It can mean intercourse. It can mean a dream or fantasy. I found clinically that some women had changes in their liver function studies while on Estratest. I found that testosterone had better results than Estratest when given topically via a cream, gel, tape or pellet. And in providing testosterone this way women had few negative side affects as well.
Female sexuality is all about hormones.
You can read about Sex, Sensuality and Sexuality and NCHtm in No More Menopause. Physical Reasons I have treated many hundreds of women who have been altered by gynecological and obstetrical procedures in the past. Female sexuality can be removed in total and decreased by what physicians do in the course of providing surgical care to women. I have seen the vaginas torn up and scarred from childbirth in which there is pain and discomfort. I have seen vaginas left so torn open that the woman can not feel any pleasure with intercourse.