The nature of human orgasm: a critical review of major trends

Mah, Kenneth; Binik, Yitzchak M.

doi:10.1016/s0272-7358(00)00069-6

Cited by 196 publications

(179 citation statements)

References 233 publications

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“…The consistency, quality and satisfaction of orgasm are correlated with marital satisfaction, stability and happiness [20]. Therefore, alterations in orgasm may be associated with quality of life changes.…”

Section: Discussionmentioning

confidence: 99%

The prevalence and nature of orgasmic dysfunction after radical prostatectomy

et al. 2004

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OBJECTIVETo define the type of orgasmic dysfunction in men after radical prostatectomy (RP), as absence of orgasm and orgasmic pain are recognized complaints, and changes in orgasm may lead to significant sexual dissatisfaction. PATIENTS AND METHODSUsing an unvalidated questionnaire, demographic, erectile function and orgasmic function questions were answered by 239 patients who had previously undergone a retropubic RP. RESULTSOf the 239 patients, 22% had no change in orgasm intensity, 37% reported a complete absence of orgasm, 37% had decreased orgasm intensity and 4% reported a more intense orgasm after RP than before. Pain during orgasm (dysorgasmia) occurred in 14% of the patients; in these respondents the pain reportedly occurred always (with every orgasm) in 33%, frequently in 13%, occasionally in 35%, and rarely in 19%. Most patients (55%) had orgasm-associated pain for < 1 min. CONCLUSIONSThese results indicate that orgasmic functional changes are relatively common after RP and are worth considering by clinicians and researchers.

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Section: Discussionmentioning

confidence: 99%

The prevalence and nature of orgasmic dysfunction after radical prostatectomy

et al. 2004

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“…Throughout the ages, philosophers, anthropologists, writers, anatomists, psychiatrists and sexologists have tried to decipher the sense, nature and function of a woman's sexual pleasure (such as orgasm, e.g., Kaplan, 1974Kaplan, , 1979Kinsey et al, 1953;Lloyd, 2005;Mah and Binik, 2001;Masters and Johnson, 1966;Symons, 1979). However, the underlying mechanisms of a woman's sexual pleasure remain poorly understood.…”

Section: Introductionmentioning

confidence: 99%

“…Five to ten percent of adult women in the United States have never experienced orgasm by any means of partner stimulation (Spector and Carey, 1990). Moreover, many inter-and intra-individual differences exist in terms of number of orgasms, frequency and preferred partner Darling et al, 1991;Ladas et al, 1982;Levin, 1981;Levin and Wagner, 1985;Mah and Binik, 2001;Masters and Johnson, 1966;Meston et al, 2004;Ortigue and BianchiDemicheli, 2006). These inter-and intra-individual differences clearly highlight the potential implicit role that cognitive and www.elsevier.com/locate/ynimg NeuroImage 37 (2007) 551 -560 emotional factors can play during sexual relationships (Bancroft, 1989;Bancroft et al, 2003;Basson, 2000Basson, , 2005Kaplan, 1974Kaplan, , 1979Mah and Binik, 2005;Masters and Johnson, 1966;Whipple and Brash-McGreer, 1997).…”

Section: Introductionmentioning

confidence: 99%

Correlation between insula activation and self-reported quality of orgasm in women

2007

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Current multidimensional models of women's sexual function acknowledge the implicit impact of psychosocial factors on women's sexual function. Interaction between human sexual function and intensity of love has been also assumed, even if love is not an absolute condition. Yet, whereas great insights have been made in understanding the central mechanisms of the peripheral manifestations of women's sexual response, including orgasm, the cerebral correlates sustaining the interaction between women's sexual satisfaction and the unconscious role of the partner in this interpersonal experience remain unknown.Using functional imaging, we assessed brain activity elicited when 29 healthy female volunteers were unconsciously exposed to the subliminal presentation of their significant partner's name (a task known to elicit a partner-related neural network) and correlated it with individual scores obtained from different sexual dimensions: selfreported partnered orgasm quality (ease, satisfaction, frequency), love intensity and emotional closeness with that partner.Behavioral results identified a correlation between love and selfreported partnered orgasm quality. The more women were in love/ emotionally close to their partner, the more they tended to report being satisfied with the quality of their partnered orgasm. However, no relationship was found between intensity of love and partnered orgasm frequency.Neuroimaging data expanded these behavioral results by demonstrating the involvement of a specific left-lateralized insula focus of neural activity correlating with orgasm scores, irrespective of dimension (frequency, ease, satisfaction). In contrast, intensity of being in love was correlated with a network involving the angular gyrus.These findings strongly suggest that intimate and sexual relationships are sustained by partly different mechanisms, even if they share some emotional-related mechanisms. The critical correlation between self-reports of orgasm quality and activation of the left anterior insula, a part of the partner-related neural network known to play a pivotal role in somatic processes, suggests the importance of somatic information in the integration of sexual experience. On the other hand, the correlation between activation of the angular gyrus and love intensity reinforces the assumption that the representation of love calls for higher order cognitive levels, such as those related to the generation of abstract concepts. By highlighting the specific role of the anterior insula in the way women integrate components of physical satisfaction in the context of an intimate relationship with a partner, the current findings take a step in the understanding of a woman's sexual pleasure.

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“…It was Mah & Binik's study first opened a typical discussion on such altered mood states during female orgasms (Mah, 2001(Mah, , 2002(Mah, , 2005King, 2010 is not recorded and reported; and if ASCs during an enhanced orgasm is mixed with a traditionally accepted form of orgasm; because it is not easy to decide then, whether this form of ASC is a result of a very powerful and prolonged orgasm or not! For instance, in our groups mystical experience was never recorded in NESR women, but some women with ESR reported to have a form of mystical experience.…”

Section: Resultsmentioning

confidence: 99%

Altered States of Consciousness Occurring During Expanded Sexual Response In The Human Female: Preliminary Definitions

Sayın

2011

Neuroquantology

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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

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The nature of human orgasm: a critical review of major trends

Cited by 196 publications

References 233 publications

The prevalence and nature of orgasmic dysfunction after radical prostatectomy

The prevalence and nature of orgasmic dysfunction after radical prostatectomy

Correlation between insula activation and self-reported quality of orgasm in women

Altered States of Consciousness Occurring During Expanded Sexual Response In The Human Female: Preliminary Definitions

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