Sexual arousal in men

Researchers have identified four stages of sexual response in men and women: arousal, plateau, orgasm and resolution.

Stage 1: excitement or arousal

A man gets an erection with physical or psychological stimulation, or both. This causes more blood to flow into three spongy areas (called corpora) that run along the length of his penis. The skin is loose and mobile, allowing his penis to grow. His scrotum (the bag of skin holding the testicles) becomes tighter, so his testicles are drawn up towards the body.

Stage 2: plateau

The glans (head) of his penis gets wider and the blood vessels in and around the penis fill with blood. This causes the colour to deepen and his testicles to grow up to 50% larger.

His testicles continue to rise, and a warm feeling around the perineum (area between the testicles and anus) develops. His heart rate increases, blood pressure rises, breathing becomes quicker, and his thighs and buttocks tighten. He's getting close to orgasm.

Stage 3: orgasm and ejaculation

A series of contractions force semen into the urethra (the tube along which urine and semen come out of the penis). These contractions occur in the pelvic floor muscles, in the vas deferens (tube that carries sperm from the testicles to the penis), and also in the seminal vesicles and the prostate gland, which both add fluid to the sperm. This mix of sperm (5%) and fluid (95%) is called semen.  

These contractions are part of orgasm, and the man reaches a point where he can’t stop ejaculation from happening. Contractions of the prostate gland and the pelvic floor muscles then lead to ejaculation, when semen is forced out of the penis.

Stage 4: resolution

The man now has a recovery phase, when the penis and testicles shrink back to their normal size. He is breathing heavily and fast, his heart is beating rapidly, and he might be sweating.

There's a period of time after ejaculation when another orgasm isn’t possible. This varies between men, from a few minutes to a few hours or even days. The time generally gets longer as men get older.

If a man gets aroused but doesn’t ejaculate, this resolution stage can take longer, and his testicles and pelvis might ache.

If you are worried about your health have a look at the Man MOT, 

Sexual arousal in women

There are various stages of physical response during arousal and sex. Researchers have identified four stages of sexual response in women and men: arousal, plateau, orgasm and resolution. This is what happens in a woman's body when sexually aroused.

Stage 1: excitement or arousal

When a woman becomes aroused, the blood vessels in her genitals dilate. There is increased blood flow in the vaginal walls, resulting in fluid passing through them. This is the main source of lubrication, which makes the vagina wet.

Her external genitalia or vulva (including the clitoris, vaginal opening, and inner and outer lips or labia) become engorged (swollen) due to the increased blood supply. Inside her body, the top of the vagina expands.

Her pulse and breathing quicken, and her blood pressure rises. She may become flushed, especially on her chest and neck, due to her blood vessels dilating.

Stage 2: plateau

Blood flow to the lower third of the vagina reaches its limit, and causes the lower area of the vagina to become swollen and firm. This is called the introitus, sometimes known as the orgasmic platform, and it undergoes rhythmic contractions during orgasm. 

The woman’s breasts may increase in size by up to 25%, and blood flow to the area around the nipple (the areola) increases, making the nipples look less erect.

As she gets closer to orgasm, her clitoris pulls back against the pubic bone and seems to disappear. A woman needs continuous stimulation in this phase to build up enough sexual excitement for orgasm. 

Stage 3: orgasm

Orgasm is the intense and pleasurable release of sexual tension that has built up in the earlier stages, characterised by contractions (0.8 seconds apart) of the genital muscles, including the introitus.

Most women don’t experience the recovery period that men do after an orgasm. A woman may have another orgasm if she's stimulated again.

Not all women have an orgasm every time they have sex. Foreplay is an important role in orgasm occurring in most women. It can include stroking erogenous zones and stimulating the clitoris.

Stage 4: resolution

This is when the woman's body slowly returns to its normal state. Swelling reduces, and breathing and heart rate slow down. 

Benefits of love and sex

Besides a heart full of love and a big smile, romance can bring some positive health benefits.

Some scientific studies suggest that a loving relationship, physical touch and sex can bring health benefits such as lower blood pressure. Of course, no relationship can guarantee health and happiness, but cupid's arrow can send you some health boosts.

Sex is good for your heart

Want to get healthy and have fun at the same time? Anything that exercises your heart is good for you, including sex. Sexual arousal sends the heart rate higher, and the number of beats per minute reaches its peak during orgasm.  

But as with most exercise, it depends how vigorously you do it. Some studies show that the average peak heart rate at orgasm is the same as during light exercise, such as walking upstairs. That's not enough to keep most people fit and healthy.

Adults should do at least 150 minutes (two and a half hours) of moderate-intensity aerobic activity, such as cycling or fast walking, every week.

Unless you’re lucky enough to have 150 minutes of orgasms a week, try cycling, brisk walking or dancing.

Having heart disease doesn’t have to hold you back in the bedroom. Experts advise that you can usually have sex as long as you can do the everyday activities that have the same impact on your heart without causing chest pain, such as walking up two flights of stairs.

Source: Rerkpattanapipat P, Stanek MS, MN Kotler. Sex and the heart: what is the role of the cardiologist? European Heart Journal 2001;22: 201-208.

A hug keeps tension away

Embracing someone special can lower blood pressure, according to researchers. In one experiment, couples who held each other’s hands for 10 minutes followed by a 20-second hug had healthier reactions to subsequent stress, such as public speaking. Compared to couples who rested quietly without touching, the huggers had: 

• lower heart rate 
• lower blood pressure
• smaller heart rate increases

So give your partner a hug - it may help to keep your blood pressure healthy.

Similar effects have been found for non-sexual stroking, although this appears only to reduce blood pressure in women who are stroked, not men.

Source: Grewen KM, Anderson BJ, Girdler SS, Light KC. Warm partner contact is related to lower cardiovascular reactivity. Behavioural Medicine,2003;29:123-30.

Sex can be a stress buster

Workload too high? Hot and bothered after the morning journey to work? Sex could help you beat the stresses of 21st century living, according to a small study of 46 men and women.

Participants kept a diary of sexual activity, recording penetrative sex, non-penetrative sex and masturbation. In stress tests, including public speaking and doing mental arithmetic out loud, the people who had no sex at all had the highest stress levels. People who only had penetrative sex had the smallest rise in blood pressure. This shows that they coped better with stress. 

Plenty of people find that intimacy or orgasm without penetration helps them feel relaxed, as do exercise or meditation. It doesn't have to be penetrative sex; it's whatever works for you.

Source: Brody S. Blood pressure reactivity to stress is better for people who recently had penile-vaginal intercourse than for people who had other or no sexual activity. Biological Psychology, 2006;71:214-22.

Weekly sex might help fend off illness

There’s a link between how often you have sex and how strong your immune system is, researchers say. A study in Pennsylvania found that students who had sex once or twice a week had higher levels of an important illness-fighting substance in their bodies. Immunoglobulin A (IgA) was 30% higher in those who had sex once or twice a week than in those who had no sex at all. However, the lowest levels were in people who had sex more than twice a week.

But don’t devise a sex calendar just yet. More research is needed before it can be proved that weekly sex helps your immune system. Another study found that stroking a dog resulted in raised IgA levels in students (resting quietly or stroking a stuffed dog didn’t).

Sources: Charnetski CJ, Brennan FX. Sexual frequency and salivary immunoglobulin A (IgA). Psychology Report, 2004;94:839-44.

Charnetski CJ, Riggers S, Brennan FX. Effect of petting a dog on immune system function. Psychology Report, 2004;95:1087-91.

People who have sex feel healthier

It could be that people who feel healthier have more sex, but there seems to be a link between sexual activity and your sense of wellbeing. A study of 3,000 Americans aged 57-85 showed that those who were having sex rated their general health higher than those who weren’t.

And it’s not just sex, it's love too. People who were in a close relationship or married were more likely to say they felt in ‘very good’ or ‘excellent’ health than just ‘good’ or ‘poor’. It seems that emotional and social support can boost our sense of wellbeing.

Source: Lindau ST, Schumm LP, Laumann EO, et al. A Study of Sexuality and Health among Older Adults in the United States. New England Journal of Medicine. 2007;357:762-74.

Loving support reduces risk of angina and ulcer

A happy marriage can help to fend off angina and stomach ulcer - at least it can if you’re a man.

One study of 10,000 men found that those who felt ‘loved and supported’ by their spouse had a reduced risk of angina. This was the case even if they had other risk factors, such as being older or having raised blood pressure.

Similarly, a study of 8,000 men found there was more chance of them getting a duodenal ulcer if they:

• had family problems 
• didn’t feel loved and supported by their wife
• didn’t retaliate when hurt by colleagues. (In other words, they repressed their anger. Researchers called this their ‘coping style’)

Researchers suggest that stress, lack of social support and coping style can affect a man’s likelihood of developing an ulcer.

Sources: Medalie JH, Goldbourt U. Angina pectoris among 10,000 men. II. Psychosocial and other risk factors as evidenced by a multivariate analysis of a five-year incidence study. American Journal of Medicine, 1976;60:910-21.

Medalie JH, Stange KC, Zyzanski SJ, Goldbourt U. The importance of biopsychosocial factors in the development of duodenal ulcer in a cohort of middle-aged men. American Journal of Epidemiology, 1992;136:1280-7.

And if you’re single…

Spending an evening with friends is good for your health too.

One 10-year study of 1,500 people over 70 years old found that those with stronger friendship networks lived longer than those with fewer friends. Researchers thought this could be due to friends having a positive influence on lifestyle choices, such as smoking or exercise, and offering emotional support.

Source: Giles LC, Glonek GF, Luszcz MA, Andrews GR. Effect of social networks on 10-year survival in very old Australians: the Australian longitudinal study of aging. Journal of Epidemiology and Community Health, 2005;59:574-9.

Or celibate…

A life without sex is no bar to excellent health. A long-term study into the health and ageing of a group of nearly 700 older nuns found that many are keeping active and well into their 90s and past 100.

Since 1986, participants in The Nun Study have had yearly checks on their physical and mental abilities. Researchers have used convent records to obtain their social, family and educational background. While they’ve found some links between lifestyle and dementia (for example, higher education or positive emotions in early life might cut the risk of dementia), this isn't linked to sexual activity.

Is my vagina normal?

Vaginas are designed to help us have and enjoy sex, have periods and have babies. But what’s normal and what’s not? Find out how vaginas can be different.

Dr Suzy Elneil, consultant in urogynaecology and uro-neurology at University College Hospital, London, has worked with a lot of women. “Like people, vaginas are completely individual,” she says. “No two are the same.”

Don’t compare yourself to anyone else – what someone else’s vagina looks like is normal for them, but won’t necessarily be what’s normal for you. Yours is unique.

The vagina and vulva

Some of a woman’s sexual organs are inside the body (such as the womb, ovaries and vagina) and some are outside. The external organs are known as the vulva. This includes the opening of the vagina, the inner and outer lips (labia) and the clitoris, which is located at the top of the vagina.

The vagina is a tube about 8cm (3in) long, which leads from the cervix (the neck of the womb) down to the vulva, where it opens between the legs. The vagina is very elastic so it can easily stretch around a man’s penis or around a baby during labour.

“Vaginas vary in shape, size and colour,” says Dr Elneil. “Some are small and ovoid (egg-shaped), some are large and cylindrical, and the colours can vary from light pink to a deep brownish red-pink. But all are normal and very individual. The important thing is that the vagina functions normally.”

Pelvic floor exercises can help keep your vagina in shape. “These are good for maintaining good pelvic floor tone and can improve sexual function,” she adds. “Normal exercise also helps maintain good vaginal function, as walking and running helps the pelvic floor tone up and helps ensure good general health.” Find out about pelvic floor exercises, including how to do them.

Large labia

Some women worry about the size of their labia (the lips outside the vagina), but there isn’t usually any cause for concern. Labia vary from woman to woman, so don’t judge yours by anyone else’s standards.

“Large labia are only a medical problem if it affects the woman’s working, social or sporting life,” explains Dr Elneil. “Size is really not a problem per se, for most women. However, for cyclists, the length and size of the labia can affect their ability to sit comfortably on the seat, but this is a rare problem.”

If you're worried, talk to your GP.

Vaginal discharge

It’s normal to have vaginal discharge (mucus or secretions), and the texture and amount of discharge can vary throughout your menstrual cycle. If your normal vaginal discharge becomes different, for example if it changes colour or smells, this could be a sign of infection so see your GP.

Vaginal itching

A healthy vagina shouldn’t be itchy. Itching can be a sig

n of thrush or other infection, but it can also have other causes.
“Itching can be part of a generalised skin problem, such as eczema,” Dr

Elneil says. “Or it can be a sign of benign or malignant (cancerous) changes to the skin, such as lichen sclerosus or vaginal intra-epithelial neoplasia. All need treatment, so if the itch persists for more than a month, get it checked by a GP or gynaecologist. They need to see the vulva, perineum (between the vagina and anus) and the vagina directly.”

Sex problems review (2)

SIGNS AND TESTS

The health care provider will investigate any physical problems and conduct tests based on the particular type of sexual dysfunction you're experiencing. In any case, a complete medical history should be taken and physical examination should be done to:

• Highlight possible fears, anxieties, or guilt specific to sexual behaviors or performance
• Identify predisposing illness or conditions
• Uncover any history of prior sexual trauma

A physical examination of both the partners should include the whole body and not be limited to the reproductive system.

TREATMENT

Treatment depends on the cause of the sexual dysfunction. Medical causes that are reversible or treatable are usually managed medically or surgically. Physical therapy and mechanical aides may prove helpful for some people experiencing sexual dysfunction due to physical illnesses, conditions, or disabilities.

For men who have difficulty attaining an erection, the medication sildenafil (Viagra), which increases blood flow to the penis, may be very helpful, though it must be taken 1 to 4 hours before intercourse.

Men who take nitrates for coronary heart disease should not take sildenafil. Mechanical aids and penile implants are also an option for men who cannot attain an erection and find sildenafil isn't helpful.

Women with vaginal dryness may be helped with lubricating gels, hormone creams, and -- in cases of premenopausal or menopausal women -- with hormone replacement therapy. In some cases, women with androgen deficiency can be helped by taking testosterone. Kegel exercisesmay also increase blood flow to the vulvar/vaginal tissues, as well as strengthen the muscles involved in orgasm.

Vulvodynia can be treated with testosterone cream, with use of biofeedback and with low doses of some antidepressants which also treat nerve pain. Surgery has not been successful.

Behavioral treatments involve many different techniques to treat problems associated with orgasm and sexual arousal disorders. Self-stimulation and the Masters and Johnson treatment strategies are among the many behavioral therapies used.

Simple, open, accurate, and supportive education about sex and sexual behaviors or responses may be all that is required in many cases. Some couples may benefit from joint counseling to address interpersonal issues and communication styles. Psychotherapy may be required to address anxieties, fears, inhibitions, or poor body image.

PROGNOSIS AND OUTCOME

The prognosis (probable outcome) depends on the form of sexual dysfunction. In general, the probable outcome is good for physical dysfunctions resulting from treatable or reversible conditions. It should be noted, however, that many organic causes do not respond to medical or surgical treatments. Prolonged physical dysfunction can also create sexual dysfunction.

In functional sexual problems resulting from either relationship problems or psychological factors, the prognosis may be good for temporary or mild dysfunction associated with temporary stress or lack of accurate information. However, those cases associated with chronically-poor relationships or deep-seated psychiatric problems typically do not have positive outcomes.

COMPLICATIONS

Some forms of sexual dysfunction may cause infertility.

Persistent sexual dysfunction may cause depression in some individuals. The importance of the disorder to the individual (and couple, when applicable) needs to be determined. Decreased sexual function is important only if it is a cause of concern for the couple. Sexual dysfunction that is not addressed adequately may lead to conflicts or potential breakups.

References

Eyler AE, Biggs WS. Medical human sexuality in family medicine practice. In: Rakel RE.Textbook of Family Medicine. 7th ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 55.

Lentz GM. Emotional aspects of gynecology: sexual dysfunction, eating disorders, substance abuse, depression, grief, loss. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM eds.Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2007: chap 9.

Lue TF, Broderick GA. Evaluation and nonsurgical management of erectile dysfunction and premature ejaculation. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Sauders Elsevier; 2007: chap 22.

Sex problems review (1)

Definition

Sexual problems are defined as difficulty during any stage (desire, arousal, orgasm, and resolution) of the sexual act, which prevents the individual or couple from enjoying sexual activity.

Information

Sexual difficulties may begin early in a person's life, or they may develop after an individual has previously experienced enjoyable and satisfying sex. A problem may develop gradually over time, or may occur suddenly as a total or partial inability to participate in one or more stages of the sexual act. The causes of sexual difficulties can be physical, psychological, or both.

Emotional factors affecting sex include both interpersonal problems and psychological problems within the individual. Interpersonal problems include marital or relationship problems, or lack of trust and open communication between partners. Personal psychological problems includedepression, sexual fears or guilt, or past sexual trauma.

Physical factors contributing to sexual problems include:

• Injuries to the back
• An enlarged prostate gland
• Diseas

e (diabetic neuropathy, multiple sclerosis, tumors, and, rarely, tertiary syphilis) Drugs, such as alcohol, nicotine, narcotics, stimulants, antihypertensives (medicines that lower blood pressure), antihistamines, and some psychotherapeutic drugs (used to treat psychological problems such as depression) Endocrine diso

• rders (thyroid, pituitary, or adrenal gland problems)
• Failure of various organs (such as the heart and lungs)
• Hormonal deficiencies (low testosterone, estrogen, or androgens)
• Nerve damage (as in spinal cord injuries)
• Problems with blood supply
• Some birth defects

Sexual dysfunction disorders are generally classified into four categories: sexual desire disorders, sexual arousal disorders, orgasm disorders, and sexual pain disorders.

Sexual desire disorders (decreased libido) may be caused by a decrease in the normal production of estrogen (in women) or testosterone (in both men and women). Other causes may be aging, fatigue, pregnancy, and medications -- the SSRI anti-depressants which include fluoxetine (Prozac), sertraline (Zoloft), and paroxetine (Paxil) are well known for reducing desire in both men and women. Psychiatric conditions, such

as depression and anxiety, can also cause decreased libido. Sexual arousal disorders were previously known as frigidity in women and impotence in men. These have now been replaced with less judgmental terms. Impotence is now known as erectile dysfunction, and frigidity is now described as any of several specific problems w

ith desire, arousal, or anxiety.

For both men and women, these conditions may appear as an aversion to, and avoidance of, sexual contact with a partner. In men, there may be partial or complete failure to attain or maintain an erection, or a lack of sexual excitement and pleasure in sexual activity.

There may be medical causes for these disorders, such as decreased blood flow or lack of vaginal lubrication. Chronic disease may also contribute to these difficulties, as well as the nature of the relationship between partners. As the success of Viagra attests, many erectile disorders in men may be primarily physical, not psychological conditions.

Orgasm disorders are a persistent delay or absence of orgasm following a normal sexual excitement phase. The disorder occurs in both women and men. Again, the SSRI antidepressants are frequent culprits -- these may delay the achievement of orgasm or eliminate it entirely.

Sexual pain disorders affect women almost exclusively, and are known as dyspareunia (painful intercourse) and vaginismus (an involuntary spasm of the muscles of the vaginal wall, which interferes with intercourse). Dyspareunia may be caused by insufficient lubrication (vaginal dryness) in women. There may also be abnormalities in the pelvis or the ovaries that can cause pain with intercourse. Vulvar pain disorders can also cause dyspareunia and inability to have intercourse due to pain.

Poor lubrication may result from insufficient excitement and stimulation, or from hormonal changes caused by menopause or breast-feeding. Irritation from contraceptive creams and foams may also cause dryness, as can fear and anxiety about sex.

It is unclear exactly what causes vaginismus, but it is thought that past sexual trauma such asrape or abuse may play a role. Another female sexual pain disorder is called vulvodynia or vulvar vestibulitis. In this condition, women experience burning pain during sex which may be related to problems with the skin in the vulvar and vaginal areas. The cause is unknown. Sexual dysfunctions are most common in the early adult years, with the majority of people seeking care for such conditions during their late 20s through 30s. The incidence increases again in the perimenopause and postmenopause years in women, and in the geriatric population, typically with gradual onset of symptoms that are associated most commonly with medical causes of sexual dysfunction. Sexual dysfunction is more common in people who abuse alcohol and drugs. It is also more likely in people suffering from diabetes

and degenerative neurological disorders. Ongoing psychological problems, difficulty maintaining relationships, or chronic disharmony with the current sexual partner may also interfere with sexual function.

PREVENTION

Open, informative, and accurate communication regarding sexual issues and body image between parents and their children may prevent children from developing anxiety or guilt about sex, and may help them develop healthy sexual relationships.

Review all medications, both prescription and over-the-counter, for possible side effects that relate to sexual dysfunction. Avoiding drug and alcohol abuse will also help prevent sexual dysfunction.

Couples who are open and honest about their sexual preferences and feelings are more likely to avoid some sexual dysfunction. One partner should, ideally, be able to communicate desires and preferences to the other partner.

People who are victims of sexual trauma, such as sexual abuse or rape at any age, are urged to seek psychiatric advice. Individual counseling with an expert in trauma may prove beneficial in allowing sexual abuse victims to overcome sexual difficulties and enjoy voluntary sexual experiences with a chosen partner.

SYMPTOMS

• Men or women:
• Inability to feel aroused
• Lack of interest in sex (loss of libido)
• Pain with intercourse (much less common in men than women)
• Men :
• Delay or absence of ejaculation, despite adequate stimulation
• Inability to control timing of ejaculation
• Inability to get an erection
• Inability to keep an erection adequately for intercourse
• Women:
• Burning pain on the vulva or in the vagina with contact to those areas
• Inability to reach orgasm
• Inability to relax vaginal muscles enough to allow intercourse
• Inadequate vaginal lubrication before and during intercourse
• Low libido due to physical/hormonal problems, psychological problems, or relationship problems

CALL YOUR HEALTH CARE PROVIDER IF...

Call for an appointment with your health care provider if sexual problems persist and are a concern.

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townhall.com/columnists/JillianBandes/2009/10/14/political_sex_scandals_are_women_to_blame

First Read - A decade of sex scandals

... the last 10 years or so, American politics has seen its fair share of sex scandals -- both ... Since joining the network in 2003, he has reported on and written about political races ...

firstread.msnbc.msn.com/_news/2009/06/24/4439169-a-decade-of-sex-scandals

Political SEX SCANDALS - Video

A confession about my new obsession. Watch Video about Ashley,Dupre,Girls by Metacafe.com

www.metacafe.com/watch/1291688/political_sex_scandals

Gov. Mark Sanford - Top 10 Political Sex Scandals - TIME

Scandal: Year-long affair How Outed: Press Conference The Sanford saga began with a disappearing act. The South Carolina governor apparently left home in a black SUV on June ...

www.time.com/time/specials/2007/article/0,28804,1721111_1721210,00.html

Political Sex Scandals | BP Music Videos

About Us: Funny political videos from the team that produced "I Got a Crush on Obama." More

www.barelypolitical.com/barelymusic/episode/MV_20080404/political-sex-scandals

Political Sex Scandals - Associated Content from Yahoo ...

With recent news stories on embattled Detroit Mayor Kwame M. Kilpatrick " Sex, Text Messaging & Lie's scandal. Plus misconduct by other elected official in office what does it all ...

www.associatedcontent.com/article/608707/political_sex_scandals.html

Political sex scandals - Nashville Nonpartisan | Examiner.com

Today’s top news is, Gov. Sanford is in the hot seat for an extramarital affair, last week it was Sen. Ensign from Nevada, and news reporters act as if this is

www.examiner.com/nonpartisan-in-nashville/political-sex-scandals

The 12 Most Shocking Political Sex Scandals Of The Decade

As 2009 ends, the Huffington Post is taking a look back at one of the recurring themes of the past decade -- embarrassing political sex scandals. Which one is the worst?

www.huffingtonpost.com/2009/12/23/the-12-most-shocking-poli_n_401609.html