Arousal and anxiety have a different relationship than arousal and depression. Androgens may modulate the physiology of vaginal tissue and contribute to female genital sexual arousal. Passion can be associated with either physical arousal or emotional stimulation. It is normal to correlate the erection of the penis with male sexual arousal. Sexual/arousal which expresses sexual intent. CPA works by decreasing sex drive and sexual arousal and producing sexual dysfunction. This leads to enhanced sexual arousal, which may ultimately result in orgasm. Sexual arousal and masturbation in women produce small increases in testosterone concentrations. Thoughts, fantasies, and memories of previous instances of arousal and orgasm can produce sexual excitation. Making sounds during sexual arousal and sexual activity is widespread among primates and humans. An erection is the stiffening and rising of the penis, which occurs during sexual arousal. Another aspect is the lack of concordance between subjective sexual arousal and genital arousal. These surgeries can impact pain, elasticity, vaginal lubrication and sexual arousal. Clitoromegaly is not the same as normal enlargement of the clitoris seen during sexual arousal. This may result from any of various physiological stimuli, including sexual arousal.