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Doors of Female Orgasmic Consciousness: New Theories on the Peak Experience and Mechanisms of Female Orgasm and Expanded Sexual Response

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Although there are many forms of female orgasms described in the literature, there are still debates about the female orgasmic response and no unified theory to explain those orgasmic reflexes and sexual responses have been proposed. Also, there are inconsistent reports and comments about the 'vaginal versus clitoral orgasm controversy'. Recently, a novel form of female orgasms has been coined as "Expanded Sexual Response" (ESR), and defined as: "being able to attain long lasting and/or prolonged and/or multiple and/or sustained orgasms and/or status orgasmus that lasted longer and more intense than the classical orgasm patterns defined in the literature". Expanded orgasms induce a different state of consciousness, or "orgasmic consciousness", whereas many forms of altered states of consciousness (ASC) can be observed. There are lots of reports, coming from the data accumulated during last decades on the female orgasm and orgasmic consciousness, which confirms the fact that "clitoral and vaginal orgasms are two separate entities", while their unification may induce a stronger and intense form of female orgasm, coined as "blended orgasm". As we have hypothesized in our other publications, at least six orgasmic reflex pathways may take part in the development of single or multiple clitoral, vaginal, blended orgasms, and expanded, enhanced, prolonged ESR orgasms. Pudental, pelvic, hypogastric and vagus nerves play major roles in the development of single or ESR orgasms, as well as at least two oxytocin pathways may contribute to it. In blended, ESR orgasms and/or status orgasmus, more than one 'orgasm reflex arch pathway' may trigger the orgasm at the same time, while other pathways play a supplementary role. We have investigated the ESR phenomenon using a specific ESR-Scale in a series of surveys among ESR-women, compared to the control groups and defined the main characteristics of ESR phenomenon in the human female. ESR women seem to have higher libido, higher masturbation frequency, more erotic fantasies, stronger and more intense, prolonged orgasms or expanded orgasms (EO); while they experience multiple clitoral, vaginal and blended orgasms separately, as well as status orgasmus. Also ESR women are more aware of their bodies and their deep vaginal erogenous zones (DVZs), which comprises inner clitoris, G-Spot, A-Spot, O-Spot, PC-Muscles and Cervix. "Four nerve-six pathway theory of female orgasm" and oxytocinergic system may seem to explain ESR phenomenon.
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Sayin HÜ., Doors of female orgasmic consciousness
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Altered States of Consciousness
Doors of Female Orgasmic Consciousness:
New Theories on the Peak Experience and
Mechanisms of Female Orgasm and Expanded
Sexual Response
H. Ümit Sayin
ABSTRACT
Although there are many forms of female orgasms described in the literature, there are still debates about the female orgasmic
response and no unified theory to explain those orgasmic reflexes and sexual responses have been proposed. Also, there are
inconsistent reports and comments about the ‘vaginal versus clitoral orgasm controversy’. Recently, a novel form of female
orgasms has been coined as Expanded Sexual Response” (ESR), and defined as: “being able to attain long lasting and/or
prolonged and/or multiple and/or sustained orgasms and/or status orgasmus that lasted longer and more intense than the
classical orgasm patterns defined in the literature”. Expanded orgasms induce a different state of consciousness, or “orgasmic
consciousness”, whereas many forms of altered states of consciousness (ASC) can be observed. There are lots of reports,
coming from the data accumulated during last decades on the female orgasm and orgasmic consciousness, which confirms the
fact that “clitoral and vaginal orgasms are two separate entities”, while their unification may induce a stronger and intense
form of female orgasm, coined as “blended orgasm”. As we have hypothesized in our other publications, at least six orgasmic
reflex pathways may take part in the development of single or multiple clitoral, vaginal, blended orgasms, and expanded,
enhanced, prolonged ESR orgasms. Pudental, pelvic, hypogastric and vagus nerves play major roles in the development of single
or ESR orgasms, as well as at least two oxytocin pathways may contribute to it. In blended, ESR orgasms and/or status
orgasmus, more than one ‘orgasm reflex arch pathway’ may trigger the orgasm at the same time, while other pathways play a
supplementary role. We have investigated the ESR phenomenon using a specific ESR-Scale in a series of surveys among ESR-
women, compared to the control groups and defined the main characteristics of ESR phenomenon in the human female. ESR
women seem to have higher libido, higher masturbation frequency, more erotic fantasies, stronger and more intense,
prolonged orgasms or expanded orgasms (EO); while they experience multiple clitoral, vaginal and blended orgasms separately,
as well as status orgasmus. Also ESR women are more aware of their bodies and their deep vaginal erogenous zones (DVZs),
which comprises inner clitoris, G-Spot, A-Spot, O-Spot, PC-Muscles and Cervix. “Four nerve-six pathway theory of female
orgasm” and oxytocinergic system may seem to explain ESR phenomenon.
Key Words: orgasmic consciousness, vaginal orgasm, clitoral orgasm, G-spot, A-spot, PC-muscles, blended orgasm, status
orgasmus, expanded orgasm, four nerve theory, expanded sexual response, ESR, , deep vaginal erogenous zone, DVZ
NeuroQuantology 2012; 4: 692-714
Introduction
1
Female orgasm and female orgasmic ‘peak
experiences’ have been well documented in the
ancient historical literature (Vatsyayana, 1883;
Chang 1977, 1983; Wu, 1996; Schwartz, 1999;
Chia 2002, 2005; Mumford, 2005; Michaels
Corresponding author: H. Ümit Sayin, M.D.
Address: Institute of Forensic Sciences, Cerrahpaşa Medical School,
İstanbul University, Cerrahpaşa, İstanbul-Turkey
Phone: + 90-5312506071
humitsayin@gmail.com
Received Nov 1, 2012. Revised Nov 12, 2012. Accepted Dec 5, 2012.
eISSN 1303-5150
2008). Eastern cultures had tried to discover
the limits and extents of female orgasmic
response for centuries (Wu, 1996; Chang, 1977,
1983). It was Sigmund Freud who first
pronounced the existence of different kinds of
female orgasms; according to his theory,
mature female orgasms were vaginal
orgasms”, that occurred during coitus;
however, long after his theories, Masters and
Johnson’s clitoris oriented orgasm theory
became valid and clitoral orgasm theory”
established the basis of sex therapy for
decades (Masters & Johnson, 1966, 1970,
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1995). According to Masters and Johnson,
clitoris was the main focus that triggered
female orgasm, as they rejected the ‘vaginal
orgasm theory’ (Masters & Johnson, 1966),
since vaginal orgasms were not observed
frequently in their laboratory experiments;
they explained vaginal orgasms as a variation
of “clitoral orgasms”, whereas glans clitoris
was the target of orgasmic response in both
forms of orgasms. Some surveys, pointed out
that a hypothetical vaginal orgasm existed
in some women; according to Hite Report
(Hite, 1974) and Cosmo Report (Wolfe, 1983)
only one third of American women were able
to attain “vaginal orgasms”.
After the book “G-Spot” was published in
1982, a new debate was started about the
“clitoral versus vaginal orgasms” which still
continues (Ladas, 1982). Ladas et al.
hypothesized that vaginal orgasms originated
by means of the stimulation of G-Spot via
pelvic nerve, which was a rudimentary
embryologic prostatic structure in the frontal
wall of vagina at the mid length of urethra
(Ladas, 1982). Recently, other intra-vaginal
erogenous zones have been proposed to be
discovered that may take part in the
mechanisms of female orgasms (Morris, 2004;
Sayin 2012 a-b-c). Also Komisaruk et al. and
Sayin et al. (Komisaruk, 2006; Sayin, 2010,
2011 a-b-c, 2012 a-b-c) have reported that
female orgasm can be triggered by means of
the stimulation of other erogenous zones via
different neural pathways, while “the brain”
and the psychology of the woman played the
major role. According to the novel
accumulating data, glans clitoris was
responsible of the clitoral orgasms’ via a
reflex pathway originating from pudental
nerve and sacral plexus, while other vaginal
erogenous zones, coined as “deep vaginal
erogenous zones” (DVZ) were responsible of
vaginal orgasms’, via other orgasm reflex
pathways, such as pelvic nerve-sacral plexus,
hypogastric nerve-pelvic plexus and vagus
nerve-brain (Ladas, 1982; Komisaruk, 2003,
2004, 2005, 2006; Sayin, 2010, 2011a-b-c,
2012a-b-c, 2013). Also the term of “blended
orgasm” had been defined by Ladas et al.
(Ladas, 1983) and Sayin et al. (Sayin, 1993,
2010, 2011c, 2012a-b). “Four nerve theory of
female orgasmic response” was hypothesized
to explain the mechanisms of single, multiple
and extreme prolonged orgasms or ESR in the
human female (Komisaruk, 2006; Sayin, 2011
c, 2012 a-b, 2013).
Lately, a novel phenomenon was defined
and coined as “expanded orgasm” (EO) and
expanded sexual response (ESR) in a
minority of women (Taylor, 2000, 2002;
Sayin, 2010, 2011c, 2012a). ESR was defined
as, “being able to attain long lasting and/or
prolonged and/or multiple and/or sustained
orgasms and/or status orgasmus that lasted
longer and more intense than the classical
orgasm patterns defined in the literature”
(Sayin, 2010, 2011a-b-c, 2012a, 2013). The
duration of EO and ESR varied from woman to
woman, lasting starting from a couple minutes
to hours (Schwartz, 1999; Taylor, 2000, 2002;
Sayin, 2010, 2012a, 2013). In the literature,
the highest number of orgasms in a woman
recorded by Dr. William Hartman and Marilyn
Fithian was reported to be 134 per hour
(Sayin, 2010, 2012a).
Although defined recently, ESR and EO
were not new phenomenon, but peak
experiences of female orgasmic consciousness
defined by different cultures centuries ago
(Chang 1977, 1983; Wu, 1996; Schwartz, 1999;
Chia 2002, 2005), while ESR may induce
altered states of consciousness (ASC) and peak
experiences in some women (Taylor, 2000,
2002; King, 2010; Sayin 2010, 2011c, 2012a,
2013).
This article briefly discusses some novel
findings, hypotheses and theories on the
mechanisms of female orgasms, ESR and peak
experiences of consciousness occurring during
the enhanced and prolonged female orgasms.
The Nature of Female Orgasm
Female orgasm is a neuro-psychological
response and peak experience that results
from the accumulated sexual tension, sexual
stimulation, arousal and internal sexual build
up, which is accompanied by neural and
psychological discharge. As Masters &
Johnson, Hartman & Fithian investigated in
the laboratory conditions, female orgasmic
response is complemented by the contraction
of some voluntary and involuntary
musculature, such as vulva, vagina, uterus,
pelvic floor muscles (PFM), some of body
muscles (leg, abdomen, pelvic muscles etc.)
(Masters & Johnson, 1966; Sayin 2010,
2012a).
Some researchers have described female
orgasm as (from, Mah & Binik, 2001):
Neurohormonal reaction of smooth muscle
organs and contraction of homologues of
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ejaculatory muscles (Campell and Peterson,
1953).
Spastic vaginal contractions occurring at
highest tension levels (Glann and Kaplan,
1968).
Reflexive sensory-motor response
involving genitopelvic contractions (Kaplan,
1974).
Reflexive sensory-motor response to sexual
stimulation (Kline-Graber and Graber, 1975).
Release of vaso-concentration and
myotonia from sexual stimulation (Masters
& Johnson, 1966).
Altered states of consciousness (Davidson
and Davidson, 1980).
Involuntary reflex action accompanied by
uterine / vaginal contractions (Reubens,
1982).
Psychic phenomenon, a sensation (cerebral
neuronal discharge) elicited by the
accumulative effect on certain brain
structures of appropriate stimuli originated
in the peripheral erogenous zones (Alzate,
1985).
Complex experiences of genital changes,
changes in skeletal muscle tone/semi-
voluntary movements, cardiovascular /
respiratory changes (Bancroft, 1989).
Sudden, intense sensation just prior to
genitopelvic contractions (Hite, 1976).
Acme of sexual pleasure with rhythmic
convulsions of the body of
perineal/reproductive organs, cardiovascular
and respiratory changes, release of sexual
tension (Schiavi and Segraves, 1995).
Orgastic potency; capacity to surrender to
flow of biological energy; capacity to
discharge the dammed-up sexual excitation
through involuntary, pleasurable convulsions
of the body (Reich, 1973).
When we look at the nature of female
orgasm, although there are similar patterns to
male orgasm, it seems to be very different than
male ejaculation depending upon the woman
experiencing it. In a classical single female
orgasm, there seems to be different patterns
contributing the bodily changes:
Whole body changes: tachycardia, elevated
blood pressure, hyperventilation, sweating,
extension of some muscle groups (e.g. legs
and feet), muscle tension, sex flush’,
vasodilatation at the cutaneous arterioles
and increased venous blood pounding etc.
Genito-Pelvic changes: erection of clitoral
complex and glans clitoris, enlargement of
G-Spot area and urethral sponge,
lubrication, involuntary contraction of
vagina, uterus and cervix, voluntary-
involuntary contraction of pelvic floor
muscles (PC-muscles), involuntary
contraction of anal sphincter etc.
Psychological changes: Relief of tension,
discharge feeling, decrease of anxiety,
happiness, euphoria, relaxation, fulfillment,
subjective feeling of getting rid of electrical
and muscle tension, altered states of
consciousness (ASC) etc.
As measured by Masters & Johnson, the
contraction duration of genito-pelvic area
occurs at 0.8 second intervals (Masters &
Johnson, 1966). Although males have a
refractory period after one orgasm, or
ejaculation, to become erect again, it has been
well documented that females have the
capacity to continue having multiple climaxes
if they are stimulated continuously and
properly (Schwartz 1999; Bodansky, 2000;
Taylor 2000; Komisaruk, 2006; Sayin 2010,
2012a, 2013). As described by Masters &
Johnson, some women can attain an orgasmic
state which may last for 43 seconds, coined as
status orgasmus (Masters & Johnson, 1966).
In some women who have developed ESR; EO,
multiple orgasms and status orgasmus can
vary in duration and in number of minor
orgasms they contain in the train of orgasmic
pattern. Lately, such prolonged orgasms and
the methods how to attain them have been
published in many books and articles (Rhodes,
1991; Schwartz 1999; Bodansky, 2000; Taylor
2000, 2002; Komisaruk, 2006; Sayin 2010,
2011a-c, 2012a, 2013; Deadone, 2011). We
have defined status orgasmus as (Sayin, 2010,
2011c, 2012a-b, 2013);
Status orgasmus is the continuous form of
blended orgasms and/or clitoral/vaginal
orgasms that last for starting from 1 minute
to 10-15 minutes (or more). During status
orgasmus a continuous orgasmic state is
experienced and very few women are
believed to achieve status orgasmus state.
Status orgasmus can be seen in vaginal and
clitoral orgasms, however mostly it is seen as
an expanded/extended form of blended
orgasms, in which both clitoral and vaginal
orgasm reflexes are triggered at the same
time. Similar orgasmic states and full body
orgasms are also defined in Tantric
literature. The duration may change from
woman to woman. Status orgasmus was first
defined by Masters & Johnson as lasting for
43 seconds in a woman in 1966. Today it is
estimated that status orgasmus continues
for 1 to 2 minutes, while it may last for 10 to
15 minutes, a prolonged and extended
orgasmic state which ends by a giant orgasm
(Big-O) that gives a great relief and
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satisfaction at the end. In most of the status
orgasmus experiences there is usually a
refractory period of 10 to 15 minutes. The
number of minor orgasms in a status
orgasmus may exceed from 5-10 to 20-30
(some women claim that this quantity goes
up to around 50). In status orgasmus it is
thought that any combination of pudental,
pelvic, hypogastric and vagal nerves mediate
the triggering mechanism at the same time.
As a novel phenomenon “ESR orgasms
and EO” seem to be different in many ways
from the classical single orgasms, as defined
by Masters & Johnson and Kaplan (See Fig-1;
Masters & Johnson, 1966; Kaplan, 1981;
Rhodes, 1991; Schwartz, 1999; Taylor, 2000,
2002; Diadone, 2011; Sayin, 2010, 2011c,
2012a-b, 2013):
The duration of single orgasms in the
orgasmic train may increase.
The duration of the whole orgasmic
experience may increase, such as lasting for
tens of minutes to a couple of hours.
The intensity of the individual minor
orgasms generally increases along with the
length of the orgasmic train.
The number of minor orgasms in the
orgasmic train may be beyond the normal
and average orgasmic pattern, such as
exceeding 20-30 orgasms in tens of
minutes.
The pleasure taken and sexual relief is
reported to be much more compared to
single or a couple of multiple orgasms.
Without a refractory period, a new
orgasmic state commences after each
orgasm, without passing to a resolution
phase, while orgasmic consciousness state is
maintained for a long time (e.g. from a
couple of minutes to tens of minutes or
hours)
Although there may be some forms of
ASCs in some single orgasms of some
women, most of the ESR and EO orgasms
are accompanied with ASCs, whereas time
perception, space-time continuum may be
altered deeply. We had reported 72 different
states of mind in our former publication
(Sayin, 2011c).
As reported by many ESR women, ESR
orgasms seem to have anxiolytic, anti-
depressant, euphoric, myorelaxant,
sedating, analgesic, acute and short acting
hallucinogenic effects which made us to
adopt a humorous novel slogan: “Don’t use
drugs! Use Expanded Orgasms!” (Sayin
2011c; Sayin 2012a-d).
Figure 1. Left: Classical female orgasm pattern, defined in the classical medical literature, Right: Enhanced and expanded
orgasm pattern in ESR and EO, as defined in various resources recently.
Clitoral versus Vaginal Orgasms
Clitoral stimulation is the main source of
sensory input for triggering a female orgasm;
glans clitoris, which contains nearly 8000
nerve endings, can trigger an orgasm when
stimulated manually, by friction, vibration,
cunnilingus, or indirect penile trust
stimulation in most of the women (Masters &
Johnson, 1966; Kline-Graber, 1975; Kaplan,
1981). Orgasms attained through clitoral
stimulation have been reported to be more
localized, sharp, bursting, short lasting,
superficial, confined only to the pubic area;
while ‘coital vaginal orgasms’ have been
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described as more diffuse, whole body”,
radiating, psychologically more satisfying,
lasting longer, having more tendency to turn
into multiple orgasms (Fisher, 1973; Hite,
1976; Kline-Graber, 1975; Mah, 2001;
Komisaruk, 2006; Sayin, 1993, 2010, 2012a,
2013).
Singer gives another typology of female
orgasm (Singer, 1973): 1) Vulva orgasm:
identified by orgasmic platform contractions
and induced by coital or non-coital activity. 2)
Uterine orgasm: identified by some
physiological parameters such as apnea and
lack of orgasmic-platform contractions and
induced by cervical stimulation from deep
coital trusting. 3) Blended: Having the
elements of both, unified. Ladas et al. also
mentioned about blended type of orgasms
(Ladas, 1982). Ladas hypothesized that G-Spot
was responsible for the triggering mechanisms
of vaginal orgasms, while vaginal orgasms
were mediated through a reflex arch through
sacral plexus via pelvic nerve; clitoral orgasms
were also mediated through a similar pathway
via pudental nerve. According to the
hypothesis defended in the book “G-Spot”,
blended orgasms were the unifying of two
types of orgasms, vulva-uterine orgasms,
which were mediated through pudental, pelvic
and hypogastric nerves (Ladas, 2005-1982).
Our extensive survey results on female
sexuality (Kadınca Report-1993; Hülya
Report-2003; İstanbul Report-2013, which is
still continuing) among nearly 2500 women
since 1991, have pointed out that, clitoral
orgasms and vaginal orgasms are definitely
two distinct phenomenon (Kocatürk, 2012;
Sayin, 2010, 2011d, 2012a).
Figure 2. Deep Clitoral Structures and the Inner Clitoral Complex (left). Glans clitoris is innervated by pudental nerve, while other
structures are innervated by both pudental and pelvic nerves (right). (Taken and modified from www.the-clitoris.com last
access; June 2010)
Masters & Johnson argue about the
possibility of indirect clitoral stimulation
during coitus, thus according to them, the
hood of clitoris inducing a friction to the glans
builds up an indirect clitoral orgasm. The
literature and our studies have enough data to
dispute such a phenomenon. Let’s clear out the
existence of a separate “vaginal orgasm”:
1) The clitoral hood cannot move directly
enough to stimulate the glans during
coitus. If some deep erectile structures of
clitoris, such as bulbus or crus, are
stimulated as well, this sensory input will
not be carried by pudental nerve, because
most of the deep structures of clitoral
complex are innervated by pelvic nerve,
which may cause another type of “clitoris-
pelvic orgasm”, which is not exactly the
same as “glans-pudental nerve orgasm”.
2) Most of the descriptions of each type of
orgasms in the literature are very different
in terms of their physiological,
neuropharmacological and psychological
effects (Campell, 1953; Fisher, 1973-77;
Hite, 1976; Taylor, 2000, 2002; Ladas,
1981; Komisaruk, 2006; King, 2010;
Sayin, 1993, 2010, 2012a). For instance,
orgasms triggered by coitus induce 4
times fold prolactin release in the female
brain compared to manual clitoral
orgasms, which is proposed to be a
measure of satiety (Brody, 2006).
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Figure 3. The venous network system surrounding the clitoral structures is depicted. Urethral sponge, deep clitoral structures,
G-Spot are interconnected. Glans clitoris is innervated by pudental nerve, while most of these structures and G-Spot are
innervated by pelvic nerve and some portions partially by pudental nerve. (Taken and modified from www.the-clitoris.com, last
access; December, 2011)
Figure 4. A) The venous blood supply of bulbus part of clitoral complex is depicted. B-C) The stimulation of urethral sponge and
G-Spot area and the female ejaculation, which is observed in a minority of women, is shown. (Taken and modified from
www.the-clitoris.com last access; December, 2011)
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3) It has been reported that the women who
are aware of their G-Spots and who have
responding-pleasurable G-Spots, are
more likely to attain coital vaginal
orgasms’ (Ladas, 1981; Sayin, 2010,
2012a-c; Hooper, 2008)
4) There appears to be other deep vaginal
erogenous zones (DVZs) in some
sexually hyper active and responsive
women, other than clitoris and G-Spot,
as reported recently (see figure-5 and
below; Morris, 2004; Sayin, 2012a-b-c).
Those zones are more prominent in the
women with ESR and high sexual
responsiveness, compared to none-ESR
(NESR) women or average women.
Nearly 99 % of ESR women were able to
attain vaginal-coital orgasms (Sayin
2011b, 2012a-b-c). Those areas are
innervated by pelvic nerve and partially
by hypogastric nerve, similar to G-Spot,
which induce a separate orgasm reflex
arch pathway; thus a very different
physiological orgasmic response builds
up.
5) Our preliminary studies by means of the
electrical and vibration stimulation of
DVZ seem to trigger orgasm patterns
alone, without the stimulation of glans
clitoris (unpublished data). Similar
interesting data comes out of the
research group of Komisaruk;
stimulation of cervix alone induced
orgasmic behavior in women who were
hemiplegic, having no connection of
nervous input from glans via pudental
nerve and from vagina via pelvic nerve
(Komisaruk, 2003, 2004, 2005, 2006);
this is also a proof that orgasm reflexes
can be triggered from the brain without
the existence of input through glans
clitoris.
6) In some women, undergone
clitoridectomy, some coital orgasms have
been reported (Sayin, 2010; Escapa,
1989), which shows that without the
existence of glans clitoris, orgasms may
build up by some other mechanisms,
while inner clitoral complex may have
some contributions to those kind of
orgasms, however they are unlikely to
trigger an orgasm by the stimulation of
bulbus or crus of clitoris alone; there
should be other triggering neural
pathways and mechanisms that play
major roles in the development of
“orgasms without clitoris”.
7) After the definition of novel four nerve
and six pathway theory of female
orgasm” (see below), it was realized that
at least six different pathway-mediated
orgasm reflex arches, some of which may
contribute to build up vaginal
orgasms originating from direct
stimulation of DVZs, may exist!
(Komisaruk, 2006; Sayin, 2011c, 2012a-
b)
8) Our preliminary research and other
accumulating data also showed that
some specifically designed electronic
dildo shaped vibrators that have a
rotational and vibrating property at the
tip may induce orgasms of vaginal origin
(unpublished data), which may also
show that stimulation of PC-muscles, O-
Spot, A-Spot and Cervix may trigger
vaginal orgasms in some women. Near to
these findings, electrical stimulation of
cervix and DVZs by a TENS unit (trans-
cutaneous-electrical-nerve-stimulation
unit) may induce similar vaginal
orgasms (unpublished data).
9) Recently, Brain Orgasms without the
stimulation of any genital erogenous
zones have been reported (Komisaruk,
2005, 2006; Sayin, 2012a-b). If brain
orgasms can exist, than we should
investigate many other pathway systems
and mechanisms, such as the “oxytocin
pathway”, other than focusing only on
the ‘glans clitoris’!
If there are separate vaginal orgasms
mediated by some different neural pathways
other than ‘clitoral orgasm pathway and
arch’, and then there should be “blended
orgasms”, as well, which may occur when both
of those pathways that mediate clitoral and
vaginal orgasms are activated at the same
time. Our survey data on female sexuality and
our researches and surveys on ESR, have
revealed that such stronger, longer, more
intense orgasm patterns also exist, as first
described by Singer and Ladas (Singer, 1973;
Ladas, 1982; Sayin, 2011a-b-c, 2012a-b-c-d,
2013; Kocatürk, 2012)
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Figure 5. Deep Vaginal Erogenous Zones (DVZs) include G-
Spot, inner clitoral structures of the clitoral complex, A-Spot,
O-Spot, Cervix, Pelvic Floor Muscles (PC-Muscle), which have
been proposed to be functional in some of the ESR-high
orgasmic women to trigger different forms of orgasm
patterns. The frequencies of occurrences of these areas have
not yet been investigated extensively and in detail. The areas
with stars are likely to trigger orgasms in a small group of
women. U-Spot, although proposed by Morris in 2004, have
not yet been identified in the literature and in our surveys. It
has been reported that female orgasms can be mediated and
triggered by various forms of stimulation of glans clitoris,
inner clitoris of clitoral complex, G-Spot, A-Spot, O-Spot, Anus,
Cervix, PFM, Nipples, Ear Lobes, and the brain.
Deep Vaginal Erogenous Zones (DVZ)
Recently, other erogenous zones in the deep
structures of pelvic area and vagina have been
described (Morris, 2004; Sayin, 2011c, 2012a-
b-c, 2013). We have investigated the possible
existence of such areas in our surveys and
other research projects; we have come across
the description of such sensitive areas that
may contribute to the development of female
orgasm in some women (Sayin, 2011c, 2012a-
b-c, 2013). The descriptions of DVZs and
occurrence frequency of the awareness of
DVZs in some women, particularly with ESR
(ESR women N=35; None-ESR Control
women N= 163; total group N=198), were as
follows (See Figure 5):
G-SPOT (Grafenberg’s Spot): The
localization of G-spot is at the anterior
vaginal wall, 2.5-4 cm inside, under the
mid uretral length. In our series 63 out
of 198 women (31.8 %) admitted to be
aware of their G-Spots. 55 of them (27.7
%) were positive that they had
experienced G-Spot orgasms. 25 of these
women (45.4 %) were ESR-women.
A-SPOT: A-Spot is at the anterior wall
of vagina, 2-3.5 cm below anterior
fornix, under the bladder. 21 women
(10.6 %) admitted to be aware of such an
erogenous zone. 13 of them (61.9 %)
were ESR-women.
O-SPOT: O-Spot is between the
posterior vaginal wall and the rectum, 2-
4 cm below posterior fornix. 16 women
(8 %) replied that they have a sensitive
area at this part of their genitalia. 12 of
them (75 %) were ESR-women.
U-SPOT: U-Spot was hypothesized to
exist at the area of the urethral opening
by Morris (Morris, 2004). No U-Spot has
been detected in the survey.
Cervix: Cervix is the collum (neck) of
uterus. 15 women (7.5 %) replied that
their cervix was sensitive and might
have triggered an orgasm. 9 of them (60
%) were ESR-women.
Pelvic Floor Muscles (PFM-PC-
Muscles): PFM are the muscle network
between pubis and coccyx. 24 women
(12.1 %) told that activation of PFM was
effective for the development of an
orgasm. 12 of them (50 %) were ESR
women.
Most of the ESR women admitted that
they may have such erogenous zones, which
may take part in the development of an
orgasm, other than glans clitoris. In our
preliminary study in 198 women, some of the
‘DVZ spots’ were identified by ESR (N=35) and
NESR women (N=163) (Sayin, 2012a-b-c).
The Arguments and Discussions about
G-Spot
The G-Spot was first described by a Dutch
physician Regnier de Graaf in 1672 and then
by Ernst Grafenberg in 1950, as an erogenous
zone on the anterior wall of vagina that expels
urethral ejaculate during an intense orgasm
(Ladas, 1982; Mah, 2001). Glandular
structures, Skene’s paraurethral glands, have
been proposed to homologous to male prostate
that stayed atrophic and rudimentary during
the course of embryological development
(Addegio, 1981; Belzer, 1981; Perry, 1981;
Ladas, 1982; Zaviacic, 1985, 1993, 1998).
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Many reports and surveys and laboratory
observations revealed that 40 % to 66 % of the
subjects reported a sensitive and pleasurable
area around 11:00-1:00 (clockwise) position of
the anterior wall of vagina at the mid-length of
urethra (see Figure 5) (Perry, 1981; Ladas,
1982; Davidson, 1989; Weijmar Schultz, 1989;
Komisaruk, 2006; Sayin, 2010, 2012a-b-c,
2013). The laboratory studies of Addegio et al.
and Zaviacic et al. also showed that
biochemical analysis of female ejaculate
revealed that the ejaculate was different than
that of urine and female ejaculate had some
similar components of prostate secretion
(Addegio, 1981; Zaviacic, 1985, 1988, 1995,
1998; Ladas, 1982; Sayin, 2010, 2012a).
Figure 6. The investigation of DVZs among 198 women along
with the survey research on ESR. The survey questionnaire
had detailed descriptions and schematic figures of DVZs. The
total number of 198 also includes 35 ESR women. As seen on
the plot the frequency of the occurrence of DVZs’ awareness
was much higher in women with ESR, who attained vaginal
orgasms in nearly 99 %. Some women admitted that they
experienced orgasms through the stimulation of G-Spot, A-
Spot, O-Spot, Anus, PFM, Cervix, Nipples, however no one had
a memory of pleasure or orgasm from the stimulation of the
coordinates of an area that coincided ‘the hypothetical U-
Spot’, as described by Morris in 2004.
Recently, another internet survey among 5000
women in England (2011), showed that nearly
72 % of the correspondents admitted to have
G-Spots; however, 50 % of these women were
able to describe the exact coordinates of G-
Spot, while 35 % described it deep inside, 15 %
located it elsewhere
(http://www.orgasmsurvey.co.uk/pressrelease
.htm). This study also confirms our hypothesis
on DVZ, since 35 % of the 72 % of the study
group (1260 women out of 5000 women),
reveal that they have sensitive zones deep
inside the vagina, assuming that DVZ was G-
Spot, since they did not have any idea about
the sensitivity of A-Spot, O-Spot, Cervix and
PFM.
Today there are still arguments about
whether the G-Spot exists or not, however,
many studies and surveys showed that,
although the frequency alters, from 35-40 % to
50-60 % of the female population confirm to
have G-Spots and accept the contributions of
G-Spot to the development of female orgasm,
particularly during vaginal orgasms.
Expanded Prolonged Orgasms (EO)
and Expanded Sexual Response (ESR)
ESR is a recently defined phenomenon
(Rhodes, 1991; Taylor, 2000, 2002; Armagan,
2012; Sayin, 2011a-c, 2012a-b, 2013). As ESR
was defined above, the main hypothesis in
ESR studies was, “Sexual response, orgasmic
consciousness and experience and orgasmic
pleasure can be enhanced, prolonged, and
expanded in the human female”. Although a
small proportion of women has attained or can
attain ESR today, ESR is a learned
phenomenon that can be developed in many
women by training and education. To
determine the main parameters and
mechanisms of ESR, we have investigated the
main characteristics of women who have
developed ESR (Taylor, 2000, 2002;
Armagan, 2012; Sayin, 2011a-b, 2012a-b-c,
2013):
1) The ESR women experienced vaginal,
clitoral and blended orgasms, as
described by Ladas et al. (Ladas, 1982;
Taylor, 2000, 2002; Armagan, 2012;
Sayin 2010, 2011a-b-c, 2012-a-b-c-d).
2) The ESR women experienced multiple
orgasms in most of their sexual
activities. (Schwartz, 1999; Taylor,
2000, 2002; Mamfurd, 2005;
Armagan, 2012; Sayin 2010, 2011a-b-c,
2012-a-b-c-d)
3) The ESR women were able to attain
long lasting and/or prolonged and/or
multiple and/or sustained orgasms
and/or status orgasmus that lasted
longer than the classical single orgasm
and/or multiple orgasm patterns
defined in the literature. (Schwartz,
1999; Taylor, 2000, 2002; Sayin, 1993,
2010, 2011a-b-c, 2012a-b-c-d)
4) The ESR women claimed to have
strong pelvic floor muscles (PFM)
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compared to NESR women. (Ladas,
1981; Britten, 1983; Sayin, 2010, 2011b,
2012a-b)
5) The libido of ESR women was very
high compared to NESR women.
(Armagan, 2012; Sayin, 2012a-b)
6) ESR women described a phenomenon
called G-Spot orgasms. (Ladas, 1982;
Taylor, 2000, 2002; Armagan, 2012;
Sayin, 2010, 2011b, 2012a-b-c)
7) ESR women described sensitive
erogenous zones in their genitalia
other than clitoris. (Morris, 2004;
Armagan, 2012; Sayin, 2012a-b-c)
8) ESR women masturbated more
frequently compared to NESR women.
(Armagan, 2012; Sayin, 2012a-e)
9) ESR women had erotic fantasies more
frequently than the NESR women.
(Armagan, 2012; Sayin, 2012a-e)
10) ESR women admitted to have a form
of altered states of consciousness
during some of their prolonged
orgasms and/or status orgasmus
(Taylor, 2000, 2002; Mah, 2001, 2002,
2005; King, 2010; Sayin, 2011c;
Sayin,2012a-d).
Our preliminary findings of ESR
research, which is still continuing, were
presented in NACS-2011 (Oslo-Norway),
IASR-2012 (Lisbon-Portugal) and NACS-2012
(Helsinki-Finland) Meetings. As a summary,
some of the presented data which support
above ten characteristics of ESR women were
as follows (Sayin, 2012b):
Figure 7. Partial preliminary data of ESR study, which is still continuing. A) ESR scores were directly proportional with the
strength of PFM (PC-Muscles) (r=0.782, N= 94); a specially designed Kegel Perineometer, of which monometer could measure
pressures up to 25, 40 and 60 milibars, was used in the study. Note that, the women who got scores above 100, were accepted
as ESR-women, out of the course and statistics of the study. The women who trained PC-Muscles may become multi-orgasmic,
vaginally orgasmic and training of PC-Muscles is an important factor in the development of ESR. B) Masturbation frequency is
also correlated with ESR scores (r=0.895, N=94). ESR women masturbated more frequently compared to NESR-women. C)
Orgasm intensity measures were also directly proportional with ESR scores. The ESR women experienced more intense,
prolonged, long lasting and strong orgasms compared to NESR women (r=0.857, N= 94).
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Figure 8. A) Comparison of ESR scores of ESR and NESR women. The ESR cut off line was between
90-100. We have accepted women with scores over 100, as ESR-women. B) Libido of ESR (N=35)
women was much higher compared to NESR women (N=59).
Figure 9. A) ESR women were more multi-orgasmic compared to NESR women. Multiple orgasm sub-
scores of ESR women (N=35) were more than twice that of NESR women (N=59). B) Masturbation
frequency sub-scores of ESR women (N=35) was nearly twice that of NESR women (N=59). ESR
women masturbated more frequently than the control NESR women.
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Novel Explanations of Neuro-
anatomical, Neurological and
Neuropharmacological Mechanisms of
Single Vaginal and Clitoral Orgasms,
Multiple Orgasms and ESR Orgasms
To explain the enhanced and expanded forms
of female orgasmic consciousness, we had
hypothesized the “Four Nerve and Six
Pathway Theory of Female Orgasm” in our
former publications (Sayin, 2011c, 2012a-b-f).
There is a lot of data which confirms that four
separate nerves carry sensory inputs from the
orgasming zones” of female genitalia or body;
these are pudental, pelvic, hypogastric and
vagus nerves (Ladas, 1982; Komisaruk, 2003,
2004, 2005, 2006; Sayin, 2011c, 2012a-b,
2013). The following are the possible pathways
that carry sensory input to somato sensory,
frontal and prefrontal cortices and the limbic
system, and contribute to the formation of an
“orgasm reflex” (Figure 10); some of those loci
directly trigger a female orgasm, some of them
may have contributions in terms of sensory
input. Also there are two other oxytocinergic
pathways which contribute to the formation of
an orgasm of any kind (Sayin, 2011c, 2012a-f)
If a single orgasm reflex pathway”, while
some other pathways having some
involvement, as well, operated during the
development of an orgasm; a single clitoral,
vaginal or brain orgasm may occur. If many
(more than one) “orgasm reflex pathways
and a combination of the following pathways
are involved in the formation of an orgasm,
then an EO or ESR orgasm” may develop and
orgasms may become more intense, multiple
and prolonged. This is a learned and maturing
phenomenon, which can be developed and
improved by training and education, as many
ancient Tantrists had done centuries ago
(Mamford, 2005; Carellas, 2007; Sayin,
2012a).
Glans clitoris Pudental N.
Sacral plexus BRAIN Clitoral
orgasm
Parts of clitoral complex (crus,
body, bulbus etc) Pudental N.
Sacral plexus BRAIN Clitoral
orgasm or Vaginal orgasm, or
contributes
Parts of clitoral complex (crus,
body, bulbus etc) Pelvic N. Sacral
plexus BRAIN Vaginal
orgasm, or contributes
G-Spot Pelvic N. Sacral plexus
BRAIN Vaginal orgasm; and
ejaculation in some women
Various vaginal stimulation during
coitus Pelvic N. Sacral plexus
BRAIN Vaginal orgasm
A-Spot Pelvic N. (possibly
partially hypogastric N.) Sacral
plexus (+ partially Pelvic plexus)
BRAIN Vaginal orgasm, or
contributes to Vaginal orgasm or
ESR orgasm
O-Spot Pelvic N. (possibly
partially hypogastric N.) Sacral plexus
(+ partially Pelvic plexus) BRAIN
contributes to Vaginal orgasm,
Anal orgasm or ESR orgasm
PFM (PC-Muscle) Pelvic N.
(possibly partially hypogastric N.)
Sacral plexus (+ partially Pelvic
plexus) BRAIN Vaginal
orgasm, or contributes to Vaginal
orgasm or ESR orgasm
Cervix Partially Pelvic N. + Mostly
Hypogastric N. Pelvic Plexus (+
partially sacral plexus) BRAIN
Vaginal orgasm, or contributes to
Vaginal orgasm or ESR orgasm
Cervix Vagus N. BRAIN
Vaginal orgasm, or contributes to
Vaginal orgasm, or ESR orgasm
Uterus Hypogastric N. + Vagus N.
Pelvic Plexus + BRAIN
contributes to Vaginal orgasm or
ESR orgasm
Anus + Rectum Infra Anal N. +
Pudental N. + Pelvic N. + Anal
sphincter nerves Sacral Plexus
(BRAIN) Anal orgasm (O-Spot
stimulation contributes to anal
orgasms)
Nipples Intercostal N. Pituitary
Oxytocin Pathway
BRAINNipple orgasm; or
contributes to Clitoral orgasm,
Vaginal orgasm or ESR orgasm
BRAIN-imagination-fantasy-sexual
images Pituitary Oxytocin
Pathway BRAIN Brain orgasm
or contributes to all kind of orgasms
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Figure 10. Four Nerve Six Pathway Theory of Female Orgasm. At least six pathway-orgasmic reflex arch systems work during
the development of female orgasms. Pudental, Pelvic, Hypogastric, intercostal and Vagus nerves constitute the main nerve
network system. Also there are at least two Oxytocin pathway systems, whereas Oxytocin works as a neurotransmitter and as a
hormone, separately. During expanded orgasms and ESR orgasms, more than one ‘orgasm reflex arch pathway’ is activated and
trigger an expanded orgasm, while many others contribute to the formation of an EO or ESR orgasms.
If there are six orgasmic pathways to
trigger an orgasm, then female orgasm can be
triggered in 63 ways; among them, 57 of them
would be blended or ESR orgasms. If the
above 14 loci take part in the development of
an orgasm, then there are (2
14
-1 = 16283)
combinations or possibilities of factors, that
supply complementary orgasmic input into
the brain. This theory may explain why female
orgasms are so diverse, and why it is very
difficult to understand and explain the
patterns of female orgasms. According to this
theory, during the development of a particular
type of orgasm, the other pathways or loci may
supply additional sensory input and pleasure
information into the brain until an orgasm
reflex is triggered. For the development of
clitoral orgasms, for instance, the triggering
locus is glans clitoris and the main reflex arch
is pudental nerve-sacral plexus orgasm reflex
arch, whereas the orgasm trigger command is
given by the neocortex and limbic system.
During the development of a clitoral orgasm,
however, other loci and pathway systems may
also carry supplementary pleasure input into
the pleasure centers of the brain and the
neocortex. In expanded orgasms or ESR
orgasms, more pleasure input is carried
through many loci and many pathway systems,
such that at least two or more, orgasm reflex
pathways are activated at the same time, while
many other loci and pathways carry lots of
supplementary information into the brain,
such that orgasmic response is stronger, more
intense, prolonged and more pleasurable,
lasting for from a couple of minutes to tens of
minutes, or even hours (Rhodes, 1991;
Schwartz, 1999; Bodansky, 2000; Taylor,
2000, 2002; Zdrok, 2004; Sayin, 2010, 2012a,
2013). This is just like the opening of the
doors of perception”, namely “opening of the
doors of the orgasmic perception and
orgasmic consciousness”. In ESR orgasms, the
intensity, duration and pleasure increases by
time and by the course of orgasmic train, as
described by many women; for instance, the
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fifteenth orgasm is much more intense and
prolonged than the fifth orgasm, once the
orgasmic train commences and continues, as
depicted in the plot in Figure 1-B. Many
women have described transcendental,
mystical, ASC experiences during an EO or
ESR orgasm, which is a proof that ESR
orgasms are novel doors opening to another
“orgasmic consciousness”, which lasts for a
very long time, compared to classical single
orgasms recorded in the literature (Taylor,
2000, 2002; Sayin, 1993, 2010, 2012a, 2013).
Discussion
Orgasmic Consciousness
Female orgasm has been defined as a form of
ASC by many researchers (Fisher, 1973;
Davidson, 1980; Taylor, 2000, 2002; Mah,
2002, 2005; King, 2010; Sukel, 2011; Sayin,
2010, 2011c, 2012a-b, 2013). King, Mah &
Binik categorized subjective feelings of female
orgasms in 10 dimensions as building
sensations, flooding sensations, flushing
sensations, shooting sensations, throbbing
sensations, general spasms, pleasurable
satisfaction, relaxation, emotional intimacy,
and ecstasy (King, 2010). Taylor classified her
cases into four dimensions as physical,
mental, emotional and spiritual. Taylor’s cases
described a deep experience of ASC such as,
more pleasure; deep relaxation; heightened
sensations; increased energy; temporary pain
relief; energy expanding out of body; deep
relaxing abdominal breathing; increased
clarity and creativity; acceptance of the self
and others; extra sensory perception; ecstasy;
mystical experience; divine feelings; increased
awareness of the body; mind connection and
integration; psycho-spiritual birth and death
experience; loss of illusion of spatial
separation; loss of spatial dimensions, loss of
sense of time; personal boundaries dissolving
and merging with the divine; cosmic
emptiness and void; sharing with the partner;
compassion; sense of fulfillment etc. (Taylor,
2000). In our study, which is still continuing,
we have identified 85 psychological effects
during intense and prolonged orgasms, as we
have reported before (Sayin, 2011c, 2012a-d,
2013; See Table-1). In our study we also
separated single orgasms from, prolonged-
multiple-intense ESR orgasms; evaluating
them as two separate entities. Although in
classical single orgasms, there are sometimes
sharp psychological changes and ASCs; we
have come to the conclusion that most of
piercing psychological shifts of the mood and
most of the ASCs occur during intense and
prolonged ESR orgasms. The main mechanism
of such alterations of mood can only be
explained by the “ecstatic activation of
various centers of the brain and release of
many neurotransmitters in various parts of the
brain during intense and prolonged orgasms;
such as endogenous opiates, dopamine,
serotonin, oxytocin, norepinephrine,
glutamate, and prolactin. It is, already,
reported that during a single orgasm
developing by masturbation or by intercourse,
dopamine (Stahl, 2001; Kruger, 2006; Passie,
2005; Brown, 2007), prolactin (Kruger, 2002,
2005; Passie, 2005;), oxytocin (Stahl, 2001;
Argiolas, 2003; Passie, 2005; Krüger, 2006),
melanocortin (Brown, 2007), serotonin (Stahl,
2001; Brown, 2007) norepinephrine (Stahl
2001) and endogenous opioid peptides
(Argiolas, 2003) are released and involved in
the mechanisms of altered orgasmic
consciousness”. Acute dopamine, the pleasure
neurotransmitter, release is a ‘satisfaction and
bliss’ factor during the female orgasms (Stahl,
2001; Komisaruk, 2006; Brown, 2007). For
such an alteration, involvement of more than
one orgasmic reflex pathway can be one of the
mechanisms, whereas the physiological
changes during a female orgasm is doubled or
tripled, by the stimulation and activation of
many reflex centers. “Four nerve and six
pathway theory of female orgasm” seems to
be a better model to explain the sharp changes
of the consciousness, while oxytocinergic
pathways play a major role. We have also
investigated the acute behavioral effects of
intranasal oxytocin spray (10 IU) in a group of
women, compared with the placebo: our
results were confirming this hypothesis,
because intranasal oxytocin (1o IU), alone,
induced ASC-like symptoms in 9 women (30.7
%); subjective feeling of analgesia in 9 women
(30.7 %); happiness, calmness, serenity,
euphoria in 15 women (57.6 %) and sexual
arousal in 10 women (38.4 %) out of 26, within
10 minutes after administration. There were
no such effects after the placebo, which was
administered to the same person either before
or after oxytocin administration in a double
blind fashion (Sayin, 2012g ).
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Table 1. Psychological Effects and ASCs Induced by Enhanced, Expanded and ESR Orgasms
1) Pulsating feeling 30) Feeling of fulfilling, achieving
something 59) Feeling wild, becoming wild
2) Throbbing feeling 31) Losing oneself 60) Feeling animal, animalism
3) Tickling 32) Exploding 61) Seeing different colors
4) Warm, warmth feeling 33) Volcano 62) Seeing flaring of lights
5) Hot, very hot feeling 34) Ecstatic 63) White or colored flashes
6) Physical warmth 35) Unify, Unified feeling 64) Seeing different geometrical objects
7) Spiritual warmth 36) Unifying with the partner 65) Feeling the body and mind extraordinary
8) Exciting 37) Extreme feelings of love and bursts
of love to the partner 66) Travelling to different lands, e.g. evergreens, forest,
waterfalls, gardens etc
9) Pleasurable 38) Attachment to the partner 67) Voyage to unknown places
10) Quivering 39) Cessation of time, time stops 68) Finding one’s self in different lands, e.g. evergreens,
forest, waterfalls, gardens etc.
11) Shuddering 40) Distortion in space-time continuum 69) Dissolving into the partner
12) Earth quake feeling 41) Flowing feeling 70) Unifying with environment and universe
13) Flushing 42) Flooding feeling 71) De ja vu
14) Euphoric 43) Absorbed feeling 72) Unreal feeling
15) Uncontrolled feeling 44) Immersing feeling 73) Surreal feeling
16) Elevation of mood 45) Swelling feeling 74) Opening into a surreal universe
17) Elated, being high 46) Dissolve feeling 75) Seeing Cartoon characters, short cartoon movie
18) Rapturous 47) Crying 76) Blissful feeling
19) Losing oneself 48) Giggling, laughter 77) Mystical experience
20) Intense LOVE 49) Rising, going up 78) Cessation of breathing, not to be able to breath for
a long time
21) Extreme excitement 50) Out of body experience 79) Resolving of pain (Analgesic Effect)
22) Close to herself, environm ent) 51) Fly, flying 80) Subsiding and decreasing of depression (Anti-
Depressant Effect)
23) Close to the partner 52) Astral voyage 81) Release from anxiety, decreasing of existing anxiety
(Anxiolytic Effect)
24) Peaceful 53) Death feeling 82) Increase of enthusiasm and creativeness
25) Spurting feeling 54) Near death experience 83) Feeling of relaxing of muscles, decreasing tension in
muscles (Myo-relaxant Effect)
26)Relaxing 55) Spreading feeling 84) Soothing and sedating effect; release from tensions
and stress (Sedating Effect)
27) Feeling of being totally filled 56) Depersonalization 85) Happiness during and after orgasm, Feeling
extremely content (Anti-depressant effect)
28) Peacefully relaxing 57) Losing the soul feeling
29) Soothing 58) Soul outside
A sample description of an ESR
orgasm we have recorded in our surveys
may clarify and visualize the “orgasmic
consciousness” of a woman (Sayin, 2010):
J. K. is a medical doctor. She is 36 years old.
She had her first sexual intercourse at the
age of 16, she had her first vaginal orgasm at
the age of 24, when also she discovered her
G-Spot. She started to have expanded
orgasms and status orgasmus at the age of
28. She had nearly 40-50 partners since she
was 16. Her score from ESR-Scale was
132/150 (in 2011). She says that she has been
hypersexual since she was 26. She adds that
she has been practicing Kegel Exercises since
she was 26. She has not been diagnosed for
any psychiatric disorder:
During my orgasms I depart from everything
around, it is a total depersonalization. I just
feel myself, I even forget myself. Only my
voice and screams stay. In status orgasmus,
which are my best to be satisfied, the
pleasure increases gradually, I am totally
isolated from my environment. Only I hear
the animal voice coming from my throat, my
short moans turn out to be incredible
screams. I feel it on my stomach, first some
tingling, then the contractions follow each
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other. It is a total altered state of
consciousness. My vision darkens; I see
flashes of colors or light. During minor
orgasms I feel funny contractions, like a
game. The minor orgasms or contractions
starting from my vagina and pubis circulate
through my stomach, where I can feel the
real center of the orgasmic volcano. Once
status orgasmus starts, it is like a hurricane
taking me away from my body and I fly,
these minor orgasms each lasting for nearly
10 to 20 seconds, build up into a continuous
tetanic fit, while I sometimes can’t hear my
screams, I am lost in the first few minutes.
These contractions continue for 10-20
minutes especially when my partner is doing
oral sex (cunnilingus) on me. He
continuously stimulates my clitoris by his
tongue so talented that one orgasm finishes,
other begins. During a status I feel that I am
traveling the world, as if I have an astral
body, I go to unknown gardens, waterfalls,
meadows. During intercourse orgasms I feel
an unbelievable unification and merging,
and dissolving into each other. I also had
status orgasmus during intercourses. If my
partner continues intercourse for 1-3 hours,
it is easy to attain prolonged orgasms. My
brain melts, I realize that I am an animal; I
hear my animal voices coming from my
throat which make me more excited. Vaginal
orgasms are sometimes better than clitoral.
While we also apply a message vibrator
during the intercourse, I easily go into the
status orgasmus which lasts for ten minutes
to half an hour, while I experience nearly 50-
60 minor orgasms. During orgasms I laugh,
cry, moan, make very loud noises (always I
am afraid that neighbors may hear me!) my
body arches, I am in full extension, it is
sometimes not certain whether I having pain
or pleasure. Fantasies whispered to my ear
make me crazy during these orgasms. Even a
word may start another minor orgasm. It
could be anything, wild or soft; I want to
become an animal, return to my archetype
body whatever it had been. When I contract,
I feel like an animal, as if it comes from my
collective sub consciousness. I feel the penis
like a hot, burning sword that brands me.
Makes my pelvis hotter and hotter, it steams
out, and then comes a huge contraction,
following another. Status orgasmus is very
satisfactory for me, compared to other
orgasms, like the ones due to the clitoral or
vaginal stimulation alone. I feel so dizzy and
my brain is so high and turning around that I
believe it would be very hard for me walk on
a straight line, I would fall. I love to lose
myself in my own brain chemistry. I would
not be satisfied if I did not experience status,
because clitoral or vaginal minor orgasms
are so low for me. They don’t make me as
high as the status orgasmus does. I don’t
have any refractory period for attaining
vaginal or clitoral orgasms. One may come
after another without building into a status
orgasmus. But for the status, which comes
with a BIG-O at the end, there is always a
refractory period of 15-20 minutes
(truncated)…
Expanded Orgasms and ESR
Taylor has reported that the expanded
orgasm (EO) or ESR orgasm duration was
0.2 to 60 minutes in 22 female subjects (a
total of 44 subjects or 22 couples), while
the average EO duration was 7.2 hours
(Taylor, 2000). Although Taylor’s data
seems to be difficult to believe and we have
never come across such extreme cases; in
our study, the women who experienced
ESR orgasms proclaimed that during a
status orgasmus or prolonged ESR
orgasm, which lasted from a couple of
minutes to 10-15 minutes or more, they
had had 20 to 30 minor orgasms in a train
of multiple orgasms during the orgasmic
consciousness (Sayin, 2012a, 2013).
These figures are beyond the published
limits and the normal recorded physiology
of the female orgasm; however it is a fact
to be investigated and explained by
neuroscience. According to ‘Cosmo Report’
among 10 000 American women, 14.8 % of
women could attain only one orgasm, 65.9
% could have 2 to 5 orgasms, 13.4 % could
reach to 6 to 10 orgasms, while only 5.9 %
could attain 11 or more orgasms during
one love making session (Wolfe, 1982).
Our surveys point out that 2.1 % (Kadınca
Report, 1993; N=1534), 4.7 % (Hülya
Report, 2003; N=706) and 4.3 % (Istanbul
Report, 2013, continuing; present N= 470)
of Turkish women can attain more than 11
orgasms during a love making session
(Sayin, 2010, 2011d, 2013). Thus, in
different cultures we have substantial data
which confirms the existence of a group of
nearly 4-5 % of women who can attain
more than 11 (up to 20 or more) orgasms
in a couple of hours. Depending on the
data from many other worldwide surveys
made us to work on a mathematical model
to make an assumption that a proportion
NeuroQuantology | December 2012 | Volume 10 | Issue 4| Page 692-714
Sayin HÜ., Doors of female orgasmic consciousness
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708
of 10 to 15 % of women can attain ESR
orgasms by training and education, while
an average of 1-3 % are, most probably,
experiencing the extreme “orgasmic
consciousness mentioned above, at
present (Sayin, 2012a-b, 2013).
ESR and Deep Vaginal Erogenous Zones
Our study on ESR points out that, for
experiencing extreme orgasmic
consciousness, a woman; 1-Should attain
and experience multiple clitoral, vaginal
and blended orgasms separately.
2- Should use her PFM (PC-Muscles)
during sexual response and should
possess developed, powerful PFM. 3-
Should have a developed masturbation
pattern. 4- Should have a developed
“sexual-brain”. 5- Should be aware of her
G-Spot and DVZs, experiencing G-Spot or
DVZ orgasms. 6-Should be using
novelties, variations and sex toys (e.g.
various types of vibrators, vibes) to
discover herself and to attain more
pleasure in her sexual life style (Sayin,
2012a-b, 2013). DVZ was first defined by
the famous British zoologist Desmond
Morris (Morris, 2004); however, the
pleasurable sensitivity of anterior and
posterior walls of vagina have been
reported for a long time by many
researchers, since Sigmund Freud (Reich,
1973; Singer, 1973; Fisher, 1972, 1973;
Kaplan, 1981; Ladas, 1982; Britten, 1983;
Whipple, 1988; Bancroft, 1989; Escapa,
1989; Komisaruk, 2003, 2004, 2005,
2006; Zdrok, 2004; Carellas, 2007; Sayin,
1993, 2010, 2011a-b-c, 2012a-b-c-e).
Although the nervous innervations of
pelvic nerve and hypogastric nerve in the
walls of vagina are not well established
anatomically and histologically, Whipple et
al, reported that self-stimulation of
anterior and posterior walls of vagina
induced pleasure and analgesia, as much
as the stimulation of the clitoris (Whipple,
1988). If there is pleasure and analgesia,
then there should be some zones
innervated by peripheric nerves that carry
messages of pain, pressure, vibration etc.
The phenomenon, Whipple et al. had
observed, could be a result of the
analgesic effects of acute oxytocin and
endorphin release, which is secreted by the
stimulation of clitoris, vaginal walls,
cervix, uterus or DVZ, and during a female
orgasm, as we also have reported (Sayin,
2010, 2012a-g). Those zones at the
anterior and posterior walls of vagina can
be G-Spot, A-Spot, O-Spot, and probably
cervix is included, while most of the
women cannot pinpoint the sensation
originating from deep vaginal structures in
correct coordinates. A proof for this
hypothesis came from a recent survey
among 5000 British women in England
(2011), as mentioned above
(http://www.orgasmsurvey.co.uk/pressrel
ease.htm), 1260 women out of 5000 (25.2
%) described pleasurable zones at the
vaginal walls as “G-Spot”, while they
described the coordinates of G-Spot
incorrectly, since the questionnaire did not
have the choices of other DVZ areas.
Awareness of DVZs (G-Spot, inner
clitoris, A-Spot, O-Spot, Cervix, PFM) is
very important for developing ESR, and
many ESR women are aware of those
pleasurable areas, as our surveys on ESR,
has found out (See figure-6; Sayin, 2012a-
b-c). Our other research also revealed that
some areas in deep vagina were sensitive
to high frequency vibration (80 Hz to 160
Hz), which is not experienced by
traditional vibrators, having a vibration
frequency of nearly 40-60 Hz. and also,
when stimulated by galvanic current using
a TENS unit, these DVZ areas induced
sexual pleasure and occasionally orgasm in
some women (unpublished data). We have
recently described a method to induce
prolonged blended orgasms in women who
have achieved the state of orgasmic
consciousness and ESR, which can be
used in sex therapy (Sayin, 2012a, 2013).
A Special Method for Sex Therapy to Induce
Expanded ESR Orgasms in Women. Four
Spot Method: In the women who have
developed ESR, an effective method is
described to induce prolonged orgasms:
Stimulation of G-spot (coitus, manual,
electrical or vibe), Deep Vaginal Erogenous
Zones (DVZs) (coitus, vibe , electrical, or
NeuroQuantology | December 2012 | Volume 10 | Issue 4| Page 692-714
Sayin HÜ., Doors of female orgasmic consciousness
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709
manual), glans clitoris (cunnilingus,
manual, vibe, or electrical), clitoral complex
(coitus, vibe, electrical, or manual), anus
(coitus, vibe, or manual) , nipples (mostly
manual, labial or vibe) and the brain
(fantasies, images, thoughts, sexual
pleasure objects, learned sexual behavior
patterns) at the same time, may start to
induce blended orgasms in a minority of
women after certain numbers of trials, by
means of triggering more than one orgasm
reflex pathways. The vibration frequency of
effective vibes (vibrator dildos) differs from
spot to spot (60-200 Hz); also, vibe
frequency may be variable in different
women. For coitus, a male partner should be
maintaining intercourse for more than 30
minutes. For oral sex, a continuous
stimulation more than 20-30 minutes should
be maintained. In Four Spot Method, male
partner uses his left hand’s second and third
fingers to stimulate the G-Spot upward,
fourth finger of the left hand is used to
stimulate anus. The head is in between the
legs of the woman to perform cunnilingus,
which should be continued for at least 30 to
40 minutes, with up and down (sometimes
left and right) continuous movements of the
tongue (1-3 Hz). The right hand should be
stimulating the left nipple of the women
(Sayin, 2012a). Thus anus, G-Spot, glans
clitoris, nipples are stimulated at the same
time until she reaches a series of orgasms,
which may last for more than 2-15 minutes.
In between these stimulations, rotating
probe and vibrating vibes can be used to
stimulate the DVZ.
Why Should We Do Research on ESR
Phenomenon?
Only 130-140 years ago, a woman’s
questioning and mentioning about female
orgasm was a taboo in many cultures. In
England, during the Victorian Era, women
were prohibited to masturbate and to get
pleasure from sex, while doctors made
them wear weird chastity belts at nights to
prevent them from masturbation and
sexual pleasure, claiming that
masturbation, pleasure and orgasm were
harmful for the good women’s psychology
(Escapa, 1989; Sayin, 2010, 2012a). After
the publications of Havelock Ellis, Kraft
Ebbing, Sigmund Freud, Van de Valde,
Wilhelm Reich, Erich Fromm, Alfred
Kinsey and Masters & Johnson, female
sexual pleasure, masturbation, and female
orgasm were started to be accepted as
normal and healthy physiological entities.
However, ancient cultures had
investigated the limits and possibilities of
female pleasure and orgasm in the Far
East (Chang 1977, 1983; Wu, 1996;
Schwartz, 1999; Chia 2002, 2005;
Mamford, 2005; Michaels 2008; Sayin,
2012a); Tantrists and some Taoists had
developed some unique and specific
techniques to enhance female pleasure and
orgasm centuries ago. Although defined in
medical literature recently, those cultures
were aware of the ESR phenomenon;
which means that we are re-discovering
the ESR in the West in this century! Even
recently, the debate about the existence of
G-Spot has lasted for 30-40 years, while
today there are still some physicians and
researchers who do not believe that G-Spot
exists in some women. In this very
conservative world, it is very difficult to
establish some novel facts, even though
they are reported by many researchers and
scientists; however, the only way to be
aware of those facts is to investigate and to
continue doing research!
Some authors state that the re-
discovery and research of female orgasm is
a revolutionary process in the new
enlightenment age and is a litmus paper
for being civilized (Tannahill, 1992;
Muchembled, 2008). Investigating the
extents and limits of female climax, sexual
peak experiences and “orgasmic
consciousness” is not for only the benefit
of the women, but particularly for the men,
also! Discovery of the mechanisms of the
normal sexual physiology, as well as the
extents and limits of it, can be utilized for a
better sexual life and happiness of women
and men in the 21
st
Century; while, many
sexual disorders can be treated in a better
context. ESR is a learned phenomenon and
many women and men can learn how to
attain it by training and education.
Four Nerve and Six Pathway Theory of
Female Orgasm: A Unified Theory?
Glans clitoris is an orgasm triggering locus
for many women (Masters & Johnson,
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710
1966; Kaplan, 1981). However, it is not
easy to talk the same way about the other
erogenous zones for the majority of
women. Fifty to sixty percent of women in
many cultures are not aware of their G-
Spots, and nearly two third of the female
population cannot experience vaginal
orgasms (Hite, 1976; Wolfe, 1982; Sayin,
2010, 2011b, 2012a); the awareness of
other recently proposed DVZs is much
less. DVZs, in average women may
contribute to the building up of an orgasm
by means of supplying additional and
supplementary erogenous information
input into the brain, however, the sensory
input from the DVZs in ESR women, is
much more and enhanced, even to trigger
an orgasm from each DVZ, e.g. triggering
an orgasm from the stimulation of G-Spot,
A-Spot, Cervix, PFM etc. alone, while they
may only serve as a complimentary
erogenous zone in the development of an
orgasm in the rest of the women.
As a mathematical model, let’s
assume that the amount of erogenous
information input to trigger an orgasm in
the brain is 10
6
bytes (Figure 11). In either
clitoral, vaginal or blended orgasms, the
erogenous input information into the brain
is shared by many components, e.g. brain’s
perception, input from glans clitoris, love
making, other erogenous zones,
psychological sexual molds, fantasies,
sexual pleasure objects etc. If the
erogenous input information overflows a
certain amount of input, e.g. exceeds 10
6
bytes of information, that is needed to
trigger an orgasmic reflex arch at one of
the orgasm centers of the spinal cord or
the brain, then the brain gives the order to
trigger an orgasm. In this model the
sensory and psychological input serve as
positive information in favor of orgasm,
while psychological inhibitions, learned
psychological taboos, obstacles and clogs,
may play an anti-orgasmic role against
orgasm, attenuating the effects of the
sensory erogenous input information in
the dynamics of inner psychology and
subconsciousness; namely, the brain can
learn orgasming, as well as un-orgasming,
or psychologically clogging pleasure or
orgasms, which may lead to sexual
function disorders, such as anorgasmia,
hyposexuality and vaginismus.
A schematic model is described in the
drawings of Figure-11, to symbolize this
complementary sharing. All the process is
“a learned reflexive behavior”. In clitoral
orgasms, glans clitoris plays the major
role, while the stimulation of the clitoris
may or may not be sufficient to trigger an
orgasm which is learned during the growth
of the women by trial and error, since
glans clitoris is outside the body and
reachable. Sometimes stimulation of glans
clitoris is not sufficient and other
erogenous sensory input information may
be needed, which can be supplied by other
components of four nerve and six pathway
system (e.g. additional oxytocin release, by
means of sucking or stimulating the
nipples) or fantasies and particular erotic
thoughts.
In vaginal orgasms, there may be
more components to trigger an orgasm,
such as, DVZ areas or other psychological
input from the brain itself. In average
women (NESR-women), such extra
informational input can be supplied from
many other pathways cited in this article,
particularly orgasmic four nerve-six
pathway system. In ESR women, all the
components in four nerve-six pathway
system is enhanced and carry more
sensory sexual information input, and
probably the number of sexual
components are increased too, which is
observed in our surveys such as that the
fantasy, masturbation, sexual image, libido
patterns are enhanced and expanded in
ESR women. Thus, ESR women have
learned more orgasm inducing pathways
to be sufficient to trigger an orgasm alone
(e.g., to become orgasmic through the
activation of each pathway alone). Hence,
ESR orgasms are enhanced and prolonged,
since they carry more sexual erogenous
information input from more than one
orgasm inducing pathway into “a more
sexually excitable brain and psychological
system”. However, in NESR women only
NeuroQuantology | December 2012 | Volume 10 | Issue 4| Page 692-714
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711
one systematic orgasmic pathway works,
and that is, most of the time, the clitoral
orgasm pathway through pudental nerve,
the other orgasm inducing pathways in
NESR women only function as
complementary, and supply additional
sensual information to facilitate the
building up of an orgasm through one
pathway, e.g. clitoral-pudental-sacral
plexus orgasm pathway. The brain and the
body of ESR women function in a more
sophisticated and evolved fashion, while
many novel components to the four nerve-
six pathway system may be added (e.g.
fantasies, variations, novelties etc.). In
ESR women, the learned orgasmic reflex
pathways are enhanced and increased; e.g.
ESR women can attain orgasms by means
of the stimulation of glans clitoris, coitus,
sole stimulation of DVZs or by contracting
PFM (PC-Muscles) etc. So four nerve-six
pathway theory is more likely to explain
ESR phenomenon. In ESR women the
following pathways may induce orgasms
separately, while they may only play as a
contributing and complementary role in
NESR women to build up an orgasm.
Dopaminergic, oxytocinergic,
serotoninergic, glutamatergic, endogenous
opioid systems also play an auxiliary role
in the development of orgasms through
these pathways:
1-
Glans clitoris-Pudental nerve-sacral
plexus
2-Coitus-DVZs-Pelvic nerve-sacral
plexus
3-Coitus-DVZs-cervix-Hypogastric
nerve-pelvic plexus
4-Coitus-DVZs-uterus-cervix-Vagus
nerve-brain
5-Nipples-intercostal nerves
(particularly T-4) -pituitary-oxytocin
pathway (oxytocin as a hormone)
6-Brain-fantasies-sexual images-sexual
psychology-frontal, somatosensory,
prefrontal cortices-limbic system-
hypothalamus-pituitary-oxytocin
pathway (oxytocin as a neurotransmitter).
“Four nerve and six pathway theory
of female orgasm” seems to explain some
of the characteristics of ESR. ESR is a
novel phenomenon to be investigated by
neuroscience in 21
st
Century, since many
women can have a better quality of sex life,
pleasure and orgasms, after certain
training, if the basic mechanisms of ESR
are discovered. More detailed research
should be carried for the investigation of
ESR, EO and female orgasm, as well as the
neurophysiology and neuroanatomy of
female sexual response to grant a more
healthy and pleasurable life to both women
and men.
Please see next page for figure 11.
Figure 11. Hypothetical Informatics Model for the Formation of Clitoral and Vaginal Orgasms in Four Nerve and Six Pathway
Theory. The psychological sexual sensory input that leads up to the development of an orgasm reflex is shared by many
components, while psychological inhibitions, taboos play an inhibiting role of the orgasmic input, as anti-orgasmic. All the
process is a learned reflexive behavior. A schematic model is described in the drawings, to symbolize this complementary
sharing. The sensory input information is carried by action potentials from the receptors of genital organs, body and the brain
itself as erotic and orgasm inducing/triggering sensations, such as pleasure, pressure, heat, vibration, touch, pain and erotic
thoughts etc. being transformed into sensual information (e.g. information in bytes at pleasure centers, limbic system and the
neocortex). A) In clitoral orgasms, glans clitoris plays the major role, while the stimulation of clitoris may or may not be sufficient
to trigger an orgasm. Other erogenous sensory input information may be needed, which can be supplied by other components
of four nerve and six pathway system (e.g. additional oxytocin release). B) In vaginal orgasms, there may be more components
to trigger an orgasm, such as, DVZ areas or other psychological input from the brain itself. In average women (NESR-women),
such extra information input can be supplied from many other pathways cited in this article, particularly orgasmic four nerve-six
pathway system. In ESR women, all the components in four nerve-six pathway system are enhanced and carry more sensory
sexual information input, and probably the number of sexual components are increased too; and ESR women have learned more
orgasm inducing pathways to be sufficient to trigger an orgasm alone, e.g. to become orgasmic through the activation of solely
each pathway. Hence, ESR orgasms are enhanced and prolonged, since they carry more sexual erogenous input information
from more than one orgasm inducing pathway, while in NESR women only one systematic orgasmic pathway works, and that is
the clitoral orgasm pathway through pudental nerve, the other orgasm inducing pathways in NESR women only function as
complementary, and supply additional information to facilitate the building of an orgasm through one pathway, e.g. clitoral-
pudental-sacral plexus orgasm pathway. Note that the constituents given by geometrical shapes at the left side of the two
figures are only for schematic purposes, there are of course more components, not only the ones that are shown.
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Sayin HÜ, Kocatürk A, Armagan N. What Next After 60
Years of G-Spot Debate? Other Possible Erogenous
Zones in Female Genitalia Which Can Contribute to the
Development of Female Orgasm Other than Glans
Clitoris. The 34
th
NACS-Sexology Conference (Pleasure
and Health) 4-7 October, 2012, Helsinki-Finland. NACS-
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(ASC) During Female Orgasms and Expanded Sexual
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Orgasms! The 34
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... Participating in recreation activities that contain such elements may help individuals improve physical awareness, positive self-image, and an increase in over body awareness, all of which could contribute to the likelihood of multiple orgasms. This concept of body awareness and multiple orgasms has been supported by research [62] showing that women who are more aware of their bodies are more likely to have stronger, more intense, prolonged, or expanded orgasms [63]. ...
... It is well known that exercise is related to improved cardiovascular function and circulation [83,84]. Stimulation of the male and female genitalia requires healthy circulation and this plays an important role in healthy sexual function and orgasm [62,52]. Findings from the current study support earlier work [85,86,21] showing that exercise RPE and exercise frequency is related to improved sexual performance. ...
... Although this was a somewhat surprising finding, review of earlier studies [60,61] in recreation demonstrates that individuals are likely to develop improved self-awareness, trust, and positive feelings of self-image through recreation participation. These personal traits have been related to improved sexuality [62]. Therefore, activity types that primarily focus on participation in traditional exercise activities (e.g. ...
... All human population should be the subject of modern sex therapy, not only patients suffering from vaginismus, anorgasmia or lack of sexual desire in women and erectile dysfunction or premature ejaculation in men. Today, in the Western world the average coitus duration does not exceed 4 -6 minutes [4,5,[18][19][20], however the Taoist and Tantric literature describe cases of male erection and coitus lasting for hours [1,[4][5][6][9][10][11][12][13][14]21]; is it acceptable to define normal coitus duration as 3 or 5 minutes? Tantric and Taoist love making techniques point out that, by training, this duration can be broadened and the pleasure from coitus, for both men and women, can be amplified. ...
... As measured by Masters and Johnson, the contraction duration of genital and pelvic area occurs at 0.8 second intervals [24]. Although males have a refractory period after one ejaculation, to become erect again, it is well documented that females have the capacity to continue having multiple climaxes if they are stimulated continuously and properly by the right partner [13,[17][18][19][20][21][25][26][27][28][29][30][31]. As described by Masters and Johnson, some women can attain an orgasmic state which may last for 43 seconds, coined as status orgasmus [24]. ...
... The duration of expanded orgasms (EO) and ESR varied from woman to woman, lasting from several minutes to tens of minutes [13,[16][17][18][19][20][21]. In the literature, the highest number of orgasms in a woman recorded by Dr. William Hartman and Marilyn Fithian was reported to be 134 per hour [1], this subject was probably experiencing also a form of status orgasmus. ...
Article
Full-text available
Abstract Female orgasm is one of the unsolved phenomena in female physiology and psychology. Most of the women do not actually know their natural capacity in attaining powerful orgasms; male biases have, most of the time, shaped the norms of the sexual behavior of women in many cultures. 50 to 65 % of women can attain multiple orgasms. In some of these women, orgasms can be prolonged and expanded. Expanded Sexual Response (ESR) is a recently defined phenomenon. ESR is defined as: “being able to attain long lasting and/or prolonged and/or multiple and/or sustained orgasms and/or status orgasmus that lasted longer and more intense than the classical orgasm patterns defined in the literature”. We have recently defined the case studies of five ESR women, as well as many other cases in the books and articles we have published. Approximately 10-15 % of female population can develop ESR, by training. In this case report, we are, for the first time, defining a novel ESR Case (Afros) with non-genital orgasms, never-ending orgasms, brain orgasms and status orgasmus. Afros had the capacity of attaining various forms of female orgasms, such as clitoral orgasms, vaginal orgasms, vaginal-coital orgasms, G-Spot orgasms, non-genital orgasms, anal orgasms, nipple orgasms, ear-lobe orgasms, blended orgasms, and status orgasmus, as long as she was stimulated and aroused. She did not suffer from persistent genital arousal disorder (PGAD), since she could control her orgasms. The most intriguing perspective of Afros was that she experienced continuous orgasms (never-ending orgasms-NEOs) as long as she was stimulated, according to our observations and her descriptions; she could stay in the orgasmic state and consciousness for hours, even as long as for a day. Her most intriguing orgasms were recorded as 3-hour non-stop orgasms, with various forms of above orgasms, mostly status orgasmus. During another episode of 2 hours we recorded her having nearly more than 250 orgasms, some of which were combined with status orgasmus, that lasted from 15 minutes to 45 minutes. Afros is the only and unique woman who could maintain orgasmic physiological state and orgasmic consciousness incessantly in the medical literature recorded up to date. Afros also experienced mental orgasms as defined by Komisaruk et al. and Sukel (2011).
... Jack Nicholson. Thus, in SEPO, our dynamic psychological assessment is involved, and makes the sex object more arousing and attractive [1][2][3][4]7,24,25]. ...
... Fantasies, masturbation, oral sex, anal sex, orgasm using therapy toys (sex toys) etc. are still regarded as "perversions" in many cultures and countries today; however, they are the main methods of modern sex therapy currently and they make the sexual lives of many people more colorful and pleasurable. The anorgasmia frequency among women is 5 to 14% globally [1][2][3][4][5][6][7][31][32][33][34]; coitalvaginal anorgasmia (lack of vaginal orgasms, but not clitoral orgasms) frequency is 65-70% in USA and Europe [1][2][3][4][5][6][7][31][32][33][34] and 82-85% in Turkey [1][2][3][4][5][6][7]25]. Most of the time, sexual fantasies do not become real. ...
... Fantasies, masturbation, oral sex, anal sex, orgasm using therapy toys (sex toys) etc. are still regarded as "perversions" in many cultures and countries today; however, they are the main methods of modern sex therapy currently and they make the sexual lives of many people more colorful and pleasurable. The anorgasmia frequency among women is 5 to 14% globally [1][2][3][4][5][6][7][31][32][33][34]; coitalvaginal anorgasmia (lack of vaginal orgasms, but not clitoral orgasms) frequency is 65-70% in USA and Europe [1][2][3][4][5][6][7][31][32][33][34] and 82-85% in Turkey [1][2][3][4][5][6][7]25]. Most of the time, sexual fantasies do not become real. ...
Article
Full-text available
CORRECTED PROOF: In sexuality research and sex therapy, it is generally very difficult to define “the normal” and to differentiate variations, mild and harmless fantasies, sexual games and fantasy role play from paraphilia. In DSM classifications, there are still dilemmas, misinterpretations, contradictions and controversies to define paraphilias and what pathology is and what is not. There are new definitions and terminology in sexuality research, such as “Expanded Sexual Response” (ESR), “status orgasmus” “Never Ending Orgasms (Super Orgasms)”, “Deep Vaginal Erogenous Zones” (DVZ),”Sexual Pleasure Objects” (SEPOs), “Hypersexuality” “Non-genital orgasms” and “soft-non-pathological BDSM” etc. In this review novel definitions of some new notions are given and it is discussed why those sexual behaviors cannot be regarded as a pathology or paraphilia, such as “Hypersexuality” and soft-BDSM; a unified definition of paraphilias is proposed. Sometimes, ESR women are often confused with pathological hypersexuality. ESR is defined as: “being able to attain long lasting and/or prolonged and/or multiple and/or sustained orgasms and/or status orgasmus that lasted longer and more intense than the classical orgasm patterns defined in the literature”. Lately a research performed in United Kingdom revealed that the research team had discovered more than 500 women who were having more than 30 to 50 orgasms in one or two hours (see: You Tube, “Never Ending Orgasm” documentary). We have concluded in many publications that during an ESR orgasm and status orgasmus, some women can have trains of tens of orgasms in a given love making session. Women can be trained to achieve ESR orgasms and it is a learned phenomenon. Although defined recently in medical literature, the notion of ESR is as old as history, starting from the Dionysus Cult Era and Far Eastern sexual traditions descending from Early Ages and Tantra and Taoist cultures. At the turn of 21st Century, Female Orgasm is still a mystery and we only know the tip of the Orgasmic Iceberg of Females. Keywords: Sexual pleasure objects; Fantasy; Variations; Soft-BDSM; ESR; Hypersexuality; Nymphomania; Paraphilia; DSM-5; Normal; EQ; Sexual intelligence; SEPO
... When we look at the nature of female orgasm, although there are similar patterns to male orgasm, it seems to be very different than male ejaculation depending upon the woman experiencing it. In a classical single female orgasm, there seems to be different patterns contributing the bodily changes [10][11][12][15][16][17]. ...
... As measured by Masters & Johnson, the contraction duration of genital and pelvic area occurs at 0.8 second intervals [1]. Although males have a refractory period after one orgasm, or ejaculation, to become erect again, it has been well documented that females have the capacity to continue having multiple climaxes if they are stimulated continuously and properly by the right partner [2][3][4]6,[10][11][12][15][16][17][18][19][20][21][22][23][24][25][26][27]. As described by Masters & Johnson, some women can attain an orgasmic state which may last for 43 seconds, coined as status orgasmus [1]. ...
... The duration of expanded orgasms (EO) and ESR varied from woman to woman, lasting from several minutes to tens of minutes [6,12,15,19,20,28]. In the literature, the highest number of orgasms in a woman recorded by Dr. William Hartman and Marilyn Fithian was reported to be 134 per hour [2], this subject was probably experiencing a form of status orgasmus. ...
Article
Full-text available
Pleasure principal" is one of the most important driving forces of the human psyche. Pleasures in human beings include various satisfactions, such as food intake for the survival, satisfaction of the ego and higher cortical cognitive functions, sexual satisfaction and orgasm, satisfaction of basic physiological needs. Female orgasm, which does not happen in other animal species (other than maybe one or two higher primates), is one of the most intriguing phenomena in female psychology. Female orgasm and female 'peak experiences' are well documented in the ancient historical literature of the Far East and India. In Tantra and also in Taoist philosophy, for centuries, prolonging the sexual pleasure of the women was regarded as an essential approach; old Chinese Taoist prescription for male sexuality was also defending males to prolong intercourse for a couple of hours, while, according to Chinese medicine men, losing semen was a bad habit or losing the yang energy. As described by Masters and Johnson, some women can attain an orgasmic state which may last for 43 seconds, coined as status orgasmus. The highest orgasm number recorded in medical literature is 134 orgasms per hour. ESR is a recently defined novel phenomenon, although it is very ancient. ESR was defined as: "being able to attain long lasting and/or prolonged and/or multiple and/or sustained orgasms and/or status orgasmus that lasted longer and more intense than the classical orgasm patterns defined in the literature". Status orgasmus are the continuous form of blended orgasms and/or clitoral/vaginal orgasms that last for starting from 1 to 15 minutes (or more). During status orgasmus a continuous orgasmic state is experienced and very few women are believed to achieve status orgasmus state, e.g. less than 1% of the whole female population. Nearly 10% to 15% of the women population has the capacity to develop ESR and prolonged orgasms. ESR is also a learned and developed phenomenon. Some non-ESR women can also develop ESR after certain trainings. Tantric and Taoist techniques are one of the training methods. ESR can also be measured by means of a psychometric ESR scale developed by Dr. Ümit Sayin.
... Criterion A2 may be showing that Kafka does not know much about the sexual physiology of women. Female orgasm is anxiolytic and anti-depressant, particularly due to the release of oxytocin (Sayin, 2012(Sayin, -a, 2015(Sayin, , 2017Komisaruk, 2016) Most of the women do escape to sexual activity or masturbate when they are stressed, anxious or depressed; what is wrong with this? Sexuality and female orgasms are normal and healthy behaviors. ...
Article
Full-text available
A Multidisciplinary Academic Journal Published Quarterly by CİSEATED-ASEHERT • www.ciseated.org • www.sexusjournal.com • Abstract: American Psychiatric Association (APA) revised and updated the DSM-IV into DSM-5 in 2013; DSM-6 is said to be on the way. DSM Manual is globally used for the diagnosis of psychiatric disorders. In 2013 APA was about to define a new psychiatric disorder, entitled as "Hypersexual Disorder" (HD); however, many criteria defined by Martin P. Kafka for the proposal were unclear, ambiguous and questionable, which was criticized by psychiatrists and medical doctors fiercely. APA dropped the proposal. In this article, we reassess the female perspectives of the HD and question whether such a new disorder is necessary. Norms of sexual behavior changes from culture to culture; "normal" is very difficult to define in sexual research, while many aspects of female sexuality has not been unraveled yet. Great extent of research and surveys should be realized before defining "what is pathological?" and "what is hypersexual disorder?" Otherwise, healthy women can easily be misdiagnosed as HD.
... Criterion A2 may be showing that Kafka does not know much about the sexual physiology of women. Female orgasm is anxiolytic and anti-depressant, particularly due to the release of oxytocin (Sayin, 2012(Sayin, -a, 2015(Sayin, , 2017Komisaruk, 2016) Most of the women do escape to sexual activity or masturbate when they are stressed, anxious or depressed; what is wrong with this? Sexuality and female orgasms are normal and healthy behaviors. ...
Article
Full-text available
A Multidisciplinary Academic Journal Published Quarterly by CİSEATED-ASEHERT • www.ciseated.org • www.sexusjournal.com • Abstract: American Psychiatric Association (APA) revised and updated the DSM-IV into DSM-5 in 2013; DSM-6 is said to be on the way. DSM Manual is globally used for the diagnosis of psychiatric disorders. In 2013 APA was about to define a new psychiatric disorder, entitled as "Hypersexual Disorder" (HD); however, many criteria defined by Martin P. Kafka for the proposal were unclear, ambiguous and questionable, which was criticized by psychiatrists and medical doctors fiercely. APA dropped the proposal. In this article, we reassess the female perspectives of the HD and question whether such a new disorder is necessary. Norms of sexual behavior changes from culture to culture; "normal" is very difficult to define in sexual research, while many aspects of female sexuality has not been unraveled yet. Great extent of research and surveys should be realized before defining "what is pathological?" and "what is hypersexual disorder?" Otherwise, healthy women can easily be misdiagnosed as HD.
Article
Full-text available
The authors, both anthropologists who study alternative states of consciousness (ASC), explore the psychodynamics of mystical experience (ME). An affect that is a key factor for and integral to the phenomenology of ME is what they term “mystical love.” In many respects, ME refers to ASC that is diametrically opposite to everyday ego‐centered, materialist consciousness. In this article we examine several questions, including: (1) Why do humans experience ME, (2) why does there seems to be a need to alter consciousness away from ordinary waking states, (3) what is the relationship between mystical love and other affective states such as anger, greed, and anxiety, and (3) what are the necessary conditions for ME‐type, transpersonal experiences? We demonstrate that ritual practices are recurrently used across cultures to incubate and evoke intense feelings of non‐romantic love, empathy, and compassion. Some of these practices include ritual drivers such as ingesting psychotropic substances (entheogens and empathogens), daily activities that devalue ego centeredness and promote love, empathy and selfless service, meditation upon loving kindness, and compassion. All of these practices are preparations for entering ME, the results of which are interpreted within people's cycle of meaning.
Article
Full-text available
Resumen (SPANISH TRANSLATION) Este artículo explica algunos de los nuevos hallazgos sobre la sexualidad femenina, la Respuesta Sexual Expandida (RSE) y los orgasmos prolongados–ampliados en comparación con las descripciones de las antiguas filosofías tántricas y taoístas. El orgasmo femenino y las «experiencias pico» femeninas tienen su adecuado reconocimiento en la antigua literatura de la India, China y Extremo Oriente. Al igual que los orgasmos tántricos, la respuesta sexual expandida se definió recientemente como: la capacidad de alcanzar orgasmos de larga duración y/o prolongados y/o múltiples y/o sostenidos y/o status orgasmus que dura más tiempo y es más intenso que los patrones de orgasmos clásicos definidos en la literatura occidental. Occidente empezó a comprender la verdadera naturaleza del orgasmo femenino en la segunda mitad del siglo XX con el uso de métodos de investigación científicos objetivos y Artículos atravesados por (o cuestionando) la idea del sujeto -y su género- como una construcción psicobiológica de la cultura. Articles driven by (or questioning) the idea of the subject -and their gender- as a cultural psychobiological construction Vol. 4 (2), 2019, abril-septiembre ISSN 2469-0783 https://datahub.io/dataset/2019-4-2-e104 Tantra y los límites del potencial femenino en la respuesta sexual H. Ümit Sayin Revista Científica Arbitrada de la Fundación MenteClara Vol. 4 (2) 2019, ISSN 2469-0783 204 racionales. En esta revisión se presentan descripciones detalladas de estos fenómenos en el marco de investigaciones clínicas actuales. Abstract This article explains explains some of the novel findings on female sexuality, ESR and prolonged–expanded orgasms, in comparison with the old Tantric and Taoist philosophies. The female orgasm and the female “peak experiences” have their proper recognition in the ancient literature of India, China and the Far East. Similar to Tantric Orgasms, ESR (Expanded Sexual Response) has been defined recently as: the capaciti able to attain long lasting and/or prolonged and/or multiple and/or sustained orgasms and/or status orgasmus that lasted longer and more intense than the classical orgasm patterns defined in the western literature. The West started to understand the real nature of female orgasm in the second half of twentieth century using objective and rational scientific investigation methods. This review presents detailed descriptions of these phenomena in the context of current clinical research. Palabras Claves: Tantra; respuesta sexual expandida; RSE; orgasmo femenino; status orgasmus; orgasmo tántrico Keywords: Tantra; expanded sexual response; ESR; female orgasm; status orgasmus; tantric orgasm
Article
Full-text available
Este artículo explica algunos de los nuevos hallazgos sobre la sexualidad femenina, la Respuesta Sexual Expandida (RSE) y los orgasmos prolongados–ampliados en comparación con las descripciones de las antiguas filosofías tántricas y taoístas. El orgasmo femenino y las «experiencias pico» femeninas tienen su adecuado reconocimiento en la antigua literatura de la India, China y Extremo Oriente. Al igual que los orgasmos tántricos, la respuesta sexual expandida se definió recientemente como: la capacidad de alcanzar orgasmos de larga duración y/o prolongados y/o múltiples y/o sostenidos y/o status orgasmus que dura más tiempo y es más intenso que los patrones de orgasmos clásicos definidos en la literatura occidental. Occidente empezó a comprender la verdadera naturaleza del orgasmo femenino en la segunda mitad del siglo XX con el uso de métodos de investigación científicos objetivos y racionales. En esta revisión se presentan descripciones detalladas de estos fenómenos en el marco de investigaciones clínicas actuales.
Preprint
Full-text available
A book in Swedish with the translated title "Sex as enjoyable medicine" based much on published material the last decade by other researchers. It is aimed to be a popular science book that might remove errors and misunderstandings such as the porn industry is spreading and that can increase knowledge about sexual anatomy for men and women.
Poster
Full-text available
THE MAIN PARAMETERS AND NEW DEFINITIONS OF ENHANCED AND EXPANDED SEXUAL RESPONSE (ESR) (Poster Presentation) Ümit Sayın, M.D., Ph.D. (Institute of Forensic Sciences, Istanbul University, Cerrahpaşa-İstanbul) E-mail: humitsayin@gmail.com Marjo Ramstadius (Jokioinen, Finland) E-mail: marjo.ramstadius@nic.fi Rationale: In medical literature, there are many researches and articles about the pathologies of the desire and sexual response of females on the dysfunctions of female sexual physiology and psychology such as anorgasmia, vaginismus etc., however there has been no attempt for a research to investigate the possibilities of enhanced sexual functions and response of the human female, unless it is caused by bipolar disorder, obsessive compulsive sexual disorder, persistent genital arousal syndrome etc. Recently many books have been published about the enhanced and expanded sexual response (ESR) of the human female (Taylor, 2002; Rhodes, 1991; Bodansky, 2000; Zdrok, 2004) . Introduction: To investigate the main parameters of a possible ESR we have contacted some women who claimed to have enhanced sexual response. Our aim was to establish the main scientific basis of the definitions and parameters of ESR, if it existed, and to establish an objective ESR scale out of our preliminary findings. Methods: As a preliminary study, 66666 women who claimed that they have a form of ESR and 66666women without ESR definitions were interviewed through internet and/or face to face. The women who joined the study were selected by means of personal communications through the academic circles, former survey correspondents, universities and via the internet and facebook communications; many women with different nationalities were included in the study in 2010 and 2011. To prevent the enhanced sexual response due to psychiatric pathologies such as bipolar disorder, compulsive sexual disorder, all women were questioned about their medical history and such women were not taken to the study. Results: It is concluded that some aspects of the sexual response of women with ESR were different than the women without ESR (none-ESR, NESR): 1) The ESR women experienced both vaginal, clitoral and blended orgasms, as described by Ladas, Whipple and Perry . 2) The ESR women experienced multiple orgasms in most of their sexual activities. 3) The ESR women were able to attain long lasting and/or prolonged and/or multiple and/or sustained orgasms that lasted longer than the classical single orgasm and/multiple orgasm patterns defined in the literature. 4) The ESR women claimed to have strong pelvic floor muscles (PFM) compared to NESR women. 5) The libido of ESR women was very high compared to NESR women. 6) ESR women described a phenomenon called G-Spot orgasms. 7) ESR women described sensitive erogenous zones in their genitalia other than clitoris. 8) ESR women masturbated very frequently. 9) ESR women had erotic fantasies more frequently than the NESR women. 10) ESR women admitted to have a form of altered states of consciousness during some of their prolonged orgasms. Conclusion: ESR is a novel phenomenon in the human female which was defined recently. Our preliminary data revealed that more detailed scientific research should be carried out on the possible existence of such a phenomenon. The authors are still working on some psychometric ESR-scales to measure the claimed ESR in the human female in scientific terms. Keywords: Female Orgasm, ESR, Expanded Sexual Response, Enhanced Sexual Response, G-Spot Orgasm, Prolonged Multiple Orgasms
Article
Full-text available
Expanded Sexual Response (ESR) is a recently defined phenomenon. It is defined as "being able to attain long lasting and/or prolonged and/or multiple and/or sustained orgasms and/or status orgasmus that lasted longer and more intense than the classical orgasm patterns defined in the literature". During our detailed preliminary survey to investigate the claimed ESR phenomenon in some particular women, we also investigated the subjective feelings and altered states of consciousness (ASC) during very intense and prolonged orgasms in the women with ESR. During our preliminary survey 72 types of different subjective feelings and ASC patterns were described in the 47 women with ESR. Among these were: depersonalization; out of body experience; flying; dying feeling (petit morte) with the partner and/or the universe; de ja vu; crying etc. It is concluded that in some particular women with ESR, some of the very intense and prolonged orgasms induce a form of ASC of which mechanism is not explained yet! Pudental, pelvic, hypogastric and vagus nerves and oxytocin pathway is involved in the development of female orgasm. We hypothesize that blended nerve activation among these four nerves during ESR may be inducing extraordinary subjective feelings and ASC during profound female orgasms. "Four nerve theory of female orgasm" may explain the ASC during ESR to some extent. Also involvement of dopaminergic, serotoninergic, noradrenergic, opioid, prolactinergic and oxytocinergic pathways may modulate the altered mood states during ESR induced ASCs. Near to our ongoing research, more research to determine the scientific basis and parameters of ESR phenomenon in some females should be carried out, as well as the research on the neurological, psychological and neurochemical mechanisms of ESR induced ASCs in some females' psyche.
Article
Full-text available
Kegel's theory (1952a) concerning the sexual importance of the pubococ‐cygeus muscle was combined with Singer's theory (1973) of “uterine” orgasms to produce the hypothesis that women who ejaculate at orgasm have stronger pelvic muscle contractions under voluntary control than women who do not ejaculate. The vaginal myograph and a new “uterine myograph” developed for this project were utilized to measure EMG levels in 47 women. Ejaculators were found to have significantly stronger pubococcygeal muscle contractions and significantly stronger uterine contractions than non‐ejaculators. The Grafenberg spot, an area of exceptional sexual sensitivity located in the anterior wall of the vagina, was identified in every subject. Hartman and Fithian's version (1974) of Kegel's theory of vaginal sexual sensitivity at “4 and 8 o'clock” was not supported; sexual sensitivity was focused at 12 o'clock in 90 % of the subjects. Kaplan's description (1974) of two “phases” of orgasm (in males) is expanded to account for ejaculation in both males and females. Female ejaculation is hypothesized to be a component of some women's “uterine” orgasms. The limitations and problems of research on orgasmic response are discussed.
Book
CONSCIOUSNESS AND THE BRAIN SELF-REGULATION PARADOX The relationship of consciousness to biology has intrigued mankind thoroughout recorded history. However, little progress has been made not only in understanding these issues but also in raising fundamental questions central to the problem. As Davidson and Davidson note in their introduction, William James suggested, almost a century ago in his Principles of Psychology, that the brain was the organ of mind and be­ havior. James went so far as to suggest that the remainder of the Principles was but a "footnote" to this central thesis. This volume brings together diverse biobehavioral scientists who are addressing the various aspects of the mindlbrainlbodylbehavior issue. Although some of the authors have previously published together in other volumes, by and large the particular combination of authors and topics selected by the editors makes this volume unique and timely. Unlike the Consciousness and Self-Regulation series (Schwartz & Shapiro, 1976, 1978), also published by Plenum, this volume is devoted entirely to a psychobiological approach to consciousness. Although readers will differ in their interest in specific chapters, the well-rounded investigator who is concerned with the psychobiology of consciousness will want to become intimately acquainted with all the views presented in this volume. As noted by the individual contributors, the topic of this volume stimulates fundamental questions which, on the surface, may appear trivial, yet, on further reflection, turn out to have deep significance.
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Prepared by one of the world's leading authorities, Human Sexuality and its Problems remains the foremost comprehensive reference in the field. Now available in a larger format, this classic volume continues to address the neurophysiological, psychological and socio-cultural aspects of human sexuality and how they interact. Fully updated throughout, the new edition places a greater emphasis on theory and its role in sex research and draws on the latest global research to review the clinical management of problematic sexuality providing clear, practical guidelines for clinical intervention. Clearly written, this highly accessible volume now includes a new chapter on the role of theory, and separate chapters on sexual differentiation and gender identity development, transgender and gender non-conformity, and HIV, AIDS and other sexually transmitted diseases. Human Sexuality and its Problems fills a gap in the literature for academics interested in human sexuality from an interdisciplinary perspective, as well as health professionals involved in the management of sexual problems.
Article
A review of research concerning the female prostate, a specific organ of the female urogenital system, is presented. This research focuses on clinical interest, anatomical structure, and histochemistry of the female prostate. Research concerning the phenomenon of female ejaculation is reviewed in terms of findings relevant to forensic medicine and sexuality. Further systematic research is needed to determine if the female prostate, the Gräfenberg spot, and female ejaculation are functionally connected.