~~ Tl the Orgasm Gap ~~ by Marcia Douglass and Lisa Douglass
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Physiology of Female Sexual Function and Dysfunction
International Journal of Impotence Research (2005) 17, S44–S51 & 2005 Nature Publishing Group All rights reserved 0955-9930/05 $30.00 www.nature.com/ijir Physiology of female sexual function and dysfunction JR Berman1* 1Director Female Urology and Female Sexual Medicine, Rodeo Drive Women’s Health Center, Beverly Hills, California, USA Female sexual dysfunction is age-related, progressive, and highly prevalent, affecting 30–50% of American women. While there are emotional and relational elements to female sexual function and response, female sexual dysfunction can occur secondary to medical problems and have an organic basis. This paper addresses anatomy and physiology of normal female sexual function as well as the pathophysiology of female sexual dysfunction. Although the female sexual response is inherently difficult to evaluate in the clinical setting, a variety of instruments have been developed for assessing subjective measures of sexual arousal and function. Objective measurements used in conjunction with the subjective assessment help diagnose potential physiologic/organic abnormal- ities. Therapeutic options for the treatment of female sexual dysfunction, including hormonal, and pharmacological, are also addressed. International Journal of Impotence Research (2005) 17, S44–S51. doi:10.1038/sj.ijir.3901428 Keywords: female sexual dysfunction; anatomy; physiology; pathophysiology; evaluation; treatment Incidence of female sexual dysfunction updated the definitions and classifications based upon current research and clinical practice. -
Selectively Increases Vaginal Blood Flow in Anesthetized Rats
International Journal of Impotence Research (2003) 15, 461–464 & 2003 Nature Publishing Group All rights reserved 0955-9930/03 $25.00 www.nature.com/ijir Short communication Topical administration of a novel nitric oxide donor, linear polyethylenimine-nitric oxide/nucleophile adduct (DS1), selectively increases vaginal blood flow in anesthetized rats P Pacher1,2*, JG Mabley1, L Liaudet1, OV Evgenov1, GJ Southan1, GE Abdelkarim1, C Szabo´ 1 and AL Salzman1 1Inotek Pharmaceuticals Corporation, Beverly, Massachusetts, USA The aim of the present study was to test the effects of a topical administration of a novel nitric oxide donor, linear polyethylenimine-nitric oxide/nucleophile adduct (DS1), on vaginal blood flow and hemodynamics in rats. Laser Doppler flowmetry was used to measure blood flow changes following topical application of DS1 (0.3 or 1.5 mg in 0.15 ml saline) into the vagina of anesthetized Wistar rats. In vivo hemodynamic parameters were measured with Millar-tip-catheter placed in the left ventricle. DS1 (1.5 mg) increased vaginal blood flow by 191 7 24, 226 7 22 and 166 7 23% of the baseline value (at 5, 15 and 30 min, respectively, after application) without affecting systemic blood pressure, heart rate and cardiac function. The increased vaginal blood flow following DS1 application returned to baseline between 45 and 60 min. Thus, topical application of nitric oxide donors such as DS1 may be useful for the treatment of female sexual dysfunction that develops due to an impairment of local blood flow supply to the vaginal tissue. International Journal of Impotence Research (2003) 15, 461–464. -
Everything You Should Know About a Blowjob
educates Everything you should know about a blowjob When a lady wants to go down on a man, he knows she’s into him and she wants to make him feel good. When a man wants to get a blowjob, well, he just wants somebody (or something, people can have weird fetishes) to suck his dick. When these two desires meet, there cums an evening of pleasure. Or disappointment. Depends on how it goes. If you want everything to go smoothly and come to an end the way you want to, here are a few tips for ladies and gentlemen to master the art of giving and receiving a good old blowjob. What you SHOULD do For Her Ladies, if you are here, you probably doubt your skill of wrapping your mouth around his dick. But there is no one-trick-fit-all method. There are just basic principles to rely on. And I have gathered for a few a bunch of simple tips and advice how to seduce him and make him beg for more. Or at least make his stay till the morning. 1. Be confident Messing up your blowjob is practically the last thing you could do with it. The only bad thing you can do is underestimate your own abilities. If you’ve got a mouth and your partner’s got a dick, you have all the tools you need to give a perfect blow job. So be confident in yourself and don’t make the mistake of underestimating your abilities. Like, you could be nervous and all, maybe it’s even your first time giving a head, but c’mon. -
Birth Cont R Ol Fact Sheet
VAGINAL RING FACT SHEET What is the Vaginal Ring (Nuvaring®)? The Vaginal Ring is a clear, flexible, thin, plastic ring that you place in the vagina where it stays for one cycle providing a continuous low dose of 2 hormones (estrogen and progestin). It prevents pregnancy by stopping the release of an egg (ovulation), thickening the cervical fluid, and changing the lining of the uterus. How effective is the Vaginal Ring? The ring is a very effective method of birth control. The ring is about 93% effective at preventing pregnancy in typical use, which means that around 7 out of 100 people who use it as their only form of birth control will get pregnant in one year. With consistent and correct use as described in this fact sheet, it can be over 99% effective. How can I get the Vaginal Ring? You can visit a clinic to get the ring or a prescription for it and talk with a healthcare provider about whether the ring is right for you. Advantages of the Vaginal Ring Disadvantages of the Vaginal Ring Periods may be more predictable/regular and lighter Must remember to remove and replace the ring once a Less period cramping month Decreased symptoms of Premenstrual Syndrome Some users may experience mild side effects such as: (PMS) and perimenopause spotting, nausea, breast tenderness, headaches, or Can be used to skip or shorten your periods dizziness (usually these improve in the first few months Less anemia/iron deficiency caused by heavy periods of use) Does not affect your ability to get pregnant in the Possibility of high blood pressure -
Sexuality, Intimacy & Chronic Illness
FACT SHEET SEXUALITY, INTIMACY & CHRONIC ILLNESS Relationships and sexual satisfaction are important to quality of life. This is especially true for people coping with chronic illness. Sex is an act that can bring satisfaction and release. Even though ALS does not directly affect sexual function, for a person with ALS, sex may also bring pain, frustration and embarrassment. There are methods and techniques available to help people with ALS and their partners cope with their changing sex life and maintain intimacy. BENEFITS OF SEX SEXUAL RESPONSE CYCLE AND Chronic illness can restrict the activities of daily living. CHRONIC ILLNESS Maintaining a sexual relationship can be a source of com- Chronic illness can affect sexual satisfaction and the fort, pleasure and intimacy and an affirmation of one’s true sexual relationship for both partners. ALS does not impair self when other roles have been stripped away. A satisfying sexual function but medications, immobility, respiratory sex life, for the person with ALS and their partner, is one problems, fatigue and body image factors may negatively way to feel “normal” when so many other areas in their affect sexuality. lives have changed. Documented benefits of sex include the following: PSYCHOLOGICAL EFFECTS • Orgasm frequency is inversely related to risk of death. • Reduction of stress. • Anxiety, loss of self-esteem, grief and depression • Improved sleep post-orgasm. associated with chronic illness may impair sexual • Increased relationship satisfaction and stability. fulfillment. • Chronic illness alters relationship dynamics. Partners EFFECTS OF ALS ON SEXUALITY become caregivers, as well as lovers. Role changes may Understanding the sexual response cycle is important to cause sexual activity to decrease. -
Prevalence of and Risk Factors Associated with Sexual Health Issues in Primiparous Women at 6 and 12 Months Postpartum
O’Malley et al. BMC Pregnancy and Childbirth (2018) 18:196 https://doi.org/10.1186/s12884-018-1838-6 RESEARCHARTICLE Open Access Prevalence of and risk factors associated with sexual health issues in primiparous women at 6 and 12 months postpartum; a longitudinal prospective cohort study (the MAMMI study) Deirdre O’Malley1, Agnes Higgins2, Cecily Begley2,3, Deirdre Daly2 and Valerie Smith2* Abstract Background: Many women are not prepared for changes to their sexual health after childbirth. The aim of this paper is to report on the prevalence of and the potential risk factors (pre-pregnancy dyspareunia, mode of birth, perineal trauma and breastfeeding) for sexual health issues (dyspareunia, lack of vaginal lubrication and a loss of interest in sexual activity) at 6 and 12 months postpartum. Methods: A longitudinal cohort study of 832 first-time mothers who were recruited in early pregnancy and returned postnatal surveys at 3, 6, 9 and 12 months postpartum were assessed for sexual health issues and associated risk factors. Results: Nearly half of the women (46.3%) reported a lack of interest in sexual activity, 43% experienced a lack of vaginal lubrication and 37.5% of included women had dyspareunia 6 months after birth. On univariate analysis, vacuum-assisted birth, 2nd degree perineal tears, 3rd degree perineal tears and episiotomy were all associated with dyspareunia 6 months postpartum, but, of these only 3rd degree tears, in association with breastfeeding and pre-existing dyspareunia, remained significant on multivariable analysis. Breastfeeding, in combination, with other significant factors, was associated with dyspareunia, a lack of vaginal lubrication and a loss of interest in sexual activity 6 months postpartum, and, dissatisfaction with body image emerged as a significant factor associated with lack of interest in sexual activity at 12 months postpartum. -
Glossary of Vulgair Terminology Wertyuiopasdfghjklzxcvbnmqwertyrecords Management Ui
qwertyuiopasdfghjklzxcvbnmqwerty uiopasdfghjklzxcvbnmqwertyuiopasd fghjklzxcvbnmqwertyuiopasdfghjklzx cvbnmqwertyuiopasdfghjklzxcvbnmq Glossary of Vulgair Terminology wertyuiopasdfghjklzxcvbnmqwertyRecords Management ui 29.12.2011 opasdfghjklzxcvbnmqwertyuiopasdfg Mario Rieger hjklzxcvbnmqwertyuiopasdfghjklzxc vbnmqwertyuiopasdfghjklzxcvbnmq wertyuiopasdfghjklzxcvbnmqwertyui opasdfghjklzxcvbnmqwertyuiopasdfg hjklzxcvbnmqwertyuiopasdfghjklzxc vbnmqwertyuiopasdfghjklzxcvbnmq wertyuiopasdfghjklzxcvbnmqwertyui opasdfghjklzxcvbnmqwertyuiopasdfg hjklzxcvbnmrtyuiopasdfghjklzxcvbn mqwertyuiopasdfghjklzxcvbnmqwert yuiopasdfghjklzxcvbnmqwertyuiopas df h kl b df h kl 2 English German a-hole [vulg.] A-loch {n} [ugs.] all fucked up {adj} [vulg.] (total) im Arsch [vulg.] amateur hooker [Am.] [sl.] Hobbynutte {f} [vulg.] anat. beaver [vulg.] Bär {m} [vulg.] anat. bellend [Br.] [vulg.] Eichel {f} [Körperteil] anat. bum [esp. Br.] [sl.] [buttocks] Arsch {m} [vulg.] arse [Br.] [vulg.] Arsch {m} [vulg.] arse [Br.] [vulg.] Hintern {m} [ugs.] arse [Br.] [vulg.] Hinterteil {n} [ugs.] arse about face [Br.] [vulg.] verkehrt herum arse cheeks [vulg.] Arschbacken {pl} [vulg.] arse crack [Br.] [vulg.] Arschspalte {f} [vulg.] arse kissing [Br.] [vulg.] Arschkriecherei {f} [vulg.] arse kissing {adj} [Br.] arschkriecherisch [vulg.] arse licker [vulg.] Arschkriecher {m} [vulg.] arse licker [vulg.] Arschlecker {m} [vulg.] arse licker [vulg.] Schleimscheißer {m} [vulg.] arse-crawler [Br.] [vulg.] Arschkriecher {m} [vulg.] arsehole [vulg.] [Br.] Pisser {m} [derb: verachtenswerte -
New Insights from One Case of Female Ejaculationjsm 2472 3500..3504
3500 CASE REPORTS New Insights from One Case of Female Ejaculationjsm_2472 3500..3504 Alberto Rubio-Casillas, Biologist* and Emmanuele A. Jannini, MD† *Escuela Preparatoria Regional de Autlán, Biology Laboratory, Universidad de Guadalajara, Guadalajara, México; †Course of Endocrinology and Sexology, Department of Experimental Medicine, University of L’Aquila, Rome, Italy DOI: 10.1111/j.1743-6109.2011.02472.x ABSTRACT Introduction. Although there are historical records showing its existence for over 2,000 years, the so-called female ejaculation is still a controversial phenomenon. A shared paradigm has been created that includes any fluid expulsion during sexual activities with the name of “female ejaculation.” Aim. Todemonstrate that the “real” female ejaculation and the “squirting or gushing” are two different phenomena. Methods. Biochemical studies on female fluids expelled during orgasm. Results. In this case report, we provided new biochemical evidences demonstrating that the clear and abundant fluid that is ejected in gushes (squirting) is different from the real female ejaculation. While the first has the features of diluted urines (density: 1,001.67 Ϯ 2.89; urea: 417.0 Ϯ 42.88 mg/dL; creatinine: 21.37 Ϯ 4.16 mg/dL; uric acid: 10.37 Ϯ 1.48 mg/dL), the second is biochemically comparable to some components of male semen (prostate-specific antigen: 3.99 Ϯ 0.60 ¥ 103 ng/mL). Conclusions. Female ejaculation and squirting/gushing are two different phenomena. The organs and the mecha- nisms that produce them are bona fide different. The real female ejaculation is the release of a very scanty, thick, and whitish fluid from the female prostate, while the squirting is the expulsion of a diluted fluid from the urinary bladder. -
And Sexual Behaviour of Local X Orgasm (Female)
SINGAPORE MEDICAL JOURNAL SOME ASPECTS OF SEXUAL KNOWLEDGE AND SEXUAL BEHAVIOUR OF LOCAL WOMEN - RESULTS OF A SURVEY: X ORGASM (FEMALE) V Atputharajah SYNOPSIS 1012 sexually active females were interviewed regarding their sexual practices. 85 of 94 (90.4 percent) of those who masturbated reached orgasm while 5.3 percent did not. 63.5 percent of those who did reach orgasm by masturbation, thought that orgasm at intercourse felt better than that at mastur- bation. 15.3 percent felt that orgasm felt the same with either activity. 12.1 percent of the total sample (11.0 percent of married women and 20.7 percent of unmarried women) did not get orgasm at inter- course. 13.0 percent (13.3 percent of married women and 11.3 percent of unmarried women) orgasmed at every coital experience. 91 percent (91.9 percent of married women and 84.9 percent of unmarried women) said they enjoyed intercourse. Orgasm, its nature, onset and role and its significance and technique to achieve it are discussed. INTRODUCTION Orgasm is described as the ultimate and most fantastic sensa- tion ever experienced and is a cortical sensory experience. It is limited to a few seconds of physical release and is the acme of pleasure for most people. During the few seconds the vasocon- gestion and myotonia from Department of Obstetrics and Gynaecology developed sexual stimulation is Alexandra Hospital released. This release gives a great renewal of all the senses and Alexandra Road a complete relief of boredom (1,2,3). Singapore 0314 The female orgasm appears to be more vulnerable to inhibition than does the male's. -
Controversy About Embryogenesis and Organisation of Human Female Urethra: a Review P
October 2014 EAST AFRICAN MEDICAL JOURNAL 341 East African Medical Journal Vol. 91 No. 10 October 2014 CONTROVERSY ABOUT EMBRYOGENESIS AND ORGANISATION OF HUMAN FEMALE URETHRA: A REVIEW P. Gichangi, BSc (Anat Hons) MBChB, MMed (O/G), PhD, Department of Human Anatomy, University of Nairobi, P.O Box 2631-00202, Nairobi, Kenya CONTROVERSY ABOUT EMBRYOGENESIS AND ORGANISATION OF HUMAN FEMALE URETHRA: A REVIEW P. GICHANGI ABSTRACT Objective: To assess current knowledge on development and associated structures. Data sources: Current scientific publications in the pubmed data base on the development of human female urethra were reviewed. The embryology of human female urethra and its associated structures is presented. Study selection: The following search words: urethra development, female urethra development, and male urethra development were used. Data extraction: The first 100 publications from urethra development search and thereafter 100 publications excluding those in the first search were reviewed to determine whether they described development of female urethra. Data synthesis: There are limited studies describing the formation of female urethra. Unlike male urethra, female urethra does not undergo masculinisation meaning there is no formation of clitoral urethra. Like the male urethra, there are female urethra associated glands whose presence and functions remain speculative. Female urethra associated structures including Skene’s glands also referred to as female prostate, corpus spongiosum of female urethra and what has been described as the G-Spot may all be congenital malformations considering that they are not uniformly present. Conclusions: Female urethra development differs from that of males though there are some similarities. Studies to elucidate the development of female urethra are needed to clarify some of the misconceptions and to provide embryological explanation of gross and histological features of female urethra. -
An International Urogynecological Association (IUGA)
Received: 18 December 2017 | Accepted: 18 December 2017 DOI: 10.1002/nau.23508 TERMINOLOGY An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for the assessment of sexual health of women with pelvic floor dysfunction Rebecca G. Rogers MD1 | Rachel N. Pauls MD2 | Ranee Thakar MD3 | Melanie Morin PhD4 | Annette Kuhn MD5 | Eckhard Petri Dd, PhD6 | Brigitte Fatton MD7 | Kristene Whitmore MD8 | Sheryl Kinsberg PhD9 | Joseph Lee MBChB, FRANZCOG10 1 Dell Medical School, University of Texas, Austin, Texas 2 TriHealth Good Samaritan Hospital, Cincinnati, Ohio 3 Croydon University Hospital Croydon, London, United Kingdom 4 Universite de Sherbrooke, Montreal, Quebec, Canada 5 University Teaching Hospital Berne (Inselspital), Bern, Switzerland 6 University of Greifswald, Schwerin, Germany 7 University Hospital Nîmes, Nimes, Languedoc-Roussillon, France 8 Drexel University College of Medicine, Philadelphia, Pennsylvania 9 Case Western Reserve University, Cleveland, Ohio 10 University of New South Wales, St Vincents Hospital, Sydney, New South Wales, Australia Correspondence Aims: The terminology in current use for sexual function and dysfunction in women Rebecca G. Rogers, Department of Women's Health, 1301 W 38th Street, with pelvic floor disorders lacks uniformity, which leads to uncertainty, confusion, Suit705, Dell Medical School, University and unintended ambiguity. The terminology for the sexual health of women with of Texas, Austin, TX 78705. pelvic floor dysfunction needs to be collated in a clinically-based consensus report. Email: [email protected] Methods: This report combines the input of members of the Standardization and Terminology Committees of two International Organizations, the International Urogynecological Association (IUGA), and the International Continence Society (ICS), assisted at intervals by many external referees. -
Female Sexual Dysfunction Following Radical Cystectomy: a New Outcome Measure Craig D
Female Sexual Dysfunction Following Radical Cystectomy: A New Outcome Measure Craig D. Zippe, M.D., and Rupesh Raina, M.D. utcome measures follow- validated for assessment of data suggest no significant dif- of the vagina (vs. posterior flap Oing radical cystectomy male sexual dysfunction. Spe- ference between the Indiana rotation) to preserve vaginal (RC) have focused primarily cific domains include vaginal and Studer pouch diversions. depth and maintain pain-free on cure, urethral recurrence lubrication, orgasm, dyspare- Thus, the benefit in preserving intercourse. and continence. However, sex- unia, sexual desire and over- the anterior vaginal wall and its While efforts have been ual dysfunction is a major all sexual satisfaction. neurovascular innervation in made to preserve the vaginal concern in many younger fe- With a mean follow-up of an attempt to preserve sexual neurovasculature, the use of male patients. During RC, the 24.2 months, IFSF score de- function is still unclear. oral therapy has not been ade- neurovascular bundles are creased from 17.4 to 10.6 (p ≤ Sexual dysfunction should quately explored. The success of usually removed or damaged 0.05) [see table]. Decreased sex- be used as an outcome measure oral PDE-5-inhibitor (sildena- due to their location in the ual desire was noted in 37%, following female RC, and urol- fil) therapy in males has anterior vaginal wall. Devas- decreased lubrication in 41%, ogists should be encouraged to prompted its use in females and cularization of the clitoris diminished ability or inability attempt neurovascular preser- may show promise for improv- with removal of the urethra to achieve or- may also affect subsequent gasm in 45%, IFSF Domains: Baseline and After Radical Cystectomy (n=27) sexual arousal and desire.