Orgasm by muscle compression

A treatment designed to improve bladder dysfunction could have another use: helping women who struggle to achieve sexual arousal. But if the results of a pilot study are any indication, that may soon change. Female sexual dysfunction, a condition that ranges from a lack of libido to an inability to achieve orgasm, affects 40 to 45 percent of women, especially as they age. Female sexual dysfunction can be tough to diagnose and even more difficult to treat. They also can have undesirable side effects.

Ejaculation, the process of external semen expulsion, is primarily a sympathetic phenomenon involving the spinal cord segment between TL2. Internally, there is a pathway for sperm to be transported from the testicles with accessory fluids before being expelled out the end of the penile urethra antegrade ejaculation Krassioukov and Elliott, Ejaculation is most likely to occur naturally in men with incomplete conus or cauda equina lesions, and men with lesions higher than T6; ejaculation is least likely to occur naturally in men with complete supraconal lesions Comarr, ; Ibrahim et al. Retrograde ejaculation can also occur, most often in men with sphincterotomy or who have a suprapubic catheter Ibrahim et al. Much of our existing knowledge of ejaculation and orgasmic sexual satisfaction is derived either from self-report surveys or indirectly reported in the fertility literature, thus further research is needed.

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Objective: To present the current understanding of normal anatomy, physiology, sexual physiology, pathophysiology and the consequential sexual changes and dysfunctions following a spinal cord injury SCI. Methods: Narrative review of the latest literature. Results: Peripheral innervations of the pelvis involve 3 sets of efferent neurons coordinated though the pelvic plexus somatic, thoracolumbar sympathetic, and sacral parasympathetic , and these are under cerebral descending excitatory and inhibitory control. SCI, depending on the level of lesion and completeness, can alter this cerebral control, affecting the psychological and reflexogenic potential for genital arousal and also ejaculation and orgasm.