AMA Style

Sierra JC, Mercedes-Jiménez F, Pérez-Amorós C, Muñoz-García LE. Sexual Arousal in Men Who Have Sex Exclusively with Men: Its Relationship with Sexual Cognitions of Dominance and Submission. Healthcare. 2026; 14(12):1611. https://doi.org/10.3390/healthcare14121611

Chicago/Turabian Style

Sierra, Juan Carlos, Federico Mercedes-Jiménez, Carlos Pérez-Amorós, and Laura Elvira Muñoz-García. 2026. "Sexual Arousal in Men Who Have Sex Exclusively with Men: Its Relationship with Sexual Cognitions of Dominance and Submission" Healthcare 14, no. 12: 1611. https://doi.org/10.3390/healthcare14121611

APA Style

Sierra, J. C., Mercedes-Jiménez, F., Pérez-Amorós, C., & Muñoz-García, L. E. (2026). Sexual Arousal in Men Who Have Sex Exclusively with Men: Its Relationship with Sexual Cognitions of Dominance and Submission. Healthcare, 14(12), 1611. https://doi.org/10.3390/healthcare14121611

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