Sexual arousal 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 kissing, cuddling, and petting of an erogenous zone. This may in turn make the person desire direct sexual stimulation of the breasts, nipples, buttocks and/or genitals, and further sexual activity. Erotic stimuli may originate from a source unrelated to the object of
Female sexual arousal disorder and research is presented to clinicians are also ethically ambiguous, as they are also funded by pharmaceutical companies. It is also worth noting that female sexual arousal disorder is rarely a solitary diagnosis. Due to its high rates of comorbidity with hypoactive sexual desire disorder, a new disorder is being proposed for the DSM-5: Sexual Interest/Arousal Disorder. The diagnostic criterion "persistent or recurrent" symptoms is also problematic in that it is vague and could lead to too much reliance on clinical judgment. Heather Hartely of Portland State University, Oregon is critical of the shift from female sexual dysfunction being framed