Podcast Notes

Sex, sexual function, performance and orgasms

Sounds like fun. Let’s get into it.

We at ATP pride ourselves on performance. For some they are natural athletes at their chosen sport and for others we are still learning new tricks and techniques to perform like a pro 😉

For the chosen sport of love making (we have other podcasts on fertility and reproduction) there is a massive mound of evidence to work through. There is so much controversy and myths and way too many anecdotal reports and stories to “google search” for relevant data. Researching through the world-wide web for information on orgasm and erections and ejaculation was an eye opener and not very scientific in my opinion. So, I reverted back to the medical journals.

Correct terminology and myths

– The internal/inner clitoris does not exist: the entire clitoris is an external organ.
– The clitoral or clitoris-urethro-vaginal complex has no embryological, anatomical and physiological support.
– The vagina has no anatomical relationship with the clitoris, and the clitoris is a perineal organ while the supposed G-spot is in the pelvic urethra.
– G-spot/vaginal/clitoral orgasm, vaginally activated orgasm, and clitorally activated orgasm, are incorrect terms; “male orgasm,” “female orgasm” is the correct term.
– The “vaginal” orgasm is always caused by the surrounding erectile organs (triggers of female orgasm). The male penis cannot come in contact with the venous plexus of Kobelt or with the clitoris during vaginal intercourse. Therefore vaginal orgasm is not possible. The external genitalia induce orgasm.
– Also, female ejaculation, premature ejaculation, persistent genital arousal disorder (PGAD), periurethral glans, vaginal-cervical genitosensory component of the vagus nerve, and G-spot amplification, are terms without scientific basis. This provides an excellent excuse to study this further. More great reading coming up.
– Female sexual satisfaction is based on orgasm and resolution: in all women, orgasm is always possible if the female erectile organs, i.e. the female penis, are effectively stimulated during masturbation, cunnilingus, partner masturbation, or during vaginal/anal intercourse if the clitoris is simply stimulated physically.
– Female ejaculation / squirting / coital incontinence. According to the textbooks this is a mysterious phenomenon and apparently according to one French study “popular in the media”. French news and current affairs sounds very interesting. Female ejaculation refers to small quantity of whitish secretions from the female prostate, where squirting refers to a larger amount of diluted and changed urine. The orgasmic incontinence associated with squirting has been attributed to urethral disorders or detrusor overactivity.

Anatomy and physiology for sexy time

The male and female orgasm and external genitalia is very similar in structure and function, nervous system and hormonal control. Refer to the picture below demonstrating a sad and tired penis walking away from an equally dismayed clitoris (He must have come first again…Well that’s what it looks like to me) and see the similarities between the anatomy of the external genitalia.

Autonomic nervous control of sex

Sympathetic nervous system (SNS)

Stress, hurry, worry, money nervous system that also does excitement, anxiety and anticipation. The SNS governed by noradrenalin (norepinephrine) can induce excitement and desire and emission such as pre-ejaculatory seepage.

Parasympathetic nervous system (PSNS)

Rest, digest, reproduction and meditation that also is heavily involved in the enjoyment of the sexual experience. Male and female erection of external genitalia is an essential component for sexual enjoyment, orgasm and ejaculation. In this instance the PSNS is not governed by acetylcholine as other central systems are but is driven by cGMP induction of Nitric Oxide (NO). (this is how Viagra works by the way). This is what triggers the vasodilation and engorgement with blood and fluid that leads to swelling, hardening and increased sensitivity.

Somatic Nervous system

Local touch and feel sensations. This is the actual tissue telling your nervous system that something feels good. Or maybe not that simple because there is a very fine line between pleasure and pain. Substance P is a chemical associated with sexual enjoyment and orgasm and substance P is the pain chemical. The somatic nervous system controls the muscle spasm and rhythmic movement associated with orgasm and ejaculation.

The Vagina does not orgasm

The vagina itself is a portal to access other organs and structures nearby that are responsible for orgasm. Organs from vaginal intercourse alone is scientifically not possible as the orgasmic apparatus is not directly linked or attached. They require physical stimulation directly either from within the vagina e.g. stimulating the G spot is actually massaging the urethra trigger points through the vaginal wall and it is not possible to access the clitoris and associated tissue via the vagina so direct stimulation of the clitoris is required.
Basically, vaginal orgasm is only possible if the penis is able to directly stimulate other organs and trigger points from within the vagina or if external help to stimulate the clitoris is possible.

The penis on the other hand is basically a clitoris with a thin layer of skin covering the sensitive tissue responsible for orgasm and ejaculation. Other than the male G spot (prostate) all of the required bits are conveniently packaged and delivered making it much easier to access the erotic zones.

Sexual satisfaction for both partners requires a holistic approach

Body, mind and spirit are the three planes that require balance to create a holistic protocol.

Body

The physical plane. Here we address hormones, neurotransmitters, structure and function of organs and systems within your body.

Mental

Mindfulness. Choose your own adventure and understanding your imagination creates your reality. Being present and in the moment. Using mental power to control neurotransmitters, hierarchy and priorities. Choose your attitude.

Spirit

Culture, beliefs, religion, desire drivers – naughty versus reproduction

Compatibility not only refers to physical attraction and structural synergy; but also spiritual beliefs and choice of attitude.

Communication between sexual partners is so important for a holistic protocol to improve or potentiate sexual enjoyment.

So, how can I help with your sexy time experience?

With information and protocols of course. Hopefully the spiritual, mental and the actual physical touch stuff you can do yourself at home. And the information above may help with that.
Below I have listed some supplemental ideas to try.

Topical arginine (not on herpes) – (prototype 8) nitric oxide vasodilator to engorge with blood and heighten sensitivity.
Vasoactive intestinal polypeptide – needs vitamin C (Multifood) to build the VIP-ergic neurons and good gut health.
Withania (Cort RX) improves sexual performance and enjoyment through upregulating the PSNS and down regulating the SNS (GABAergic).
PGE1 – evening primrose oil, safflower oil, peanut oil (AMP-V) are often used to aid muscle relaxtion for labour but can also enhance female sexual enjoyment, lubrication and orgasm.
Vasodilators – topical arginine, oral citrulline malate, beetroot.
Estrogen receptor activation – Ecdysterones (prototype 8) lubrication, pain and comfort, orgasm intensity (linked to calcitonin gene-related peptide induction of orgasm)
D1 receptors (dopamine) – increase desire and libido. Vitex (alpha venus)

Some drugs can stuff things up too

• OCP has been linked to failure to orgasm and sexual dysfunction as well as weird pheromone changes
• Antidepressants – serotonin inhibits erection and ejaculation. Serotonin is usually released after sex during the refractory period (especially in males) and makes you lose wood and fall asleep.

Recreational drugs

o Serotonin based inhibits erection and ejaculation as above but linked with ecstasy and alcohol.
o Dopamine based increases libido and desire but if combined with serotonin it is the ultimate insult to have the desire but lack the ability.
 
Recommended Reading
And this time I highly recommend following up on these just for the pics and the funny ways scientists explain rudey nudey things (sorry I am not an adult)
Pastor Z. Female ejaculation orgasm vs coital incontinence: a systematic review. J sex med 2013
Lawrence C. Delayed Orgasm and Anorgasmia. Fertil Steril. 2015
Anatomy of Sex: Revision of the New Anatomical Terms Used for the Clitoris and the Female Orgasm by Sexologists VINCENZO PUPPO AND GIULIA PUPPO
Geraldine Sheu et al text Chapter 2 Physiology of Ejaculation