Orgasm after vulvectomy – can it be learned?

Orgasm after vulvectomy – can it be learned?

2012-01-01 00:00:00

Coital anorgasmia is a common complaint among women consulting for sexual problems. Recently, a genetic predisposition was proposed. This presentation discusses the role of physical learning. Case report A 53 year old woman consulted with secondary anorgasmia of two years. She had been orgasmic through clitoral stimulation prior to an extensive vulvectomy including clitoridectomy for Bowen’s disease. Sexocorporal therapeutic interventions included instructions for digital vaginal stimulation and mobilisation of the pelvis through iliopsoas and pelvic floor muscle contractions with abdominal breathing.

After three months’ training, the patient achieved satisfying orgasms through vaginal stimulation and pelvic movement.
Concluding from research among women with genital mutilation (FGM), the clitoris is not inevitable for orgasm. The rate of orgasm through penile-vaginal stimulation is higher among FGM women than among women with intact clitoris. We propose that orgasmic response and the favored location of stimulation depends not just on genetics, but on the physical learning history. Clitoral response, comparatively easily accessible, may keep a woman from exploring and developing her vaginal sensitivity. The more remote vagina and surrounding pelvic floor muscles require repetitive pressure to develop responsiveness, which is enhanced through pelvic movement. Through corresponding physical training, as applied in sexocorporal therapy, vaginal sexual response can be accessible to women even after destructive surgery.
Women consulting for coital anorgasmia can be encouraged to develop vaginal sexual response through repetitive vaginal stimulation and play with pelvic muscles. It is important to give this information to women with extensive vulval surgery.

Conference: WAS Goteberg 2009
Areas of Interest / Categories: Anorgasmia, Female Sexual Dysfunction, WAS 2009
My List

WAS 2009

Infertile couples who undergo treatment: experiences of the consequences on sexuality

About 10-15 % of adults have the experience of not getting pregnant, when they have a wish to have a child. For some, this life situation is resolved spontaneously. Some undergo investigation, followed by varying treatments, resulting in a child, some adopt, and for others this situation is permanent, and without a solution. When this is the case, existential questions often arise. Earlier studies show that couples who become parent after IVF-treatment are just as content, or more, with their relationships and sexuality compared to parent who conceived spontaneously. Little is known about the couples who continue their relation without a child. Clinical experiences are that many women and men struggle with questions concerning the meaning of sexuality.

Non formal sexual rights education and sexual pleasure: experiences from a grassroots training program in Turkey

In the framework of the Coalition for Sexual and Bodily Rights in Muslim Societies (CSBR) experience to promote sexual, bodily and reproductive health and rights, this paper will explore women's approach to sexuality, sexual health, sexual rights, and sexual pleasure based on the experience of the Human Rights Education Program for Women (HREP) in Turkey, implemented in 42 cities. The paper will contexualize sexual health and rights in Muslim societies through a human rights approach, drawn on experiences of grassroots movement for women in Turkey, in a context where efforts to promote SRHR contend with patriarchal norms and taboos around sexuality. 

Furthering reproductive rights of women in rural India & the impediments

Legal education in rural India which circumscribes rights of women with special focus on reproductive rights, rape laws, female feticide, domestic violence, child marriage etc. has played a pivotal role in translating these rights into practice. This has been possible through innovative legal education drives which have identified a set of para-legal women who act as reservoirs of knowledge and are adequately equipped to handle instances of violation of such rights.

Awareness, knowledge and willingness to deal with sexual education among students in academic colleges of education in Israel

Awareness, knowledge and willingness to deal with sexual education among students in academic colleges of education in Israel

It is commonly accepted that sex education should start at early age. Most teachers hold positive attitudes towards programs on sex education, but some surveys showed a discrepancy between overt attitudes towards sex education and willingness to practice this as part of the professional duty.

A comparative analysis of understandings of sexual behaviour among key stakeholders in UK secondary schools

A comparative analysis of understandings of sexual behaviour among key stakeholders in UK secondary schools

In many school settings, adolescent sexuality has been discussed largely in terms of sexual behaviour and risk. Little attention has been given to the positive aspects of sexuality and sexual expression. This study sought to explore how key stakeholders in three secondary schools in the UK understand youth sexual behaviours. 

The African studies on the impact of circumcision on HIV

Does circumcision reduce the risk of HIV transmission? Relationship between male circumcision and HIV infection based on randomized, controlled intervention trial in three

Sexuality and LUTS: an Asian perspective