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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↗

PubMed2005

The post-orgasmic prolactin increase following intercourse is greater than following masturbation and suggests greater satiety.

Research indicates that prolactin increases following orgasm are involved in a feedback loop that serves to decrease arousal through inhibitory central dopaminergic and probably peripheral processes. The magnitude of post-orgasmic prolactin increase is thus a neurohormonal index of sexual satiety. Using data from three studies of men and women engaging in masturbation or penile-vaginal intercourse to orgasm in the laboratory, we report that for both sexes (adjusted for prolactin changes in a non-sexual control condition), the magnitude of prolactin increase following intercourse is 400% greater than that following masturbation. The results are interpreted as an indication of intercourse being more physiologically satisfying than masturbation, and discussed in light of prior research reporting greater physiological and psychological benefits associated with coitus than with any other sexual activities.

Adult↗

PubMed2004

Sexual arousal and orgasm in subjects who experience forced or non-consensual sexual stimulation -- a review.

The review examines whether unsolicited or non-consensual sexual stimulation of either females or males can lead to unwanted sexual arousal or even to orgasm. The conclusion is that such scenarios can occur and that the induction of arousal and orgasm does not indicate that the subjects consented to the stimulation. A perpetrator's defence simply built upon the fact that evidence of genital arousal or orgasm proves consent has no intrinsic validity and should be disregarded.

Arousal↗

PubMed2004

Orgasmic aura--a report of seven cases.

We report on seven patients who experienced an orgasmic aura at the start of their seizures. The patients (five women, two men) were aged 36-58. Three of seven patients described the exact nature of their auras only many years after their appearance, when the epilepsy diagnostic procedure became more intensive due to drug resistance. Moreover, one patient even refused any new therapeutical options due to the reportedly positive role of the orgasmic aura in her life. All of our patients had temporal lobe epilepsy. The clinical picture, EEG, MRI or SPECT findings suggested a right temporal epileptic focus in six patients, while in one patient the epileptogenic region was localised in the left temporal lobe. In the latter case, the left hemisphere was speech-dominant, while in the other cases no Wada tests were done. Our results confirm that orgasmic aura could be considered as an ictal lateralising sign to the right hemisphere, however, it has no 100% lateralising value.

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↗

PubMed2003

What is 'normal' about women's (hetero)sexual desire and orgasm?: a report of an in-depth interview study.

This paper challenges the rapidly re-emerging medicalised model of women's sexual problems, or female sexual dysfunction, particularly those concerned with problems of orgasm. It reports a qualitative in-depth interview study of 33 women between the ages of 19 and 60 years (mean age 28.6 years) where the data analysis particularly focused upon their subjective perceptions of what constituted 'normal' sexual satisfaction for themselves and other women. The data comprised taped interviews which were fully transcribed and analysed using an interpretive framework based on both symbolic interactionist and psychodynamic concepts. The results indicated that these women's desires and expectations differed appreciably from those reported in the typical clinical and sexological literature. Women interviewed here seemed less concerned with achieving orgasm through heterosexual intercourse for themselves than the literature suggested they might be. There was however, evidence of a strong desire to experience orgasm in this way for the sake of their male partners. Thus, it is suggested that there is probably a closer relationship between popular beliefs about what is 'normal' based upon the medical model with women placing themselves in a dysfunctional category, than there is between the everyday enjoyment of sex and women identifying themselves as being sexually healthy.

Adult↗

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↗

PubMed1981

A comparison of sex therapy and communication therapy: couples complaining of orgasmic dysfunction.

Forty-eight couples who complained of female orgasmic dysfunction received one of two therapies: sex therapy and communication therapy. Each couple was treated by a team of one male and one female therapist. Pretherapeutic, posttherapeutic and follow-up measurements showed that female sexual satisfaction increased in both therapies, but that the increase came more quickly in sex therapy. Male sexual satisfaction increased in sex therapy, but diminished in communication therapy. A two-phase model of the sexual response was tested against the therapeutic results. The experience of sexual interaction and the orgasmic experience improved in males and females in sex therapy, and in females in communication therapy. The male experience of sexual interaction deteriorated in communication therapy, while the male orgasmic experience initially increased and subsequently diminished again. Satisfaction with the total relationship increased in the males in communication therapy, and in the females in sex therapy.

Adult↗

PubMed1981

Do pelvic floor exercises really improve orgasmic potential?

Women with orgasmic difficulties are commonly taught pubococcygeal (PC) muscle exercises which, practiced regularly, are said to have both specific and nonspecific beneficial effects on sexual enjoyment. The hypothesis tested was that women practicing these exercises over a 12-week period, would be more likely to become orgasmic than women practicing relaxation exercises, or than women in an attention-control group. Forty-six women were allocated to one of three groups, PC exercise, relaxation or control. PC muscle tone was measured and questionnaires about sexual response were completed over a 12-week period with a 6-month follow-up assessment. Results indicated that there was no difference in orgasmic outcome for the three groups during the experimental period. This was taken to imply that PC exercises are not of specific value for women with normal muscle tone. It remains possible that women with poor muscle tone are helped by the exercises and further research is considered necessary in this area.

Adolescent↗

PubMed1983

The effects of sex education on women with secondary orgasmic dysfunction.

This study evaluated the effects of sex education on 48 couples in which the women reported secondary orgasmic dysfunction. None of the males had a problem with premature ejaculation or with erectile dysfunction. Couples received two, two-hour sessions of sex education during a one-week period. From measures administered before and after treatment, the women reported significantly increased orgasmic frequency and decreased sexual anxiety. The males reported a significant increase in the duration of intercourse and in oral-genital sexual stimulation. None of the subject characteristics significantly predicted overall change. The findings underscored the important role of sex education in facilitating positive changes in a woman's orgasmic frequency and in a sexual relationship. Future research should assess the relative meaningfulness of the various components of the sex education package.

Adult↗

PubMed1983

A comparison between the effects of Kegel's exercises and a combination of sexual awareness relaxation and breathing on situational orgasmic dysfunction in women.

Several authors suggest that women should use pubococcygeal muscle exercises to increase their probability of experiencing orgasm during sexual activities. However, few experimental studies support the efficacy of these exercises. In the present study a comparison was made between the effects of pubococcygeal exercises (PC group) and a combination of sexual awareness, relaxation and breathing (SARB group) on situational orgasmic dysfunction in women. No significant changes occur in orgasmic responsivity in these two groups. Significant differences were obtained in questionnaires and these differences were always in the direction of better scores in the SARB group.

Awareness↗

PubMed1986

Female orgasm via penile stimulation: a criterion of adequate sexual functioning?

This study assessed the extent to which a woman's ability to orgasm in coital situations with and without penile stimulation affects perceptions of sexual/psychological functioning. Subjects were asked to make diagnostic judgments about women described in written scenarios depicting heterosexual coital activity. Subject responses to all dependent measures reflected more positive/less pathological assessments for those situations in which the female in the scenario was described as being orgasmic via penile as well as manual stimulation, as opposed to those in which the female was described as being coitally orgasmic only with direct manual stimulation.

Adolescent↗

PubMed1995

The effect of intracavernosal injection of papaverine hydrochloride on orgasm latency.

The research literature on the employment of various vasoactive drugs to induce penile erection has largely examined assessment and treatment techniques. One study specifically examined the duration of erection, or "orgasm latency," of the drug-induced erection. However, it did not determine the relation of this duration to pre-impotence duration. The intent of the present investigation was to make this determination. Subjects at a urology department impotence clinic were asked to estimate orgasm latency prior to impotence and with papaverine-induced erection. The mean orgasm latency prior to impotence was 9.9 minutes; with papaverine, 15 minutes. It is concluded that papaverine injection not only causes an erection but makes it last longer than naturally occurring erections.

Adult↗

PubMed1996

Low-dose imipramine for thioridazine-induced male orgasmic disorder.

Male orgasmic disorder is commonly encountered among patients treated with thioridazine. This side effect interferes significantly with sexual satisfaction. In this pilot study, eight male schizophrenic patients who complained of orgasmic disorder, compatible with probable retrograde ejaculation during thioridazine treatment, were given concomitant low-dose imipramine (25-50 mg at bedtime). Four of the eight reported complete resumption of their previous ejaculatory function, and in one patient there was a partial, but substantial, improvement. Three patients noted no change. It appears that imipramine might be beneficial for some patients with thioridazine-induced male orgasmic disorder.

Adult↗

PubMed1997

Pretending orgasm during sexual intercourse: correlates in a sample of young adult women.

Although popular media have addressed the issue of women pretending orgasm during sexual intercourse, the research literature on the phenomenon is sparse. In the current study, 161 young adult women provided data regarding lifetime sexual experience, objective and subjective physical attractiveness, sexual attitudes (erotophobia-erotophilia), sexual esteem, and general tendencies toward self-monitoring of expressive behavior in social situations. Overall, more than one-half of the women reported having pretended orgasm during sexual intercourse. In univariate analyses, the "pretenders" and "non-pretenders" did not differ in experimenter-rated facial attractiveness, self-rated body attractiveness, or general self-monitoring. However, pretenders were significantly older; viewed themselves as facially more attractive, reported having had first intercourse at a younger age; reported greater numbers of lifetime intercourse, fellatio, and cunnilingus partners; and scored higher on measures of sexual esteem and erotophilia. In multivariate analyses, only sexual esteem was uniquely related to having pretended orgasm. The findings are discussed with regard to possible explanations and implications, as well as directions for future research.

Adult↗

PubMed1996

Sexual desire, erection, orgasm and ejaculatory functions and their importance to elderly Swedish men: a population-based study.

Relevant information for clinical decision-making in a wide spectrum of diseases includes the extent to which sexual function is intact, how important it is to preserve sexual capacity and whether waning sexual function causes distress. Little information is available on elderly men. We aimed to obtain this basic information. Radiumhemmet's Scale of Sexual Function was posted to 435 randomly selected men aged 50-80 years. Assessments included sexual desire, erectile capacity, orgasm and ejaculation and to what extent waning sexual function distressed the men. The questions were answered anonymously. Information was obtained from 319 men (73%). Of these, 83% stated that sex was 'very important', 'important' or a 'spice to life'. Physiological potency for men aged 50-59, 60-69 and 70-80 amounted to 97%, 76% and 51% respectively. Among the oldest men (70-80 years), 46% reported orgasm at least once a month. Over 80% of all men who reported some level of erection stated that it was of importance to them to maintain the present level of erection stiffness. Most men who reported waning sexual function (compared with their youth) stated that this distressed them. Sex is important to elderly men. Even among the 70-80-year-olds, an intact sexual desire, erection and orgasm are common and it is considered important to preserve them. Sexual function should be considered in the clinical assessment of elderly men.

Aged↗