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Physiology of Orgasm

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Cancer and Sexual Health

Part of the book series: Current Clinical Urology ((CCU))

Abstract

The human orgasm, although tantalizingly short, is perhaps the greatest bodily pleasure that most men and women can experience without recourse to drugs. It is a complex of subjective mental with physical body changes. Its pleasure can never be recalled exactly which is perhaps one of the reasons for desiring its repetition. It dissolves body boundaries and thus unites lovers in a unique manner. In men, because it normally routinely accompanies ejaculation, it has simply been regarded as the drive reward for attempting procreation, and in evolutionary terms, as a spur to distribute their genes as widely as possible. In women, however, because it is far less easily induced, especially by coital penile thrusting alone, its putative biological purpose(s) have been subjected to extensive discussion. This has resulted in the unresolved dichotomy of whether it is an evolutionary adaptation or just a by-product. Unfortunately, the arguments from the various protagonists have become more philosophical rather than physiologically based, have produced more heat than light, and will not be repeated.

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References

  1. Lloyd EA. The case of the female orgasm – bias in the science of evolution. Cambridge: Harvard University Press; 2005.

    Google Scholar 

  2. Puts DA. Review of the book. The case of the female orgasm: bias in the science of evolution. Arch Sex Behav. 2006;35:103–5.

    Article  Google Scholar 

  3. Puts DA, Dawood K. The evolution of female orgasm: adaptation or byproduct? Twin Res Hum Genet. 2006;9:467–72.

    Article  PubMed  Google Scholar 

  4. Wallen K. Commentary on Puts’ (2006) review of The case of the female orgasm: bias in the science of evolution. Arch Sex Behav. 2006;35:633–6.

    Article  PubMed  Google Scholar 

  5. Kinsey AC, Pomeroy WB, Martin CE, Gebhard PH. Sexual behaviour in the human female. Philadelphia: WB Saunders; 1953.

    Google Scholar 

  6. Masters W, Johnson V. Human sexual response. Boston: Little Brown; 1966.

    Google Scholar 

  7. Levin RJ. The female orgasm – a current appraisal. J Psychosom Res. 1981;25:119–23.

    Article  PubMed  CAS  Google Scholar 

  8. Levin RJ. An orgasm is ….who defines what an orgasm is? Sex Relat Ther. 2004;19:101–7.

    Article  Google Scholar 

  9. Levin RJ. The physiology and pathophysiology of the female orgasm. In: Goldstein I, Meston CM, Davis SR, Traish AM, editors. Women’s sexual function and dysfunction – study, diagnosis and treatment. London: Taylor & Francis; 2006. p. 228–35.

    Google Scholar 

  10. Mah K, Binik YM. The nature of the human orgasm: a critical review of major trends. Clin Psychol Rev. 2001;21:823–56.

    Article  PubMed  CAS  Google Scholar 

  11. Margolis J. O: The intimate history of the orgasm. London: Century, The Random House Group; 2004.

    Google Scholar 

  12. Meston CM, Hull E, Levin RJ, Sipski M. Women’s orgasm. In: Lue TF, Basson R, Rosen R, Giuliano F, Khoury S, Montorsi F, editors. Sexual medicine – sexual dysfunctions in men and women. Paris: Health Publications: Editions 21; 2004. p. 785–850.

    Google Scholar 

  13. Komisaruk BR, Beyer-Flores C, Whipple B. The science of orgasm. Baltimore: The Johns Hopkins University Press; 2006.

    Google Scholar 

  14. Kinsey AC, Pomeroy WD, Martin CE. Sexual behaviour in the human male. Philadelphia: Saunders; 1948.

    Google Scholar 

  15. Bianchi-Demicheli F, Ortigue S. Toward and understanding of the cerebral substrates of woman’s orgasm. Neuropyschologia. 2007;45(12):2645–59.

    Article  Google Scholar 

  16. Vance EB, Wagner NN. Written descriptions of orgasm: a study of sex differences. Arch Sex Behav. 1976;5:87–98.

    Article  PubMed  CAS  Google Scholar 

  17. Mah K, Binik YM. Do all orgasms feel alike? Evaluating a two-dimensional model of the orgasm experience across gender and sexual context. J Sex Res. 2002;39:104–13.

    Article  PubMed  Google Scholar 

  18. Gerstenberg TC, Levin RJ, Wagner G. Erection and ejaculation in man – assessment of the electromyographic activity of the bulbocavernosus and ischiocavernosus muscles. Br J Urol. 1990;65:395–402.

    Article  PubMed  CAS  Google Scholar 

  19. Kline-Graber G, Graber B. A guide to sexual satisfaction – woman’s orgasm. New York: Popular Library; 1975. p. 35.

    Google Scholar 

  20. Levin RJ, Wylie K. Vaginal vasomotion – its appearance, measurement, and usefulness in assessing the mechanisms of vasodilatation. J Sex Med. 2008;5:377–86.

    PubMed  Google Scholar 

  21. Gould SJ, Lewontin C. The spandrels of San Marco and the Panglossian Paradigm – a critique of the adaptionist programme. Proc Soc Roy Soc (London). 1979;205:581–98.

    Article  CAS  Google Scholar 

  22. Bohlen JG, Held JP, Sanderson MO, Ahlgren A. The female orgasm: pelvic contractions. Arch Sex Behav. 1982;11:367–86.

    Article  PubMed  CAS  Google Scholar 

  23. Georgiadis JR, Reinders AATS, Paans AMJ, Renken R, Kortekaas R. Man versus woman on sexual brain function: prominent differences during tactile genital stimulation, but not during orgasm. Hum Brain Mapp. 2009;30:3089–101.

    Article  PubMed  Google Scholar 

  24. Levin RJ. The physiology of male and female sexual arousal. In: Payne-James J, Busutill A, Smock W, editors. Forensic medicine – clinical and pathological aspects. London: Greenwich Medical Media Limited; 2003. p. 379–89.

    Google Scholar 

  25. Passie T, Hartman U, Schneider U, Emrich HM. On the function of groaning and hyperventilation during sexual intercourse: Intensification of sexual experience by altering brain metabolism through hypercapnia. Med Hypothesis. 2003;60:660–3.

    Article  Google Scholar 

  26. Levin RJ. Vocalised sounds and human sex. Sex Relat Ther. 2006;21:99–107.

    Article  Google Scholar 

  27. Levin RJ. Is prolactin the biological ‘off switch’ for human sexual arousal? Sex Relat Ther. 2003;18:289–43.

    Article  Google Scholar 

  28. Levin RJ. Sexual activity, health and well-being- the beneficial roles of coitus and masturbation. Sex Relat Ther. 2007;22:135–48.

    Article  Google Scholar 

  29. Levin RJ. The human sexual response – similarities and differences in the anatomy and function of the male and female genitalia. In: Janssen E, editor. The psychophysiology of sex. Bloomington: Indiana University Press; 2007. p. 39–56.

    Google Scholar 

  30. Levin RJ. Sexual desire and the deconstruction and reconstruction of the human female sexual response model of Masters and Johnson. In: Everaerd W, Laan E, Both S, editors. Sexual appetite, desire and motivation: energetics of the sexual system. Amsterdam: Royal Netherlands Academy of Arts and Sciences; 2001. p. 63–93.

    Google Scholar 

  31. Levin RJ, Meston C. Nipple/breast stimulation and sexual arousal in young men and women. J Sex Med. 2006;13:450–4.

    Article  Google Scholar 

  32. Whipple G, Ogden G, Komisaruk BR. Physiological correlates of imagery-induced orgasm in women. Arch Sex Behav. 1992;21:121–33.

    Article  PubMed  CAS  Google Scholar 

  33. Komisaruk B, Whipple B, Crawford A, Grimes S, Liu W-C, Kalnin A, et al. Brain activation during vaginocervical self-stimulation and orgasm in women with complete spinal cord injury; fMRI evidence of mediation by the vagus nerves. Brain Res. 2004;1024:77–88.

    Article  PubMed  CAS  Google Scholar 

  34. Levin RJ, van Berlo W. Sexual arousal and orgasm in subjects who experience forced or non-consensual sexual stimulation – a review. J Clin Forensic Med. 2004;1:82–8.

    Article  Google Scholar 

  35. Levin RJ, Wagner G. Orgasm in women in the laboratory – quantitative studies on duration, intensity, latency and vaginal blood flow. Arch Sex Behav. 1985;14:439–49.

    Article  PubMed  CAS  Google Scholar 

  36. Levin RJ, Wagner G. Heart rate change and subjective intensity of orgasm. IRCS Med Sci. 1985; 13:885–6.

    Google Scholar 

  37. Alzate H, Useche B, Velegas M. Heart rate change as evidence for vaginally elicited orgasm and intensity. Ann Sex Res. 1989;2:345–57.

    Article  Google Scholar 

  38. Ortigue S, Grafton ST, Bianchi-Demicheli F. Correlation between insula activation and self-reported quality of orgasm in women. Neuroimage. 2007;37:551–60.

    Article  PubMed  Google Scholar 

  39. Meston CM. Aging and sexuality. West J Med. 1997;167:285–90.

    PubMed  CAS  Google Scholar 

  40. Butler CA. New data about female sexual response. J Sex Marital Ther. 1976;2:40–6.

    PubMed  CAS  Google Scholar 

  41. Clifford RE. Subjective sexual experience in college women. Arch Sex Behav. 1978;7:183–97.

    Article  PubMed  CAS  Google Scholar 

  42. Fisher S. The female sexual orgasm. New York: Bantam Books; 1973.

    Google Scholar 

  43. Singer I. The goals of human sexuality. London: Wildwood House; 1973.

    Google Scholar 

  44. Wimpinssinger F, Tscherney R, Stackl W. Magnetic resonance imaging of female prostate pathology. J Sex Med. 2009;6:1704–11.

    Article  Google Scholar 

  45. Schubach G. Urethral expulsions during sexual arousal and bladder catheterisation in seven human females. Electronic Journal of Human Sexu­ality. 2001. 4. www.ejhs.org. Accessed 19 Aug 2009.

  46. Sevely JL. Eve’s secrets. A revolutionary perspective on human sexuality. London: Bloomsbury Publishing Ltd; 1987.

    Google Scholar 

  47. Davidson Sr JK, Darling CA, Conway-Welch C. The role of the Graafenberg spot and female ejaculation in the female orgasmic response: an empirical analysis. J Sex Marital Ther. 1989;15:102–20.

    PubMed  Google Scholar 

  48. Levin RJ. Revisiting post-ejaculatory refractory time – what we know and what we do not know in males and females. J Sex Med. 2009;6:2376–89.

    Article  PubMed  Google Scholar 

  49. Georgiadis JR, Kortekaas R, Kuipers R, Nieuwenberg A, Pruim J, Reinders AATS, et al. Regional cerebral; blood flow changes associated with clitorally induced orgasm in healthy women. Eur J Neurosci. 2006;24:3305–16.

    Article  PubMed  Google Scholar 

  50. Hite S. The Hite report on male sexuality. New York: Ballantine Books; 1981.

    Google Scholar 

  51. Perry JF. Do men have a G-spot? Aust Forum. 1988;2:37–41.

    Google Scholar 

  52. Newman HF, Reiss H, Northup JD. Physical basis of emission, ejaculation and orgasm in the male. Urology. 1982;19:341–50.

    Article  PubMed  CAS  Google Scholar 

  53. Holstege G, Georgiadis JR, Paans AMJ, Meiners LC, van der Graaf FHCE, Reinders AATS. Brain activation during human ejaculation. J Neurosci. 2003;23:9185–93.

    PubMed  CAS  Google Scholar 

  54. Zilbergeld B. Men and sex – a guide to sexual fulfilment. London: Souvenir Press Ltd; 1978.

    Google Scholar 

  55. Levin RJ. Heart rate responses can be used to differentiate simulated from real orgasms in the human male: a pilot study. In: Kothari P, Patel R, editors. Proceedings of the first conference on orgasm. Bombay: VRP Publishers; 1991. p. 49–55.

    Google Scholar 

  56. Levin RJ. Critically revisiting aspects of the human sexual response cycle of Masters and Johnson: correcting errors and suggesting modifications. Sex Relat Ther. 2008;23:393–9.

    Article  Google Scholar 

  57. Levin RJ. Measuring female genital functions – a research essential but still a clinical luxury? Sex Relat Ther. 2004;19:191–200.

    Article  Google Scholar 

  58. Berman JR, Berman LA, Kanaly KA. Female sexual dysfunction: new perspectives on anatomy, physiology, evaluation and treatment. EAU Update Series. 2003;1:166–77.

    Article  Google Scholar 

  59. Seecof RT, Forest S, Tennant Jr FS. Subjective perceptions to the intravenous ‘rush’ of heroin and cocaine in opioid addicts. Am J Drug Alcohol Abuse. 1986;12:79–87.

    Article  PubMed  CAS  Google Scholar 

  60. Zernishlany Z, Alzenberg D, Weizman A. Subjective effects of MDMA (‘Ecstasy’) on humans sexual function. Eur Pyschiatry. 2001;16:127–30.

    Article  Google Scholar 

  61. Smith A, Ferris JA, Simpson JM, Shelley J, Pitts MK, Richters J. Cannabis use and sexual health. J Sex Med. 2009;7:787–93.

    Article  PubMed  Google Scholar 

  62. Johnson SD, Phelps DL, Cottler LB. The association of sexual dysfunction and substance use among a community epidemiological sample. Arch Sex Behav. 2004;33:55–63.

    Article  PubMed  Google Scholar 

  63. Halikas J, Weller R, Morse C. Effects of regular marijuana use on sexual perfomance. J Pyschoactive Drugs. 1982;14:59–70.

    CAS  Google Scholar 

  64. Byard RW, Hucker SJ, Haxelwood RR. A comparison of typical death scene features in cases of fatal male and female autoerotic asphyxia with a review of the literature. Forensic Sci Int. 1990;48:113–21.

    Article  PubMed  CAS  Google Scholar 

  65. Levin RJ. Sexual arousal – its physiological roles in human reproduction. Annu Rev Sex Res. 2005;16:154–89.

    PubMed  Google Scholar 

  66. Fraser LR, Adeoya-Osiguwa SA, Baxendale RW, Gibbons R. Regulation of mammalian sperm capacitation by endogenous molecules. Front Biosci. 2006;11:1636–45.

    Article  PubMed  CAS  Google Scholar 

  67. Nicolosi A, Laumann EO, Glasser DB, Moreira ED, Paik A, Gingell C. Sexual behaviour and sexual dysfunctions after age 40: the global study of sexual attitudes and behaviours. Urology. 2004;64:991–7.

    Article  PubMed  Google Scholar 

  68. Schmidt PJ, Steinberg EM, Negro PP, Haq N, Gibson C, Rubinow DR. Pharmacology induced hypogonadism and sexual function in healthy young women and men. Neuropsychopharmacology. 2009;34:565–76.

    Article  PubMed  CAS  Google Scholar 

  69. Levin RJ. The impact of the menopause on the physiology of genital function. Menopause Rev. 1999;4:23–31.

    Google Scholar 

  70. Basson R. Sexuality and the menopause. J SOGC. 1995;(Suppl):10–5.

    Google Scholar 

  71. Plaut SM, Graziottin A, Heaton JWP. Sexual dysfunction. Oxford: Health Press Ltd; 2004.

    Google Scholar 

  72. Waldinger MD. Male ejaculation and orgasmic disorders. In: Balon R, Taylor Segraves R, editors. Handbook of sexual dysfunctions. Florida: Taylor & Francis; 2005. p. 217–48.

    Google Scholar 

  73. Waldinger MD, Schweitzer DH. Postorgasmic illness syndrome: two cases. J Sex Marital Ther. 2002;28:251–5.

    Article  PubMed  Google Scholar 

  74. Davy Smith G, Frankel S, Yarnell JD. Sex and death: are they related? Findings from the Caerphilly cohort study. BMJ (Clinical Research, ed). 1997;315:1641–4.

    Google Scholar 

  75. Charnetski CJ, Brennan FX. Feeling good is good for you; how pleasure can boost your immune system and lengthen your life. Emmaus: Rodale Press; 2001.

    Google Scholar 

  76. Ellison CR. Women’s sexualities: generations of women share intimate secrets of sexual self-acceptance. Oakland: New Harbinger; 2000.

    Google Scholar 

  77. Van Netten JJ, Georgiadis JR, Nieuwenburg A, Kortekaas R. 8–13 Hz fluctuations in rectal pressure are an objective marker of clitorally induced orgasm in women. Arch Sex Behav. 2008;279–85.

    Article  PubMed  Google Scholar 

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Levin, R.J. (2011). Physiology of Orgasm. In: Mulhall, J., Incrocci, L., Goldstein, I., Rosen, R. (eds) Cancer and Sexual Health. Current Clinical Urology. Humana Press. https://doi.org/10.1007/978-1-60761-916-1_4

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  • DOI: https://doi.org/10.1007/978-1-60761-916-1_4

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