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Special Issue: Orgasm: Neurophysiological, Psychological, and Evolutionary Perspectives

The whole versus the sum of some of the parts: toward resolving the apparent controversy of clitoral versus vaginal orgasms

, PhD, , MA, , MA & , PhD
Article: 32578 | Received 13 Jun 2016, Accepted 02 Aug 2016, Published online: 25 Oct 2016

References

  • Addiego F., Belzer E. G., Comolli J., Moger W., Perry J. D., Whipple B. Female ejaculation: A case study. Journal of Sex Research. 1981; 17: 13–21.
  • Adler N. T. Effect of the male’s copulatory behavior on successful pregnancy of the female rat. Journal of Comparative and Physiological Psychology. 1969; 69: 613–622.
  • Adler N. T. Hutchison J. B. On the mechanisms of sexual behavior and their evolutionary constraints. Biological determinants of sexual behavior. 1978; Chichester: Wiley. 657–695.
  • Baker R. R., Bellis M. A. Human sperm, competition, copulation, masturbation, and infidelity. 1995; London: Chapman & Hall.
  • Beltzer E. G. Jr. . Orgasmic expulsions of women: A review and heuristic inquiry. Journal of Sex Research. 1981; 17: 1–12.
  • Benoussaidh A., Maurin Y., Rampin O. Possible neural mediation of the central effects of oxytocin on uterine motility. American Journal of Physiology: Regulatory, Integrative and Comparative Physiology. 2005; 289: R798–804.
  • Boston Women’s Collective. Our bodies ourselves. 1970; Boston, MA: New England Free Press.
  • Brody S. The relative health benefits of different sexual activities. Journal of Sexual Medicine. 2010; 7: 1336–1361.
  • Brody S. Vaginal intercourse orgasm consistency accounts for concordance of vaginal and subjective sexual arousal. Archives of Sexual Behavior. 2012; 41: 1073–1075.
  • Brody S., Costa R. M. Insecure attachment is related to more anal sex and vibrator orgasm but less vaginal orgasm. Journal of Sexual Medicine. 2013; 10: 614–615.
  • Brody S., Weiss P. Vaginal orgasm is associated with vaginal (not clitoral) sex education, focusing mental attention on vaginal sensations, intercourse duration, and a preference for a longer penis. Journal of Sexual Medicine. 2010; 7: 2774–2781.
  • Brody S., Weiss P. Simultaneous penile-vaginal intercourse orgasm is associated with satisfaction (sexual, life, partnership, and mental health). Journal of Sexual Medicine. 2011; 8: 734–741.
  • Brody S., Klapilová K., Krejčová L. More frequent vaginal orgasm is associated with experiencing greater excitement from deep vaginal stimulation. Journal of Sexual Medicine. 2013; 10: 1730–1736.
  • Buckland R. Shunga: Erotic art in Japan. 2013; New York: Overlook Press.
  • Buisson O., Jannini E. A. Pilot echographic study of the differences in clitoral involvement following clitoral or vaginal sexual stimulation. Journal of Sexual Medicine. 2013; 10: 2734–2740.
  • Buisson O., Foldes P., Jannini E., Mimoun S. Coitus as revealed by ultrasound in one volunteer couple. Journal of Sexual Medicine. 2010; 7: 2750–2754.
  • Burri A. V., Cherkas L., Spector T. D. Genetic and environmental influences on self-reported G-spots in women: A twin study. Journal of Sexual Medicine. 2010; 7: 1842–1852.
  • Butler C. A. New data about female sexual response. Journal of Sex & Marital Therapy. 1976; 2: 40–46.
  • Cervero F. Sensory innervation of the viscera: Peripheral basis of visceral pain. Physiological Reviews. 1994; 74: 95–138.
  • Chalker R. The clitoral truth. 2000; New York: Seven Stories Press.
  • Chambless D. L., Stern T., Sultan F. E., Williams A. J., Goldstein A. J., Lineberger M. H., etal. The pubococcygens and female orgasm: A correlational study with normal subjects. Archives of Sexual Behavior. 1982; 11: 479–490.
  • Chivers M. L., Seto M. C., Lalumière M. L., Laan E., Grimbos T. Agreement of self-reported and genital measures of sexual arousal in men and women: A meta-analysis. Archives of Sexual Behavior. 2010; 39: 5–56.
  • Clayton A. H., Croft H. A., Handiwala L. Antidepressants and sexual dysfunction: Mechanisms and clinical implications. Postgraduate Medicine. 2014; 126: 91–99.
  • Clifford R. E. Subjective sexual experience in college women. Archives of Sexual Behavior. 1978; 7: 183–197.
  • Costa R. M., Brody S. Sexual satisfaction, relationship satisfaction, and health are associated with greater frequency of penile-vaginal intercourse. Archives of Sexual Behavior. 2012; 41: 9–10.
  • Crowley W. R., Jacobs R., Volpe J., Rodriguez-Sierra J. F., Komisaruk B. R. Analgesic effect of vaginal stimulation in rats: Modulation by graded stimulus intensity and hormones. Physiology & Behavior. 1976; 16: 483–488.
  • Darling C. A., Davidson J. K., Sr, Conway-Welch C. Female ejaculation: Perceived origins, the Grafenberg spot/area, and sexual responsiveness. Archives of Sexual Behavior. 1990; 19: 29–47.
  • Dworkin A. Intercourse. 1987; New York: Free Press.
  • England G. C., Moxon R., Freeman S. L. Stimulation of mating-induced uterine contractions in the bitch and their modification and enhancement of fertility by prostatic fluid. Reproduction in Domestic Animals. 2012; 47(Suppl. 6): 1–5.
  • Erskine M. S., Kornberg E., Cherry J. A. Paced copulation in rats: Effects of intromission frequency and duration on luteal activation and estrus length. Physiology & Behavior. 1989; 45: 33–39.
  • Faix A., Lapray J. F., Callede O., Maubon A., Lanfrey K. Magnetic ResonanceImaging (MRI) of sexual intercourse: Second experience in missionary position and first experience in posterior position. Journal of Sex and Marital Therapy. 2002; 28: 63–76.
  • Foldes P., Buisson O. The clitoral complex: A dynamic sonographic study. Journal of Sexual Medicine. 2009; 6: 1223–1231.
  • Ford C. S., Beach F. A. Patterns of sexual behavior. 1951; New York: Harper and Brothers.
  • Fowler O. S. Sexual science. 1870; Philadelphia, PA: National Publishing Co.
  • Frangos E., Ellrich J., Komisaruk B. R. Non-invasive access to the vagus nerve central projections via electrical stimulation of the external ear: fMRI evidence in humans. Brain Stimulation. 2015; 8: 624–636.
  • Freud S. Three essays on the theory of sexuality (trans. James Strachey). 1905/1962; New York: Basic Books.
  • Gladwin T., Sarason S. B. Truk: Man in paradise. 1956; New York: Wenner-Gren Foundation for Anthropological Research.
  • Gräfenberg E. The role of the urethra in female orgasm. International Journal of Sexology. 1950; 3: 145–148.
  • Guyon R. Sex life & sex ethics. 1934; London: John Lane, The Bodley Head.
  • Hilleges M., Falconer C., Ekman-Ordeberg G., Johansson O. Innevertation of the human vagina mucosa as revealed by PGP 9.5 immunohistochemistry. Acta Anatomica. 1995; 153: 119–126.
  • Hines T. M. The G-spot: A modern gynecologic myth. American Journal of Obstetrics and Gynecology. 2001; 185: 359–362.
  • Hite S. The Hite report: A nationwide study of female sexuality. 1976; New York: Seven Stories Press.
  • Hull E. M., Rodríguez-Manzo G. Pfaff D. W., Arnold A. P., Etgen A. M., Fahrbach S. E., Rubin R. T. Male sexual behavior. Hormones, brain and behavior. Vol. 1. 2009; San Diego, CA: Academic Press. 2nd ed., pp. 5–65.
  • Ismail N., Zhao Y., Pfaus J. G. Context-dependent acquisition of copulatory behavior in the male rat: Role of female availability. Behavioral Neuroscience. 2008; 122: 991–997.
  • Jannini E. A., Rubio-Casillas A., Whipple B., Buisson O., Komisaruk B. R., Brody S. Female orgasm(s): One, two, several. Journal of Sexual Medicine. 2012; 9: 956–965.
  • Jastrow J. Freud: His dream and sex theories. 1948; New York: Pocket Books.
  • Katsainos G. M. The physiology of love. 1929; Boston, MA: Hastings.
  • Kilchevsky A., Vardi Y., Lowenstein L., Gruenwald I. Is the female G-spot truly a distinct anatomic entity?. Journal of Sexual Medicine. 2012; 9: 719–726.
  • Kinsey A. C., Pomery W. B., Martin C. E., Gebhard P. H. Sexual behavior in the human female. 1953; Bloomington, IN: Indiana University Press.
  • Kleinplatz P.J., Ménard A.D. Building blocks towards optimal sexuality: Constructing a conceptual model. The Family Journal: Counseling and Therapy for Couples and Families. 2007; 15: 72–78.
  • Koedt A. The myth of the vaginal orgasm. 1970; Somerville, MA: New England Free Press.
  • Komisaruk B. R., Steinman J. L. Genital stimulation as a trigger for neuroendocrine and behavioral control of reproduction. Annals of the N Y Academy of Sciences. 1986; 474: 64–75.
  • Komisaruk B. R., Whipple B. Functional MRI of the brain during orgasm in women. Annual Review of Sex Research. 2005; 16: 62–86.
  • Komisaruk B. R., Beyer-Flores C., Wipple B. The science of orgasm. 2006; Baltimore, MD: Johns Hopkins University Press.
  • Komisaruk B. R., Whipple B., Crawford A., Liu W. C., Kalnin A., Mosier K. Brain activation during vaginocervical self-stimulation and orgasm in women with complete spinal cord injury: fMRI evidence of mediation by the vagus nerves. Brain Research. 2004; 1024: 77–88.
  • Komisaruk B. R., Wise N., Frangos E., Liu W. C., Allen K., Brody S. Women’s clitoris, vagina, and cervix mapped on the sensory cortex: fMRI evidence. Journal of Sexual Medicine. 2011; 8: 2822–2830.
  • Krafft-Ebing R. V. Psychopathia sexualis. 1886/1924; New York: Physicians and Surgeons Book. (translation of 12th ed. in German by F. J. Rebman).
  • Krüger T. H., Leeners B., Naegeli E., Schmidlin S., Schedlowski M., Hartmann U., etal. Prolactin secretory rhythm in women: Immediate and long-term alterations after sexual contact. Human Reproduction. 2012; 27: 1139–1143.
  • Ladas A. K., Whipple B., Perry J. D. The G spot and other recent discoveries about human sexuality. 1982; New York: Hold, Reinhart, and Winston.
  • Laumann E. O., Nicolosi A., Glasser D. B., Paik A., Gingell C., Moreira E., etal. Sexual problems among women and men aged 40–80 y: Prevalence and correlates identified in the global study of sexual attitudes and behaviors. International Journal of Impotence Research. 2005; 17: 39–57.
  • Leeners B., Kruger T. H., Brody S., Schmidlin S., Naegeli E., Egli M. The quality of sexual experience in women correlates with post-orgasmic prolactin surges: Results from an experimental prototype study. Journal of Sexual Medicine. 2013; 10: 1313–1319.
  • Leff J. J., Israel M. The relationship between mode of female masturbation and achievement of orgasm in coitus. Archives of Sexual Behavior. 1983; 12: 227–236.
  • Levin R. J. The G-spot-reality or illusion. Sexual and Relationship Therapy. 2003; 18: 117–119.
  • Levin R. J. Revisiting post-ejaculation refractory time-what we know and what we do not know in males and in females. Journal of Sexual Medicine. 2009; 6: 2376–2389.
  • Levin R. J. Recreation and procreation: A critical view of sex in the human female. Clinical Anatomy. 2015; 28: 339–354.
  • Lloyd E. A. The case of the female orgasm: Bias in the science of evolution. 2005; Boston, MA: Harvard University Press.
  • Lodder J., Zeilmaker G. H. Role of pelvic nerves in the postcopulatory abbreviation of behavioral estrus in female rats. Journal of Comparative and Physiological Psychology. 1976; 90: 925–929.
  • Mah K., Binik Y. M. Do all orgasms feel alike? Evaluating a two-dimensional model of orgasm experience across gender and sexual context. Journal of Sex Research. 2002; 39: 104–113.
  • Mah K., Binik Y. M. Are orgasms in the mind or the body? Psychosocial versus physiological correlates of orgasmic pleasure and satisfaction. Journal of Sex and Marital Therapy. 2005; 31: 187–200.
  • Maines R. P. The technology of orgasm: ‘Hysteria’, the vibrator, and women’s sexual satisfaction. 1999; Baltimore, MD: The Johns Hopkins University Press.
  • Malinowski B. The sexual life of savages in north-western Melanesia. 1928; New York: Harcourt Brace.
  • Masters W. H., Johnson V. E. Human sexual response. 1966; New York: Bantam Books.
  • McCarthy M. M., Arnold A. P. Reframing sexual differentiation of the brain. Nature Neuroscience. 2011; 14: 677–683.
  • Meston C. M., Hull E., Levin R. J., Sipski M. Disorders of orgasm in women. Journal of Sexual Medicine. 2004; 1: 66–68.
  • Meston C. M., Levin R. J., Sipski M. L., Hull E. M., Heiman J. R. Women’s orgasm. Annual Review of Sex Research. 2004; 15: 173–257.
  • Michael D. K., Reinke D. A. Rabbit uterine contractile activity increase following coitus. American Journal of Obstetrics and Gynecology. 1970; 107: 453–455.
  • Nelson R. J. An introduction to behavioral neuroendocrinology (4th ed.) . 2011; Sunderland, MA: Sinauer.
  • Neret G. Erotica 17th and 18th Centuries. 2001; Köln: Taschen.
  • Newman H. F., Reiss H., Northup J. D. Physical basis of emission, ejaculation and orgasm in the male. Urology. 1982; 9: 341–350.
  • O’Connell H. E., Eizenberg N., Rahman M., Cleeve J. The anatomy of the distal vagina: Towards unity. Journal of Sexual Medicine. 2008; 5: 1883–1891.
  • O’Connell H. E., Hutson J. M., Anderson C. R., Plenter R. J. Anatomical relationship between urethra and clitoris. Journal of Urology. 1998; 159: 1892–1897.
  • O’Connell H. E., Sanjeevan K. V., Hutson J. M. Anatomy of the clitoris. Journal of Urology. 2005; 174: 1189–1195.
  • Pan S., Leung C., Shah J., Kilchevsky A. Clinical anatomy of the G-spot. Clinical Anatomy. 2015; 28: 363–367.
  • Parada M., Chamas L., Censi S., Coria-Avila G. A., Pfaus J. G. Clitoral stimulation induces conditioned place preference and Fos activation in the rat. Hormones and Behavior. 2010; 57: 112–118.
  • Parada M., Jafari N., Pfaus J. G. Sexual experience blocks the ability of the clitoral stimulation to induce conditioned place preference. Physiology and Behavior. 2013; 119: 97–102.
  • Paredes R. G., Vazquez B. What do female rats like about sex? Paced mating. Behavioural Brain Research. 1999; 105: 117–127.
  • Perry J. D., Whipple B. Pelvic muscle strength of female ejaculators: Evidence in support of a new theory of orgasm. Journal of Sex Research. 1981; 17: 22–39.
  • Pfaff D., Montgomery M., Lewis C. Somatosensory determinants of lordosis in female rats: Behavioral definition of the estrogen effect. Journal of Comparative and Physiological Psychology. 1977; 91: 134–145.
  • Pfaus J. G. Pathways of sexual desire. Journal of Sexual Medicine. 2009; 6: 1506–1533.
  • Pfaus J. G., Jones S. L., Flanagan-Cato L. M., Blaustein J. D. Plant A., Zeleznik A. Female sexual behavior. Physiology of Reproduction. 2015; New York: Elsevier. 2287–2370. 4th ed., Ch. 50.
  • Pfaus J. G., Kippin T. E., Coria-Avila G. A., Gelez H., Afonso V. M., Ismail N. Who, what, where, when (and maybe even why)? How the experience of sexual reward connects sexual desire, preference, and performance. Archives of Sexual Behavior. 2012; 41: 31–62.
  • Pfaus J. G., Smith W. J., Byrne N., Stephens G. Appetitive and consummatory sexual behaviors of female rats in bilevel chambers. II. Patterns of estrus termination following vaginocervical stimulation. Hormones and Behavior. 2000; 37: 96–107.
  • Puppo V. Anatomy of the clitoris: Revisions and clarification about the anatomical terms for the clitoris proposed (without scientific bases) by Hellen O’Connell, Emmanuel Jannini, and Odile Buisson. ISRN obstetrics and gynecology. 2011a; 2011: 261464.
  • Puppo V. Embryology and anatomy of the vulva: The female orgasm and women’s sexual health, European Journal of Obstetrics. Gynecology and Reproductive Biology. 2011b; 154: 3–8.
  • Puppo V., Gruenwald I. Does the g-spot exist? A review of the current literature. International Urogynecology Journal. 2012; 23: 1665–1669.
  • Puppo V., Puppo G. Anatomy of sex: Revision of the new anatomical terms used for the clitoris and the female orgasm by sexologists. Clinical Anatomy. 2014; 28: 293–304.
  • Puts D. A., Dawood K. The evolution of female orgasm: Adaptation or byproduct?. Twin Research and Human Genetics. 2006; 9: 467–472.
  • Puts D. A., Dawood K., Welling L. L. Why women have orgasms: An evolutionary analysis. Archives of Sexual Behavior. 2012; 41: 1127–1143.
  • Reich W. The function of the orgasm. 1942/1973; New York: Farrar, Straus, Giroux.
  • Rowland D., McMahon C. G., Abdo C., Chen J., Jannini E., Waldinger M. D. Disorders of orgasm and ejaculation in men. Journal of Sexual Medicine. 2010; 7: 1668–1686.
  • Salama S., Boitrelle F., Gauquelin A., Malagrida L., Thiounn N., Desveaux P. Nature and origin of squirting in female sexuality. Journal of Sexual Medicine. 2015; 12: 661–666.
  • Salonia A., Giraldi A., Chivers M. L., Georgiadis J. R., Levin R., Maravilla K. R., etal. Physiology of women’s sexual function: Basic knowledge and new findings. Journal of Sexual Medicine. 2010; 7: 2637–2660.
  • Schultz W. W., van Andel P., Sabelis I., Mooyaart E. Magnetic resonance imaging of male and female genitals during coitus and female sexual arousal. British Medical Journal. 1999; 319: 1596–1600.
  • Sevely J. L., Bennett J. W. Concerning female ejaculation and the female prostate. Journal of Sex Research. 1978; 14: 1–20.
  • Shafik A. Vagino-levator reflex: Description of a reflex and its role in sexual performance, European Journal of Obstetrics, Gynecology. and Reproductive Biology. 1995; 60: 161–164.
  • Shafik A., El-Sibai O., Shafik I., Shafik A. A. Uterine effect of cervical buffeting: Role of the cervicouterine reflex in coitus. Journal of Reproductive Medicine. 2005; 50: 837–843.
  • Sholty M. J., Ephross P. H., Plaut S. M., Fischman S. H., Charnas J. F., Cody C. A. Female orgasmic experience: A subjective study. Archives of Sexual Behavior. 1984; 13: 155–164.
  • Singh D., Meyer W., Zambarano R. J., Hurlbert D. F. Frequency and timing of coital orgasm in women desirous of becoming pregnant. Archives of Sexual Behavior. 1998; 27: 15–29.
  • Singer J., Singer I. Types of female orgasm. Journal of Sex Research. 1972; 8: 255–267.
  • Song Y. G., Hwang K., Kim D. J., Han S. H. Innervation of vagina: Microdissection and immunohistochemical study. Journal of Sex & Marital Therapy. 2009; 35: 144–153.
  • Sweatt J. D. Neural plasticity & behavior – Sixty years of conceptual advances. Journal of Neurochemistry. 2016. doi: http://dx.doi.org/10.1111/jnc.13580 [e-pub ahead of print]..
  • Symons D. The evolution of human sexuality. 1979; Oxford: Oxford University Press.
  • Toner J. P., Adler N. T. Influence of mating and vaginocervical stimulation on rat uterine activity. Journal of Reproduction and Fertility. 1986; 78: 239–249.
  • Vance E. B., Wagner N. N. Written descriptions of orgasm: A study of sex differences. Archives of Sexual Behavior. 1976; 5: 87–98.
  • Vātsyāyana. Kama Sutra. 3rd Century CE; 1925; New York: Society for the Friends of India. Retrieví from http://www.gutenberg.org/ebooks/27827.
  • Vorhees A., Hannaford A. Malformed: Forgotten brains of the Texas State Mental Hospital. 2014; Brooklyn, NY: Powerhouse Books.
  • Wallen K., Lloyd E. A. Female sexual arousal: Genital anatomy and orgasm in intercourse. Hormones and Behavior. 2011; 59: 780–792.
  • Waxman J. Getting off: A woman’s guide to masturbation. 2007; Berkeley, CA: Seal Press.
  • Whipple B., Komisaruk B. R. Brain (PET) responses to vaginal-cervical self-stimulation in women with complete spinal cord injury: Preliminary findings. Journal of Sex and Marital Therapy. 2002; 28: 79–86.
  • Whipple B., Ogden G., Komisaruk B. R. Physiological correlates of imagery-induced orgasm in women. Archives of Sexual Behavior. 1992; 21: 121–133.
  • Wile D. Art of the bedchamber. 1992; Albany, NY: SUNY Press.
  • Wilhelm D., Palmer S., Koopman P. Sex determination and gonadal development in mammals. Physiological Reviews. 2007; 87: 1–28.
  • Willy A., Vander L., Fisher O. The illustrated encyclopedia of sex. 1950; New York: Cadillac.
  • Wilson G. D. The great sex divide: A study of male-female differences. 1992; Washington, DC: Scott-Townsend.