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How a woman achieves orgasm
A. Normal Female Sexual Response
The normal female sexual response is easily understood if separated into three distinct
phases: arousal, excitation, and orgasm. These same phases are experienced by males, but
usually in a much more rapid time frame. This difference in time needed for the arousal
and excitation is the difference between males and females. Often times the male rapidly
proceeds through arousal, excitation, and orgasm before the female experiences the
transition between arousal and excitation. As women mature, especially in the
mid-thirties, -forties, and -fifties, the progression from arousal to excitation to orgasm
takes much longer. A number of factors, including declining estrogen blood levels, and
reduced youthfulness of a woman's external sex structures: the clitoris, clitoral hood,
and the labia minora, affect women's arousal.
B. The Arousal Phase
The arousal phase for a woman is usually initiated with kissing, hugging, rubbing and
other outward signs of intimate affection. Direct stimulation of a woman's genitals,
especially the clitoris and vaginal introitus, causes increased arousal. During the
arousal phase the vagina and vulvar tissues lubricate. The most important change of the
arousal phase is the enlargement, erection, and increased sensitivity of the clitoris.
Continuous stimulation of the clitoris after maximal arousal allows the transition to the
excitation phase.
C. The Excitation Phase
The excitation phase can be maintained for a long period of time with continuous
stimulation of the clitoris. Stimulation of the clitoris can be with finger or hand,
displacement, or vibratory in nature. Only stimulation of the fully aroused clitoris
allows an orgasm. During intercourse, the labia minora are stretched left and right. This
causes a downward movement of the clitoral hood and stimulation of the aroused clitoris.
During penile penetration of the vagina, the labia minora are pushed inward toward the
vaginal introitus causing a more pronounced downward pulling of the labia minora and
clitoral hood against the erect clitoris. During penile withdrawal, this downward tension
on the clitoris is relaxed, and because of the erect state of the clitoris, the clitoral
hood is elevated. This mechanism of the clitoral stimulation is displacement--
displacement because the clitoral hood displaces the clitoris downward with penile
penetration and upward with penile withdrawal.
Vibratory stimulation of the clitoris can be artificial or natural. The natural vibratory
stimulation of the clitoris occurs with direct penile contact with the stimulated clitoris
during vaginal intercourse. The vibratory direct contact causes maximal clitoral
stimulation, but is often short-lived because this also causes maximal male stimulation,
usually leading directly to male orgasm. After orgasm, the male penis becomes
hypersensitive and often cannot be touched, spelling the end to the intravaginal
intercourse. (This hypersensitivity of the male penis becomes more pronounced with age.)
With the termination of the intravaginal intercourse because of male orgasm, the excited
and aroused clitoris has no more stimulation. If a woman has not yet achieved orgasm, the
clitoris returns to the unaroused state, and the woman is unsatisfied.
D. Orgasm
An orgasm is actually the contracting of the pelvic muscles in rhythmic waves, lasting
mere seconds to a minute. Orgasm is achieved by continuous stimulation of the excited
clitoris, either by direct, vibratory, or displacement mechanisms, or a combination of
these mechanisms. A woman can have multiple orgasms from the excitation phase, whereas a
male cannot. An orgasm in a woman is the coordinated contraction of uterine, vaginal,
pubococcyxageal, and levator ani muscles. Much like a "knee jerk" reaction, the
orgasm is mediated at the spinal cord level, not at the brain level. Even some spinal cord
injured patients can achieve orgasm, because of the control of the orgasm at the spinal
cord level, not the brain level. The brain receives the ultimate pleasurable experience,
the orgasm, from the rhythmic contractions of the pelvic muscles.
E. G-Spot:
Sensory nerves are responsible for fine touch, pressure, heat and cold, and pain. The
fingertips have the highest concentration of sensory nerve endings, and therefore are the
most sensitive for these sensations. The vaginal mucosa, on the other hand, has the least
concentration of sensory nerve endings in a woman's body. This scarcity of sensory nerves
in the vagina allows women to wear a tampon without feeling it, allows for vigorous
activity with intercourse, and allows a woman to deliver a child through the vagina. Women
who deliver without anesthesia report intense rectal pressure during delivery, but really
no vaginal pain. In fact, doctors can repair tears in the vagina after childbirth without
novocaine because of the relative lack of pain-sensing nerves in the vaginal mucosa.
The clitoral nerve is an extension of the pudendal nerve that arises from several of the
sacral nerves. (The clitoris has more sensory nerve endings than the fingertips.) Before
the clitoral nerve actually enters the clitoris, it has a branch or shoot that ends just
beneath the vaginal mucosa two or three centimeters inside of the vaginal entrance, at the
top of the vagina. This is referred to as the "G-Spot." Some women have a
greater number of sensory nerve endings in the G-Spot than others do, and the sensitivity
of the "G-Spot" is extremely individual. Stimulation of the G-Spot has exactly
the same effect as stimulation of the clitoris, since they are exactly the same nerve.
With the intravaginal intercourse, the direct interaction of the penis with the top of the
vaginal wall will stimulate the G-Spot. However, in some women, this spot is extremely
sensitive while in others, it is relatively insensitive. In addition, vaginal childbirth
can cause sensory nerve ending damage to the G-Spot, and women will often report either a
less sensitive G-Spot or completely absent G-Spot sensitivity after delivery. When the
clitoris is aroused and erect, the G-Spot seems to become more sensitive--or more
correctly, the nerve endings of the G-Spot become more sensitive. The G-Spot, however, is
an anatomic area, not an anatomic structure, like the clitoris.
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