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2016 ; 6
(ä): 32578
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English Wikipedia
The whole versus the sum of some of the parts: toward resolving the apparent
controversy of clitoral versus vaginal orgasms
#MMPMID27791968
Pfaus JG
; Quintana GR
; Mac Cionnaith C
; Parada M
Socioaffect Neurosci Psychol
2016[]; 6
(ä): 32578
PMID27791968
show ga
BACKGROUND: The nature of a woman's orgasm has been a source of scientific,
political, and cultural debate for over a century. Since the Victorian era, the
pendulum has swung from the vagina to the clitoris, and to some extent back
again, with the current debate stuck over whether internal sensory structures
exist in the vagina that could account for orgasms based largely on their
stimulation, or whether stimulation of the external glans clitoris is always
necessary for orgasm. METHOD: We review the history of the clitoral versus
vaginal orgasm debate as it has evolved with conflicting ideas and data from
psychiatry and psychoanalysis, epidemiology, evolutionary theory, feminist
political theory, physiology, and finally neuroscience. RESULTS: A new synthesis
is presented that acknowledges the enormous potential women have to experience
orgasms from one or more sources of sensory input, including the external
clitoral glans, internal region around the "G-spot" that corresponds to the
internal clitoral bulbs, the cervix, as well as sensory stimulation of
non-genital areas such as the nipples. CONCLUSIONS: With experience, stimulation
of one or all of these triggering zones are integrated into a "whole" set of
sensory inputs, movements, body positions, autonomic arousal, and partner- and
contextual-related cues, that reliably induces pleasure and orgasm during
masturbation and copulation. The process of integration is iterative and can
change across the lifespan with new experiences of orgasm.