Female Orgasm(s): One, Two, Several

Authors

  • Emmanuele A. Jannini MD,

    Corresponding author
    1. Course of Endocrinology and Medical Sexology, Department of Experimental Medicine, University of L'Aquila, Italy
      Emmanuele A. Jannini, MD, Course of Endocrinology and Sexology, Department of Experimental Medicine, University of L'Aquila, L'Aquila 67100, Italy. Tel: +39-0862433530; Fax: +39-0862433523; E-mail: emmanuele.jannini@univaq.it
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  • Alberto Rubio-Casillas Biologist,

    1. Biology Laboratory, Escuela Preparatoria Regional de Autlán, Universidad de Guadalajara, México
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  • Beverly Whipple PhD, RN, FAAN,

    1. Professor Emerita, Rutgers University, The State University of New Jersey, Newark, NJ, USA
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  • Odile Buisson MD,

    1. Centre d'échographie, Saint Germain en Laye, France
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  • Barry R. Komisaruk PhD,

    1. Department of Psychology, Rutgers University, The State University of New Jersey, Newark, NJ, USA
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  • Stuart Brody PhD

    1. School of Social Sciences, University of the West of Scotland, UK
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Emmanuele A. Jannini, MD, Course of Endocrinology and Sexology, Department of Experimental Medicine, University of L'Aquila, L'Aquila 67100, Italy. Tel: +39-0862433530; Fax: +39-0862433523; E-mail: emmanuele.jannini@univaq.it

ABSTRACT

Introduction.  There is general agreement that it is possible to have an orgasm thru the direct simulation of the external clitoris. In contrast, the possibility of achieving climax during penetration has been controversial.

Methods.  Six scientists with different experimental evidence debate the existence of the vaginally activated orgasm (VAO).

Main Outcome Measure.  To give reader of The Journal of Sexual Medicine sufficient data to form her/his own opinion on an important topic of female sexuality.

Results.  Expert #1, the Controversy's section Editor, together with Expert #2, reviewed data from the literature demonstrating the anatomical possibility for the VAO. Expert #3 presents validating women's reports of pleasurable sexual responses and adaptive significance of the VAO. Echographic dynamic evidence induced Expert # 4 to describe one single orgasm, obtained from stimulation of either the external or internal clitoris, during penetration. Expert #5 reviewed his elegant experiments showing the uniquely different sensory responses to clitoral, vaginal, and cervical stimulation. Finally, the last Expert presented findings on the psychological scenario behind VAO.

Conclusion.  The assumption that women may experience only the clitoral, external orgasm is not based on the best available scientific evidence. Jannini EA, Rubio-Casillas A, Whipple B, Buisson O, Komisaruk BR, and Brody S. Female orgasm(s): one, two, several. J Sex Med 2012;9:956–965.

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