Tag: woman

Let’s talk about them orgasms.

Here is a recap of one of my favorite articles about orgasm. This is a very important topic that is often overlooked and not talked about as if it is some kind of taboo. However, I would venture to say that we talk about men’s erectile function and dysfunction all the time. So, let’s chat about the ladies for a minute.

Did you know, that depending on the source you read, there are anywhere from 4 to 15 types of orgasm? I didn’t realize that myself. Apparently the brits think there are like 15 where most of the American literature describes 5 or so. The article I am about to discuss talks about the different types of orgasm and was endorsed by human sexuality expert Dr. Laurie Mintz. So, here we go.

Here’s a few fun introductory facts. Did you know that women that allow themselves to experience a variety of sexual behaviors are much more likely to achieve orgasm than those who don’t. What do I mean by behaviors? Ok let’s say it out loud together: new and different positions, oral sex, sexy talk, and fantasies. There are also studies that say that women are more likely to achieve orgasm if their last sexual encounter involved a combination of deep kissing, manual genital manipulation, and oral sex in addition to vaginal penetrative intercourse. So, get out there and get creative to increase your chances of orgasm!

You really need to think of an orgasm as an intense and pleasingly unique event. Some women describe it as an earthquake whereas other experience a sort of undulation or ripple. This is a very personal experience and is unique to every woman.

There are all kinds of arguments among scientists with regard to categorizing female orgasms. They also argue about ridiculous things like the right way or better way to orgasm. I think they are missing the point. However you get there is the right way for the individual woman. Hurrah that she made it there in the first place. There is no instruction manual needed here.

So, instead of talking about the types of orgasm, let’s discuss the top categories of places that a woman finds enjoyable for stimulation. I think number one has to be the clitoris. It literally has more small nerve endings in a small space over any other part of the body. It is the only human organ specifically designed for pleasure. Most women actually require at least some clitoral stimulation at some point during sex to reach orgasm. Let us not forget the clitoris. Keep in mind that there is still variety woman to woman on where, near, or at the clitoris that allows her the most desirous response. Keep in mind that I am not trying to imply that the clitoris is some magic button. There still needs to be some finesse and creativity involved. Sometimes if the partner doesn’t quite have the touch, a good old-fashioned vibrator can come in very handy. There are actually whole books written on the history of the vibrator. Did you know that the vibrator actually came into being because women were using up the city water supplies to stimulate themselves with faucets etc so that someone had to invent a vibrator to stop women from using up the water supply! It actually had a practical, money saving initial purpose. Nowadays they are hopefully just for fun.

I think that the number two position belongs to that famous G-Spot. I have literally had patients come in to ask me if I could help them find it because they or their partners were unable to. Let’s clarify the G-spot. The G-spot itself is located in the lower third of the way into the vagina( closest to the entrance). There is way more involved than just a spot. It actually includes a multiple of organs, including the internal, non-exposed clitoris. Pressure on this spot, which is not actually just a spot, is undeniably delicious for a lot of women. A little pressure directly upward one third of the way into the vagina can be amazing. Either fingers or a vibrator will do. Over time, the vagina loses its formerly downward angle and becomes more straight on, so it becomes a little more difficult for the penis to hit that spot. Yet another potential bummer of aging. But, the good news is that I have simple office procedures to restore that angle and fix that issue!

Let’s talk about the third option, which is the blended climax option. This occurs when a woman has the intensity of the initial clitoral stimulation followed by vaginal stimulation. That is literally a best of both world situation.

Finally, let’s talk about the fourth option…multiple orgasms. This is definitely the potential holy grail of options. We seem to forget about these options, mostly because if there is a male partner involved, there is always a downtime refractory period before he is able to ejaculate again. So, no offense to the men, but then he is laying there, all satiated when the woman is still very much ready to go! Women have no downtime! We are hardwired completely differently and are able to have multiple orgasms with a single sexual encounter! Yay! A bonus for the women!

The bottom line is, we shouldn’t forget about the orgasm. We should pay attention, get creative, soak it up, take our time, be adventurous and enjoy!

Dr. Katz

Does it matter that I am a white woman?

I saw a study the other day outline in Contemporary Obgyn magazine. The study was originally published in JAMA Network Open. This study attempted to evaluate the possibility of gender and racial bias in patient selection of their physicians. In other words, does it matter if the physician is male or female? Black or white? Here’s how the study went. They took about 3600 online US respondents from a very geographically diverse population. Two different crowdsourcing platforms MTurk and Lucid were used to recruit participants. Each participant was shown a clinical scenario of a gastrointestinal issue being evaluated by an emergency room physician. The participant was supposed to play the role of the patient. They were shown pictures of the different ER physicians with different diagnoses: one with a diagnosis of gastroenteritis and a conservative treatment plan and one with a diagnosis of appendicitis and a more aggressive plan. The researchers did what is called a random assignment of the participants to images of physicians with different genders and races. 823 were assigned to black female physicians, 791 to black males, 821 to white females, and 835 to white males. They used a total of 10 different faces for each of these groups from the Chicago Face Database. This means that they were trying really hard to determine whether a participant’s reaction was truly due to a particular skin color or gender, rather than one specific face. None of the participants knew about the purpose of the study. In research terms, that means that they were “blinded.” Each participant then had to rate each simulated physician on confidence in him or her, satisfaction with care, likelihood of recommending the physician, trust in the diagnosis, and the likelihood that they would request additional tests.

I found the initial report of the results as reassuring. They did not find any significant difference in participant satisfaction and confidence based on race or gender. Ok that sounds good at first, but it is not time to celebrate just yet. They went on to say that about 40% of the participants endorsed some type of white superiority. It does not explain how they knew that. So then, they essentially threw the accuracy of the results out the window and said that it was possible that the participants actually knew the purpose of the study and hid their prejudices in their answers to look more socially acceptable. Mind you, that this is by no means the first study evaluating gender and racial bias in patient physician selection. Also keep in mind that a lot of these studies are failing to show any systemic bias in regards to gender or race, but we keep looking anyway….and then not believing the results. I don’t get it. Would we prefer that there is bias? Are we unhappy that we can’t prove it? Are we looking for yet another race or gender inequality issue to be upset about? There are plenty of real issues out there with regard to race and gender that desperately need to be addressed. Maybe we should leave this one alone if we cannot truly prove that it is there in the first place. Have a fantastic day everyone!

Dr. Katz