The Human Sexual Response – Sexuality has always been a part of human life – One common finding has been that feelings and attitudes about sex vary widely across cultures and individuals – Although sexual experience is unique to each individual, sexual physiology (how the body responds to sexual arousal) has common features. The Sexual Response Cycle – The sexual response cycle refers to the sequence of physical and emotional changes that occur as a person becomes sexually aroused and participates in sexually stimulating activities, including intercourse and masturbation. The Sexual Response Cycle – In 1996, two of the earliest researchers (Masters and Johnson) of sexual response published the results of a major study based on more than 10,000 episodes of sexual activity among more than 600 men and women – Whether stages are felt as separate steps within these stages, desire, arousal and orgasm is individualized. The Sexual Response Cycle – They described human sexual response as a cycle with four (4) discrete stages: 1. Excitement 2. Plateau 3. Orgasm 4. Resolution The Sexual Response Cycle Desire is the mental state created by external and internal stimuli that induces a need or want to partake in sexual activity. Desire may be said to consist of: 1) biologic roots, which in part are based on hormones such as androgen and estrogen 2) motivational roots, which are in part based on intimacy, pleasure and relationship issues and 3) cognitive issues such as risk and wish. EXCITEMENT – Excitement occurs with physical and psychological stimulation (sight, sound, emotion, or thought) that causes parasympathetic nerve stimulation. – Characteristics of the excitement phase can last from less than a minute to several hours. EXCITEMENT – The resulting increased blood supply leads to vasocongestion and increasing muscular tension. – In women, vasocongestion causes the: ᴥ clitoris to increase in size ᴥ mucoid fluid to appear on vaginal walls for lubrication ᴥvagina widens in diameter and increases in length ᴥbreast nipples become erect. ᴥmuscle tension – (MYOTONIA) EXCITEMENT – In men, this vasocongestion is responsible for: ᴥ penile erection occurs ᴥ scrotal thickening ᴥ elevation of the testes ᴥ Myotonia – In both sexes, there is an increase in heart about 70bpm and respiratory rate and blood pressure. EXCITEMENT Vasocongestion PLATEAU – This stage is reached before orgasm; sexual excitement continues to grow. Stable level of arousal, may lead to orgasm – This phase can be very brief, typically lasting only a few seconds to a few minutes. Many people find that extending the length of the plateau period can lead to more intense orgasms. – There is no clear point at which a person visibly shifts from the excitement phase to the plateau phase PLATEAU – In the plateau phase, the general characteristics of the excitement phase continue, but become more intensified. These characteristics include the following: Women: - clitoris is drawn forward and retracts under the clitoral prepuce - lower part of the vagina becomes extremely congested (formation of the orgasmic platform) - increased breast nipple elevation Men: PLATEAU - vasocongestion leads to distention of the penis - Heart rate increases to 100 -175 bpm and respiratory rate to about 40 breaths/min. ORGASM - Occurs when stimulation proceeds through the plateau stage to appoint at which vigorous contraction of muscles in the pelvic area expels or dissipates blood and fluid from the area of congestion. - The average number of contractions for the woman is 8- 15 contractions at intervals of 1 every 0.8 seconds. ORGASM - In men, muscle contractions surrounding the seminal vessels and prostate project semen into the proximal urethra. These contractions are followed immediately by 3-7 propulsive ejaculatory contractions, occurring at the same interval as in the woman, which force semen from the penis. - This is the shortest stage of sexual response cycle. Orgasm is usually experienced as intense pleasure affecting the whole body, not jus the pelvic area. It is also a highly personal experience. Descriptions of orgasm vary from one individual to another. ORGASM RESOLUTION – The resolution is a 30-minute period during which the external and internal genital organs return to an unaroused state. – In men, a refractory period occurs during which further orgasm is impossible. – Women do not go through this period, so it is possible for women who are interested and properly stimulated to have additional organisms immediately after the first. RESOLUTION Characteristics include: ᴥBody gradually returns to its unexcited state ᴥVagina and labia return to normal size and state ᴥUterus lowers to its prearoused position ᴥRespiration, pulse, and blood pressure return to their normal levels ᴥSex flush leaves the body in reverse order from which it developed ᴥPerspiration occurs