From Dr M NYC:
Female Sexual Arousal, Orgasm, G-Spot Yoni Massage, Sensual Erotic Bodywork for Women, Squirting and More.
"Female Hysteria," Victorian Era Doctors & the Vibrator.
Developed by an American physician, George Taylor, M.D., it was a large, cumbersome, steam-powered apparatus. Taylor recommended it for treatment of an illness known at the time as "female hysteria." Hysteria, from the Greek for "suffering uterus," involved anxiety, irritability, sexual fantasies, "pelvic heaviness" and "excessive" vaginal lubrication -- in other words, sexual arousal.
However, since it was the Victorian era, women were not considered to be at all sexual and it was therefore deemed a disease. Physicians of that era treated hysteria by massaging sufferers' vulvas until they experienced dramatic relief through "paroxysm" (orgasm). Unfortunately, hysteria was a recurrent condition and repeated treatment was often necessary. Taylor touted his steam-driven massage device as speeding treatment while reducing physician fatigue.
The Technology of Orgasm and the Vibrator
Debut of the first vibrator in 1869.
By NATALIE ANGIER
The NY Times
When female patients suffered "hysterical" or "neurasthenic" symptoms, doctors saw wonderful results from "pelvic massage," culminating in orgasm. The patient was pleased enough to guarantee her habitual patronage.
Electricity has given so much comfort to womankind, such surcease to her life of drudgery. It gave her the vacuum cleaner, the pop-up toaster and the automatic ice dispenser. And perhaps above all, it gave her the vibrator. In the annals of Victorian medicine, a time of "Goetze's device for producing dimples" and "Merrell's strengthening cordial, liver invigorator and purifier of the blood," the debut of the electromechanical vibrator in the early 1880s was one medical event that truly worked wonders -- safely, reliably, repeatedly.
As historian Rachel Maines describes in her exhaustively researched if decidedly offbeat work, "The Technology of Orgasm: 'Hysteria,' the Vibrator, and Women's Sexual Satisfaction" (Johns Hopkins Press, 1999), the vibrator was developed to perfect and automate a function that doctors had long performed for their female patients: the relief of physical, emotional and sexual tension through external pelvic massage, culminating in orgasm. For doctors, the routine had usually been tedious, with about as much erotic content as a Kenneth Starr document. "Most of them did it because they felt it was their duty," Dr. Maines said in an interview. "It wasn't sexual at all."
The vibrator, she argues, made that job easy, quick and clean. With a vibrator in the office, a doctor could complete in seconds or minutes what had taken up to an hour through manual means. With a vibrator, a female patient suffering from any number of symptoms labeled "hysterical" or "neurasthenic" could be given relief -- or at least be pleased enough to guarantee her habitual patronage.
"I'm sure the women felt much better afterwards, slept better, smiled more," said Dr. Maines. Besides, she added, hysteria, as it was traditionally defined, was an incurable, chronic disease. "The patient had to go to the doctor regularly," Dr. Maines said. "She didn't die. She was a cash cow."
Nowadays, it is hard to fathom doctors giving their patients what Dr. Maines calls regular "vulvular" massage, either manually or electromechanically. But the 1899 edition of the Merck Manual, a reference guide for physicians, lists massage as a treatment for hysteria (as well as sulfuric acid for nymphomania). And in a 1903 commentary on treatments for hysterical patients, Dr. Samuel Howard Monell wrote that "pelvic massage (in gynecology) has its brilliant advocates and they report wonderful results."
But he noted that many doctors had difficulty treating patients "with their own fingers," and hailed the vibrator as a godsend: "Special applicators (motor driven) give practical value and office convenience to what otherwise is impractical."
Small wonder that by the turn of the 20th century, about 20 years after Dr. Joseph Mortimer Granville patented the first electromechanical vibrator, there were at least two dozen models available to the medical profession. There were musical vibrators, counterweighted vibrators, vibratory forks, undulating wire coils called vibratiles, vibrators that hung from the ceiling, vibrators attached to tables, floor models on rollers and portable devices that fit in the palm of the hand.
A text from 1883 called "Health For Women" recommended the new vibrators for treating "pelvic hyperemia," or congestion of the genitalia. Vibrators were also marketed directly to women, as home appliances. In fact, the vibrator was only the fifth household device to be electrified, after the sewing machine, fan, tea kettle and toaster, and preceding by about a decade the vacuum cleaner and electric iron -- perhaps, Dr. Maines suggests, "reflecting consumer priorities."
Advertised in such respectable periodicals as Needlecraft, Woman's Home Companion, Modern Priscilla and the Sears, Roebuck catalog, vibrators were pitched as "aids that every woman appreciates," with the delicious promise that "all the pleasures of youth ... will throb within you."
Significantly, the vibrators and their accoutrements almost never took the form of the dildo, for the simple reason that vibrators were meant to be used externally. As a result, medically indicated massage therapy could be pitched as upstanding and asexual -- and less risque than the gynecologist's speculum, which came under heavy ethical fire when it was first introduced in the late 19th century.
Dr. Maines's investigations led her to conclude that doctors became the keepers of the female orgasm for several related reasons. To begin with, women have been presumed since Hippocrates' day, if not earlier, to suffer from some sort of "womb furie" -- the word "hysteria," after all, derives from uterus. The result was thought to be a spectacular assortment of symptoms, including lassitude, irritability, depression, confusion, palpitations of the heart, headaches, forgetfulness, insomnia, muscle spasms, stomach upsets, writing cramps, ticklishness and weepiness.
Who better to treat the wayward female than a physician, and where better to address his ministrations than toward the general area of her rebellious female parts?
Dr. Maines also proposes that women historically have suffered from a lack of sexual satisfaction -- that they needed somebody's help to have the orgasms they were not having in the bedroom. By the tenets of what she calls the "androcentric" model of sex, women were supposed to be satisfied by the motions of heterosexual intercourse -- the missionary position and its close proxies.
Yet as many studies have shown, at least two-thirds of women fail to reach orgasm through coitus alone, Dr. Maines said. As a result, she said, many women historically may have spent their lives in an orgasm deficit, without necessarily identifying it as such. At the same time, religious edicts against masturbation discouraged women from self-exploration. "In effect," she writes, "doctors inherited the task of producing orgasm in women because it was a job nobody else wanted."
Vibrators are still widely available, of course -- unless you happen to live in Alabama, Georgia and Texas, where state legislatures have banned the sale of vibrators and other "sex toys." The American Civil Liberties Union is now vigorously challenging the Alabama statute. If Alabama permits the prescribing of the anti-impotence drug Viagra, the ACLU argues, how dare it tell women that they can't have their own electromechanical prescription for joy?
I hope this article, brought to you by Her Private Pleasures -- bodywork with a sensual touch for women in New York -- has helped you learn a little bit more about the history of the vibrating massager and female orgasm. Please drop me a line if you have questions or would like to share your experiences.
In the History of Gynecology, a Surprising Chapter
By NATALIE ANGIER
February 23, 1999 New York Times
© copyright 1999 New York Times
The Four Stages of Female 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 can be identified in men.
Major studies which are still often quoted are those of Kinsey 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.
In the excitement phase, often induced by thought alone, involves the following set of processes:
The nipples typically become erect and the clitoris also becomes turgid and it expands a little (though not much), and this may result in it becoming a bit more visible in some women with medium to large ones. Clitoral erection, more properly called tumescence, is due to increased arterial blood flow to the clitoris and reduced venous drainage and so is essentially identical to the process of penile erection but the degree of expansion is much less and involves little change in length, though the change in thickness and turgidity of the long clitoral shaft is very easily appreciated.
Increasing heart rate and blood pressure, and increasing genital blood flow also result in gradual expansion of the inner and outer labia and vaginal lubrication. Vaginal lubrication results mostly from a process called transudation that is, the increased blood flow (vasocongestion) of the vaginal wall causes blood and lymphatic fluids to be forced through the tissue into the vagina where it appears as a lot of tiny sweat-like drops on the vaginal walls. Additional vaginal lubrication comes from the cervix which is well-supplied with mucous glands. The amount and thickness of a woman¹s vaginal lubrication may well depend on her stage in the menstrual cycle primarily because of the changes in the cervical mucus.
There is also lubrication of the inner lips resulting from glandular secretions from the mucous membranes and possibly from the Skene¹s glands (paraurethral glands) that open at two small, sometimes quite visible, pores, one on either side of the urethral opening (at 5 and 7 o'clock if the genitals are arranged with clitoris at 12 o'clock).
As the arousal continues, the swelling of the labia causes the inner lips to part and spread outwards thus making the opening of the vagina more obvious. The increased blood flow causes the woman¹s genitals to change colour, from flesh tones to at least pinkish, but in women who have had children (it isn¹t clear if pregnancy alone causes this or childbirth is important) the colour change can be more extreme and her genitals can become almost a deep wine red.
The colour of the vaginal walls also changes in the same way, and internally the vaginal cavity expands and the inner two thirds can form a rather large space; evolutionarily this is probably to produce a cavity in which sperm will be kept in close proximity to the cervix and not simply run out after the male has shed his load. On the other hand, the outer third of the vagina becomes tighter due to the increased blood flow to the region. Internally the positions of the uterus moves causing the vagina to elongate, and the position of the cervix changes collectively these changes in the internal vaginal arrangement are often referred to as "tenting." Late in the excitement phase the breasts are reported to swell, though it is hard to find detailed measurements.
The plateau is the final phase of excitement when basically all excitement parameters are at max and she is waiting to get herself over the edge, usually focusing her thoughts very much on her genitals or other arousing things. At this time spontaneous contractions of the anal sphincter, and muscles in the upper legs and pelvic region are common, and increased semi-involuntary movements of the hips usually indicates the imminence of orgasm.
The orgasm is a pulsatile event with strong feelings of pleasure centered around the genitalia and a demanding pushing feeling. In women this is usually indicated visibly a series of contractions in the vaginal-anal area which occur at about once every 0.8 seconds approx. and by a "sex flush" which is a rapid change in skin colour of the chest (breasts and area between them up to the neck and face) resulting from an increase in cutaneous blood flow. The rate of perineal contractions may vary from woman to woman, and certainly not all contractions in an orgasmic series are evenly spaced, the first usually being relatively long.
Internally, a lot more is going on, and videos of the inside of the vagina during orgasm show the cervix is very active and with each contraction it pushes down and "drinks" up semen from the puddle that would be there after a normal copulation so evolutionarily it only makes sense for the woman to come after the man has and only to do so if she wants to get pregnant by him! There are also waves of contractions of the uterus which are stimulated by the orgasmic surge in the hormone oxytosin. During orgasm the woman's blood pressure and heart rate increase considerably and she often does staccato breathing and may vocalise though this may be both voluntary and involuntary depending on the individual. Some hold their breath. Many also show spastic contractions of muscles in the hands and feet causing curling of toes.
Much of the literature about female orgasm reports that during orgasm the clitoris retracts under the clitoral hood. This obviously comes from the studies of Kinsey and others. However, none of the hundreds of videos of real orgasm shown here is this visible. Also, given that the clitoris is composed of spongiform tissue without skeletal muscle, it is hard to see how this could be achieved mechanically as it certainly does not detumesce during orgasm.
The Bartholin's glands (greater vestibular glands) which open just outside the vaginal opening produce a small amount of mucus (just a few drops) and this seems to be secreted just before orgasm. It may be involved in making the chemistry of the vagina less hostile to sperm.
After orgasm many women cannot bear continued direct stimulation of the clitoris and/or vulva (and even the breasts in some) and so pass into a resolution phase, but if the stimulation is maintained at a low level until the sensitivity subsides, avoiding direct clitoral contact, quite a lot of women can have a second or even numerous extra orgasms after the first one, separated by a minute or so. After a few orgasms it seems that clitoral sensitivity subsides and continued stimulation is possible. Possibly multi-orgasmicity is not universal in women, though it is likely that the painful, post-orgasmic sensitivity of the clitoris puts many off trying. In men it is possible but is exceedingly rare.
In early resolution there may be one or more infrequent contractions of the perineal muscles and anal sphincter that feel pleasurable (often referred top as aftershocks), but basically this is a time when the swelling of the breast and genitals slowly subsides over a period of many minutes (often about 20 mins). Failure to reach orgasm after reaching plateau can be very uncomfortable for some women because there has been no trigger to start the vascular decongestion of the genitals.
Sensual Genital Yoni Massage for Women
Rubbing Your Lover the Right Way
Sensual genital massage employs many of the same techniques as traditional massage, but takes things a step further. Usually given between consensual sexual partners, sensual massage involves stimulation of the genitals and often ends with an orgasmic response.
Be clear on one thing: a back rub, while divine, is NOT a sensual massage. A back rub is powerful, short and effective at ridding your body of tension, aches and pains. Sensual massage is long, languorous and erotic, and involves a great deal of nudity and intimate touching. You give your mom a back rub. You give your lover a sensual massage.
If you've never given one of these wonderfully erotic massages, never fear. These simple, step-by-step instructions will leave you feeling and acting like an experienced sensual masseuse or masseur.
Before You Begin
Before you start rubbing your honey, take a moment to set the mood:
Talk to your partner about your upcoming experience. Make sure he or she understands the difference between traditional and sensual massage -- if she's expecting the former, an erotic massage might be quite unwelcome!
Start by connecting with your partner. This will vary from couple to couple, so follow your instincts. You might kiss his or her face, lightly touch his or her body, or gaze into one another's eyes. When you both feel connected, invite your partner to lie face down on the massage table or bed, and arrange pillows and towels to his or her liking.
Begin by lightly stroking your partner's body with the tips of your fingers. Start with the back, and then move to the shoulders, arms, buttocks, thighs and calves. Remember to use only light, teasing strokes. When you sense that your partner is relaxed (you might have to ask), you are ready to progress to massage.
Look into your partner's eyes as you begin touching his or her genitals. Make sure the rapport you built at the beginning of the tantric massage still exists; if it does not, try to reestablish it by slowing down and asking your partner a few questions about what he or she is experiencing. As you proceed with genital massage, remember to use your free hand to tease the rest of your partner's body.
Female Genital Massage
Start by gently rubbing the entire vulva, follow with clitoral stimulation, and finish with internal and clitoral stimulation -- don't forget the G-Spot! Remember that vaginal penetration usually doesn't feel good unless she is already in a fairly high state of arousal. If your partner is comfortable, feel free to use a vibrator to assist you in the massage.
Male Genital Massage
Begin by applying some lubricant to the palm of your hands and rubbing it gently into the penis and testicles. Male genital massage is guided by one main principle: slow down and stop or change what you are doing just before ejaculation becomes inevitable. Ask your partner to let you know if he is about to ejaculate, or develop a signal - verbal cues, raising a hand, pulling away slightly, or even subtle body language cues can all work well. It's usually best to vary strokes at the beginning, and then concentrate on one or two kinds of strokes as the massage nears completion. By bringing your lover to the peak without allowing him to ejaculate, you prolong the massage and help your lover have a more intense orgasm.
Hold Each Other
After the massaging is finished and you are both relaxed, remember to spend some time together before falling asleep or running out the door. You have both just shared an extremely intimate experience. Hold each other, talk to each other, and enjoy the intimacy as long as you can. Be positive about the experience, especially if it was your first time. Remember, practice makes perfect!
G-spot orgasm and female ejaculation & squirting.
The discovery of the g-spot
During the 1940's, when Dr Alfred Kinsey published his research into the "art of marriage," a Dr. Grafenberg's earlier research into the female orgasm came under scrutiny. Dr. Grafenberg had identified a small mass of erectile tissue around the female urethra, similar to tissue in the penis, as a source of female pleasure and orgasm. Grafenberg said that this tissue became enlarged during sex and "swelled out greatly at orgasm."
Research into the Grafenberg area, or g spot as it has come to be known, languished until the 1970's when researchers started correlating stimulation of the g spot with a resultant different type of orgasm - the vaginal orgasm. G spot orgasms are typically accompanied with vaginal and uterine contractions, whereas clitoral orgasms tend to be accompanied by only vaginal contractions. Sometimes, the g spot orgasm was accompanied by the expulsion of fluid at the point of orgasm - female ejaculation. In all cases, the researchers said that women who experienced a g spot orgasm described it as very powerful and much more protracted than a clitoral orgasm whether it was accompanied by female ejaculation or not.
The g spot is located about three or four inches inside the vagina on the front side of the vagina. Imagine lying on your back with your partner inserting their fingers inside your vagina and pressing them towards your navel. They should find your g spot just above the patch of rough tissue inside the vagina. It's thimble sized and should start to swell as it's massaged. It needs firm pressure, as it's sometimes hard to find.
If you're having trouble finding your g spot, consider trying a g spot massager. They can produce very intense g spot sensations. Some women report that stimulation of the g spot is often also accompanied by strong feelings of a need to urinate. This usually disappears quickly and feelings of pleasure should replace it with continued massaging. You'll know when you find it. Experiment with how best to stimulate your g spot but remember that firm pressure is required. G spot toys can help in many instances.
Serious study into female ejaculation has only occurred recently. Some ancient cultures depicted what seems to be female ejaculation in their artworks, but despite some historical evidence documenting female ejaculation in the past, medicine has in the main attributed the expulsion of fluids by females to "poor bladder control" or "urinary incontinence". Others thought that the expulsion of fluid was the result of excess vaginal secretions. Research in the last few decades has shown both these suggestions to be incorrect and that in fact nearly half of all women can experience ejaculation either through self stimulation or sexual activity with a partner. To the women that ejaculated, it was all a mystery. Whilst female ejaculation was generally thought to occur at the time of orgasm, it can in fact occur in the lead up to orgasm as well. In fact, female ejaculation can occur at any time during sexual arousal.
While female ejaculation is the common expression, ejaculation is perhaps the wrong word for it. While some women report a "gushing" or "squirting", others say the liquid is expelled with little force, in fact some called it a "dribble". Amounts can vary; anything from a few drops to a cupful can be the result. Tales of "gushing female orgasms" are probably a little off the mark but there is no doubt that some women ejaculate both copiously and with great force.
When female ejaculation occurs, the consensus is that it comes from the urethra and not the vagina. As we learnt previously, the g spot surrounds the urethra and is composed of tissue very similar to the male prostate gland. Researchers say it is this paraurethral tissue that produces the ejaculate. Consequently, the description of the g spot as the female prostate is probably not that far off the truth!
The ejaculate itself is surprisingly similar to male ejaculatory fluid. It is this fluid in men that carries the sperm and together make up the male ejaculate - semen. There is some agreement on the make up of female ejaculate. A liquid very similar to male prostate fluid is certainly in evidence in female ejaculate but there is often a significant quantity of other fluid - either from the bladder or urethra as well. It seems that both the quantity of ejaculate differs between women as does the make-up of the ejaculate. After repeated tests, one thing is certain, it is definitely not urine.