Orgasm or sexual climax is the sudden release of accumulated sexual excitement during the sexual response cycle, characterized by intense sexual pleasure resulting in rhythmic, involuntary muscular contractions in the pelvic region. Orgasms are controlled by the involuntary or autonomic nervous system and experienced by both males and females; the body's response includes muscular spasms, a general euphoric sensation, and, frequently, body movements and vocalizations. The period after orgasm is typically a relaxing experience, after the release of the neurohormones oxytocin and prolactin, as well as endorphins.
In mammals and other animals, the vagina is the elastic, muscular reproductive organ of the female genital tract. In humans, it extends from the vulval vestibule to the cervix. The vaginal introitus is normally partly covered by a thin layer of mucosal tissue called the hymen. The vagina allows for copulation and birth. It also channels menstrual flow, which occurs in humans and closely related primates as part of the menstrual cycle.
The G-spot, also called the Gräfenberg spot, is characterized as an erogenous area of the vagina that, when stimulated, may lead to strong sexual arousal, powerful orgasms and potential female ejaculation. It is typically reported to be located 5–8 cm (2–3 in) up the front (anterior) vaginal wall between the vaginal opening and the urethra and is a sensitive area that may be part of the female prostate.
Urinary incontinence (UI), also known as involuntary urination, is any uncontrolled leakage of urine. It is a common and distressing problem, which may have a large impact on quality of life. It has been identified as an important issue in geriatric health care. The term enuresis is often used to refer to urinary incontinence primarily in children, such as nocturnal enuresis. UI is an example of a stigmatized medical condition, which creates barriers to successful management and makes the problem worse. People may be too embarrassed to seek medical help, and attempt to self-manage the symptom in secrecy from others.
The levator ani is a broad, thin muscle group, situated on either side of the pelvis. It is formed from three muscle components: the pubococcygeus, the iliococcygeus, and the puborectalis.
The missionary position or man-on-top position is a sex position in which, generally, a woman lies on her back and spreads her legs and a man lies on top of her while they face each other and engage in vaginal intercourse. The position may also be used for other sexual activity, such as anal sex. It is commonly associated with heterosexual sexual activity, but is also used by same-sex couples. It may involve sexual penetration or non-penetrative sex, and its penile-vaginal aspect is an example of ventro-ventral (front-to-front) reproductive activity. Variations of the position allow varying degrees of clitoral stimulation, depth of penetration, participation on the part of the woman, and the likelihood and speed of orgasm.
Erotic massage is the use of massage techniques by one person on another person's erogenous zones for their sexual pleasure. The process may achieve or enhance the recipient's sexual excitation or arousal and sometimes achieve orgasm. The person providing the massage is called a masseur (male) or masseuse (female). Massages have been used for medical purposes for a very long time, and their use for erotic purposes also has a long history. In the case of women, the two focal areas are the abdomens and pubis, while in case of men, the focal areas are the male breast muscles and nipples, male genitals, the anus, and the prostate. When the massage is of a partner's genitals, the act is usually referred to as a handjob for penises and fingering for vulvas.
Anorgasmia is a type of sexual dysfunction in which a person cannot achieve orgasm despite adequate sexual stimulation. Anorgasmia is far more common in females (4.6%) than in males and is especially rare in younger men. The problem is greater in women who are post-menopausal. In males, it is most closely associated with delayed ejaculation. Anorgasmia can often cause sexual frustration.
Kegel exercise, also known as pelvic floor exercise, involves repeatedly contracting and relaxing the muscles that form part of the pelvic floor, now sometimes colloquially referred to as the "Kegel muscles". The exercise can be performed many times a day, for several minutes at a time but takes one to three months to begin to have an effect.
The pelvic floor or pelvic diaphragm is an anatomical location in the human body, which has an important role in urinary and anal continence, sexual function and support of the pelvic organs. The pelvic floor includes muscles, both skeletal and smooth, ligaments and fascia. and separates between the pelvic cavity from above, and the perineum from below. It is formed by the levator ani muscle and coccygeus muscle, and associated connective tissue.
The human sexual response cycle is a four-stage model of physiological responses to sexual stimulation, which, in order of their occurrence, are the excitement, plateau, orgasmic, and resolution phases. This physiological response model was first formulated by William H. Masters and Virginia E. Johnson, in their 1966 book Human Sexual Response. Since that time, other models regarding human sexual response have been formulated by several scholars who have criticized certain inaccuracies in the human sexual response cycle model.
The urethral sponge is a spongy cushion of tissue, found in the lower genital area of females, that sits against both the pubic bone and vaginal wall, and surrounds the urethra.
Edging, sometimes also referred to as gooning or surfing, is a sexual technique whereby an orgasm is controlled. It is practiced alone or with a partner and involves the maintenance of a high level of sexual arousal for an extended period without reaching climax. Orgasm control involves either sex partner being in control of the other partner's orgasm, or a person delaying their own orgasm during sexual activity with a partner or through masturbation. Any method of sexual stimulation can be used to experience controlled orgasm.
Ben Wa balls, also known as orgasm balls, rin-no-tama, Venus balls, or mien-ling, are marble-sized balls, usually hollow and containing a small weight, that roll around and are used for sexual stimulation by insertion into the vagina. Available in a variety of forms, the balls may be solid, or contain clappers or chimes within. Other, larger versions made of plastic encasing lesser balls are called Duotone balls. They are used by inserting them into the vagina and using the pubococcygeus muscles to hold them in, stimulating movement and/or vibration. Ben Wa balls should not be confused with anal kegel exercisers and prostate stimulators: Ben Wa balls sometimes have a retrieval string or attachment of some sort, but they do not have an adequately flared base for safe anal play.
Pelvic organ prolapse (POP) is characterized by descent of pelvic organs from their normal positions into the vagina. In women, the condition usually occurs when the pelvic floor collapses after gynecological cancer treatment, childbirth or heavy lifting. Injury incurred to fascia membranes and other connective structures can result in cystocele, rectocele or both. Treatment can involve dietary and lifestyle changes, physical therapy, or surgery.
Fingering is sexual stimulation of the vulva or vagina by using the fingers. Vaginal fingering is legally and medically called digital penetration or digital penetration of the vagina. The term "digital" takes its significance from the English word 'digit', which refers to a finger, thumb, or toe. Fingering may also include the use of fingers to stimulate the anus.
Uterine prolapse is a form of pelvic organ prolapse in which the uterus and a portion of the upper vagina protrude into the vaginal canal and, in severe cases, through the opening of the vagina. It is most often caused by injury or damage to structures that hold the uterus in place within the pelvic cavity. Symptoms may include vaginal fullness, pain with sexual intercourse, difficulty urinating, and urinary incontinence. Risk factors include older age, pregnancy, vaginal childbirth, obesity, chronic constipation, and chronic cough. Prevalence, based on physical exam alone, is estimated to be approximately 14%.
A clitoral pump is a sex toy designed for sexual pleasure that is applied to the clitoris to create suction and increase blood flow and sensitivity. A clitoral pump is designed to be used on the entire external clitoris including the clitoral hood. Other designs of pump exist for the labia, the entire vulva and, in some cases, the nipples.
Vaginal contractions are contractions of the pelvic muscles surrounding the vagina, especially the pubococcygeus muscle. Vaginal contractions are generally an involuntary muscular response to orgasm. Women can control the muscles of the vagina to perform vaginal contractions at will. Vaginal contractions can enhance the sexual experience and pleasure for both parties during sexual intercourse.
The vaginal support structures are those muscles, bones, ligaments, tendons, membranes and fascia, of the pelvic floor that maintain the position of the vagina within the pelvic cavity and allow the normal functioning of the vagina and other reproductive structures in the female. Defects or injuries to these support structures in the pelvic floor leads to pelvic organ prolapse. Anatomical and congenital variations of vaginal support structures can predispose a woman to further dysfunction and prolapse later in life. The urethra is part of the anterior wall of the vagina and damage to the support structures there can lead to incontinence and urinary retention.
