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PubMed1985

Hemodynamics of sequential orgasm.

Seventeen women masturbated to orgasm several times in succession while being measured intravaginally by a device that allows continuous oxygen and blood flow readings. Analysis of covariance showed significant differences between fantasy and orgasm and between orgasm and interorgasm relaxation periods. The data do not provide physiological evidence that successive orgasms are either physiologically or subjectively stronger but do provide physiological evidence of a plateau phase of sexual response in women.

Adult↗

PubMed1986

[Some factors which modify the ability of the female to achieve orgasm].

Between 1952 and 1984 a sexological study was conducted among 2,159 gynecologic patients who had been referred to Franzensbad for treatment. All the women had been married for at least one year. Their ages ranged from 21 to 40. The number of women those born between 1911 and 1960 who frequently achieved orgasm has increased. Women with late menarch (from age 16 onward) generally were less able to achieve orgasm than those with menarche at age 11. The average age at menarch among women born between 1911 and 1920 was 13.92 years. Among women born after 1950 it was 13.06 years. Within the same period of time the age at which the first coitus took place dropped from 20.75 to 17.92 years. The average age at which the first coitus occurred increases commensurately with age at menarche. Statistically, women who experienced orgasm began their full sex-life significantly earlier than those with low orgasm ability or anorgasmy. On average, women with only elementary school education first had sexual intercourse earlier than those who had attended a higher school and sat a school-leaving examination. Only 7% of the women born after 1950 had grown up in families with 6 or more children, while this was the case for a quarter of the women surveyed who were born between 1911 and 1920. The findings described support the view that the positive changes in women's sex-lives are influenced by the simultaneous effect of biological and psychosocial factors.

Adult↗

PubMed1983

Methodological issues in the study of sex therapy: effective components in the treatment of secondary orgasmic dysfunction.

Three components commonly utilized in sex therapy for secondary orgasmic dysfunction (Sensate Focus I, Sensate Focus II, and ban on intercourse) were studied, with the aim of not only exploring their effects on therapy outcome but also, in part, of sensitizing investigators to the benefits of incorporating component analyses within larger investigations of therapy outcome. The subjects were 23 married couples with the problem of secondary orgasmic dysfunction in the wife. Subjects were administered a multicomponent therapy program over a 14-week period. Daily self-monitoring data were analyzed to assess the impact of Sensate Focus exercises and banning intercourse on both broad (e.g., enjoyment) and narrow (e.g., orgasmic response) criteria of therapeutic effectiveness. Results indicated that for females, sensate focus exercises, in combination with a ban on intercourse, led to a significant increase in level of enjoyment for subsequent noncoital sexual caressing as well as intercourse. Orgasmic responsiveness, however, was not affected. The methodological issues of broad versus narrow therapeutic effects, compliance with treatment, and cost-effective techniques for the study of sex therapy components are discussed.

Adult↗

PubMed1987

The treatment of secondary orgasmic dysfunction II.

This study investigated the impact of group treatment on women with secondary orgasmic dysfunction and their partners. Eleven couples received 4 hours of basic sex education, after which seven of the couples received a Combination treatment format consisting of communication skills followed by sexual skills, while four of the couples received the opposite sequence. No significant differences were found between the two sequences. When compared with similarly recruited control couples in a previous study, a significantly greater number of treated women reached or exceeded the 50% criterion for coital orgasmic functioning after treatment. Couples who reported a better relationship adjustment prior to treatment reported a significantly greater gain in total sexual harmony than did less adjusted couples. Across the treatment conditions, women who had reached coital orgasm prior to treatment reported a significantly greater increase in relationship adjustment between the post-sex education and 6-month follow-up testing periods than women who had never reached coital orgasm. Some discrepancies in outcome were found in comparison with our earlier study, suggesting that subject heterogeneity may influence differential outcomes.

Adult↗

PubMed1992

Infrequent orgasms in women.

Out of a sample of 2,425 gynecological patients aged 21-40 and married for at least one year, three groups were selected according to the frequency of coital orgasm. The first, orgastic, group contained 1,266 (52.2%) orgastic women, the second group included 466 (19.2%) patients with infrequent orgasms, and the third group consisted of 151 (6.2%) patients whose infrequent orgasms were felt by the examinees as distressing. Significant differences were found between the three groups concerning family environment and childhood, level of education and professional standing, sexual development and life, and in the incidence of psychopathological symptoms. It appears that the insufficient capacity of many women to attain regular orgasms in sexual intercourse is caused by several factors of both biological and psychosocial nature.

Adult↗

PubMed1978

Sexual behavior correlates of female orgasm and marital happiness.

The present study was designed to investigate sexual behavior correlates of marital happiness and female orgasm. Forty-eight female students of Baylor University who were 20 to 35 years old and had been married at least 2 years participated in the survey. A specially compiled 131-item marital relations questionnaire provided data for an intercorrelational analysis. Marital happiness, fidelity, and experience of orgasm correlated with certain specific sexual behaviors. These variables were related also to dissatisfaction with marital sex, which is consistent with previous research. However, when dissatisfaction resulting from performing less desired sexual acts was separated from dissatisfaction resulting from not performing desired sexual acts, the correlations differed, often markedly. Thus, the data suggest that unitary measures of dissatisfaction with marital sex may obscure meaningful differences. Also, information was obtained concerning the orgasmic and multiple orgasmic experience of the women, their extramartial experience, and their relative use of and preference for various intercourse positions and noncoital sexual activities.

Adult↗

PubMed1978

A controlled study to evaluate directed masturbation in the management of primary orgasmic failure in women.

This paper presents the results of a prospective controlled study evaluating a programme of directed masturbation against a combined sensate focus and supportive psychotherapeutic approach in the management of female primary orgasmic failure. Of the 20 patients who followed the masturbation programme 90 per cent gained orgasmic capacity compared with 53 per cent of 15 patients who were treated conventionally. Eighty-five per cent of the patients treated by the masturbation programme and 47 per cent of the control group of patients became coitally orgasmic on at least 75 per cent of coital occasions. The difference is statistically significant at the 5 per cent level. The results suggest that directed masturbation is an effective adjunct in the management of primary female orgasmic failure.

Adult↗

PubMed1990

Naloxone inhibits oxytocin release at orgasm in man.

We examined the effect of naloxone on plasma oxytocin levels during sexual activity in men. Eight normal men took part in a double-blind, two-period, cross-over design. Mean plasma oxytocin rose to 362% of baseline values at orgasm with placebo (saline) but showed no increase with naloxone (P less than 0.01). While naloxone had no effect on heart rate or blood pressure at orgasm, a decrease in the level of subjective arousal and pleasure at orgasm was noted. We conclude that opioid receptor blockade with naloxone has an inhibitory effect on the neural pathways mediating the oxytocin response at orgasm.

Adult↗

PubMed1979

Some linguistic considerations related to the issue of female orgasm.

The purpose of this paper has been to identify a linguistic issue that continues to cloud our thinking about the subject of female orgasm. A specific technical revision has been recommended, i.e., that female orgasms be described as either coital or noncoital. It has been suggested that we help our female patients to become aware of this vocabulary and that we let them know that the clitoral/vaginal dichotomy is incorrect. Systematic adherence to the correct vocabulary is therapeutic. The linguistic implications concerning the issue of female orgasm have been examined as they relate to both theory and practice. It has been argued that linguistic usage pertaining to female sexuality generally is the product of a patriarchal value structure and, as such, reflects patriarchal prejudices about female sexuality. It has been suggested that the apparent inability of many women to achieve coital orgasms is related to centuries-old cultural attitudes and that linguistic usages, particularly dichotomies, tend to perpetuate the prejudices that underlie many cultural attitudes. Freud's view of the role of language in clinical practice has been indicated. Finally, it has been suggested that the linguistic recommendation made in this paper can be viewed as implementing the process by which recent biological findings are used to strengthen psychoanalytic theory and practice.

Female↗

PubMed1994

[Orgasmic expulsions in women].

Orgasm is in some women accompanied by the release of fluid from the external genitalia. This fluid can sometimes eject under pressure and thus resemble male ejaculation. It may presumably originate in the vagina, in the bladder (orgastic urination) or in the paraurethral (Skene's) glands, labeled by some authors as the female prostate. Analysis of the fluid samples showed it to be urine, secretion of Skene's glands or a mixture of both. The relationship of these expulsions to the stimulation of the vaginal G spot has been reported. Zaviacic et al. (1988) established in female volunteers undergoing digital stimulation of the G spot that in some women there is no expulsion, in some there is expulsion accompanied by orgasm and in some expulsions occur easily without orgasm or even without sexual arousal. Our own findings are based on the use of the sexological questionnaire SGZ, which contains items concerning the occurrence of "release of fluid" during orgasm or of "expulsion of fluid, similarly as in male ejaculation". We obtained data from 200 women treated for the neurosis and from 100 female health professionals and counselors. Organistic expulsions resembling male ejaculation were reported in 6% of both samples. Additional 13% had at least some experience with such expulsions. Release of fluid without ejaculation was reported by approximately 60% of females in both samples. We consider "female ejaculation" to be a rare phenomenon, which nevertheless deserves attention in sexological consultations. It should not cause feelings of shame, but should be accepted as a normal part of female sexual reaction.

Exocrine Glands↗

PubMed1998

[Neurobiology of ejaculation and orgasm disorders].

OBJECTIVE: To determine the neurologic alterations of patients with ejaculatory and orgasmic disorders. METHODS: A study of the neuroandrologic profile was performed in eight patients; 6 presented an ejaculation, one premature ejaculation and one presented an orgasm. The neuroandrologic profile consisted in performing selective electromyography of the bulbocavernosus muscle, recording of the S2-S4 evoked potentials, evoked somatosensory potentials of the pudendal nerve, electromyography of the smooth cavernous muscle (SPACE), sympathetic skin response and cystometry. RESULTS: The sympathetic lesion was more frequent in the cases with an ejaculation (four cases; 66%); a pudendal efferent lesion was demonstrated in one case (17%) and a suprasacral lesion in one case (16%). A pudendal afferent lesion was observed in the two cases with premature ejaculation (100%). Both cases with an orgasm had a pudendal afferent lesion (100%) and one of them also presented a sympathetic lesion (50%). CONCLUSIONS: An ejaculation appears to be caused by sympathetic, motor pudendal or suprasacral lesion. An altered perception of genital sensations due to lesion of the afferent pudendal pathway appears to be present in premature ejaculation. An orgasm could be ascribed to an alteration of the pudendal sensibility or to the absence of ejaculation.

Adult↗

PubMed1983

The relationship between mode of female masturbation and achievement of orgasm in coitus.

To determine the relationship between masturbatory and coital behavior, 117 middle-class female volunteers were classified into three styles of masturbatory behavior--direct, indirect, and nonmasturbators. Direct masturbation was defined as the direct digital manipulation of the clitoris or use of a vibrator. Indirect masturbation included all other methods of masturbation not defined as direct. The classification was done on the basis of responses to a questionnaire. Of the masturbators 70% reported no change in their masturbatory style from initial masturbatory experiences. No relationship was found between either ability to masturbate or masturbatory style and coital orgasmic capacity. It was also found that (a) nonmasturbators achieved orgasm in coitus via additional clitoral stimulation significantly less frequently than either direct or indirect masturbators and (b) direct masturbators have a significantly greater preference for clitoral, as opposed to vaginal, stimulation as a means of achieving orgasm. The results are interpreted within the context of possible deficiencies in the questionnaire and confounding between the ongoing psychological and biological processes occurring in sexual activity. Within these constraints, the findings support current methods of treatment for primary and secondary anorgasmia.

Adult↗

PubMed1981

Time factors and orgasmic response.

A retrospective review of data from a 619-member female sample presenting for treatment of sexual dysfunction was conducted to determine if foreplay and intromission duration variables were related to sexual dysfunction. Patients were assigned to coitally anorgasmic and noncoitally anorgasmic, coitally anorgasmic and noncoitally orgasmic, or coitally and noncoitally orgasmic categories on the basis of interview data collected by a nurse-physician team. Duration measure differences are not found between diagnostic categories. However, significant differences are reported for the duration measures between status of relationship groupings: married, single, divorced, or cohabitating (p less than 0.05). Data from the sexually dysfunctional sample are compared with data from the surveys of Kinsey, Fisher, and Hunt. The importance of extended foreplay and intromission in enhancing female coital orgasmic response is not supported.

Female↗

PubMed1988

Treatment outcome of secondary orgasmic dysfunction: a two- to six-year follow-up.

Sixty-six women reporting secondary orgasmic dysfunction and their partners, who received one of five group treatment formats, were sent questionnaires 2-6 years later. Thirty-eight of the women and 38 of the male partners responded to the follow-up questionnaires. Women who were not divorced and who did not receive additional treatment after group treatment (n = 28) showed consistent increases across time in their ability to experience orgasm during intercourse, improving from a mean coital orgasmic frequency of 9.5% before treatment to 36.9% at long-term follow-up. Sexual harmony and coital frequency showed similar increases following treatment but had returned to near baseline levels 2-6 years later. Divorced women and women who received additional treatment (n = 10) demonstrated greater declines in sexual harmony over the follow-up period than did their untreated counterparts. The subjects reported generally favorable reactions to treatment and stressed the importance of a treatment focus on communication and relationship skills. Regression analyses suggested the predictive importance of variables associated with the male partner's functioning. The implications of the results for clinical practice and for future research are discussed.

Adult↗

PubMed1993

Orgasm in the postoperative transsexual.

The dearth of information regarding organism in postoperative transsexuals prompted the authors to study its prevalence. The sample consisted of 14 male-to-female (M-F) and 9 female-to-male (F-M) postoperative transsexuals. The relationship of orgasm to sexual and general satisfaction was explored via a specially designed questionnaire. Orgastic capacity declined in the M-F group and increased in the (F-M) group. Despite the decrease in orgasm in the M-F group, satisfaction with sex and general satisfaction with the results of surgery were high in both groups. General satisfaction of 86% replicates other studies. Frequency of sex increased by 75% in the M-F group and by 100% in the F-M group. A phalloplasty does not appear to be a critical factor in orgasm or in sexual satisfaction. The general conclusion is reached that it is possible to change one's body image and sexual identity and be sexually satisfied despite inadequate sexual functioning.

Adult↗

PubMed1976

Prematurity and orgasmic coitus during pregnancy: data on a small sample.

Nineteen mothers of premature infants were interviewed in an attempt to determine a possible relationship between prematurity and orgasmic coitus during pregnancy. Although the limited number of subjects precludes tests of statistical significance and definite conclusions, the findings do suggest possible associations. While there appeared to be no relationship between prematurity and coitus per se during pregnancy, the association of frequent or intense orgasm with prematurity does raise some questions that further investigation might answer. Because of the hazard of prematurity to the subsequent development of the child, further exploration of the possible relationship of prematurity to orgasmic coitus during pregnancy appears warranted.

Coitus↗

PubMed1978

The treatment of primary and secondary orgasmic dysfunction: a methodological review of the literature since 1970.

This paper reviews the studies since 1970 which examined the treatment outcome of primary and secondary nonorgsmic women. The studies were evaluated within the following sections: subjects, therapists, time format, treatment, and outcome criteria. Many methodological deficiencies were found, most notably the lack of specificity regarding subject characteristics, a reliance on women's self-reports of outcome without obtaining partner validation, the failure to assess the influence of the woman's partner on her orgasmic responsivity, the failure to control for expectancy factors, and the use of different criteria for treatment success. The problems in the literature suggest that it is premature to place any confidence in the identification of the treatment format which is most successful for a defined population of women who experience a specific form of primary or secondary orgasmic dysfunction. The data tentatively suggest that (1) secondary nonorgasmic women would show greater gains than primary nonorgasmic women in treatments emphasizing sexual and nonsexual communication techniques, (2) primary nonorgasmic women would show greater gains than secondary nonorgasmic women in desensitization and sexual technique training procedures, (3) desensitization may be the appropriate treatment for women whose sexual anxiety contributes to secondary orgasmic dysfunction. These hypotheses should be examined in controlled research.

Desensitization, Immunologic↗

PubMed1978

Effects of erotic stimulation and masturbatory training upon situational orgasmic dysfunction.

Six single women, aged 22 to 29 years, were treated in a laboratory situation through erotic stimulation with masturbatory training for the disorder of situational orgasmic dysfunction. With single subject designs, three conditions of treatment were counterbalanced to estimate component effects. Intervention conditions included exposure to selected erotic stimuli, self-masturbation, and the preceding simultaneous combination. Frequency of orgasm was monitored via heart rate and verbal confirmation. Erotic stimulation with masturbatory training proved adequate to establish and maintain orgasmic responsiveness. Follow-up measures, conducted 6 to 12 months thereafter, partially supported generalization of treatment effects across environments and into existing heterosexual patterns of behavior.

Adult↗