Sexual dysfunction overall becomes more likely with poor physical and emotional health. 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. Therefore, orgasm increases the chances of conceiving with males of a high genetic quality. These reports continue to be cited. Orgasm may also be achieved by the use of a sex toy , such as a sensual vibrator or an erotic electrostimulation. Women were more likely to reach orgasm in encounters including cunnilingus". This reaches a peak at orgasm when the female brain's emotion centers are effectively closed down to produce an almost trance-like state.
Holstege is quoted as saying, at the meeting of the European Society for Human Reproduction and Development: Pegging and prostate massage In both sexes, pleasure can be derived from the nerve endings around the anus and the anus itself, such as during anal sex. These reports continue to be cited. Fertility There are theories that the female orgasm might increase fertility. It may be associated with performance pressure and an unwillingness to pursue pleasure, as separate from the other person's satisfaction; often, women worry so much about the pleasure of their partner that they become anxious, which manifests as impatience with the delay of orgasm for them. The British biologists Baker and Bellis have suggested that the female orgasm may have a peristalsis or "upsuck" action similar to the esophagus ' ability to swallow when upside down , resulting in the retaining of favorable sperm and making conception more likely. Except for in cases of a dry orgasm, contraction of the sphincter and prostate force stored semen to be expelled through the penis's urethral opening. They eventually increase in speed and intensity as the orgasm approaches, until a final "plateau" the orgasmic pleasure sustained for several seconds. They found that using this metric they could distinguish from rest, voluntary muscular contractions, and even unsuccessful orgasm attempts. An orgasm before functions to strengthen the filter. It is also typical for a man to not reach orgasm as a receptive partner solely from anal sex. Brain scans of both sexes have shown that the pleasure centers of a man's brain show more intense activity than in women during orgasm. On this basis, they argued that clitoral stimulation is the source of both kinds of orgasms,   reasoning that the clitoris is stimulated during penetration by friction against its hood; their notion that this provides the clitoris with sufficient sexual stimulation has been criticized by researchers such as Elisabeth Lloyd. By contrast, women's orgasms in intercourse are highly variable and are under little selective pressure as they are not a reproductive necessity. Note that as a rule, correlation does not imply causation. Some women exhibit a sex flush , a reddening of the skin over much of the body due to increased blood flow to the skin. Sexual dysfunction overall becomes more likely with poor physical and emotional health. As a woman nears orgasm, the clitoral glans retracts under the clitoral hood , and the labia minora inner lips become darker. Menopause may involve loss of hormones supporting sexuality and genital functionality. A study in the BMJ based upon men age 45—59 found that after a ten-year follow-up, men who had fewer orgasms were twice as likely to die of any cause as those having two or more orgasms a week. This possibility, sometimes called the "Poleaxe Hypothesis" or the "Knockout Hypothesis", is now considered highly doubtful. This reaches a peak at orgasm when the female brain's emotion centers are effectively closed down to produce an almost trance-like state. However, a subsequent report by Rudie Kortekaas, et al. Further studies in this direction were carried out by Sem-Jacobsen , Heath , Cohen et al. At least one scientific study supports these claims,  although cabergoline is a hormone-altering drug and has many potential side effects. Therefore, orgasm increases the chances of conceiving with males of a high genetic quality.
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