If orgasm is desired, anorgasmia may be attributed to an inability to relax. However, the sensations in both sexes are extremely pleasurable and are often felt throughout the body, causing a mental state that is often described as transcendental, and with vasocongestion and associated pleasure comparable to that of a full-contractionary orgasm. By contrast, women's orgasms in intercourse are highly variable and are under little selective pressure as they are not a reproductive necessity. At least one scientific study supports these claims, [24] although cabergoline is a hormone-altering drug and has many potential side effects. It has also been shown that oxytocin is produced when a man or woman's nipples are stimulated and become erect. For example, modern findings support distinction between ejaculation and male orgasm. Desmond Morris proposed that orgasm might facilitate conception by exhausting the female and keeping her horizontal, thus preventing the sperm from leaking out. As orgasm becomes imminent, the outer third of the vagina tightens and narrows, while overall the vagina lengthens and dilates and also becomes congested from engorged soft tissue. Orgasm by psychological stimulation alone was first reported among people who had spinal cord injury. Menopause may involve loss of hormones supporting sexuality and genital functionality. In , Freud stated that clitoral orgasms are purely an adolescent phenomenon and that upon reaching puberty, the proper response of mature women is a change-over to vaginal orgasms, meaning orgasms without any clitoral stimulation. Some women exhibit a sex flush , a reddening of the skin over much of the body due to increased blood flow to the skin.













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