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Sexual arousal (also known as sexual excitement) describes the
physiological Physiology (; ) is the scientific study of functions and mechanisms in a living system. As a sub-discipline of biology, physiology focuses on how organisms, organ systems, individual organs, cells, and biomolecules carry out the chemica ...
and psychological responses in preparation for
sexual intercourse Sexual intercourse (or coitus or copulation) is a sexual activity typically involving the insertion and thrusting of the penis into the vagina for sexual pleasure or reproduction.Sexual intercourse most commonly means penile–vaginal pene ...
or when exposed to sexual stimuli. A number of physiological responses occur in the body and mind as preparation for sexual intercourse, and continue during intercourse. Male arousal will lead to an
erection An erection (clinically: penile erection or penile tumescence) is a physiological phenomenon in which the penis becomes firm, engorged, and enlarged. Penile erection is the result of a complex interaction of psychological, neural, vascular, a ...
, and in female arousal the body's response is engorged sexual tissues such as nipples,
vulva The vulva (plural: vulvas or vulvae; derived from Latin for wrapper or covering) consists of the external female sex organs. The vulva includes the mons pubis (or mons veneris), labia majora, labia minora, clitoris, vestibular bulbs, vulv ...
,
clitoris The clitoris ( or ) is a female sex organ present in mammals, ostriches and a limited number of other animals. In humans, the visible portion – the glans – is at the front junction of the labia minora (inner lips), above the op ...
, vaginal walls, and
vaginal lubrication Vaginal lubrication is a naturally produced fluid that lubricates a vagina. Vaginal lubrication is always present, but production increases significantly near ovulation and during sexual arousal in anticipation of sexual intercourse. Vaginal ...
. Mental stimuli and physical stimuli such as touch, and the internal fluctuation of
hormones A hormone (from the Greek participle , "setting in motion") is a class of signaling molecules in multicellular organisms that are sent to distant organs by complex biological processes to regulate physiology and behavior. Hormones are required ...
, can influence sexual arousal. Sexual arousal has several stages and may not lead to any actual sexual activity beyond a mental arousal and the physiological changes that accompany it. Given sufficient sexual stimulation, sexual arousal reaches its climax during an
orgasm Orgasm (from Greek , ; "excitement, swelling") or sexual climax is the sudden discharge of accumulated sexual excitement during the sexual response cycle, resulting in rhythmic, involuntary muscular contractions in the pelvic region chara ...
. It may also be pursued for its own sake, even in the absence of an orgasm.


Erotic stimuli

Depending on the situation, a person can be sexually aroused by a variety of factors, both physical and mental. A person may be sexually aroused by another person or by particular aspects of that person, or by a non-human object. The physical stimulation of an
erogenous zone An erogenous zone (from Greek , ''érōs'' "love"; and English ''-genous'' "producing", from Greek , ''-genḗs'' "born") is an area of the human body that has heightened sensitivity, the stimulation of which may generate a sexual response, suc ...
or acts of foreplay can result in arousal, especially if it is accompanied with the anticipation of imminent sexual activity. Sexual arousal may be assisted by a romantic setting, music or other soothing situation. The potential stimuli for sexual arousal vary from person to person, and from one time to another, as does the level of arousal. Stimuli can be classified according to the sense involved:
somatosensory In physiology, the somatosensory system is the network of neural structures in the brain and body that produce the perception of touch (haptic perception), as well as temperature (thermoception), body position ( proprioception), and pain. It ...
(touch), visual, and
olfactory The sense of smell, or olfaction, is the special sense through which smells (or odors) are perceived. The sense of smell has many functions, including detecting desirable foods, hazards, and pheromones, and plays a role in taste. In humans, ...
(scent).
Auditory stimuli In physiology, a stimulus is a detectable change in the physical or chemical structure of an organism's internal or external environment. The ability of an organism or organ to detect external stimuli, so that an appropriate reaction can be ...
are also possible, though they are generally considered secondary in role to the other three. Erotic stimuli which can result in sexual arousal can include conversation, reading, films or images, or a smell or setting, any of which can generate erotic thoughts and memories in a person. Given the right context, these may lead to the person desiring physical contact, including
kiss A kiss is the touch or pressing of one's lips against another person or an object. Cultural connotations of kissing vary widely. Depending on the culture and context, a kiss can express sentiments of love, passion, romance, sexual attraction, ...
ing, cuddling, and petting of an erogenous zone. This may in turn make the person desire direct sexual stimulation of the
breast The breast is one of two prominences located on the upper ventral region of a primate's torso. Both females and males develop breasts from the same embryological tissues. In females, it serves as the mammary gland, which produces and sec ...
s,
nipple The nipple is a raised region of tissue on the surface of the breast from which, in females, milk leaves the breast through the lactiferous ducts to feed an infant. The milk can flow through the nipple passively or it can be ejected by smooth ...
s, buttocks and/or genitals, and further sexual activity. Erotic stimuli may originate from a source unrelated to the object of subsequent sexual interest. For example, many people may find
nudity Nudity is the state of being in which a human is without clothing. The loss of body hair was one of the physical characteristics that marked the biological evolution of modern humans from their hominin ancestors. Adaptations related to h ...
, erotica or
pornography Pornography (often shortened to porn or porno) is the portrayal of sexual subject matter for the exclusive purpose of sexual arousal. Primarily intended for adults,
sexually arousing. This may generate a general sexual interest that is satisfied by sexual activity. When sexual arousal is achieved by or dependent on the use of objects, it is referred to as
sexual fetishism Sexual fetishism or erotic fetishism is a sexual fixation on a nonliving object or nongenital body part. The object of interest is called the fetish; the person who has ''a fetish'' for that object is a fetishist. A sexual fetish may be regard ...
, or in some instances a paraphilia. There is a common belief that women need more time to achieve arousal. However, recent scientific research has shown that there is no considerable difference for the time men and women require to become fully aroused. Scientists from
McGill University Health Centre The McGill University Health Centre (MUHC; french: Centre universitaire de santé McGill) is one of two major healthcare networks in the city of Montreal, Quebec. It is affiliated with McGill University and is one of the largest medical complex ...
in
Montreal Montreal ( ; officially Montréal, ) is the second-most populous city in Canada and most populous city in the Canadian province of Quebec. Founded in 1642 as '' Ville-Marie'', or "City of Mary", it is named after Mount Royal, the triple- ...
(in Canada) used the method of
thermal imaging Infrared thermography (IRT), thermal video and/or thermal imaging, is a process where a thermal camera captures and creates an image of an object by using infrared radiation emitted from the object in a process, which are examples of infrared ...
to record baseline
temperature Temperature is a physical quantity that expresses quantitatively the perceptions of hotness and coldness. Temperature is measured with a thermometer. Thermometers are calibrated in various temperature scales that historically have relied o ...
change in genital area to define the time necessary for sexual arousal. Researchers studied the time required for an individual to reach the peak of sexual arousal while watching sexually explicit movies or pictures and came to the conclusion that on average women and men took almost the same time for sexual arousal — around 10 minutes. The time needed for foreplay is strongly individual and varies from one occasion to the next depending on circumstances. Unlike many animals,
human Humans (''Homo sapiens'') are the most abundant and widespread species of primate, characterized by bipedalism and exceptional cognitive skills due to a large and complex brain. This has enabled the development of advanced tools, cultu ...
s do not have a mating season, and both sexes are potentially capable of sexual arousal throughout the year.


Disorders

Sexual arousal for most people is a positive experience and an aspect of their sexuality, and is often sought. A person can normally control how they will respond to arousal. They will normally know what things or situations are potentially stimulating, and may at their leisure decide to either create or avoid these situations. Similarly, a person's sexual partner will normally also know their partner's erotic stimuli and turn-offs. Some people feel embarrassed by sexual arousal and some are sexually inhibited. Some people do not feel aroused on every occasion that they are exposed to erotic stimuli, nor act in a sexual way on every arousal. A person can take an active part in a sexual activity without sexual arousal. These situations are considered normal, but depend on the maturity, age, culture and other factors influencing the person. However, when a person fails to be aroused in a situation that would normally produce arousal and the lack of arousal is persistent, it may be due to a sexual arousal disorder or hypoactive sexual desire disorder. There are many reasons why a person fails to be aroused, including a mental disorder, such as depression, drug use, or a medical or physical condition. The lack of sexual arousal may be due to a general lack of sexual desire or due to a lack of sexual desire for the current partner. A person may always have had no or low sexual desire or the lack of desire may have been acquired during the person's life. There are also complex philosophical and psychological issues surrounding sexuality. Attitudes towards life, death, childbirth, one's parents, friends, family, contemporary society, the human race in general, and particularly one's place in the world play a substantive role in determining how a person will respond in any given sexual situation. On the other hand, a person may be hypersexual, which is a desire to engage in sexual activities considered abnormally high in relation to normal development or culture, or suffering from a persistent genital arousal disorder, which is a spontaneous, persistent, and uncontrollable arousal, and the physiological changes associated with arousal.


Physiological and psychological response patterns


Physiological responses

Sexual arousal causes various physical responses, most significantly in the sex organs (genital organs). Sexual arousal for a man is usually indicated by the swelling and
erection An erection (clinically: penile erection or penile tumescence) is a physiological phenomenon in which the penis becomes firm, engorged, and enlarged. Penile erection is the result of a complex interaction of psychological, neural, vascular, a ...
of the
penis A penis (plural ''penises'' or ''penes'' () is the primary sexual organ that male animals use to inseminate females (or hermaphrodites) during copulation. Such organs occur in many animals, both vertebrate and invertebrate, but males d ...
when blood fills the corpus cavernosum. This is usually the most prominent and reliable sign of sexual arousal in males. In a woman, sexual arousal leads to increased blood flow to the
clitoris The clitoris ( or ) is a female sex organ present in mammals, ostriches and a limited number of other animals. In humans, the visible portion – the glans – is at the front junction of the labia minora (inner lips), above the op ...
and
vulva The vulva (plural: vulvas or vulvae; derived from Latin for wrapper or covering) consists of the external female sex organs. The vulva includes the mons pubis (or mons veneris), labia majora, labia minora, clitoris, vestibular bulbs, vulv ...
, as well as vaginal transudation - the seeping of moisture through the vaginal walls which serves as lubrication.


Male

It is normal to correlate the
erection An erection (clinically: penile erection or penile tumescence) is a physiological phenomenon in which the penis becomes firm, engorged, and enlarged. Penile erection is the result of a complex interaction of psychological, neural, vascular, a ...
of the
penis A penis (plural ''penises'' or ''penes'' () is the primary sexual organ that male animals use to inseminate females (or hermaphrodites) during copulation. Such organs occur in many animals, both vertebrate and invertebrate, but males d ...
with male sexual arousal. Physical or psychological stimulation, or both, leads to vasodilation and the increased blood flow engorges the three spongy areas that run along the length of the penis (the two corpora cavernosa and the corpus spongiosum). The penis grows enlarged and firm, the skin of the
scrotum The scrotum or scrotal sac is an anatomical male reproductive structure located at the base of the penis that consists of a suspended dual-chambered sac of skin and smooth muscle. It is present in most terrestrial male mammals. The scrotum co ...
is pulled tighter, and the
testes A testicle or testis (plural testes) is the male reproductive gland or gonad in all bilaterians, including humans. It is homologous to the female ovary. The functions of the testes are to produce both sperm and androgens, primarily testoste ...
are pulled up against the body. However, the relationship between erection and arousal is not one-to-one (arousal non-concordance). After their mid-forties, some men report that they do not always have an erection when they are sexually aroused. Equally, a male erection can occur during sleep ( nocturnal penile tumescence) without conscious sexual arousal or due to mechanical stimulation (e.g. rubbing against the bed sheet) alone. A young man—or one with a strong libido—may experience enough sexual arousal for an erection to result from a passing thought, or just the sight of a passerby. Once erect, his penis may gain enough stimulation from contact with the inside of his clothing to maintain and encourage it for some time. As sexual arousal and stimulation continues, it is likely that the glans or head of the erect penis will swell wider and, as the genitals become further engorged with blood, their color deepens and the testicles can grow up to 50% larger. As the testicles continue to rise, a feeling of warmth may develop around them and the perineum. With further sexual stimulation, their heart rate increases, blood pressure rises and breathing becomes quicker. The increase in blood flow in the genital and other regions may lead to a
sex flush Flushing is to become markedly red in the face and often other areas of the skin, from various physiological conditions. Flushing is generally distinguished, despite a close physiological relation between them, from blushing, which is milder, gen ...
in some men. As sexual stimulation continues,
orgasm Orgasm (from Greek , ; "excitement, swelling") or sexual climax is the sudden discharge of accumulated sexual excitement during the sexual response cycle, resulting in rhythmic, involuntary muscular contractions in the pelvic region chara ...
begins, when the muscles of the pelvic floor, the vas deferens (between the testicles and the prostate), the seminal vesicles and the prostate gland itself may begin to contract in a way that forces sperm and semen into the
urethra The urethra (from Greek οὐρήθρα – ''ourḗthrā'') is a tube that connects the urinary bladder to the urinary meatus for the removal of urine from the body of both females and males. In human females and other primates, the urethra ...
inside the penis. Once this has started, it is likely that the man will continue to ejaculate and orgasm fully, with or without further stimulation. Equally, if sexual stimulation stops before orgasm, the physical effects of the stimulation, including the vasocongestion, will subside in a short time. Repeated or prolonged stimulation without orgasm and ejaculation can lead to discomfort in the testes (corresponding to the slang term "
blue balls Blue balls is slang for an uncomfortable testicular sensation that can occur during a state of male sexual arousal. The term is thought to have originated in the United States, first appearing in 1916. Another slang term used for the condition ...
"). After orgasm and ejaculation, men usually experience a refractory period characterized by loss of their erection, a subsidence in any sex flush, less interest in sexual activity, and a feeling of relaxation that can be attributed to the neurohormones
oxytocin Oxytocin (Oxt or OT) is a peptide hormone and neuropeptide normally produced in the hypothalamus and released by the posterior pituitary. It plays a role in social bonding, reproduction, childbirth, and the period after childbirth. Oxytoc ...
and
prolactin Prolactin (PRL), also known as lactotropin, is a protein best known for its role in enabling mammals to produce milk. It is influential in over 300 separate processes in various vertebrates, including humans. Prolactin is secreted from the pi ...
. The intensity and duration of the refractory period can be very short in a highly aroused young man in a highly arousing situation, perhaps without even a noticeable loss of erection. It can be as long as a few hours or days in middle-aged and older men.


Female

The beginnings of sexual arousal in a woman's body is usually marked by
vaginal lubrication Vaginal lubrication is a naturally produced fluid that lubricates a vagina. Vaginal lubrication is always present, but production increases significantly near ovulation and during sexual arousal in anticipation of sexual intercourse. Vaginal ...
(wetness; though this can occur without arousal due to infection or cervical mucus production around ovulation), swelling and engorgement of the external genitals, and internal lengthening and enlargement of the
vagina In mammals, the vagina is the elastic, muscular part of the female genital tract. In humans, it extends from the vestibule to the cervix. The outer vaginal opening is normally partly covered by a thin layer of mucosal tissue called the hymen ...
. There have been studies to find the degree of correlation between these physiological responses and the woman's subjective sensation of being sexually aroused: the findings usually are that in some cases there is a high correlation, while in others, it is surprisingly low. Further stimulation can lead to further vaginal wetness and further engorgement and swelling of the
clitoris The clitoris ( or ) is a female sex organ present in mammals, ostriches and a limited number of other animals. In humans, the visible portion – the glans – is at the front junction of the labia minora (inner lips), above the op ...
and the labia, along with increased redness or darkening of the skin in these areas as blood flow increases. Further changes to the internal organs also occur including to the internal shape of the vagina and to the position of the
uterus The uterus (from Latin ''uterus'', plural ''uteri'') or womb () is the organ in the reproductive system of most female mammals, including humans that accommodates the embryonic and fetal development of one or more embryos until birth. The ...
within the
pelvis The pelvis (plural pelves or pelvises) is the lower part of the trunk, between the abdomen and the thighs (sometimes also called pelvic region), together with its embedded skeleton (sometimes also called bony pelvis, or pelvic skeleton). The ...
. Other changes include an increase in heart rate as well as in
blood pressure Blood pressure (BP) is the pressure of circulating blood against the walls of blood vessels. Most of this pressure results from the heart pumping blood through the circulatory system. When used without qualification, the term "blood pressure ...
, feeling hot and flushed and perhaps experiencing tremors. A
sex flush Flushing is to become markedly red in the face and often other areas of the skin, from various physiological conditions. Flushing is generally distinguished, despite a close physiological relation between them, from blushing, which is milder, gen ...
may extend over the chest and upper body. If sexual stimulation continues, then sexual arousal may peak into
orgasm Orgasm (from Greek , ; "excitement, swelling") or sexual climax is the sudden discharge of accumulated sexual excitement during the sexual response cycle, resulting in rhythmic, involuntary muscular contractions in the pelvic region chara ...
. After orgasm, some women do not want any further stimulation and the sexual arousal quickly dissipates. Suggestions have been published for continuing the sexual excitement and moving from one orgasm into further stimulation and maintaining or regaining a state of sexual arousal that can lead to second and subsequent orgasms. Some women have experienced such multiple orgasms quite spontaneously. While young women may become sexually aroused quite easily, and reach orgasm relatively quickly with the right stimulation in the right circumstances, there are physical and psychological changes to women's sexual arousal and responses as they age. Older women produce less vaginal lubrication and studies have investigated changes to degrees of satisfaction, frequency of sexual activity, to desire, sexual thoughts and fantasies, sexual arousal, beliefs about and attitudes to sex, pain, and the ability to reach orgasm in women in their 40s and after
menopause Menopause, also known as the climacteric, is the time in women's lives when menstrual periods stop permanently, and they are no longer able to bear children. Menopause usually occurs between the age of 47 and 54. Medical professionals often d ...
. Other factors have also been studied including socio-demographic variables, health, psychological variables, partner variables such as their partner's health or sexual problems, and lifestyle variables. It appears that these other factors often have a greater impact on women's sexual functioning than their menopausal status. It is therefore seen as important always to understand the "context of women's lives" when studying their sexuality. Reduced
estrogen Estrogen or oestrogen is a category of sex hormone responsible for the development and regulation of the female reproductive system and secondary sex characteristics. There are three major endogenous estrogens that have estrogenic hormonal ac ...
levels may be associated with increased vaginal dryness and less clitoral erection when aroused, but are not directly related to other aspects of sexual interest or arousal. In older women, decreased pelvic muscle tone may mean that it takes longer for arousal to lead to orgasm, may diminish the intensity of orgasms, and then cause more rapid resolution. The uterus typically contracts during orgasm and, with advancing age, those contractions may actually become painful.


Psychological responses

Psychological sexual arousal involves appraisal and evaluation of a stimulus, categorization of a stimulus as sexual, and an affective response. The combination of cognitive and physiological states elicits psychological sexual arousal. Some suggest that psychological sexual arousal results from an interaction of cognitive and experiential factors, such as affective state, previous experience, and current social context.


Male

The relationship between sexual desire and arousal in men is complex, with a wide range of factors increasing or decreasing sexual arousal. Physiological responses, such as heart rate,
blood pressure Blood pressure (BP) is the pressure of circulating blood against the walls of blood vessels. Most of this pressure results from the heart pumping blood through the circulatory system. When used without qualification, the term "blood pressure ...
, and
erection An erection (clinically: penile erection or penile tumescence) is a physiological phenomenon in which the penis becomes firm, engorged, and enlarged. Penile erection is the result of a complex interaction of psychological, neural, vascular, a ...
, are often discordant with self-reported subjective perceptions of arousal. This inconsistency suggests that psychological or cognitive aspects also have a strong effect on sexual arousal. The cognitive aspects of sexual arousal in men are not completely known, but the state does involve the appraisal and evaluation of the stimulus, categorization of the stimulus as sexual, and an affective response. Research suggests that cognitive factors, such as sexual motivation, perceived
gender role A gender role, also known as a sex role, is a social role encompassing a range of behaviors and attitudes that are generally considered acceptable, appropriate, or desirable for a person based on that person's sex. Gender roles are usually cen ...
expectations, and sexual attitudes, contribute to sex differences observed in subjective sexual arousal. Specifically, while watching heterosexual erotic videos, men are more influenced by the sex of the actors portrayed in the stimulus, and men may be more likely than women to objectify the actors. There are reported differences in brain activation to sexual stimuli, with men showing higher levels of
amygdala The amygdala (; plural: amygdalae or amygdalas; also '; Latin from Greek, , ', 'almond', 'tonsil') is one of two almond-shaped clusters of nuclei located deep and medially within the temporal lobes of the brain's cerebrum in complex ver ...
and hypothalamic responses than women. This suggests the amygdala plays a critical role in the processing of sexually arousing visual stimuli in men.


Female

Research suggests that cognitive factors like sexual motivation, perceived
gender role A gender role, also known as a sex role, is a social role encompassing a range of behaviors and attitudes that are generally considered acceptable, appropriate, or desirable for a person based on that person's sex. Gender roles are usually cen ...
expectations, and sexual attitudes play important roles in women's self-reported levels of sexual arousal. In her alternative model of sexual response, Basson suggests that women's need for intimacy prompts them to engage with sexual stimuli, which leads to an experience of sexual desire and psychological sexual arousal. Psychological sexual arousal also has an effect on physiological mechanisms; Goldey and van Anders showed that sexual cognitions impact hormone levels in women, such that sexual thoughts result in a rapid increase in
testosterone Testosterone is the primary sex hormone and anabolic steroid in males. In humans, testosterone plays a key role in the development of male reproductive tissues such as testes and prostate, as well as promoting secondary sexual characteristi ...
in women who were not using hormonal contraception. In terms of brain activation, researchers have suggested that
amygdala The amygdala (; plural: amygdalae or amygdalas; also '; Latin from Greek, , ', 'almond', 'tonsil') is one of two almond-shaped clusters of nuclei located deep and medially within the temporal lobes of the brain's cerebrum in complex ver ...
responses are not solely determined by level of self-reported sexual arousal; Hamann and colleagues found that women self-reported higher sexual arousal than men, but experienced lower levels of amygdala responses.


Models of human sexual response


Human sexual response cycle

During the late 1950s and early 1960s, William H. Masters and Virginia E. Johnson conducted multiple studies into
human sexuality Human sexuality is the way people experience and express themselves sexually. This involves biological, psychological, physical, erotic, emotional, social, or spiritual feelings and behaviors. Because it is a broad term, which has varied ...
. In 1966, they published '' Human Sexual Response'', detailing four stages of physiological changes in humans during sexual stimulation: excitement, plateau, orgasm, and resolution.


Singer's model of sexual arousal

Barry Singer presented a model of the process of sexual arousal in 1984, in which he conceptualized human sexual response to be composed of ''three independent but generally sequential components''. The first stage, ''aesthetic response,'' is an emotional reaction to noticing an attractive face or figure. This emotional reaction produces an increase in attention toward the object of attraction, typically involving head and eye movements toward the attractive object. The second stage, ''approach response,'' progresses from the first and involves bodily movements towards the object. The final ''genital response'' stage recognizes that with both attention and closer proximity, physical reactions result in genital tumescence. Singer also stated that there is an array of other autonomic responses, but acknowledges that the research literature suggests that the genital response is ''the most reliable and convenient to measure'' in males.


Basson's sexual response cycle

In 2000, Rosemary Basson presented an alternative model to the human sexual response cycle that is ''specific to women’s sexual response''. She argues that gender differences in sex drive, sexual motivation, sexual concordance, and capacity for orgasm underlie the need for an alternative model of sexual response. While the human sexual response cycle begins with desire, followed by arousal, orgasm, and finally resolution, Basson's alternative model is circular and begins with women feeling a need for intimacy, which leads her to seek out and be receptive to sexual stimuli; women then feel sexual arousal, in addition to sexual desire. The cycle results in an enhanced feeling of intimacy. Basson emphasizes the idea that a lack of spontaneous desire should not be taken as an indication of female sexual dysfunction; many women experience sexual arousal and responsive desire simultaneously when they are engaged in sexual activity.


Toates's incentive-motivation model

Frederick Toates presented a model of sexual motivation, arousal, and behavior in 2009 that combines the principles of ''incentive-motivation theory'' and ''hierarchical control of behavior''. The basic incentive-motivation model of sex suggests that incentive cues in the environment invade the nervous system, which results in sexual motivation. Positive sexual experiences enhance motivation, while negative experiences reduce it. Motivation and behaviour are organized
hierarchically A hierarchy (from Greek: , from , 'president of sacred rites') is an arrangement of items (objects, names, values, categories, etc.) that are represented as being "above", "below", or "at the same level as" one another. Hierarchy is an important ...
; each are controlled by a combination direct (external stimuli) and indirect (internal cognitions) factors. Excitation and inhibition of behavior act at various levels of this hierarchical structure. For instance, an external stimulus may directly excite sexual arousal and motivation below a conscious level of awareness, while an internal cognition can elicit the same effects indirectly, through the conscious representation of a sexual image. In the case of inhibition, sexual behavior can be active or conscious (e.g., choosing not to have sex) or it can be passive or unconscious (e.g., being unable to have sex due to fear). Toates emphasizes the importance considering
cognitive Cognition refers to "the mental action or process of acquiring knowledge and understanding through thought, experience, and the senses". It encompasses all aspects of intellectual functions and processes such as: perception, attention, thought ...
representations in addition to external stimuli; he suggests that mental representations of incentives are interchangeable with excitatory external stimuli for eliciting sexual arousal and motivation.


Bancroft and Janssen's dual control model

This model created by John Bancroft and Erick Janssen, previously at the Kinsey Institute, explores the ''individual variability of sexual response''. They postulate that this variability depends on the interaction between an individual's sexual excitation system (SES) and sexual inhibition system (SIS). Popularized by
Emily Nagoski Emily Nagoski (born 1977) is an American sex educator and researcher, and author of the book ''Come as You Are''. She is the former director of wellness education at Smith College, where she teaches a course on women's sexuality. ''Come as You Ar ...
's self-help book ''Come as You Are'', the SES has been described as the sexual response's 'accelerator' and the SIS as the 'brake'.Nagoski, E. (2015). Come As You Are. New York City, New York: Simon and Schuster. The SIS/SES questionnaire was developed to assess an individual's SIS and SES levels. A factor analysis of the SIS/SES questionnaire, revealed a single excitation factor and two inhibition factors. These inhibition factors were interpreted as SIS1 (inhibition due to the threat of performance failure) and SIS2 (inhibition due to the threat of performance consequences). The SIS/SES questionnaire was originally developed for men though it has since proven its statistical validity among women. Despite this, the SESII-W (the Sexual Excitation/Sexual Inhibition Inventory for Women) was created by Graham and associates. Female focus groups found that the context of the emotional relationship between sexual partners was not fully represented in the original SIS/SES questionnaire. A factor analysis of this questionnaire revealed only two factors: sexual excitation (SE) and sexual inhibition (SI). This may point to internal inconsistencies in the SIS/SES questionnaire regarding gender. One lower order factor in the SESII-W labeled Arousal Contingency was particularly relevant; this factor explains the easy disruption of sexual arousal. Regardless of the difference in these two questionnaires, both surveys' scores show normal distribution verifying the hypothesis that there is a normal individual variation in sexual arousal and inhibition. In the original SIS/SES questionnaire, statistically significant gender differences are seen despite considerable overlap in scores between men and women. On average, males score higher on sexual excitation and lower than females on both facets of sexual inhibition. The differences in scores between genders have not been explained beyond the theoretical level. The source of individual variability on the sexual excitation and inhibition systems is not known definitively. Even less is known about how these systems develop in individuals. Age of first
masturbation Masturbation is the sexual stimulation of one's own genitals for sexual arousal or other sexual pleasure, usually to the point of orgasm. The stimulation may involve hands, fingers, everyday objects, sex toys such as vibrators, or combinat ...
has been used as a measure to assess sexual development. Age of masturbatory onset is much more variable in girls than boys, whose tend to be close to puberty.Bancroft, J., Herbenick, D., & Reynolds, M. (2003). Masturbation as a marker of sexual development. In J. Bancroft (Ed.), Sexual development in childhood (pp. 156–185). Bloomington: Indiana University Press. Researchers have not determined whether this gender difference is biological in nature or influenced by sociocultural values. One twin-study has found evidence for the heritability of both factors of SIS, but research suggests that SES variability is down to environmental factors. The majority of studies investigating sexual functioning use heterosexual participants exclusively, limiting the generalizability of the dual control model. One study comparing heterosexual and
gay men Gay men are male homosexuals. Some bisexual and homoromantic men may also dually identify as gay, and a number of young gay men also identify as queer. Historically, gay men have been referred to by a number of different terms, includin ...
found that gay men had similar scores for SIS2, but scored significantly higher for SIS1 and SES. Heterosexual, lesbian, and bisexual women's scores on the SESII-W found that bisexual women scored higher on SES than the other groups and heterosexual women scored higher on the sexual inhibition factor than both the lesbian and bisexual women.Sanders, S. A., Graham, C. A., & Milhausen, R. R. (2008c). exual orientation and SESII–W Unpublished raw data. More studies need to be done using the dual control model to gain a more broad view of sexual orientation and sexual arousability.


Assessment of genital arousal

One way to study sexual arousal in women and men is to conduct sexual psychophysiological research in a laboratory setting. This field of research looks at physical sexual responses in addition to mental and emotional experiences of sexual arousal.


Experimental studies

Various hypotheses and theories have been propounded in order to establish the biological bases for sexual arousal in humans. Ivan Tarkhanov showed, in experiments on cutting and artificial emptying of the seminal vesicles, that the latter played the crucial role in the generation of sexual excitement in frogs. Proceeding from these experimental results, Tarkhanov put forward a hypothesis that filling and evacuation of the seminal vesicles were the main biological cause which led to sexual arousal and its disappearance in mammals and humans. Ever since Tarkhanov's findings demonstrated sexual arousal in frogs to result from the state of seminal vesicles, the attempted elucidation of their role in other animals' sexual behaviour has been the object of experimental effort. No generalisation has yet appeared, however. The study performed by Beach & Wilson (
University of California, Berkeley The University of California, Berkeley (UC Berkeley, Berkeley, Cal, or California) is a public land-grant research university in Berkeley, California. Established in 1868 as the University of California, it is the state's first land-grant un ...
) in 1964 discovered that these glands do not participate in the regulation of sexual arousal of male rats in the similar manner. Whether the regularity observed in frogs is applicable to humans remains unknown. Unambiguous experimental evidence for the existence of the Tarkhanov regularity in human sexual behaviour has never been obtained. Another explanation of sexual arousal is offered by the approach which Kazimierz Imieliński calls the "psychohydraulic model of sexuality". This point of view likens human sexuality to a steam boiler, with biological processes or internal irritants creating sexual tension. If the level of this tension reaches threshold, sexual arousal occurs as the expression of necessity to let off steam. Gary F. Kelly (
Clarkson University Clarkson University is a private research university with its main campus in Potsdam, New York, and additional graduate program and research facilities in the New York Capital Region and Beacon, New York. It was founded in 1896 and has an en ...
) describes this model as follows: The "psychohydraulic model of sexuality" has been formulated most definitely in
psychoanalysis PsychoanalysisFrom Greek: + . is a set of theories and therapeutic techniques"What is psychoanalysis? Of course, one is supposed to answer that it is many things — a theory, a research method, a therapy, a body of knowledge. In what might ...
: After a certain time, the same process begins anew. Such an approach assumes sexual arousal to be a spontaneous desire that appears periodically like sensations of hunger and thirst. Drawing a parallel between these sensations and sexual excitation is widely accepted now: "Everyone must experience sexuality in some way to survive. ... In this sense sex is a necessity of life, just as air, food, and warmth." And yet there is no empirical evidence in support of such a parallel, Imieliński says. Sensations of hunger and thirst occur due to certain states of physiological insufficiency. The feeling of hunger results from the lack of glucose, fats and amino acids in blood. The feeling of thirst occurs in response to reduction of the water content of tissues. None of similar states of physiological deficiency responsible for the periodical appearance of sexual arousal has been revealed in human sexuality.


Females

Sexual arousal in women is characterized by vasocongestion of the genital tissues, including internal and external areas (e.g., vaginal walls,
clitoris The clitoris ( or ) is a female sex organ present in mammals, ostriches and a limited number of other animals. In humans, the visible portion – the glans – is at the front junction of the labia minora (inner lips), above the op ...
, and labia). There are a variety of methods used to assess genital sexual arousal in women. Vaginal photoplethysmography (VPG) can measure changes in vaginal blood volume or phasic changes in vasocongestion associated with each heartbeat. Clitoral photoplethysmography functions in a similar way to VPG, but measures changes in clitoral blood volume, rather than vaginal vasocongestion.
Thermography Infrared thermography (IRT), thermal video and/or thermal imaging, is a process where a thermal camera captures and creates an image of an object by using infrared radiation emitted from the object in a process, which are examples of infrared i ...
provides a direct measure of genital sexual arousal by measuring changes in
temperature Temperature is a physical quantity that expresses quantitatively the perceptions of hotness and coldness. Temperature is measured with a thermometer. Thermometers are calibrated in various temperature scales that historically have relied o ...
associated with increased blood flow to the external genital tissues. Similarly, labial thermistor clips measure changes in temperature associated with genital engorgement; this method directly measures changes in temperature of the labia. More recently, laser doppler imaging (LDI) has been used as a direct measure of genital sexual arousal in women. LDI functions by measuring superficial changes in blood flow in the vulvar tissues.


Males

The most obvious response involved with sexual behaviour in males is penile erection. The use of the volume (or circumference) change during penile erection as a convenient measure of sexual arousal was first developed by
Kurt Freund Kurt Freund (17 January 1914 – 23 October 1996) was a Czech-Canadian physician and sexologist best known for developing the penile plethysmograph (a measurement of sexual arousal in males), research studies in pedophilia, and for the "courtsh ...
. This measurement of blood flow to the male genitals is known as penile plethysmography. This is commonly measured using a strain gauge, a simple mercury strain gauge encompassed in a ring of rubber. The ring surrounds the
penis A penis (plural ''penises'' or ''penes'' () is the primary sexual organ that male animals use to inseminate females (or hermaphrodites) during copulation. Such organs occur in many animals, both vertebrate and invertebrate, but males d ...
, but does not constrict or cause discomfort. The measure has been found by some to be a reliable and valid measurement of male arousal. More recently,
thermography Infrared thermography (IRT), thermal video and/or thermal imaging, is a process where a thermal camera captures and creates an image of an object by using infrared radiation emitted from the object in a process, which are examples of infrared i ...
has been developed to measure the physiological measurements of sexual arousal. Studies have found temperature change specific to the genitals during sexual arousal, which supports the validity of this measure.


Category-specificity

Category-specificity refers to a person showing sexual arousal to the categories of people they prefer to have sex with. Sexual arousal studies involving category-specificity look at genital responses (physiological changes), as well as subjective responses (what people report their arousal levels to be). Category-specific sexual arousal is more commonly found amongst men than women. Heterosexual men experience much higher genital and subjective arousal to women than to men. This pattern is reversed for
homosexual Homosexuality is romantic attraction, sexual attraction, or sexual behavior between members of the same sex or gender. As a sexual orientation, homosexuality is "an enduring pattern of emotional, romantic, and/or sexual attractions" to pe ...
men. Studies have found that women have a non-category-specific genital response pattern of sexual arousal, meaning their genital responses are only modestly related to their preferred category. On the other hand, female subjective responses are category-specific, because they typically report their highest level of arousal to their preferred stimulus, although the reported difference in levels of arousal is typically much smaller than those in men. A possible explanation for the non-category specific genital arousal in women, which also accounts for their high individual variation, is the "preparation hypothesis". This hypothesis suggests that, provided there is enough of an increase in vaginal blood flow for
vaginal lubrication Vaginal lubrication is a naturally produced fluid that lubricates a vagina. Vaginal lubrication is always present, but production increases significantly near ovulation and during sexual arousal in anticipation of sexual intercourse. Vaginal ...
to occur in a sexual context, the magnitude of arousal need not be consistent. That is, the hypothesis is that vaginal lubrication can take place as a protective mechanism even in a non-preferred sexual situation, such as when sexual activity is non-consensual. Other researchers argue that since the research is done on people who volunteer to be studied, the observed levels of category specificity may not represent the population, that there may be different cultural expectations of sexual interests being linked to genital arousal that make men with non-category specific genital arousal less likely to appear as test subjects. There researchers also argue that the assumption that men are always sexually interested in what causes genital arousal removes its own falsifiability by explaining all contradictory data away as "denial", making the theory untestable.


Overlapping brain variables and sexual arousal

While there is disagreement among neurologists on whether or not it is possible to categorically distinguish male brains and female brains by measuring many variables in the brain, neurologists agree that all single variables in the brain display more individual variation and overlap between the sexes than differences between the sexes. For instance, men and women alike are capable of classifying sex acts as sexual no matter if they find them appealing or not, making a genital response to unappealing erotic stimuli a single mechanism step. It is therefore argued by neurologists that category specificity of genital response to erotical imagery, being determined by one or a small number of closely linked brain mechanisms and therefore not subject to significant multivariate effects, cannot be subject to such a large sex difference as that apparent in pletysmographic studies. These neurologists cite the existence of significant volunteering bias among men but not women in erotica research, in particular that the overrepresentation of erectile dysfunction yet underrepresentation of sexuality-related shame in volunteers is consistent with the hypothesis that genital response to both sexual relevance and appeal allows for a stronger erectile function than response only to appeal and that a majority of the male population are ashamed of their responses to unappealing stimuli, accounting for the discrepancy between the report from most heterosexual couples that male erection is faster than female lubrication and the appearance on pletysmography volunteers that female lubrication is at least as fast as male erection. They also argue that the appearance of a greater individual variability in female genital response than in male genital response is consistent with a representative female sample and a male sample subject to bias that leaves much of the individual variability unstudied, with a reference to the neurological observation that all brain structures display significant individual variability in both sexes and that no brain structure is variable only in females and not in males.


Arousal concordance and non-concordance

Sexual arousal results in a combination of physiological and psychological factors, like genital sexual response and subjective experience of sexual arousal. The degree to which genital and subjective sexual response correspond is termed ''concordance''. Arousal non-concordance is when there is no link, for example in morning erection which happens both with men ( Nocturnal penile tumescence) and women ( Nocturnal clitoral tumescence), or in cases of
rape Rape is a type of sexual assault usually involving sexual intercourse or other forms of sexual penetration carried out against a person without their consent. The act may be carried out by physical force, coercion, abuse of authority, or ...
where research confirms reports of an arousal non-concordance orgasm or orgasm alike event can take place - presumably as a measure to protect the internal organs of the vagina. Research has shown a reliable gender difference in concordance of sexual arousal, such that men have a higher level of concordance between genital and subjective sexual responding than women do. Some researchers argue that this gender difference can be attributed to the type of method used to assess genital responding in women. There may be a difference in women's ability to perceive internal versus external genital engorgement subjectively, as measured by vaginal photoplethysmography (VPG) and
thermography Infrared thermography (IRT), thermal video and/or thermal imaging, is a process where a thermal camera captures and creates an image of an object by using infrared radiation emitted from the object in a process, which are examples of infrared i ...
respectively. Chivers and colleagues found that men's and women's concordance was more similar when thermography was used as a measure of genital sexual arousal than when VPG was used. However, few studies using thermography have been conducted and further research is required to determine whether the gender difference in concordance is a measurement artifact or a true phenomenon.


Hormones

Several
hormone A hormone (from the Greek participle , "setting in motion") is a class of signaling molecules in multicellular organisms that are sent to distant organs by complex biological processes to regulate physiology and behavior. Hormones are required ...
s affect sexual arousal, including
testosterone Testosterone is the primary sex hormone and anabolic steroid in males. In humans, testosterone plays a key role in the development of male reproductive tissues such as testes and prostate, as well as promoting secondary sexual characteristi ...
,
cortisol Cortisol is a steroid hormone, in the glucocorticoid class of hormones. When used as a medication, it is known as hydrocortisone. It is produced in many animals, mainly by the '' zona fasciculata'' of the adrenal cortex in the adrenal g ...
, and estradiol. However, the specific roles of these hormones are not clear.Bancroft, J.,
The endocrinology of sexual arousal
, "Journal of Endocrinology, 2005
Testosterone is the most commonly studied hormone involved with sexuality. It plays a key role in sexual arousal in males, with strong effects on central arousal mechanisms. The connection between testosterone and sexual arousal is more complex in females. Research has found testosterone levels increase as a result of sexual cognitions in females that do not use hormonal contraception. Also, women who participate in polyandrous relationships have higher levels of testosterone. However, it is unclear whether higher levels of testosterone cause increased arousal and in turn multiple partners or whether sexual activity with multiple partners cause the increase in testosterone. Inconsistent study results point to the idea that while testosterone may play a role in the sexuality of some women, its effects can be obscured by the co-existence of psychological or affective factors in others.


Other animals

While human sexuality is well understood, scientists do not completely grasp how other animals relate sexually. However, current research studies suggest that many animals, like humans, enjoy sexual relations that are not limited to reproduction.
Dolphin A dolphin is an aquatic mammal within the infraorder Cetacea. Dolphin species belong to the families Delphinidae (the oceanic dolphins), Platanistidae (the Indian river dolphins), Iniidae (the New World river dolphins), Pontoporiidae (the b ...
s and
bonobo The bonobo (; ''Pan paniscus''), also historically called the pygmy chimpanzee and less often the dwarf chimpanzee or gracile chimpanzee, is an endangered great ape and one of the two species making up the genus '' Pan,'' the other being the comm ...
s, for example, are both well known to use sex as a "social tool to strengthen and maintain bonds".
Ethologists Ethology is the scientific study of animal behaviour, usually with a focus on behaviour under natural conditions, and viewing behaviour as an evolutionarily adaptive trait. Behaviourism as a term also describes the scientific and objective ...
have long documented the exchanges of sex to promote group cohesion in social animals. Cementing social bondage is one of the most prominent theorized selective advantages of group selection theory. Experts in the evolution of sex such as John Maynard Smith advocate for the idea that the exchange of sexual favors helps congeal and localize the assortment of alleles in isolated population and therefore is potentially a very strong force in
evolution Evolution is change in the heritable characteristics of biological populations over successive generations. These characteristics are the expressions of genes, which are passed on from parent to offspring during reproduction. Variation ...
. Smith has also written extensively on the "seminal fluid swapping theory" logistic application of the assortment of alleles as a more accurate synthetic depiction of the Hardy–Weinberg principle in cases of severely interbreeding populations.


Evolutionary models

The effect of sexual response is thought to be a plastic positive reinforcement behavior modifier associated with the Baldwin effect. The display of secondary sex characteristics in humans such as a penis-like enlarged
clitoris The clitoris ( or ) is a female sex organ present in mammals, ostriches and a limited number of other animals. In humans, the visible portion – the glans – is at the front junction of the labia minora (inner lips), above the op ...
in females during arousal and gynecomastia in males are thought to have once been objects of mate selection in human evolution because of the persistence of the phenomenon of these features invoking sexual arousal for potential mates in cross-cultural studies. A dramatic example of this is the high rates of secondary sex characteristic dimorphism in some Southeast Asia human populations. Similar evolutionary stimuli may also have resulted in novel structures such as the pseudo-penis of the female
spotted hyena The spotted hyena (''Crocuta crocuta''), also known as the laughing hyena, is a hyena species, currently classed as the sole extant member of the genus ''Crocuta'', native to sub-Saharan Africa. It is listed as being of least concern by the IUC ...
.


See also

* Aphrodisiac * Erectile tissue *
Kinsey Reports The Kinsey Reports are two scholarly books on human sexual behavior, ''Sexual Behavior in the Human Male'' (1948) and ''Sexual Behavior in the Human Female'' (1953), written by Alfred Kinsey, Wardell Pomeroy, Clyde Martin, and (for ''Sexual Beh ...
*
Nudity and sexuality Nudity is one of the physiological characteristics of humans, who alone among primates evolved to be effectively hairless. Human sexuality includes the physiological, psychological, and social aspects of sexual feelings and behaviors. In many socie ...
* Priapism *
Sexology Sexology is the scientific study of human sexuality, including human sexual interests, behaviors, and functions. The term ''sexology'' does not generally refer to the non-scientific study of sexuality, such as social criticism. Sexologists ap ...
* Sexual frustration


References


External links

* {{DEFAULTSORT:Sexual Arousal