Reviews literature concerning buspirone's effect on sexual functioning. Presents three hypotheses: that buspirone's facilitation of sexual functioning is not solely a result of its anxiolytic effects; that buspirone facilitates nonparaphilc arousal but inhibits paraphilic sexual arousal; and that buspirone's efficacy in reducing paraphilic arousal is related to its efficacy in reducing obsessive-compulsive disorder symptoms. (Author/NB)