Editing Sexual stimulation

{{Short description|Anything that causes a sexual response}}
{{Redirects here|Sexual pleasure|sexual pleasure in non-human animals|Animal sexual behavior#Pleasure}}
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[[File:Édouard-Henri Avril (22).jpg|thumb|One of the illustrations to ''[[De figuris Veneris]]'' by [[Édouard-Henri Avril]]. It portrays a male masturbating by manually stimulating his own penis while [[Sexual fantasy|sexually fantasizing]].|265x265px]]
{{Human sexual activity sidebar}}
'''Sexual stimulation''' is anything that leads to [[sexual arousal]] or [[orgasm]]. This thing can be physical or of other senses, and is known as a [[Stimulus (physiology)|stimulus]].

Sexual stimulation is a broad term, usually understood to mean physical touching of the genitals or other body parts. The term can, however, include stimuli affecting the mind ([[sexual fantasy]]),<ref>{{Cite journal |last1=Levin |first1=Roy J. |last2=van Berlo |first2=Willy |date=2004-04-01 |title=Sexual arousal and orgasm in subjects who experience forced or non-consensual sexual stimulation – a review |url=https://www.sciencedirect.com/science/article/pii/S1353113103001536 |journal=Journal of Clinical Forensic Medicine |volume=11 |issue=2 |pages=82–88 |doi=10.1016/j.jcfm.2003.10.008 |issn=1353-1131 |pmid=15261004|url-access=subscription }}</ref> or senses other than touch (such as sight, smell, or hearing). Sufficient physical stimulation of the genitals usually results in an orgasm.<ref name="Weiten">{{Cite book |last1=Weiten |first1=Wayne |url=https://books.google.com/books?id=CGu96TeAZo0C&pg=PT423 |title=Psychology Applied to Modern Life: Adjustment in the 21st Century |last2=Dunn |first2=Dana S. |last3=Hammer |first3=Elizabeth Yost |date=2011-01-01 |publisher=Cengage Learning |isbn=978-1-111-18663-0 |page=386 |language=en |oclc=751245411}}</ref><ref name="Clitoris">{{cite web|title=I Want a Better Orgasm!|publisher=[[WebMD]]|access-date=August 18, 2011|url=http://www.webmd.com/sex/want-better-orgasms|archive-url=https://web.archive.org/web/20090113132443/http://www.webmd.com/sex/want-better-orgasms|archive-date=2009-01-13}}</ref><ref name="Kenneth Mah">{{cite journal |last1=Mah |first1=Kenneth |last2=Binik |first2=Yitzchak M |date=January 7, 2001 |title=The nature of human orgasm: a critical review of major trends |url=https://linkinghub.elsevier.com/retrieve/pii/S0272735800000696 |journal=[[Clinical Psychology Review]] |volume=21 |issue=6 |pages=823–856 |doi=10.1016/S0272-7358(00)00069-6 |issn=0272-7358 |oclc=121110003 |pmid=11497209 |quote=Women rated clitoral stimulation as at least somewhat more important than vaginal stimulation in achieving orgasm; only about 20% indicated that they did not require additional clitoral stimulation during intercourse.|url-access=subscription }}</ref><ref name="Kammerer-Doak">{{cite journal |last1=Kammerer-Doak |first1=Dorothy |last2=Rogers |first2=Rebecca G. |date=June 2008 |title=Female Sexual Function and Dysfunction |journal=Obstetrics and Gynecology Clinics of North America |volume=35 |issue=2 |pages=169–183 |doi=10.1016/j.ogc.2008.03.006 |issn=0889-8545 |oclc=264325988 |pmid=18486835 |quote=Most women report the inability to achieve orgasm with vaginal intercourse and require direct clitoral stimulation ... About 20% have coital climaxes...}}</ref> Stimulation can be [[Autoeroticism|by oneself]] ([[masturbation]] or [[sexual fantasy]]) or by a [[sexual partner]] ([[sexual intercourse]] or other [[Human sexual activity|sexual activity]]), by use of [[Sex toy|objects or tools]], or by some combination of these methods.<ref>Based on "masturbation" in ''Merriam-Webster's Collegiate Dictionary, Eleventh Edition'', Merriam-Webster, Inc., 2003</ref>

Some people practice [[Edging (sexual practice)|orgasm control]], whereby a person or their partner controls the level of stimulation to prolong the experience leading up to orgasm.

==Physical sexual stimulation==
Physical sexual stimulation consists of touching the genitals or other [[erogenous zone]]s.

===Genital===
[[File:Erogenous zones of an adult female and adult male.jpg|thumb|Erogenous zones listed on a man and woman]]
[[Masturbation]], [[erotic massage]], and [[Non-penetrative sex#Manual sex|manual sex]] are types of physical stimulation involving the genitals. This stimulation is usually from sensitive [[Somatosensory system|touch receptors]] in the skin or other erogenous zones, which detect when they're being touched. [[Sexual arousal|Arousal]] is triggered through these receptors in these body parts,<ref>{{Cite journal |last1=Schober |first1=Justine M. |last2=Pfaff |first2=Donald |author-link2=Donald W. Pfaff |date=2007 |title=The neurophysiology of sexual arousal |journal=Best Practice & Research. Clinical Endocrinology & Metabolism |volume=21 |issue=3 |pages=445–461 |doi=10.1016/j.beem.2007.04.006 |issn=1521-690X |pmid=17875491}}</ref> which cause the release of pleasure-causing chemicals ([[endorphin]]s) that act as mental rewards to pursue such stimulation. Someone may become aroused by simply touching another person, though the [[bulbocavernosus reflex]] only occurs when a sexual organ (penis or clitoris) is stimulated.<ref name="Wheeless">{{Cite web |last= |first= |date=2020-07-22 |title=Bulbocavernosus Reflex |url=https://www.wheelessonline.com/bones/bulbocavernosus-reflex/ |access-date=2023-06-10 |website=Wheeless' Textbook of Orthopaedics |language=en-US}}</ref>

One study found that women benefit more from pleasurable sex with a committed partner, while gender did not impact the relationship with masturbation.<ref>{{Cite journal |last1=Goodman |first1=Rachel E. |last2=Snoeyink |first2=Megan J. |last3=Martinez |first3=Larry R. |date=2022-12-15 |title=Conceptualizing Sexual Pleasure at Home as a Work-Related Stress Recovery Activity |url=https://www.tandfonline.com/doi/full/10.1080/00224499.2022.2150138 |journal=The Journal of Sex Research |volume=61 |issue=2 |language=en |pages=184–195 |doi=10.1080/00224499.2022.2150138 |issn=0022-4499 |oclc=9711069013 |pmid=36519736|url-access=subscription }}</ref> 

The purpose of [[sex toy]]s is to provide pleasure and stimulation through an alternative route than just using people's bodies. They can be used by someone on their own, with partnered sex, or group sex. They can be exciting and provide new types of stimulation that the body cannot produce, such as vibrations.

Sex toys have been used as a source of sexual stimulation for thousands of years. There have been [[dildo]]s found from the [[Paleolithic|Palaeolithic era]],<ref>{{Cite news |last=Amos |first=Jonathan |date=2005-07-25 |title=Ancient Phallus Unearthed in Cave. |work=BBC |url=http://news.bbc.co.uk/1/hi/sci/tech/4713323.stm }}</ref> made of [[siltstone]] and polished to a high gloss. Dildos were also made of camel dung and coated with resin.<ref>{{Cite book |last=Christina |first=Eva |url=https://books.google.com/books?id=SFcWmcGLXJ4C |title=The Book of Kink: Sex Beyond the Missionary |publisher=Tarcher Perigree |year=2011 |isbn=978-1-101-54509-6 |location=New York |oclc=883308309}}</ref> Historians are uncertain whether these have been used for [[religious ritual]]s or for personal pleasure. It is known that dildos were used for [[fertility ritual]]s,<ref name=":1">{{Cite web|url=http://www.alternet.org/sex-amp-relationships/sex-toy|title=The long, strange history of sex toys.|work=Alternet |date=2013-06-19|access-date=2016-11-21|archive-date=2018-11-10|archive-url=https://web.archive.org/web/20181110080435/https://www.alternet.org/sex-amp-relationships/sex-toy}}</ref> however. The [[ancient Greeks]] created their dildos from a carved penis covered in leather or animal intestines to create a more natural feel.<ref name=":1" /> The Romans created double-ended dildos for use with a partner. Ancient Chinese dildos were made of [[bronze]] or other metals and some were hollow allowing them to be filled with liquid to simulate an [[ejaculation]].<ref>{{Cite book |last=van Driel |first=Mels |title=With the hand: a cultural history of masturbation |publisher=Reaktion Books. |year=2012 |isbn=978-1-86189-957-6 |editor-last=Vincent |editor-first=Paul |location=London |oclc=1055406389}}</ref> These were used because wealthy Chinese men would often have too many wives to please. In Persia, it was thought that the blood of the [[hymen]] was [[Ritually impure|unclean]], and should be avoided by husbands. On the night before a woman's wedding, a local holy man would come and break her hymen with a large stone dildo, a ritual also used to confirm the virginity of the bride.<ref>{{Cite book |last=Monger |first=George Peter |title=Marriage customs of the world: from henna to honeymoons |publisher=ABC-Clio |year=2004 |isbn=978-1-57607-987-4 |edition=2nd |location=California |oclc=879074157}}</ref>

===Non-genital===
There are many areas through which a person can be sexually stimulated, other than the genitals. For example, the nipples, thighs, lips, and neck can all provide sexual stimulation when touched. 
[[File:Oral nipple stimulation small sharpened.png|thumb|Sexual stimulation of a nipple]]
; [[Nipples]]
: One study<ref>{{Cite journal |last1=Levin |first1=Roy |last2=Meston |first2=Cindy |author-link2=Cindy Meston |year=2006 |title=Nipple/breast stimulation and sexual arousal in young men and women. |journal=The Journal of Sexual Medicine |volume=3 |issue=3 |pages=450–454 |citeseerx=10.1.1.421.7798 |doi=10.1111/j.1743-6109.2006.00230.x |issn=1743-6095 |oclc=5154187115 |pmid=16681470}}</ref> administered a questionnaire about sexual activity to 301 participants and found that 81.5% of women reported that stimulating their nipples caused or enhanced sexual arousal and that 59.1% of them asked to have their nipples stimulated during sex. Furthermore, 51.7% of men reported that nipple stimulation caused sexual arousal, and 39% said that it enhanced their existing arousal. Research using<ref name=":5">{{Cite web |last=Pappas |first=Stephanie |date=2011-08-05 |title=Surprise finding in response to nipple stimulation |url=https://www.cbsnews.com/news/surprise-finding-in-response-to-nipple-stimulation/ |access-date=2023-06-10 |website=CBS News |language=en-US}}</ref><ref name=":6">{{Cite journal |last1=Komisaruk |first1=Barry R. |author-link=Barry R. Komisaruk |last2=Wise |first2=Nan |last3=Frangos |first3=Eleni |last4=Liu |first4=Wen-Ching |last5=Allen |first5=Kachina |last6=Brody |first6=Stuart |date=2011-10-01 |title=Women's Clitoris, Vagina, and Cervix Mapped on the Sensory Cortex: fMRI Evidence |journal=The Journal of Sexual Medicine |language=en |volume=8 |issue=10 |pages=2822–2830 |doi=10.1111/j.1743-6109.2011.02388.x |issn=1743-6109 |oclc=755915661 |pmc=3186818 |pmid=21797981}}</ref> [[Brain scan|brain-scanning technology]] found that stimulating nipples in women resulted in the activation of the genital area of the [[sensory cortex]]. The research suggests the sensations are genital orgasms caused by [[nipple stimulation]], and may also be directly linked to "the genital area of the brain".<ref name=":5" /><ref name=":6" /><ref>{{Cite journal |last=Levi |first=Roy J. |year=2006 |title=The breast/nipple/areola complex and human sexuality. |journal=Sexual & Relationship Therapy |volume=21 |issue=2 |pages=237–249 |doi=10.1080/14681990600674674 |issn=1468-1994 |oclc=360784295 |s2cid=219696836}}</ref> In women, one study indicated that sensation from the nipples travels to the same part of the brain as sensations from the [[vagina]], clitoris and cervix. Nipple stimulation may trigger uterine contractions, which then produce a sensation in the genital area of the brain.<ref name=":5" /><ref name=":6" />
; [[Thigh]]s
: In 2012, the California Institute of Technology<ref>{{Cite journal |last1=Gazzola |first1=Valeria |author-link=Valeria Gazzola |last2=Spezio |first2=Michael L. |last3=Etzel |first3=Joset A. |last4=Castelli |first4=Fulvia |last5=Adolphs |first5=Ralph |last6=Keysers |first6=Christian |author-link6=Christian Keysers |year=2012 |title=Primary somatosensory cortex discriminates affective significance in social touch. |journal=Proceedings of the National Academy of Sciences of the United States of America |volume=109 |issue=25 |pages=1657–1666 |doi=10.1073/pnas.1113211109 |issn=0027-8424 |oclc=796036576 |pmc=3382530 |pmid=22665808 |doi-access=free}}</ref> measured brain responses in heterosexual males as they were having their inner thighs touched whilst being [[MRI Scanner|MRI scanned]]. They were either watching a video of a woman touching their thigh or a man touching their thigh. They reported more sexual pleasure when they thought it was the woman touching them than the man, and this was reflected in their MRI scans with greater arousal of their somatosensory cortex. It can be therefore concluded that the thighs are an area that can cause sexual stimulation when touched.
; [[Lip]]s
: Lips contain a huge number of [[nerve endings]] and are considered to be an erogenous zone. Women report experiencing more pleasure from the stimulation of their lips than men do (see below for sex differences in stimulation). In addition to stimulation of the lips by touching, men can be visually stimulated by looking at a woman's lips. It has also been<ref>{{Cite book |last=Symons |first=Donald |title=The Evolution of Human Sexuality. |title-link=The Evolution of Human Sexuality |publisher=Oxford university press. |year=1979 |isbn=978-0-19-987422-4 |location=New York |jstor=2825810 |oclc=729246375 |author-link=Donald Symons}}</ref> reported that men prefer women with fuller lips because they are an indicator of youth.
; [[Neck]]<ref name=":2">{{Cite journal |last1=Turnbull |first1=Oliver H. |last2=Lovett |first2=Victoria E. |last3=Chaldecott |first3=Jackie |last4=Lucas |first4=Marilyn D. |year=2014 |title=Reports of intimate touch: Erogenous zones and somatosensory cortical organization |journal=Cortex |volume=53 |pages=146–154 |doi=10.1016/j.cortex.2013.07.010 |issn=0010-9452 |oclc=5902357995 |pmid=23993282 |s2cid=24804760}}</ref>
: A sample of 800 participants rated 41 different body parts on their erogenous intensity on a scale of 1–10 (10 being the most arousing). Females reported neck stimulation as being more arousing than men did.

===Sex differences in erogenous zones===
This table<ref name=":2" /> shows the sex differences in erogenous zones and includes the top ten most arousing areas for both sexes. Each body part was rated out of ten for how arousing it is when touched. Apart from body parts exclusive to one gender such as the penis or clitoris, many of the erogenous zones are similar and contain many nerve endings. 
{| class="wikitable"
! colspan="3" |Females
! colspan="3" |Males
|-
!Zone
!Mean
!Standard deviation
!Zone
!Mean
!Standard deviation
|-
!Clitoris
|9.17
|2.12
!Penis
|9.00
|2.50
|-
!Vagina
|8.40
|2.35
!Mouth/lips
|7.03
|2.68
|-
!Mouth/lips
|7.91
|2.27
!Scrotum
|6.50
|3.72
|-
!Nape of neck
|7.51
|2.70
!Inner thigh
|5.84
|3.39
|-
!Breasts
|7.35
|2.73
!Nape of neck
|5.65
|3.50
|-
!Nipples
|7.35
|3.15
!Nipples
|4.89
|3.79
|-
!Inner thigh
|6.70
|2.99
!Perineum
|4.81
|4.10
|-
!Back of neck
|6.20
|3.15
!Pubic hairline
|4.80
|3.82
|-
!Ears
|5.06
|3.40
!Back of neck
|4.53
|3.42
|-
!Lower back
|4.73
|3.38
!Ears
|4.30
|3.50
|}

===Internal stimulation===
The [[excitation-transfer theory]] states that existing arousal in the body can be transformed into another type of arousal. For example, sometimes people can be sexually stimulated from residual arousal arising from something such as exercise, being transformed into another type of arousal such as sexual arousal. In one study<ref>{{Cite journal |last1=Cantor |first1=Joanne |last2=Bryant |first2=Jennings |last3=Zillmann |first3=Dolf |author-link3=Dolf Zillmann |year=1975 |title=Enhancement of experienced sexual arousal in response to erotic stimuli through misattribution of unrelated residual excitation. |url=https://www.researchgate.net/publication/21948123 |journal=Journal of Personality and Social Psychology |volume=32 |issue=1 |pages=69–75 |doi=10.1037/h0076784 |issn=0022-3514 |oclc=114247732 |pmid=1206469}}</ref> participants performed some physical exercise and at different stages of recovery had to watch an erotic film and rate how aroused it made them feel. They found that participants who were still experiencing excitatory residues from the exercise rated the film as more arousing than those who had fully recovered from the exercise. This suggests that the remaining arousal from the exercise was being transformed into sexual arousal without any external stimulation.

==Alternative routes==
The human sexual response is a dynamic combination of cognitive, emotional, and physiological processes. Whilst the most common forms of sexual stimulation discussed are [[Sexual fantasy|fantasy]] or physical stimulation of the genitals and other erogenous areas, sexual arousal may also be mediated through alternative routes such as visual, olfactory and auditory means.

===Visual===
Perhaps the most researched non-tactile form of sexual stimulation is visual sexual stimulation.<ref>{{cite journal |last1=Arnow |first1=Bruce A. |last2=Desmond |first2=John E. |last3=Banner |first3=Linda L. |last4=Glover |first4=Gary H. |last5=Solomon |first5=Ari |last6=Polan |first6=Mary Lake |author-link6=Mary Lake Polan |last7=Atlas |first7=Scott William |author-link7=Scott Atlas |last8=Lue |first8=Tom F. |year=2002 |title=Brain activation and sexual arousal in healthy, heterosexual males |url=https://academic.oup.com/brain/article/125/5/1014/328126?login=false |journal=[[Brain (journal)|Brain]] |volume=125 |issue=5 |pages=1014–1023 |doi=10.1093/brain/awf108 |issn=1460-2156 |oclc=8254606391 |pmid=11960892 |doi-access=free}}</ref><ref>{{cite journal |last1=Karama |first1=Sherif |last2=Lecours |first2=André Roch |last3=Leroux |first3=Jean-Maxime |last4=Bourgouin |first4=Pierre |last5=Beaudoin |first5=Gilles |last6=Joubert |first6=Sven |last7=Beauregard |first7=Mario |author-link7=Mario Beauregard |year=2002 |title=Areas of brain activation in males and females during viewing of erotic film excerpts |journal=[[Human Brain Mapping]] |volume=16 |issue=1 |pages=1–13 |doi=10.1002/hbm.10014 |issn=1065-9471 |oclc=5153773005 |pmc=6871831 |pmid=11870922 |s2cid=18912925 }}</ref><ref>{{cite journal |last1=Rupp |first1=Heather A. |last2=Wallen |first2=Kim |year=2008 |title=Sex differences in response to visual sexual stimuli: A review |journal=[[Archives of Sexual Behavior]] |volume=37 |issue=2 |pages=206–218 |doi=10.1007/s10508-007-9217-9 |issn=0004-0002 |oclc=264113859 |pmc=2739403 |pmid=17668311}}</ref> An apparent example is the act of [[voyeurism]]{{snd}}a practice where an individual covertly watches another undress or engage in sexual behaviour. Although seen socio-historically as an unacceptable form of '[[Paraphilia|sexual deviation]]', it highlights the human tendency to find sexual stimulation through purely visual routes. The multibillion-dollar [[porn]] industry is another example. A common presumption is that men respond more strongly to visual sexual stimuli than do women. This is perhaps best exemplified by the [[Alfred Kinsey|Kinsey]] hypothesis that men are more prone to sexual arousal from visual stimulation than are women.<ref>Kinsey, A. C., Pomeroy, W. B., Martin, C. E., & Sloan, S. (1948). [[Sexual behavior in the human male]].</ref><ref>Mulvey, L. (1989). [http://theslideprojector.com/pdffiles/art6/visualpleasureandnarrativecinema.pdf Visual pleasure and narrative cinema]. In ''Visual and other pleasures'' (pp. 14-26). Palgrave Macmillan UK.</ref> Nonetheless, both sexes can be sexually aroused through visual stimulation. In one study, visual stimulation was tested by means of an erotic video. Although significantly higher in the male group, sexual arousal was the main emotional reaction reported by both sexes. Their physiological responses to the video also showed characteristics of sexual arousal, such as increased urinary excretions of [[Epinephrine|adrenaline]].<ref>{{cite journal | last1 = Levi | first1 = L | year = 1969 | title = Sympatho-adrenomedullary activity, diuresis, and emotional reactions during visual sexual stimulation in human females and males | journal = Psychosomatic Medicine | volume = 31 | issue = 3| pages = 251–268 | doi=10.1097/00006842-196905000-00005| pmid = 5790114 | citeseerx = 10.1.1.564.5354 | s2cid = 19788356 }}</ref> A subsequent study investigating male arousal showed that men were able to achieve rigid [[erection]]s through visual stimulation of an erotic film alone.<ref>{{cite journal | last1 = Lee | first1 = B. | last2 = Sikka | first2 = S. C. | last3 = Randrup | first3 = E. R. | last4 = Villemarette | first4 = P. | last5 = Baum | first5 = N. | last6 = Hower | first6 = J. F. | last7 = Hellstrom | first7 = W. J. | year = 1993 | title = Standardization of penile blood flow parameters in normal men using intracavernous prostaglandin E1 and visual sexual stimulation | journal = The Journal of Urology | volume = 149 | issue = 1| pages = 49–52 | doi=10.1016/s0022-5347(17)35996-7| pmid = 8417216 }}</ref>

Studies that use visual stimulation as a means for sexual stimulation find that sexual arousal is predominantly correlated with an activation in [[Limbic system|limbic]] and [[paralimbic cortex]] and in [[Cerebral cortex|subcortical]] structures, along with a deactivation in several parts of the [[temporal cortex]]. These same areas are activated during physical sexual stimulation, highlighting how powerful visual stimulation can be as a means of [[sexual arousal]].<ref>{{cite journal | last1 = Holstege | first1 = G. | last2 = Georgiadis | first2 = J. R. | last3 = Paans | first3 = A. M. | last4 = Meiners | first4 = L. C. | last5 = van der Graaf | first5 = F. H. | last6 = Reinders | first6 = A. S. | year = 2003 | title = Brain activation during human male ejaculation | journal = The Journal of Neuroscience | volume = 23 | issue = 27| pages = 9185–9193 | doi = 10.1523/JNEUROSCI.23-27-09185.2003 | pmid = 14534252 | pmc = 6740826 }}</ref>

===Olfactory===
Olfactory information is critical to human sexual behavior. One study investigating olfactory sexual stimulation found that heterosexual men experience sexual arousal in response to a female perfume. Individuals rated odourant stimulation and perceived sexual arousal. They also had [[Functional magnetic resonance imaging|functional MRI]] scans taken during the experiment. The results showed that olfactory stimulation with women's perfume produces activation of specific brain areas associated with sexual arousal in men.<ref>{{cite journal | last1 = Huh | first1 = J. | last2 = Park | first2 = K. | last3 = Hwang | first3 = I. S. | last4 = Jung | first4 = S. I. | last5 = Kim | first5 = H. J. | last6 = Chung | first6 = T. W. | last7 = Jeong | first7 = G. W. | year = 2008 | title = Brain activation areas of sexual arousal with olfactory stimulation in men: A preliminary study using functional MRI | url = http://www.jsm.jsexmed.org/article/S1743-6095(15)31972-X/fulltext | journal = The Journal of Sexual Medicine | volume = 5 | issue = 3| pages = 619–625 | doi=10.1111/j.1743-6109.2007.00717.x| pmid = 18221282 | url-access = subscription }}</ref> Another study found that homosexual men displayed similar [[hypothalamus|hypothalamic]] activation to that of heterosexual women when smelling a testosterone derivate present in male sweat, suggesting that [[sexual orientation]] plays a role in how humans experience olfactory sexual stimulation.<ref>{{cite journal | last1 = Savic | first1 = Ivanka | last2 = Berglund | first2 = Hans | last3 = Lindström | first3 = Per | year = 2005 | title = Brain response to putative pheromones in homosexual men | journal = Proceedings of the National Academy of Sciences of the United States of America | volume = 102 | issue = 20| pages = 67356–7361 | doi=10.1073/pnas.0407998102| pmid = 15883379 | pmc = 1129091 | bibcode = 2005PNAS..102.7356S | doi-access = free }}</ref>

Evolutionary analysis of sex differences in reproductive strategies can help explain the importance of smell in sexual arousal due to its link to immunological profile and offspring viability.<ref>{{cite journal | last1 = Rikowski | first1 = A. | last2 = Grammer | first2 = K. | year = 1999 | title = Human body odour, symmetry and attractiveness | journal = Proceedings of the Royal Society of London B: Biological Sciences | volume = 266 | issue = 1422| pages = 869–874 | doi=10.1098/rspb.1999.0717| pmid = 10380676 | pmc = 1689917 }}</ref> This is because olfactory cues may be able to trigger an [[incest]] avoidance mechanism by reflecting parts of an individual's genetic equipment. In one study, males rated visual and olfactory information as being equally important for selecting a lover, while females considered olfactory information to be the single most important variable in [[mate choice]]. Additionally, when considering sexual activity, females singled out [[Body odor|body odour]] from all other sensory experiences as most able to negatively affect desire.<ref>{{cite journal | last1 = Herz | first1 = R. S. | last2 = Cahill | first2 = E. D. | year = 1997 | title = Differential use of sensory information in sexual behavior as a function of gender | url = https://www.researchgate.net/publication/225106584 | format = PDF | journal = Human Nature | volume = 8 | issue = 3| pages = 275–286 | doi=10.1007/bf02912495| pmid = 26196967 | s2cid = 29672935 }}</ref>

===Auditory===
Auditory stimulants may also serve to intensify sexual arousal and the experience of pleasure. Making sounds during sexual arousal and sexual activity is widespread among primates and humans. These include sighs, moans, strong expirations and inspirations, increased breathing rate and occasionally, at orgasm, screams of ecstasy. Many of these sounds are highly exciting to people, and act as strong reinforcers of sexual arousal, creating a powerful positive feedback effect.<ref>{{cite journal | last1 = Levin | first1 = R. J. | year = 1992 | title = The mechanisms of human female sexual arousal | journal = Annual Review of Sex Research | volume = 3 | pages = 1–48 | doi=10.1080/10532528.1992.10559874}}</ref> Thus, [[Female copulatory vocalizations|copulatory vocalisations]] are likely to serve mutual sexual stimulation for mating partners.<ref>{{cite journal | last1 = Hamilton | first1 = W. J. | last2 = Arrowood | first2 = P. C. | year = 1978 | title = Copulatory vocalizations of chacma baboons (Papio ursinus), gibbons (Hylobates hoolock), and humans | journal = Science | volume = 200 | issue = 4348| pages = 1405–1409 | doi=10.1126/science.663622 | pmid = 663622| bibcode = 1978Sci...200.1405H }}</ref>

Even when not coupled with "touching", sounds can be highly sexually arousing. Commercial erotic material (mainly produced for the male market) uses such sounds extensively. As early as the 1920s and 30s, several genres of singers turned to "low moans" for erotic effect. [[Vaudeville]] Jazz singers often incorporated sex sounds into the narrative of the lyrics. Even contemporary music such as [[Prince (musician)|Prince]]'s "Orgasm" or [[Marvin Gaye]]'s "[[You Sure Love to Ball]]" includes sounds of the female orgasm.<ref>{{cite journal | last1 = Corbett | first1 = J. | last2 = Kapsalis | first2 = T. | year = 1996 | title = Aural Sex: The Female Orgasm in Popular Sound| journal = TDR| volume = 40 | issue = 3| pages = 102–111 | doi=10.2307/1146553| jstor = 1146553 }}</ref> Research has shown music to be an auditory sexual stimulant. In one mood induction study, exposure to certain music resulted in significantly greater [[penile tumescence]] and subjective sexual arousal for men.<ref>{{cite journal | last1 = Mitchell | first1 = W. B. | last2 = DiBartolo | first2 = P. M. | last3 = Brown | first3 = T. A. | last4 = Barlow | first4 = D. H. | year = 1998 | title = Effects of positive and negative mood on sexual arousal in sexually functional males | journal = Archives of Sexual Behavior | volume = 27 | issue = 2| pages = 197–207 | doi = 10.1023/A:1018686631428 | pmid = 9562901 | s2cid = 28731412 }}</ref> In a similar experiment, women did not show significant physiological responses to certain types of music but did report higher levels of sexual arousal.<ref>{{cite journal | last1 = Laan | first1 = E. | last2 = Everaerd | first2 = W. | last3 = Van Berlo | first3 = R. | last4 = Rijs | first4 = L. | year = 1995 | title = Mood and sexual arousal in women | journal = Behaviour Research and Therapy | volume = 33 | issue = 4| pages = 441–443 | doi=10.1016/0005-7967(94)00059-s| pmid = 7755530 }}</ref> Further studies have looked at the connection between auditory stimulation and the experience of sexual pleasure. Whilst the highest levels of physiological and subjective arousal were found for visual stimuli, spoken-text was found to elicit sexual arousal in men, implicating sounds as a means of sexual stimulation.<ref>{{cite journal | last1 = Julien | first1 = E. | last2 = Over | first2 = R. | year = 1988 | title = Male sexual arousal across five modes of erotic stimulation | journal = Archives of Sexual Behavior | volume = 17 | issue = 2| pages = 131–143 | doi=10.1007/bf01542663| pmid = 2456050 | s2cid = 41278617 }}</ref> [[Phone sex]] is one type of arousal inducer that makes use of this effect.

==Mental stimulation==
Sexual arousal includes feelings, attractions and desires, as well as physiological changes.<ref name=":3">LeVay, S., & Valente, S. M. (2006). ''Human sexuality'' (2nd ed.). Sunderland, MA: Sinauer Associates.</ref> These can be elicited not only by physical but also mental stimulations, such as [[Sexual fantasy|fantasy]], erotic literature, dreams, role-play, and imagination.

===Fantasy===
[[File:Alsana Sin by ropemarks.jpg|thumb|[[Bondage (BDSM)|Bondage]] can be a sexual fantasy and is often practiced by those participating in [[BDSM]]]]
[[Sexual fantasy]] is a form of mental sexual stimulation which many people engage in.<ref name=":3" /> It is where a person imagines a sexual experience while they are awake. Fantasy has less social or safety limits than in real life situations. It gives people more freedom to experiment or think of things they could not necessarily try in real life and can be anything from imagining your spouse naked, to imagining a sexual experience with a mythical creature. Common sexual fantasies include imagining activities with a loved partner, reliving past experiences and experiences with multiple partners of the opposite gender.<ref name=":3" /> It is also common to have fantasies about things you would not do in real life and about taboo or illegal activities, such as forcing another, or being forced by another to have sex, intercourse with a stranger and sex with a boy or girl or older partner.<ref name=":3" /><ref name=":4">{{cite journal | last1 = Leitenberg | first1 = H. | last2 = Henning | first2 = K. | year = 1995 | title = Sexual fantasy | journal = Psychological Bulletin | volume = 117 | issue = 3| pages = 469–496 | doi=10.1037/0033-2909.117.3.469 | pmid = 7777650}}</ref>

It is useful for research because it makes differences between male and female heterosexual preferences clearer than studies of behaviour. Many sexual fantasies are shared between men and women, possibly because of cultural influence.<ref name=":4" /> However, there are still gender differences that have been found. Men are more likely than women to imagine being in a dominant or active role, whereas women are more likely to imagine themselves as passive participants.<ref name=":4" /> Women's fantasies have significantly more affection and commitment,<ref>{{cite journal | last1 = Kelley | first1 = K | year = 1984 | title = Sexual fantasy and attitudes as functions of sex of subject and content of erotica | journal = Imagination, Cognition, and Personality | volume = 4 | issue = 4| pages = 339–347 | doi=10.2190/j66d-n10e-lth5-8aw5| s2cid = 144756486 }}</ref> whereas men are more likely to fantasise using visual imagery and explicit detail.<ref>{{cite journal | last1 = Barclay | first1 = A. M. | year = 1973 | title = Sexual fantasies in men and women | url = http://psycnet.apa.org/record/1974-05175-001 | journal = Medical Aspects of Human Sexuality | volume = 7 | pages = 205–216 }}</ref><ref>{{cite journal | last1 = Hardin | first1 = K. | last2 = Gold | first2 = S. | year = 1988 | title = Relationship of sex, sex guilt, and experience to written sexual fantasies | journal = Imagination, Cognition, and Personality | volume = 8 | issue = 2| pages = 155–163 | doi=10.2190/yqqj-7a8u-23le-59kj| s2cid = 145369267 }}</ref> One explanation of this difference comes from the [[Evolutionary psychology|evolutionary perspective]]. Women have a higher minimum parental investment than males (they have 9 months of gestation prior birth and are then the main care givers, whereas men only have to provide sperm to ensure their genes are passed on) and are therefore more likely to want commitment from their partner in order to gain resources to improve their offspring's chance of survival.<ref>{{cite journal | last1 = Ellis | first1 = B. | last2 = Symons | first2 = D. | year = 1990 | title = Sex Differences in Sexual Fantasy: An Evolutionary Psychological Approach | journal = The Journal of Sex Research | volume = 27 | issue = 4| pages = 527–555 | doi=10.1080/00224499009551579}}</ref>

Fantasies can have benefits, such as increasing arousal more than other forms of sexual stimuli (such as an [[Erotic literature|erotic story]]) and increasing [[sexual desire]].<ref>{{cite journal | last1 = Goldey | first1 = K. L. | last2 = van Anders | first2 = S. M. | year = 2012 | title = Sexual arousal and desire: Interrelations and responses to three modalities of sexual stimuli | url = http://www.jsm.jsexmed.org/article/S1743-6095(15)34099-6/fulltext | journal = Journal of Sexual Medicine | volume = 9 | issue = 9| pages = 2315–2329 | doi=10.1111/j.1743-6109.2012.02845.x| pmid = 22788995 | hdl = 2027.42/93670 | hdl-access = free }}</ref><ref>{{Cite web|title=Erotica Stories – EroticaTale|url=https://eroticatale.com/|access-date=2020-10-27|website=Free Sex Stories and Adult Erotica Stories|language=en-US}}</ref> Individuals who disclose their sexual fantasies to their partners also have a higher sexual satisfaction. However, whether people are willing to open up to their partner generally depends on the content of such fantasies.<ref>Anderson, M. (2012). ''[https://kuscholarworks.ku.edu/bitstream/handle/1808/9806/Anderson_ku_0099D_11825_DATA_1.pdf?sequence=1&isAllowed=y Sexual communication in romantic relationships: An investigation into the disclosure of sexual fantasies]'' (Order No. AAI3489846).</ref> A more negative effect of sexual fantasy is that it has been linked with [[sexual crimes]], and indeed sexual offenders often report that they have had fantasies related to their offense.<ref name=":4" /> However, such fantasies are also common among those who have not been involved in such criminal acts<ref name=":4" /> and non-offenders do not use their fantasies to guide their behaviour.<ref>{{cite journal | last1 = Howitt | first1 = D | year = 2004 | title = What is the role of fantasy in sex offending? | journal = Criminal Behaviour and Mental Health | volume = 14 | issue = 3| pages = 182–188 | doi=10.1002/cbm.585| pmid = 15614321 }}</ref> Therefore, fantasy alone cannot be used as a sign that someone will become an offender.<ref name=":4" />

===Dreams===
[[Nocturnal emission]] orgasms or "wet dreams" or "erotic dreams" are when people ejaculate or orgasm during sleep.<ref>{{Cite web|last=Geller|first=Lindsay|date=2019-06-07|title=Whoa, You'll Never Guess What A Lesbian Sex Dream Really Means If You're Straight|url=https://www.womenshealthmag.com/sex-and-love/a27786084/lesbian-sex-dreams/|access-date=2020-10-27|website=Women's Health|language=en-US}}</ref> These occur during [[Rapid eye movement sleep|REM (rapid eye movement)]] phases of sleep,<ref name=":3" /> which is the main stage when humans dream.<ref>{{cite journal | last1 = Suzuki | first1 = H. | last2 = Kuga | first2 = R. | last3 = Uchiyama | first3 = M. | year = 2002 | title = Relationship between dream experience and sleep state under ultra-short sleep-wake schedule | url = https://www.jstage.jst.go.jp/article/jjppp1983/20/1/20_19/_pdf | journal = Japanese Journal of Physiological Psychology and Psychophysiology | volume = 20 | pages = 19–28 | doi=10.5674/jjppp1983.20.19| doi-access = free }}</ref> This implies that erotic dreams alone are enough to stimulate men, but erections accompany all REM phases.<ref name=":3" /> According to self-report data, as many as 22% of young women may also experience [[orgasm]] during sleep, with such dreams being more common in college students in higher school years than younger students.<ref name=":0">{{cite journal | last1 = Henton | first1 = C. L. | year = 1976 | title = Nocturnal orgasm in college woman: Its relation to dreams and anxiety associated with sexual factors | journal = Journal of Genetic Psychology | volume = 129 | issue = 2| pages = 245–51 | doi=10.1080/00221325.1976.10534034| pmid = 1003178 }}</ref> The orgasms experienced were positively correlated with high emotionality, including [[Sexual arousal|sexual excitement]], but also [[anxiety]].<ref name=":0" />

===Sexual role-play===
[[Sexual roleplay|Sexual role-play]] is when people act out characters or scenarios which may sexually stimulate each other. This can include [[Sexual fantasy|fantasies]] (discussed above) and [[Sexual fetishism|fetishes]], such as [[BDSM]] (bondage and discipline, dominance and submission, sadism and masochism) or [[Ageplay|age-play]]. It has been described by some as an adult form of [[Live action role-playing game|L.A.R.P]] (live action role-play).<ref>{{cite journal | last1 = Harviainen | first1 = J. T. | year = 2011 | title = Sadomasochist role-playing as live-action role-playing: a trait-descriptive analysis | url = http://www.ijrp.subcultures.nl/wp-content/issue2/IJRPissue2-Article5.pdf | journal = International Journal of Role-Playing | volume = 2 | issue = 2 | pages = 59–70 | doi = 10.33063/ijrp.vi2.194 | access-date = 2017-09-14 | archive-date = 2020-07-06 | archive-url = https://web.archive.org/web/20200706053619/http://www.ijrp.subcultures.nl/wp-content/issue2/IJRPissue2-Article5.pdf }}</ref> Role-play can also be carried out online, by typing stories to each other or pretending to be a character, and is therefore a form of mental stimulation you can engage in with another person without them being physically present. Many adolescents find online role-play pleasurable and arousing.<ref>{{cite journal | last1 = Nielsen | first1 = S. | last2 = Paasonen | first2 = S. | last3 = Spisak | first3 = S. | year = 2015 | title = 'Pervy role-play and such': Girls' experiences of sexual messaging online | journal = Sex Education | volume = 15 | issue = 5| pages = 472–485 | doi=10.1080/14681811.2015.1048852| s2cid = 142054076 }}</ref>

Role-play can also include sexual [[fan fiction]], where characters from well-known stories, that were not sexually or romantically together in the original story, are written into sexual scenes. [[Slash fiction]] is a type of fan fiction where the characters of the same sex (originally male-male) engage in romantic or sexual activities. Slash fiction allows people the freedom to share stimulating things that can be counter-cultural.<ref>Kustritz, A. M. (2008). Productive (cyber) public space: Slash fan fiction's multiple imaginary (Order No. AAI3276215). Available From PsycINFO. (621716546; 2008-99030-157).</ref>

== 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>

== Responses to sexual stimulation ==

=== Brain ===
When sexual stimulation is perceived, there are systems in the brain that receive the stimuli and respond to it. During physiological sexual arousal, the [[autonomic nervous system]] responds to signals from central nervous system and prepares the body for sexual activity.<ref name=":10">{{Cite journal |date=2011 |editor-last=Mulhall |editor-first=John P. |editor2-last=Incrocci |editor2-first=Luca |editor3-last=Goldstein |editor3-first=Irwin |editor4-last=Rosen |editor4-first=Ray |title=Cancer and Sexual Health |journal=SpringerLink |language=en |doi=10.1007/978-1-60761-916-1|isbn=978-1-60761-915-4 }}</ref> The autonomic nervous system engages the parasympathetic and sympathetic systems, which are responsible for blood flow to genital and erectile tissues, and to muscles that participate in sexual responses.<ref name=":10" /> This results in responses like increased breathing rate, heart rate, and pupil dilation. The [[limbic system]] also plays a part in how sexual stimuli are received.<ref name=":11">{{Cite book |last=Lehmiller |first=Justin J. |title=The psychology of human sexuality |date=2018 |publisher=Wiley Blackwell |isbn=978-1-119-16470-8 |edition=Second |location=Hoboken, NJ}}</ref> A study done about pleasure and brain activity in men showed that electrical stimulation of the limbic system is highly pleasurable, and can sometimes generate orgasmic responses.<ref name=":11" /> During genital stimulation different areas of the brain are activated in men and women. For men, a study saw that genital stimulation caused part of the [[cerebral cortex]] and the insula, which is a part of the sympathetic and parasympathetic systems, to activate.<ref name=":12">{{Cite journal |last1=Georgiadis |first1=Janniko R. |last2=Reinders |first2=A.A.T. Simone |last3=Paans |first3=Anne M.J. |last4=Renken |first4=Remco |last5=Kortekaas |first5=Rudie |date=2009-02-13 |title=Men versus women on sexual brain function: Prominent differences during tactile genital stimulation, but not during orgasm |journal=Human Brain Mapping |volume=30 |issue=10 |pages=3089–3101 |doi=10.1002/hbm.20733 |issn=1065-9471 |pmc=6871190 |pmid=19219848}}</ref> For women, during clitoral stimulation parts of the secondary somatosensory cortex were activated.<ref name=":12" /> In both men and women the [[amygdala]] was deactivated.<ref name=":12" />

=== Induced ovulation ===
Some mammal species are [[Induced ovulation (animals)|induced ovulators]], requiring stimulation of the genitals during [[Copulation (zoology)|copulation]] in order to [[Ovulation|ovulate]].<ref>{{Cite book |last1=Norris |first1=David O. |url=https://books.google.com/books?id=ghHtEAAAQBAJ&pg=PA265 |title=Hormones and Reproduction of Vertebrates, Volume 5: Mammals |last2=Lopez |first2=Kristin H. |date=2024-08-08 |publisher=Elsevier |isbn=978-0-443-15985-5 |language=en}}</ref>

==See also==

*[[Ejaculation]]
*[[Neuroanatomy of intimacy]]
*[[Clitoral hood#Stimulation|Stimulation of the clitoral hood]]

==References==
{{Reflist}}

==Further reading==
*{{cite book|author=Alan F. Dixson|title=Primate Sexuality: Comparative Studies of the Prosimians, Monkeys, Apes, and Humans|url=https://books.google.com/books?id=SY-PyKNQglIC|access-date=28 September 2013|date=26 January 2012|publisher=Oxford University Press|isbn=978-0-19-954464-6}}
*{{cite book|author=Bruce Bagemihl|title=Biological Exuberance: Animal Homosexuality and Natural Diversity|url=https://archive.org/details/biologicalexuber00bage|url-access=registration|quote=stimulation.|date=10 April 2000|publisher=St. Martin's Press|isbn=978-1-4668-0927-7}}
{{Sex}}

{{DEFAULTSORT:Sexual Stimulation}}
[[Category:Sexology]]
[[Category:Human sexuality]]