The male and female orgasms are very similar subjectively. When women and men are asked to described the sensations they feel during arousal and orgasm but excluding gender-specific anatomical terms, the descriptions are remarkably similar, and involve feelings of inevitability when the orgasm is imminent. Of course there are anatomical differences and women have the general advantage that most can have (or be educated to have) multiple orgasms. Also, a good proportion of women can experience a very prolonged orgasm called a ’status orgasmus’ which, as far as I know, no man can. These can last many seconds and must be fun :-). Also, many women are capable of imagining themselves all the way to orgasm though no doubt this may involve a lot of muscle tensing and cannot really be described as being without physical stimulus ­ rather no fingers are involved. Women also tend to have more orgasms in their sleep than men who usually only do this during teenage years, and several, mainly anti-depressant, drugs (e.g. Prozac, Zoloft, Wellbutrin) are known to cause spontaneous orgasms in women though they do not affect men the same way - in these cases the orgasm can even sometimes be brought on voluntarily by yawning!

Pain thresholds increase during arousal (e.g. during masturbation) and reach their maximum during orgasm. It is likely that cerebral endorphins may be involved. Electroencephalography has shown which regions of the brain and brain stem are involved in orgasm, though most of the mechanisms of the physiological rather than psychological processes are in the spinal cord and paraplegics can be stimulated to have orgasm.

The standard textbook description of female excitation and orgasm goes like this: A prolonged period of arousal, a plateau, orgasm proper and resolution. The same phases can be identified in men. Major studies which are still often quoted are those of Kimsey and of Masters and Johnson who tackled the sensitive topic of female sexuality in what was effectively the dark ages of the post-war 20th century.

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