Editing Sexual stimulation (section)

== Role of sexual dysfunctions in sexual stimulation ==
{{Main article|Sexual dysfunction}}

=== Women ===

==== Physiological factors ====
According to the National Library of Medicine, approximately 80% of middle aged women with heart failure have reported a decrease in vaginal lubrication, leading to challenges in successful intercourse.<ref name=":7">Allahdadi, K. J., Tostes, R. C., & Webb, R. C. (2009). Female sexual dysfunction: therapeutic options and experimental challenges. ''Cardiovascular & hematological agents in medicinal chemistry'', ''7''(4), 260–269. {{doi|10.2174/187152509789541882}}</ref> The reduction in lubrication affects the vaginal moisture during sexual activity. Women with [[Hypoactive sexual desire disorder|hypoactive sexual desire]] (HSDD) may also experience a lack of interest in sexual stimuli, thus affecting their psychological responses to sexual cues.<ref name=":7" />  Within the study conducted by Sandra Garcia and her colleagues, suggested that trauma-related changes may impact genital tissues, affecting blood flow and response to sexual stimulation.<ref>Garcia, S., Talakoub, L., Maitland, S., Dennis, A., Goldstein, I., & Munarriz, R. (2005). Genital duplex doppler ultrasonography before and after sexual stimulation in women with sexual dysfunction: Gray scale, volumetric, and hemodynamic findings. Fertility and Sterility, 83(4), 995–999. {{doi|10.1016/j.fertnstert.2004.09.032}}</ref>  As well as when psychologic distress is present it affects the ability to achieve [[orgasm]] despite adequate sexual stimulation.<ref name=":8">Rosen, R. C. (2000). Prevalence and risk factors of sexual dysfunction in men and women. Current Psychiatry Reports, 2(3), 189–195. {{doi|10.1007/s11920-996-0006-2}}</ref> This is a result of relationship issues that affect sexual stimulation and sexual response, connecting back to orgasmic difficulties.<ref name=":8" />

==== Hormonal factors ====
The deficiency of estrogen leads to conditions like [[dyspareunia]], which is something important for maintaining adequate lubrication.<ref name=":9">Berman, J. Physiology of female sexual function and dysfunction. Int J Impot Res 17 (Suppl 1), S44–S51 (2005). {{doi|10.1038/sj.ijir.3901428}}</ref> Therefore there is hormonal treatment that is used which is the addition of in-taking estrogen supplements.<ref name=":9" />  But as well as the supplementation of [[Testosterone (medication)|testosterone]], which was shown as beneficial for enhancing desire, arousal, and sexual satisfaction.<ref name=":9" />  There could also be some hormonal changes when it comes to going through the phases of aging. A review in 'The Journal of Sexual Medicine', showed how pre-menopause women showed more sexual dissatisfaction. This was shown due to their hormonal imbalances.<ref>Stuckey, B. G. A. (2008). Female sexual function and dysfunction in the reproductive years: The influence of endogenous and exogenous sex hormones. The Journal of Sexual Medicine, 5(10), 2282–2290. {{doi|10.1111/j.1743-6109.2008.00992.x}}</ref>