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Womens subjective experience of sexual arousal appears to be based more on their appraisal of the situation than on their bodily responses In a recent study we investigated whether pre- and postmenopausal women with sexual arousal disorder are less genitally responsive to visual sexual stimuli than pre- and postmenopausal women without sexual problems We found no signicant differences in mean and maximum genital response between the women with and without sexual arousal disorder, nor in latency of genital response.
The women with sexual arousal disorder were no less genitally responsive to visual sexual stimuli than age- and menopausal status-matched women without such problems, even though they had been carefully diagnosed, using strict and unambiguous cri- teria of impaired genital responsiveness. It is clear that the sexual stimuli used in this laboratory study even though these stimuli were merely visual were effective in evoking genital response. Sexual stimulation must have been effective at one point in the participants lives, because primary anorgasmia was an exclusion criterion.
The exclusion, halfway through the study, of a participant who no longer met the criteria for sexual arousal disorder after having met a new sexual partner, also illustrates that inadequate sexual stimulation may be one of the most important reasons for sexual arousal problems. In this study, genital responses did not differ between the groups with and without sexual arousal disorder, but sexual feelings and affect did.