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
Persistent genital arousal disorder regard to the International Consultation on Sexual Medicine (ICSM). In 2009, "persistent genital arousal dysfunction" was included in its third edition. PGAD is not included in the "Diagnostic and Statistical Manual of Mental Disorders" (DSM-5) or the International Classification of Diseases (ICD-10), which may be due to the disorder requiring further research. The condition has been characterized by a researcher as being a term with no scientific basis. There is concern that the title may be misleading because, since the genital arousal is unwanted, it is dubious to characterize it as arousal. Other researchers have suggested that the disorder be