Genital Anatomy & Sexual Response Flashcards
What is a sexual response cycle?
- Sequence of events that arise when a person becomes sexually aroused
- Primarily physiological, but also involves psychological, cognitive, emotional, and experiential processes
- Variable and individual
- NOT the same as a sexual script
3 Sexual Response Cycle Models?
- Masters & Johnson 4 Phase Model (Physiological)
Based on 2 fundamental processes: vasocongestion (blood flow) & myotonia (muscle tension) - Kaplan’s Three-Stage Model (Psychological too but Rigid)
Incorporates psychological processes - Basson’s Circular Model (More fully encompassing)
Incorporates non-sexual reasons for engaging in sexual activity
Master & Johnson’s Sexual Response Cycle
First Phase?
And what methods might we use to assess this phase?
Excitement
- Vasocongestion (blood flow to the genitals) relates in penile erection and vaginal lubrication, within 10-30 seconds of stimulation
- Penile strain gauge
- BPP
- Vaginal lubriaction
Master & Johnson’s Sexual Response Cycle
Second Phase?
And what might we expect to see physiologically during this phase?
Plateau
Levelling off of responses; dramatic surge of sexual and muscle tension
- Colour depends, Cowper’s Glad Secretion, Marked increase in size of testes, Prostate enlarges
- Colour in labia, Clitoris retracts, uterus elevates, vagina expands, orgasmic platform forms
Master & Johnson’s Sexual Response Cycle
Third Phase?
What sexual psychophysiological measures would be most suitable to assess arousal in this phase?
Orgasm
Briefest phase, characterised by:
- Muscle spasm and ejaculation in males
- Vaginal and uterine contraction in females
- Laser doppler good with vulvas but for penises bc they move
Master & Johnson’s Sexual Response Cycle
Final Phase?
Resolution
The sexual system returns to its unaroused state
Kaplan’s Three-Stage Model? What is the problem with this model?
- Desire
- Excitement (Arousal)
- Orgasm
Most notable for its inclusion of desire and , thus, its recognition that psychological processes play a role in sexual response.
Problems
- No variability
- Very sequential, assumes that there are steps that happens in a very specific order
- Imposing a time frame in the sexual response
Basson’s Circular Model + What is one strength of this model?
A circular model predominately develop for women with vulvas but has now broadened to other groups.
- There is not a clear starting point, and there are a lot of different things that feed into the process.
- Can start with spontaneous “innate” desire, but doesn’t have to -> willingness to find/be receptive
- More challenging to test in the lab because no clear sequence
Endorsement of Models Descrbing Sexual Resins of Men and Women with a Sexual Partner: An Online Survey in a Population Sample of Danish Adults Ages 20-65 Years.
“Which of these models best capture your sexual response?”
M&J model:
- Both men and women showed a strong preference but more for men
Kaplan models:
- Equal preference for men and women
Basson model:
- Weak preference for men but stronger for women
A few found that none of the models captured their sexual response.
Female Genitals: External Genitals?
- Mons Pubic
- Clitoral Hoof
- Clitoris
- Vestibule
- Perineum
- Labia Majora
- Labia Minora
- Urethral Opening
- Vaginal Opening
- Fourchette
- Anus
The Clitors?
- Complex structure that is mostly internal.
- It contains erectile tissue (corpora cavernosa)
- Only the clitroal glans (and clitoral hood) are externally visible.
- It has far more nerve endings than the vagina
- The only function of the clitors is pleasure
The Labia Majora?
- These are the “outer lips.”
- They have many nerve endings and are important for sexual arousal.
- They provide protection for the sensitive clitoris, labia minor, and vagina.
The Labia Minor?
- These are the “inner lips”. They are hairless folds of skin between labia majora.
- They are important in sexual stimulation and arousal.
The Vulvar Vestibule & Vaginal Opening?
Vulvar Vestibule
- The area of the vulva contained within the labia minor.
- It has a lot of nerve endings and blood vessels.
Vaginal Opening
- A very sensitive region of the vulvar vestibule.
The Vagina (it is internal!)?
- A canal that starts at the vaginal opening and extends up and tilts slightly backwards toward the base of the spine.
- At rest, the vagina measures about 7.5-12.5 cm into the body. When aroused, it lengthens by 5-7.5 cm!