Treatment of Female Orgasmic Disorder

Redelman, Margaret

doi:10.1007/978-3-319-52539-6_15

Cited by 4 publications

(6 citation statements)

References 96 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Orgasmic dysfunction is the second most common female sexual complaint with incidences of 24% from a random sample of 1,749 US women (Lauman et al 1994) but a precise estimate of its world‐wide incidence is not available because of idiosyncratic definitions of orgasm and a lack of well‐controlled studies (see McCool et al, for criticisms of previous studies and reviews). Many published treatments for female orgasmic dysfunction rely on the use of clitoral self‐stimulation, usually referred to in the literature as ‘Directed Masturbation’ (DM) (see reviews by Andersen ; Heiman and LoPiccolo, ; Meston et al, ; Laan et al, ; Redelman, ). Lopicolo and Lobitz (1972) were the first to develop and publish a successful 9‐step programme using DM for the treatment of female anorgasmia.…”

Section: Clitoral Stimulation As a Treatment For Orgasmic Dysfunctionmentioning

confidence: 99%

“…The obvious disparity in the treatment of female orgasmic disorder is clearly seen in two articles in the recently published ‘Textbook of Clinical Sexual Medicine (2017). That by Brody (), a psychologist, entitled ‘Evaluation of female orgasmic disorder’ criticizes DM and again proposes CAT as the treatment not involving the clitoris while that by the practicing sex therapist Redelman () entitled 'Treatment of female orgasmic disorder’ recommends DM amongst other treatments.…”

Section: Final Thoughts On Clitoral Stimulationmentioning

confidence: 99%

See 1 more Smart Citation

The clitoral activation paradox — Claimed outcomes from different methods of its stimulation

Levin

2018

Clinical Anatomy

View full text Add to dashboard Cite

This article reviews clitoral structures, their functions and how they are activated during the stages of female life. The paradox that occurs is that different procedures of activation are claimed by some to favor 'noxious outcomes' to the physical and psychic health of women who use it to achieve sexual arousal/orgasm with or without penile vaginal intercourse. A number of the difficulties and inconsistencies in relation to these claims are explored. The proposed justification for the 'noxious outcomes' is that 'evolution' punishes sexual arousals other than by coitus because it is the only one that leads to gene propagation. In this context, however, the new, evolutionary interpretation of clitoral function in the fertile years as a fundamental proximate mechanism for facilitating female reproductive fitness makes such a justification improbable. The role of coital alignment technique (CAT) in the treatment of female orgasmic disorder is discussed in relation to its features of introital, clitoral and periurethral glans stimulation. Attempts to control female sexuality through various 'clitoridectomies' are examined, and unanswered questions about clitoral stimulation are listed. Clin. Anat. 31:650-660, 2018. © 2018 Wiley Periodicals, Inc.

show abstract

Section: Clitoral Stimulation As a Treatment For Orgasmic Dysfunctionmentioning

confidence: 99%

Section: Final Thoughts On Clitoral Stimulationmentioning

confidence: 99%

The clitoral activation paradox — Claimed outcomes from different methods of its stimulation

Levin

2018

Clinical Anatomy

View full text Add to dashboard Cite

show abstract

“…Orgasms have a range of physiological benefits: they release endorphins, which are natural painkillers that can help alleviate physical pain, reduce stress, and promote feelings of relaxation and well-being (Redelman, 2017). The release of oxytocin during orgasm can promote bonding and social connection, as well as reduce anxiety and depression (Redelman, 2017). Additionally, orgasms are associated with increased blood flow, improved immune function, and enhanced cardiovascular health (Redelman, 2017).…”

Section: Introductionmentioning

confidence: 99%

“…The release of oxytocin during orgasm can promote bonding and social connection, as well as reduce anxiety and depression (Redelman, 2017). Additionally, orgasms are associated with increased blood flow, improved immune function, and enhanced cardiovascular health (Redelman, 2017).…”

Section: Introductionmentioning

confidence: 99%

“…They are necessary for women to dissipate pelvic vasocongestion resulted from the excitatory process, allowing the reduction of the effects of chronic pelvic vasocongestion (Meston, 2003). Regular orgasms have been linked to a lower risk of certain diseases, such as breast cancer and endometriosis, and have been associated with improved fertility and menstrual health, as well as potentially contributing to a longer lifespan (Redelman, 2017). Besides the physical benefits, orgasms can also have positive effects on mental health, including improved mood, self-esteem, and body image (Da Silva et al, 2023).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Female Orgasm as a Mate-Choice Cue - Testing Hypothesis about Its Evolutionary Function

Silva¹,

Mafra²,

Moraes³

et al. 2023

Preprint

View full text Add to dashboard Cite

The female orgasm has been the subject of intense debate within evolutionary psychology due to the lack of consensus in the literature regarding its adaptive function. Some of the hypotheses for its possible function consider it as a tool for mate-choice associated with reproductive strategies. Evolutionary theories suggest that women who adopt short-term strategies, may have more orgasms with partners who possess advantageous genetic characteristics for reproduction (sire-choice), while women who adopt long-term strategies would have more orgasms with partners who demonstrate greater emotional bond and parental care (pair-bond). Studies show that homosexual women have a higher frequency of orgasm compared to heterosexual women. If the mate-choice theory is correct, the partners of homosexual women may have advantageous characteristics associated with orgasm. The present thesis investigated the relationship between female orgasm and partner selection, seeking to understand whether the orgasm can be considered an adaptive tool for mate-choice. Based on evolutionary and adaptationist theories, the aim was to explore whether female orgasm can assist in sire-choice and pair-bond strategies. We proposed hypotheses that women with a focus on sire-choice would have more orgasms with partners perceived as healthier, physically attractive, masculine, and dominant, while those with an emphasis on pair-bond would tend to have more orgasms with partners who possess greater financial resources, kindness, empathy, femininity, and intelligence. The present study used three main instruments to collect data. The Marital Empathy Questionnaire (MEQ), which was employed to assess perceived empathy within the participants' relationships. The Female Sexual Function Index (FSFI), and the measurement variable for the orgasm was the score in the orgasm domain. The participants answered the block of characteristics of the sexual partner, which assessed seven traits: Kindness, Intelligence, Health, Physical Attractiveness, Financial Perspective, Femininity-Masculinity, and Dominance. Participants attributed scores from -3 to +3 for each trait, indicating the degree to which they perceived their partners as possessing these characteristics. The research involved the participation of 2785 women, of which 1346 completed all the questionnaires. The final analysis was conducted with 939 sexually active women in committed relationships. The average age of the participants was 28.3 years, and the majority were in a relationship with a male partner (90%). In terms of race/ethnicity, most participants identified as White (68.5%) or Mixed (22.8%). The majority of the sample (70.7%) had at least a university degree, and geographically, the largest proportion of participants was from the Southeast region of Brazil (54.6%). The data analysis used structural equation models (SEM), where the score in the orgasm domain of the FSFI predicted the characteristics of the sexual partner and the duration of the relationship. The same models were applied to participants in both homosexual and heterosexual relationships. Each model tested specific aspects of invariance among women in homosexual and heterosexual relationships. The results showed that women in both types of relationships did not differ statistically in terms of the mean and standard deviation of the orgasm domain and the strength of its relationship with partner characteristics. The analyses indicated that higher orgasm scores were associated with perceptions of greater kindness, intelligence, health, physical attractiveness, and empathy in partners. However, the effect sizes were low, suggesting that although the associations were statistically significant, the practical significance of these findings is limited. Studies on mate-choice and female orgasm have presented similar results, indicating that evidence for the adaptive function of female orgasm is fragile or non-existent. This situation has not undergone significant changes since 2005. Given the complexity of the female orgasm and its underlying structures, we consider two hypotheses regarding the function of female orgasm: (1) as a provider of additional information about the partner and a reinforcer for the maintenance of the relationship, and (2) as a possible ancestral function to allow reflexive or partner-induced ovulation. Reflexive ovulation would enable the assessment of partner quality, so that the ovule would not be released indiscriminately. Therefore, the fact that we find weak effects of orgasm on partner characteristics would be a remnant of the ancestral function that was lost with the emergence of spontaneous ovulation.

show abstract