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Women's Orgasm
Women's OrgasmOrgasm is achieved by a complex interplay of
emotional, physical and physiological factors. It is a reflex action and
needs intact nerves in the genital area. Sexual stimulation is
associated with an increase in the level of hormones like prolactin,
vasopressin, adrenaline, oxytocin and others. Orgasm is accompanied by
several physiological changes in the body like increase in heart rate,
blood pressure, breathing rate, vaginal and clitoral blood flow and
rhythmic contractions of the vaginal area.
Orgasmic dysfunction is said to occur when a
female is persistently unable to attain an orgasm even after sufficient
stimulation and arousal. It is difficult to define, as the degree of
stimulation and arousal needed to achieve orgasm varies from woman to
woman. There are a lot of other factors that can affect achievement of
an orgasm during sexual activity. Feelings towards the partner, level of
comfort, trust and well being would affect an orgasm.
Orgasmic dysfunction can be caused by emotional
factors such as physical or sexual abuse, traumatic sexual experiences
in the past, poor relationship with the partner. Poor physical or mental
health, like depression or anxiety, can also impair achievement of an
orgasm. In some cases drugs or alcohol may also be responsible. Another
important factor in the ability of woman to achieve an orgasm is the
sexual performance of her partner. If he suffers from premature
ejaculation or erectile dysfunction this may prevent arousal and so
affect her orgasm. As women grow older they need more foreplay and
stimulation to achieve an orgasm.
Management of orgasmic difficulties involves a
combined medical and psychological approach. Psychological approach
involves cognitive behavioral therapy. The couple are taught relaxation
techniques which they can practice at home. The woman is encouraged to
explore her body and directed masturbation is encouraged. Vibrators may
be used for arousal. The counsellor will also educate and inform the
woman about her sexuality. He will encourage the couple to be sensitive
to each others need and find ways to show affection thus promoting their
relationship. Hormonal therapy may be used to treat orgasmic dysfunction though they may have side effects. EROS, a device applying vacuum intermittently to the clitoris, helps makes the clitoris more sensitive. Creams available over the counter increase sensitivity in the genital area and may help a woman reach orgasm. Whatever the problem help is available and should be sought. |