Sexual Arousal Chapter 8 Study Questions Vascocongestion accumulation

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Sexual Arousal Chapter 8 Study Questions • • • Vascocongestion (accumulation in the blood

Sexual Arousal Chapter 8 Study Questions • • • Vascocongestion (accumulation in the blood vessels) and myotomia (muscle contraction) are two basic physiological processes that occur during sexual response according to Masters and Johnson. Describe their three stages of excitement, orgasm, and resolution. Describe the distinctions of orgasm in men and women. What is "orgasmic platform" in women and "refractory period" in men. Describe the two stages of detumescence in men. Describe role of oxytocin and prolactin during and after orgasm. Differentiate between clitoral and vaginal orgasm. What is meant by multiple orgasms and how are they stimulated. Describe three processes In Kaplan's Triphasic Model. Name and describe the five justifications for Kaplan's approach to sexual response. Describe the seven stages and Walen and Ross cognitive model to sexual response. (See chart below, page 199) describe the neural and hormonal basis of arousal. What is meant by retrograde ejaculation? Discuss female ejaculation in some women and uterine orgasm. How does the limbic system in the brain (amygdala, hippocampus, cingulate gyrus hypothalamus, fornix, and septum) control sexual response? How can sexual response be under voluntary control and try to early psychological forces such as fantasy? How do environmental factors affect a person sexual response? Describe the effects of androgens (testosterone, etc. ) replacement and sexual desire in women.

 Sexual Arousal Chapter 8 Studying Sexual Response There a series of physiological and

Sexual Arousal Chapter 8 Studying Sexual Response There a series of physiological and psychological changes that occur in the body during sexual behavior referred to collectively as or sexual response. Over the years, several models of these changes have been proposed to explain the exact progression and nature of human sexual response. This information is very important in developing good techniques of lovemaking and how the body responds during sexual arousal and orgasm. The Sexual Response Cycle – Masters and Johnson Women’s Orgasms – clitoral and vaginal Cognitive Physiological Model Kaplan’s Triphasic Model A Cognitive Model – Walen and Roth’s eight steps Neural and Hormonal Basis of Arousal – Brain, spinal cord, and sex Sex hormones research on sexual behavior pheromones sexual techniques aphrodisiacs sexual inexperience These models are also beneficial in helping physicians and therapists identify how dysfunction, disease, illness, and disability affect sexual function.

Sex History How did we get from here to here?

Sex History How did we get from here to here?

Sex Research and the Evolution of Sex Therapy

Sex Research and the Evolution of Sex Therapy

Sex and Romantic Love • During the late middle ages (12 th century)the troubadours

Sex and Romantic Love • During the late middle ages (12 th century)the troubadours popularized the idea of romantic love for the common person. • Up until the last couple of hundred years, sex was for procreation. • Marriage was designed for physical and economic survival for the lower classes. • Marriage created political power between families for the upper classes.

Sexual Revolution on TV • 1953 Lucille Ball of “I Love Lucy” is the

Sexual Revolution on TV • 1953 Lucille Ball of “I Love Lucy” is the first pregnant actress to play a pregnant woman. • More than 44 million viewers tuned in to see the historic “birth” episode. • The word "pregnant" could not be spoken on television.

1971 “All in the Family” • This show dealt with tough and controversial issues:

1971 “All in the Family” • This show dealt with tough and controversial issues: Ø Rape Ø Homosexuality Ø Crossdressing

Helen Gurley Brown • • • Brown is one of the most influential women

Helen Gurley Brown • • • Brown is one of the most influential women of the decade. She first wrote the best-selling Sex and the Single Girl in '62 as a guide book for the unwed single working woman. She then assumed the Editor in Chief position at struggling Cosmopolitan magazine in '65. “ For the next 32 years she instructed, helped, advised, cheered for, encouraged, liberated, and promoted women, giving them new role models to emulate and a new manual for the sexual revolution. She was a powerful voice advocating women's sexual freedom--armed with the pill, she showed women how they could use it, how they could take advantage of it, how they could thrive with the new technology, the new attitudes of the '60 s, and the new control they had over their sexual destinies. ”

Helen Gurley Brown “It’s a question of taking married men, but not taking them

Helen Gurley Brown “It’s a question of taking married men, but not taking them seriously… Use them in a perfectly nice way just as they use you…One married man is dangerous… A potpourri can be fun. ”

The Happy Hooker by Xaviera Hollander • • • In 1971, under the name

The Happy Hooker by Xaviera Hollander • • • In 1971, under the name Xaviera Hollander, she published The Happy Hooker, a candid and racy account of her life behind the brothel door. It shot straight to the top of the bestseller lists, eventually selling more than 15 million copies. The happy hooker was banned by a number of churches

A Manual for the “Sexual Revolution” • First published in 1971 • First detailed

A Manual for the “Sexual Revolution” • First published in 1971 • First detailed instruction guide on sensuality for women.

Another Manual for the Times • The companion book for men also published in

Another Manual for the Times • The companion book for men also published in 1971.

The Joy of Sex by Alex Comfort • • Published in 1979 Played on

The Joy of Sex by Alex Comfort • • Published in 1979 Played on theme of the popular cookbook (“The Joy of Cooking”), it offered menus of its own for the “sexual gourmet”. It strongly contrasted the earlier clinical books about sexuality. It was among the first non scientific books on sex to gain wide distribution The book contained numerous illustrations based on photographs taken of the book’s art editor and his wife

2 nd Generation Sex Therapy Comes of age: David Schnarch, Ph. D. Sexual Crucible

2 nd Generation Sex Therapy Comes of age: David Schnarch, Ph. D. Sexual Crucible published 1992 • Created a new model of human sexual response that overlays desire in a 3 rd dimension. • Depathologized sex therapy. • Sexual difficulties have a greater purpose. • Resolving difficulties is the way people grow themselves up.

Integrating Sex and Spirituality • American Tantra is designed to help couples use sexual

Integrating Sex and Spirituality • American Tantra is designed to help couples use sexual energy to connect to the divine. • Couples and individuals are students rather than patients or clients. • Charles and Caroline Muir 1990’s to the present • Sourcetantra. com

Where Are We Now? • Human beings are continually exploring their eroticism and sexuality.

Where Are We Now? • Human beings are continually exploring their eroticism and sexuality. • Each new idea is responsible for contributing to that process. • We can help people become capable of more intimacy and greater satisfaction.

The late 20 th century to the present

The late 20 th century to the present

Beginnings of 2 nd Generation Sex Therapy: Bernie Apfelbaum • Worked with the idea

Beginnings of 2 nd Generation Sex Therapy: Bernie Apfelbaum • Worked with the idea of “bypassing” being a way to avoid intimacy with your partner • Specialized in working with men with delayed ejaculation. • Touted “counter bypassing” as treatment.

Richard von Krafft Ebing (1840 1902) • Physician who worked with sexually disturbed people

Richard von Krafft Ebing (1840 1902) • Physician who worked with sexually disturbed people • Supported what we know as the “double standard”. • Writings had a lot of influence on other doctors.

Henry Havelock Ellis, MD (1859 - 1939) ü people. ü English Psychologist and Physician

Henry Havelock Ellis, MD (1859 - 1939) ü people. ü English Psychologist and Physician ü Published “Studies in the Psychology of Sex” ü Views on orgasm, arousal and desire for women, homosexuality, sex education were extremely modern. )

Sigmund Freud (1856 1939) • Listened to his patients talk about sex. • Viewed

Sigmund Freud (1856 1939) • Listened to his patients talk about sex. • Viewed sexuality as central to humans. • Suggested that early childhood events had strong consequences on adult sexual functioning. • Father of psychoanalytic thought.

The Kinsey Report • 9 year study of human sexuality beginning in 1948. •

The Kinsey Report • 9 year study of human sexuality beginning in 1948. • Results were based on 20 thousand interviews. • He made movies of people having sex. • Mc. Carthyism took it’s toll and the Rockefeller foundation eventually withdrew its support. • Kinsey was accused of undermining the morals of America. • His work paved the way for the studies of Masters and Johnson during the 1960’s.

Alfred Kinsey • "The only unnatural sexual act is that which you cannot perform.

Alfred Kinsey • "The only unnatural sexual act is that which you cannot perform. " - Alfred Kinsey

The Sexual Response Cycle Masters and Johnson • • • The most well known

The Sexual Response Cycle Masters and Johnson • • • The most well known model has been Masters and Johnson sexual response cycle. Many other sex therapist and sexologist have criticized and suggested changes to this model over the years. The pioneering duo, gynecologist William Howell Masters and lay psychologist Virginia Eshelman Johnson, released a follow up text in 1970, Human Sexual Inadequacy, which established a biomedical nosology for the diagnosis and treatment of sexual dysfunctions based on their original four stage model (Masters & Johnson, 1970). Together, these works are credited for legitimizing and, even, igniting the burgeoning field of sex therapy, and their models continue to provide a basis for current approaches to sex research and sex therapy. The works of Masters and Johnson were so positively received that both Human Sexual Response and Human Sexual Inadequacy were best sellers, translated into more than 30 languages. In fact, there was so much optimism about the works of Masters and Johnson that it was widely, though perhaps naively, believed that sexual dysfunction could be eradicated, and the rising divorce rate might subside as a result. This is a physiology of human sexual response model originally they had delineated four response cycles: excitement, plateau, orgasm, and resolution. . Our text authors have chosen to highlight three stages only: excitement, orgasm, and resolution. Are two basic physiological responses that occur during these three stages: – vascocongestion (a great deal of blood flows to the blood vessels of the genitals resulting in dilation) and – myotomia (muscles contract throughout the whole body).

Masters and Johnson • Observed human sexual activity in a laboratory setting. • Goal

Masters and Johnson • Observed human sexual activity in a laboratory setting. • Goal was to make sexuality a legitimate field for scientific study. • They created the field of modern sex therapy and “sexology”. • Theirs was a behavioral treatment model. • Published 2 books: Human Sexual Response in 1966 and Human Sexual Inadequacy in 1970.

Masters and Johnson “Sex is a natural function. ” • Theirs was a behavioral

Masters and Johnson “Sex is a natural function. ” • Theirs was a behavioral model. • Based on Freud's model of the pleasure principle: “People are driven by the desire for pleasure. ” • Desire was not a concern good sexual functioning and orgasm would create desire.

Human Sexual Response Cycle Masters & Johnson’s original research: Excitement, Plateau, Orgasm, Resolution

Human Sexual Response Cycle Masters & Johnson’s original research: Excitement, Plateau, Orgasm, Resolution

Three Stages of Sexual Response Our Text View of M&J Research Excitement Phase •

Three Stages of Sexual Response Our Text View of M&J Research Excitement Phase • In males, penile vascocongestion occurs by the arteries dilating, following a strong flow of blood into the corpora cavernosa; and at the same time, the veins caring blood away from the penis are compressed, restricting outgoing bloodflow. Multiple neurotransmitters are involved in this process including and especially nitrate oxide (NO). Dopamine is involved as well. The reverse process is called vasoconstriction that makes erection go away following orgasm. The neurotransmitters epinephrine and norepinephrine are involved. • In females lubrication of the vagina occurs resulting from the same physiological process vascocongestion. The capillaries of the walls of vagina dilate and bloodflow through that increases vaginal lubrication results when fluid seeped through the semipermanent membranes to the vaginal walls. This response to arousal is also a rapid and begins 10 to 30 seconds after onset arousing stimuli. As a woman becomes more aroused and gets closer to orgasm the “orgasmic platform” forms. This response is a tightening and thickening of the wall of the outer third of the vagina. As result the size of the vaginal entrance asked to become smaller and there may be noticeable increase in gripping of the penis. The glands of the clitoris swells and can be felt as larger and harder than usual. The vestibular bulbs become erectile and swell. As in the male, in the trait oxide is the key neurotransmitter involved in the process. Estrogen helps the vasodilation. . The nipples become erect. This response results from contractions of the muscle fibers (myotona) surrounding the nipple. The breasts swell and enlarge somewhat. The vagina dramatically expands in what is called a “ballooning” response to accommodate the entrance of the penis. “Sex flush “occurs in both men and women, but more commonly in women.

Three Stages of Sexual Response Our Text View of M&J Research Orgasm Phase In

Three Stages of Sexual Response Our Text View of M&J Research Orgasm Phase In the male, there are two stages: ejaculatory inevitability (“coming”) and rhythmic contractions forcing semen through the urethra out to the opening of the tip of the penis. In females, the muscular contractions reach a orgasmic platform and a generally occur about. 8 second intervals. Most notable that female orgasm leaves no tangible evidence of its occurrence like ejaculation – except for those women who do ejaculate. • According to a NHSLH study, 75% of men – and only 29% of women – always have an orgasm during sex with their partner (Laumann, 1994). In autoeroticism (masturbation) 80% of men and only 60% of women report that they usually or always have an orgasm. Australian study: if women had intercourse only, 50% had an orgasm, when they had cunnilingus plus intercourse, 73% had an orgasm. (chapter 12, pp. 323) In contrast, among men who engaged only in intercourse, 95% had an orgasm. It just isn’t fair! ( text author’s conclusions)

Three Stages of Sexual Response Our Text View of M&J Research Resolution Phase •

Three Stages of Sexual Response Our Text View of M&J Research Resolution Phase • • • Resolution represents a reversal of the process that build up during excitement stage. In women there is reduction of the swelling of the breasts. In the five to 10 seconds after the end of orgasm, and clitoris returns to normal position. The ballooning of the vagina diminishes and the uterus shrinks. The resolution face generally takes 15 to 30 minutes, but it may take much longer – as much as an hour – in women who have not had an orgasm. In men resolution phase is detumescence, the loss of direction in the penis. First the emptying of the corpora cavernosa in the second occurs more slowly in the emptying of the corpus spongiosum and glands. Men enter a “refactory period” in which they are incapable of being aroused again, having an erection, or having an orgasm. The length of this refractory period may last only a few minutes and in others it may go on for 24 hours. Women do not have a refractory period, making it possible for multiple orgasms. However, recent studies show that some men do have multiple orgasms. For these men, detumescence (loss of erection in the penis) did not follow an orgasm, allowing for continued stimulation and additional orgasm. Some men reported that some of the orgasms included ejaculation and others in the sequence did not. The average number of orgasms a multiorgasmic man can have varies between two and nine orgasms per sexual interaction (Dunn & Trost )

Men and Women’s Orgasm Research • Clitoral orgasm vs. Vaginal orgasm Masters and Johnson’s

Men and Women’s Orgasm Research • Clitoral orgasm vs. Vaginal orgasm Masters and Johnson’s research indicates: 1. There is no difference between clitoral and vaginal orgasms. The orgasm always consists of contractions of the orgasmic platform, whether the stimulation is clitoral or vaginal. 2. Their second conclusion is that clitoral stimulation is almost always involved in producing orgasm, even during vaginal intercourse; hence clitoral stimulation is usually the trigger to orgasm, and the orgasm itself occurs in the vagina and surrounding tissues. 3. Women do not enter a refractory period. And they can have multiple orgasms with a short period of time. If the woman is stimulated again, she can immediately be aroused back into the excitement phase and have another orgasm. 4. Multiple orgasm is more likely to result from hand genital or mouth genital stimulation than from intercourse, since most men do not have the endurance to continue thrusting for such long periods of time. A vibrator is useful and less effort is required and in that way some women were capable of having 50 orgasms in a row. However, multiple orgasm should not be considered a goal for sexual performance. 5.

First Generation Sex Therapy

First Generation Sex Therapy

Sex Therapy for “M and J” • Sexual Behavior is learned. • Problems can

Sex Therapy for “M and J” • Sexual Behavior is learned. • Problems can be alleviated through: 1. sex education 2. desensitization exercises 1. improved communication between sexual partners

Cognitive Physiological Model Kaplan’s Triphasic Model Kaplan states that sexual desire is a psychological

Cognitive Physiological Model Kaplan’s Triphasic Model Kaplan states that sexual desire is a psychological component, whereas excitement and orgasm involve physiological processes, including genital vascocongestion and muscular contractions during orgasm. Sexual desire was of paramount importance to Kaplan because, without sexual desire, the other two physiological functions would not occur. Many factors can block sexual desire, such as depression, pain, fear, medications, or passed sexual abuse. • • I. Sexual desire – desire can occur either spontaneously or excitement can become first, activating the desire. II. Vascocongestion – 1. Two physiological components are controlled by different parts of the nervous system: • Vascocongestion produces erection in the male and lubrication in the female and is controlled by the parasympathetic division of the automatic nervous system • In contrast, ejaculation and orgasm are controlled by the sympathetic division. 2. The two components involve different anatomical structures blood vessels for vasocongestion and muscles for contractions of orgasm. 3. Vascocongestion and orgasm differ in their susceptibility to being disturbed by injury, drugs, or age. III. Muscular Contractions – 4. Reflex of ejaculation in the male can be under voluntary control by most men, but the erection reflex generally cannot. – 5. Sexual Disorders may impair response (see pages 438 439)

Helen Singer Kaplan • Put psychoanalytic theory back in sex therapy. • In her

Helen Singer Kaplan • Put psychoanalytic theory back in sex therapy. • In her 3 stage model of human sexual response, desire ended when arousal began. • Created the concept of bypassing, which taught people to avoid rather than master anxiety. Good sex was "friction plus fantasy. " • Used behavioral therapy until she hit “resistance”.

Helen Singer Kaplan 4 specific sources of anxiety and defenses against full sexual enjoyment:

Helen Singer Kaplan 4 specific sources of anxiety and defenses against full sexual enjoyment: 1) Avoidance of sexual behavior which is exciting and stimulating to both partners. 2) Fear of failure, exacerbated by pressure to perform, and over concern about pleasing one's partner rooted in fears of rejection. 3) A tendency to erect defenses against erotic pleasure. 4) Failure to communicate openly and without guilt and defensiveness about feelings, wishes and responses.

Helen Singer Kaplan Believed that psychological reactions to traumatic events also affect sexual functioning.

Helen Singer Kaplan Believed that psychological reactions to traumatic events also affect sexual functioning. For example, child molestation, rape, abuse all can contribute to later sexual dysfunction. Kaplan contends that women can experience sexual arousal, orgasm, and satisfaction without sexual desire, and they can experience desire, arousal, and satisfaction without orgasm.

A Cognitive Model Walen and Roth Eight steps model: 1. perception of a stimulus

A Cognitive Model Walen and Roth Eight steps model: 1. perception of a stimulus as sexual 2. evaluation of the arousal: positive or negative 3. physiological arousal 4. perception of arousal 5. evaluation of arousal 6. sexual behavior 7. perception of the sexual behavior: positive (moves to repeat sexual behavior) 8. perception of the sexual behavior: negative (decision not to repeat sexual behavior)

Neural and Hormonal Basis of Arousal – Brain, Spinal cord, and Sex • •

Neural and Hormonal Basis of Arousal – Brain, Spinal cord, and Sex • • • Spinal reflexes in men three basic components: (201) 1. “receptors” are sensory neurons that detect stimuli and transmit the message to the spinal cord (or brain). 2. “transmitters” are centers in the spinal cord that receive the message, interpret it and send a message to produce appropriate response. 3. “effectors” are neurons or muscles that respond to stimulation Erection center –lowest part of the spinal cord; men who have had their spinal course completely severed are capable of having erection is an ejaculation, notwithstanding their no signals to the brain ( as per the point at which their spinal cord was severed) Ejaculation reflex – located higher in the spinal cord (both sympathetic and parasympathetic divisions of the nervous systems are involved and of him response is muscular not vascocongestion Problems in Men: Erectile disorder (ED) vascular pathology like diabetes mellitus; one estimate is a 20% of men with diabetes have erectile disorder (ED hypogonadism is an under functioning of the testes so the testosterone levels are very low – ejaculation disorder (ED); it is also associated with hyperpolactinemia; , in which case there is accessing production of prolactin. – Other specific problems: 1. premature ejaculation – or rapid ejaculation is often caused by psychological and physical factors; hence, it is an acquired disorder; if a man has had ejaculatory control but later lost it, physical factors may be involved (prostatitis or neural disorders such as multiple sclerosis). 2. male orgasmic disorder or retarded ejaculation – these are associated with a variety of medical or surgical conditions such as multiple sclerosis, spinal cord injury and prostate surgery; psychological factors coincide too 3. retrograde ejaculation – occurs when the ejaculate empties into the bladder, rather than going out to the tip of the penis ; causes of dry orgasm can include illnesses, tranquilizers a and drugs used in the treatment of psychosis, and prostate surgery. Spinsters are involved in ejaculation: an internal one which closes off the entrance to the bladder during normal ejaculation, and an extra one, which organs during normal ejaculation allowing the seeming to flow out through the penis. In retrograde ejaculation, the action of these two sensors is reversed: the external one closes and the internal one opens. (204)

Neural and Hormonal Basis of Arousal – Brain, Spinal cord, and Sex Reflexes in

Neural and Hormonal Basis of Arousal – Brain, Spinal cord, and Sex Reflexes in women Neural circuits for orgasm women are very similar to those orgasm and ejaculation men. The clitoris and the vagina both receive sympathetic and parasympathetic nerve fibers. Of the link system of the brain is crucial to female sexual arousal just as it is to male sexual arousal. Grafenbeg spot (G. spot) is the female prostate or Skene’s glans and is located on the top side of the vagina. Stroking it produces an urge to urinate, but if stroking is continuee for a few seconds more, it begins to produce sexual pleasure. Uterine Orgasm – and characterized by deeper sensations of urine contractions which is typically located in the sensitive area carbolic the vagina. Female ejaculation the most recent biochemical analysis indicate that female state produces prostate specific antigen (PSA) just as the male prostate does. (205) one

Female ejaculate — where does it come from? • The most recent biochemical analysis

Female ejaculate — where does it come from? • The most recent biochemical analysis indicate that the female prostate produces prostate-specific antigen (PSA) just as the male prostate does (2000). (205) • “Researchers now believe that female cum is produced by the Skene's glands, which are located near a woman's urethra and are made of tissue that's similar in composition to a man's prostate gland. • These researchers point to chemical analysis of female ejaculate that reveals the presence of high levels of prostatic acid phosphatase (a chemical secreted by the prostate gland found in semen). This would seem to indicate that a woman's ejaculation is similar in composition to semen — without the sperm, of course. Female ejaculate is not pee. It's generally clear or somewhat milky, nearly odorless, and maybe a little sweet. ” • Although modern science may not know exactly yet what female ejaculation is, women who experience it, and the intense orgasms that usually accompany it. • Originally Published: April 01, 1994 ~ Last Updated / Reviewed on: August 26, 2009 (source: Columbia University Health Q & A internet service)

Vaginal discharge vs. lube from being turned on? • “It's normal for a woman

Vaginal discharge vs. lube from being turned on? • “It's normal for a woman to have vaginal discharge and it's normal for a woman's vagina to become more "wet" or lubricated when she is aroused. Why? A woman's cervix produces mucus, which lines the vagina and is expelled as discharge. So it's normal to notice a whitish to yellowish stain on your underwear. The color, smell, and consistency of discharge can change throughout the month, depending on where you are in your menstrual cycle. • Discharge can be more wet or more dry, change in taste from sweet to salty to sour, and be more or less thick or viscous. Each woman has a general pattern of how her monthly cycle proceeds. You can follow your own cycle by feeling the entrance of your vagina with your finger daily, looking at the secretions, being aware of sensations of vaginal wetness or dryness, and recording these characteristics every day for several cycles. • In terms of sexual stimulation, early on in sexual excitement, veins in a woman's genital tissues begin to dilate and fill with blood, gradually making the whole area feel full (called vasocongestion). In the vagina, this swelling creates a "sweating reaction, " producing a fluid that makes the vaginal lips get wet — often an early sign that a woman is sexually excited. • This fluid wets the entrance to your vagina, making penetration easier. When your partner performs oral sex on you, the fluids you're feeling are probably a bit of both — some normal discharge and some of the extra lube from sexual excitement. ” • Originally Published: April 01, 1994 ~ Last Updated / Reviewed on: August 26, 2009 (source: Columbia University Health Q & A internet service)

Source • Originally Published: May 25, 2001 ~ Last Updated / Reviewed on: September

Source • Originally Published: May 25, 2001 ~ Last Updated / Reviewed on: September 28, 2009 (source: Columbia University Health Q & A internet service) All materials on this website are copyrighted. • Copyright © 2005 2009 by The Trustees of Columbia University in the City of New York. All rights reserved. • All materials on this website are copyrighted. Copyright © 2005 2009 by The Trustees of Columbia University in the City of New York. All rights reserved. •

 Sexual Techniques Erogenous zones various parts of the body (“ feast of the

Sexual Techniques Erogenous zones various parts of the body (“ feast of the senses” – what we wear, cologne, food , a thought, a conversation and cuddling, kissing, sensual massage, dancing, poetry, watching your partner undress, and intercourse) Autoeroticism: – Fantasy – The NHSLS reported that 62 percent of the men and 42% of the women reported they had masturbated in the preceding year. . The results of 13 studies indicate that about 87% of men and 69% of women fantasize during autoeroticism. – Various sexual devices: dildo, vibrators, body oil Two person sex: – Kissing – Touching – Visual turn ons – Music Genital genital stimulation: positions of intercourse Coitus – insertion of the penis into the vagina or sexual intercourse man on top position woman on top position rear entry position side –to side position Mouth genital stimulation: cunnilingus and fellatio; 69 ing Anal intercourse; anilingus

Natural Aphrodisiacs • Aphrodisiacs: food, drug, perfume, etc. Viagra, Cialis, Levitra and (anaphrodisiacs, cold

Natural Aphrodisiacs • Aphrodisiacs: food, drug, perfume, etc. Viagra, Cialis, Levitra and (anaphrodisiacs, cold shower, etc. ) • According to folklore, natural aphrodisiacs may help to raise libido and increase desire. Popular natural aphrodisiacs but some of the following may cause side effects or interact with medications and others haven't been proven. • • • 1) Ginseng 2) Horny Goat Weed 3) Fo-Ti 4) L-Arginine L-arginine is not a herb but an amino acid that has numerous functions in the body. It has been used for erectile dysfunction and is often promoted as a Viagra alternative. 5) Damiana 6) Tribulus Terrestris 7) Tongkat Ali 8) Maca 9) Muira Puama 10) Yohimbe

The Art of Kissing • Kissing is probably the most physically romantic two people

The Art of Kissing • Kissing is probably the most physically romantic two people can get. There really is no wrong way to kiss. The thing to remember is that everybody kisses differently and different people prefer different ways of kissing. Some people, believe it or not, are appalled at the idea of French Kissing or using your tongue while you kiss. While others can't imagine kissing without using your tongue. The thing is to try kissing that person a few times before deciding how you and your partner prefer kissing and to get used to the way that person kisses. • A first kiss should always be done while the two of you are alone. This will help to avoid any unnecessary nervousness and embarrassing situations. The best type of kiss is one that uses different variations, such as starting with a small kiss, working into a French Kiss, maybe sucking on your partner's upper or lower lip, then trying the other two types. And don't just leave kisses to the lips. Kiss their cheeks, their chin or their eyelids. This can be very seductive and romantic. The perfect kiss is one that is done with someone you really care about. There is more caring and sincerity in a kiss with someone special than with someone you hardly know, although a really good kiss can certainly bring two people closer together. •

 • Varieties of INTENT when Kissing identity kiss holy kiss mistletoe kiss sex

• Varieties of INTENT when Kissing identity kiss holy kiss mistletoe kiss sex kiss lust kiss congratulation kiss goodbye kiss get well kiss affirmation kiss 'love ya' kiss romantic good night kiss sympathy kiss good morning kiss • • "Whole person affection" kiss conveying, I love you intrinsically because I have complete respect, knowledge, rapport, caring, and regard for you. • "Spiritual goodness affection" kiss suggesting high pious regard for someone who radiates spiritual light and great faith • "Immature adolescent affection" kiss given to a mother, father, or step mother or step father they mean to say, "even in my youth, I have learned to respect your caring and guidance while accepting me for who I am and hoping the goodness and greatness will be what I can become" • "Young Woman / Young Man affection" kiss is given in gratitude for raising me, having enough love to guide and even correct me along life's path • "Prodigal Son / Prodigal Daughter affection" kiss with tears, receiving forgiveness, joy emerging into laughter, and "I have chosen" to return home to loved ones and the gospel of peace • “Crush-on-you affection" kiss rendered with some awkwardness and apprehension that my interest in you too just might be reciprocated • “Narscisstic expansivist" affection" kiss given with strong self aggrandizement and ego oriented superficiality associated with condescension to the one kissed: isn't it nice that "we both like me too" • "I love you affection" kiss showing a settled, down to earth genuine care, and up toward heaven happiness with a conjugal partner who has remained steady and loving over many years of time

 • Varieties of INTENT when Kissing bereavement kiss stage kiss betrayal kiss withholding

• Varieties of INTENT when Kissing bereavement kiss stage kiss betrayal kiss withholding kiss • • • "Affair affection" kiss with the excitement of the forbidden and rebellion against the jagged and unraveling commitment of a troubled marriage, perhaps emotionally bankrupt, while fearing rejection of the companion spouse if the truth be known, and hypocritically turning of a blind eye to the pain and suffering of spouse and innocent children betrayed • "Hypocritical-spouse affection" kiss where the person doesn't disclose an affair, incest, embezzlement or fraud while acknowledging a rueful gratitude toward my ever faithful caring spouse • ”Hold-me tight affection" kiss associated with a 'little girl like / little boy like' dependence, while I endure this moment in time, fearful of the outcome of a recent or past psychosocial stressor event(s) • "We have a new baby affection" kiss affirming the joy, pain, and miracle of new life that has just taken place • "Make me ok affection" kiss when 'I don't feel ok' losing a job, disappointing work day, discovering an illness, mental anomaly acknowledged.

 • Sex leads to boredom… Film 1 Sex, No sex, Yes sex Film

• Sex leads to boredom… Film 1 Sex, No sex, Yes sex Film 2 Sex, No Sex

Sexuality and the Life Cycle: Adulthood Chapter 10 Study Questions • • • What

Sexuality and the Life Cycle: Adulthood Chapter 10 Study Questions • • • What is singleism? Name and define three types of involuntary celibates (virgins, “singles, ” partnered). How many singles are there today? Identify distinctions between divorced, widowed, and never married. What is the frequency of sexual activity among singles? Analyze the data regarding cohabitation in the US. Describe how the marital sexual relationship changes over time. How does the relationship or marital "quality”and happiness or unhappiness relate to the sexual relationship. Describe the "mating dance" were sexual scripts on the interpersonal relationship for refusing or allowing sex. Explain how autoeroticism (masturbation) and/or mutual erotic arousal relate to sexual satisfaction. Differentiate between the "physically satisfied" and "emotionally" sexual satisfaction in a relationship. Name the four factors of those who are happy with their sex lives: sense of calm; happy people are generous; this into the partners and aware of their moods, likes and dislikes; and fourth they "talk" (favorable communication generally) in and out of bed. How does the quality, routine, and the passion of sex wax and wane over time. What is the act of two paycheck versus two career couple in expressing sexual satisfaction in their marriages.

Sexuality and the Life Cycle: Adulthood Chapter 10 Study Questions (continued) • • •

Sexuality and the Life Cycle: Adulthood Chapter 10 Study Questions (continued) • • • What makes men and women susceptible to infidelity? What are some of the "mate retention tactics" in preserving the relationship. Differentiate between types extramarital sex: “accidental, ” "romantic infidelity, " "open marriage, " and "philanderers. " What are the percentage rates of infidelity according to the NHSLS research? Are the variables in extramarital sex regarding ethnic relationships? How many people engage in extramarital sex in their first marriage? Is extramarital sex casual or promiscuous? Describe open and closed swingers. What is meant by cybersex? What percent were already in a committed relationship? According to the "equity theory" how do you calculate an equitable relationship? How do partners try to restore equity in their relationship? How is infidelity related to "underbenefited" partners in marriage? Does the greater sexual satisfaction relate to higher frequencies of affection and sexual behavior in marriage? Describe the "other woman" and the "other man" using the social biology approach. Differentiate between widowed and divorced in post marital sex. Describe the biological changes of menopause and the symptoms that accompany it as women age. His HRT a good option? How does sexuality relate during and after menopause. What are the major changes in men as they age regarding frequency of coitus. What is prostatectomy? Describe some of the attitudes and beliefs in sex among the elderly. Can sexual activity continue well past 70 years of age?

Singleness • “Singleism” – the stigmatizing and stereotyping of people who are not in

Singleness • “Singleism” – the stigmatizing and stereotyping of people who are not in a source who recognized couple relationship. Yet, singles can and do live “happily ever after. ” • The Never Married: most adults in our society to marry; median age of first marriage in 2003 was 25. 3 years for women and 27. 1 years for men (US Bureau of Census, 2004). • Serial Monogamy: young adults who are involved in two or more sexual relationships prior to marriage. According to the N HSLS. , persons aged 20 to 29, 40% of men and 28% of women had two or more sexual partners before they were married. • “Involuntary Singles” – Virgins had never had intercourse and really dated – Singles had sexual experience but often reported that it was not satisfying. – Partnered persons in sexless relationships; the relationship that included sex in the past, but frequency gradually declined over time

Singleness by the #’s • 95. 7 million Number of unmarried and single Americans.

Singleness by the #’s • 95. 7 million Number of unmarried and single Americans. This group comprises 43 percent of all U. S. residents age 15 and over – 52. 6 million - Number of households maintained by unmarried men and women. These households comprise 48 percent of households nationwide. – 28. 8 million - Number of people who live alone. These one person households comprise 26 percent of all U. S. households. – 12. 2 million Number of single parents: 10 million single mothers and 2. 2 million single fathers. < 43% -Percentage of opposite sex, unmarried partner households that include children. – 683, 000 - Number of unmarried grandparents who are responsible for caring for their grandchildren. These grandparents comprise nearly 1 in 3 unmarried grandparents. – Unmarried Couples - 5. 5 million Number of unmarried partner households in 2000. These households consist of 4. 9 million opposite sex partners and about 600, 000 partners of the same sex. This is up from 3. 2 million in 1990. • 50% Percentage of adults in New York who are unmarried , the highest rate of any state. • 27% - Percentage of formerly married people (widowed, separated or divorced) in Gary, Ind. ; Birmingham, Ala. ; and Clearwater, St. Petersburg and Hollywood, Fla. These cities are among cities of 100, 000 or more residents with the highest rates of formerly married people • <http: //www. census. gov/population/socdemo/hh fam/tab. HH 4. pdf>

Cohabitation • Unmarried Couples - 5. 5 million -Number of unmarried partner households in

Cohabitation • Unmarried Couples - 5. 5 million -Number of unmarried partner households in 2000. These households consist of 4. 9 million opposite sex partners and about 600, 000 partners of the same sex. This is up from 3. 2 million in 1990. • Cohabitation – three types: – Living together apart – Living together some days and nights – Living together all the time • Cohabitation Data (2005) 25% of people age 15 44. 25% of people aged 19 – 24 and 42% of people aged 25 29 have cohabitated at least once. •

Cohabitants Profile: • Short lived – one third lasts less than one year and

Cohabitants Profile: • Short lived – one third lasts less than one year and only one out of 10 last five years. • 60% of these couples do marry however, they are more likely to divorce compared to on time marriages • Interaction with couples: – More negative interactions – Lower commitment – lower quality – “misunderstanding, frustration, and resentment” • 40% have children (1/3 biological; 2/3 previous union) • Many are formerly married people • More sex been married couples ”hope that sex will strengthen the relationship” (11 13 times vs. 8 10 times)

Marital Relationships 2000 Year – 92 of all people age 54 or younger are

Marital Relationships 2000 Year – 92 of all people age 54 or younger are or have been married (US Data) • • Total households 1. . 105, 480, 101 Total coupled households 59, 969, 000 Married couple households. . . 54, 493, 232 Male householder. . . 47, 449, 405 Female householder. . 7, 043, 827 Unmarried partner households. . . 5, 475, 768 – Opposite sex partners. . . 4, 881, 377 – Same sex partners. . . 594, 391 • Total includes other types of households including family and nonfamily households which do not contain either spouses or unmarried

Marriage Tangible statement of separation from parents Assumption of fidelity or faithfulness Gender roles

Marriage Tangible statement of separation from parents Assumption of fidelity or faithfulness Gender roles and sex Two career couples Dual earner couples

Sex & the Two Career Family – Study of Work and Women: homemakers; part

Sex & the Two Career Family – Study of Work and Women: homemakers; part time; full time; I full time –”there were no significant differences among the four groups in frequency of sexual intercourse, sexual satisfaction were sexual desire. ” • It was not a number of hours of work, but rather the “quality of work” that was associated with sexual outcomes. Women and men who had satisfying jobs reported that sex was better, compared with people who expressed dissatisfaction with their jobs. • Both professional couples: those working 60 to 80 hours per week don’t have much time for sex. • Workaholics have an addition to their work that can spell the death of sex just as readily as addiction to a drug can. c

Marital Sex • • Gradual disenchantment with sex Some couples avoid boredom in the

Marital Sex • • Gradual disenchantment with sex Some couples avoid boredom in the bedroom Sexual disorders occur in many marriages Frequency of marital intercourse: – The average American couple has coitus two to three times a week when they’re in their 20 s. – Gradual decline as they get older – couples in their 50 s have couitus once per week

 Frequency of Marital Intercourse • Reasons for Decline: biological aging and habituation to

Frequency of Marital Intercourse • Reasons for Decline: biological aging and habituation to sex with the partner. • Aging: decrease in vaginal lubrication in females and increased likelihood of poor health. • Sharp Decline in frequency after first year and a slow, steady decline thereafter. • Explanations: • 1. Decline in frequency of sex based on declining quality. • 2. Habituation to sex with the partner • 3. Arrival of children *These declines can be overcome with learning about partner’s sexual desires, preferences, and habits results in an increase marital sexual quality.

Less Sex, No Sex • Data: • 2% of couples in their 20 s

Less Sex, No Sex • Data: • 2% of couples in their 20 s report not engaging in intercourse at all • 6% of all married couples have not had sex in 12 months prior to interview. • Reasons: – – – Unhappiness with the marriage Lack of shared activity Presence of children Increased age Poor health

Techniques and Marital Sex • NHSLS Data: 16% of married people reported sex lasted

Techniques and Marital Sex • NHSLS Data: 16% of married people reported sex lasted 15 minutes or less; 9% reported that lasted one hour or more • NHSLS Data: 74% reported that their partners had stimulated their genitals orally, and 70% of them had stimulated their partners orally; women who have attended college or twice as likely to report both techniques as women compared to those who did not complete high school. • Much larger percentage of women under age 50 give and received oral sex. • 27% of married men and 21% of married women reported having anal intercourse.

Negotiating Sex • • “Mating Dance” – Sexual Scripts Cues of acceptance Cues of

Negotiating Sex • • “Mating Dance” – Sexual Scripts Cues of acceptance Cues of rejection 33% of husbands and wives are about equally likely to initiate sex; 51% of husbands is likely to be the initiator; only 16% of the couples is a wide usually the initial tour – Note: if the woman initiates and the man refuses, she has no stereotype to rescue her and is likely to conclude that he is not interested in her – Both men and women in the quality or in relationships they have to work at sustaining ( the appearance of) a sexually fulfilling relationship.

Marital Sex NHSLS Data: • 63% of men and 42% of women reported masturbated

Marital Sex NHSLS Data: • 63% of men and 42% of women reported masturbated in the past year. 17% of married men and 5% of married women masturbate at least once a week. • The behavior is perfectly normal, although often evokes feelings of guilt and may be done secretly. • Masturbation can serve very legitimate sexual needs in marriage. It can provide sexual gratification while allowing the partner to remain faithful to the spouse when the husband wife are separated or cannot have sex for some reason such as an illness.

Satisfaction with Marital Sex • • Physically satisfied 51% of married men and 40%

Satisfaction with Marital Sex • • Physically satisfied 51% of married men and 40% of married women said they were in extremely or very physically satisfied by their sexual relationship Emotional satisfaction – 40% of husbands and 42% of wives said they were extreme be satisfied emotionally. Greater satisfaction reflects a stronger emotional commitment and sexual exclusivity associated with marriage (compared with cohabitation couples). Sexual satisfaction and marital quality both predicted marital stability. Sexuality and relational educational programs that increase sexual satisfaction have the potential to lower the divorce rate. “Happy with their sex lives” data: – – Sense of calm and acceptance of their sexuality Happy people are generous; they give their partner sexual pleasure These couples listen to each other and are aware of each other’s moods, likes, and dislikes. They talked together both in and out of bed ( good communication is essential in the satisfying relationship)

Joy of Marital Sex • • Research data: (264) On days when positive affect

Joy of Marital Sex • • Research data: (264) On days when positive affect your spouse was high, lust [desire] was high; when they gave affect was high, lust was low On days when people reported high closest to spouse, the link between positive or negative was stronger. A positive association was between one’s own lust [desire]and partners last each day. Spicing up a sexual marital relationship essential! “There’s a passionate period when you can’t get enough of each other and after a few years, it wanes, ” and after having kids it really wanes. ” – In 2002, women ages 15 to 44: 26. 7 million childless women compared to 24. 3 million in 1990 – Delay childbearing while the complete their education and establish their careers – Fertility declines with age – Conscious decision to remain child free – Some couples choose to adopt *Fundamental changes in couples sexual experience: and men may outgrow performance anxiety and enlarge his focus to include his partner. Likewise, a woman may learn that she can take care of her own sexual needs as well as her partner’s.

Keeping Your Mate • Couples: characteristics associated with greater likelihood of infidelity: – –

Keeping Your Mate • Couples: characteristics associated with greater likelihood of infidelity: – – – Narcissism Impulsiveness Partner sexualized others Engage in sexual withholding Dissatisfaction with the marriage and/or marital sex. Emotional Infidelity cues: Expressions of relationship dissatisfaction Emotional disengagement from one’s partner Inconsiderateness one Being angry and critical toward one’s partner Acting guilty

Keeping Your Mate • Relationship retention tactics: – Greater use of resources “giving her

Keeping Your Mate • Relationship retention tactics: – Greater use of resources “giving her money” – More frequent submission to the partner – Frequent use of enhancing their appearance or attractiveness • Positive verbal statements ( 5: 1 ratio) • Note: “ Men married too young and physically attractive women reported greater use of these tactics, whereas women married to men who had higher incomes and engage in resource display and social networking reported greater use of the tactics. ”

Keeping Your Mate Religious & Ethical Views • • "Some say the earth will

Keeping Your Mate Religious & Ethical Views • • "Some say the earth will end by ice, some say by fire But what I know of desire, I would go with fire" Robert Frost • • Can a man take fire to his bosom and not be burned. . . "Drink waters out of thy own cistern, and running waters out of thine own well. . . • and be thou ravished always with her love” Proverbs 5 • Paul Stated that God claims and own's our own bodies: • "Flee fornication. Every sin that a man doeth is without the body; but he • that committeth fornication sinneth against his own body. What? know ye not that your body is the temple of the Holy Ghost which is in you, • which ye have of God, and ye are not your own? • For ye are bought with a price; therefore glorify God in your body, • and in your spirit, which are God's. “ I Corinthians 6: 18— 20 “Thou shalt love thy wife [husband] with all thy heart, and shalt cleave unto her and none else” (D&C 42: 22).

Keeping Your Mate LDS Therapist, Sociologist, & Psychologist View • ”Concerning the things whereof

Keeping Your Mate LDS Therapist, Sociologist, & Psychologist View • ”Concerning the things whereof he wrote unto me, saying, it is good for a man not to touch a woman. Nevertheless, I say, to avoid fornication that every man have his own wife, and that every husband have her own husband. But the husband render unto his wife due benevolence. In the context of this passage Paul is clearly '' referring to the husband's attending to his wife's affectional and sexual needs. And likewise also the wife unto the husband " (I Corinthians 7: 1 3) • I have worked with many couples where the disenchanted wide for a passive aggressive husband has withheld sex as part of a power struggle with their spouse. Many are excuses, but the most common is "I just don't feel like big lovemaking when we have all these other unresolved problems. " If I understand Paul's point, this part of the marriage should never be permitted to be a weapon between a man and his wife. Part of the covenant of marriage is to become one flesh. We promise to do so, since we take the view that absolutely no extramarital sex of any kind is to be tolerated, it is reasonable that the marriage contract provide legitimate, regular opportunities for righteous sexual expression. • To withhold that resource is, Paul says, to let "Satan tempt you. . . for your incontinency. To put it differently, it is a sin to send a husband or a wife out into this seductive world unprotected from the temptations there by a satisfying, loving, sexual bond at home. Having attended many church courts, I'm persuaded that often the guilt of the sin of infidelity must be shared by the withholding spouse of the offender. ” (Source: Dr. Cartfred Boderick, One Flesh One Heart, Deseret Book, 1986) •

Extramarital Sex • Extramarital Sex: or adultery refers to “sexual activity between a married

Extramarital Sex • Extramarital Sex: or adultery refers to “sexual activity between a married person, and someone other than that person’s spouse. ” • Circumstances and Types: – Accidental “unintended and not characteristic of the person” – Romantic Infidelity – “ when two people fall in love and consider or establish a long term relationship” – Open Marriage – partners agree in advance that each may have sex with other persons – Philanderers – “gay, lesbian, or straight who repeatedly engage in sexual liasions outside their committed relationship (“searching for self affirmation” Pittman, 1993) • According to the NHSLS research, “about 25% of married men and 15% of married women have engage in extramarital sex at least once. ”

Law & Infidelity • • • In the traditional English common law, adultery was

Law & Infidelity • • • In the traditional English common law, adultery was a felony. Although the legal definition of "adultery" differs in nearly every legal system, the common theme is sexual relations outside of marriage, in one form or another. For example, New York defines an adulterer as a person who "engages in sexual intercourse with another person at a time when he has a living spouse, or the other person has a living spouse. " [10] North Carolina defines adultery as occurring when any man and woman "lewdly and lasciviously associate, bed, and cohabit together. "[11] Minnesota law provides: "when a married woman has sexual intercourse with a man other than her husband, whether married or not, both are guilty of adultery. " [12] As recently as 2001, Virginia prosecuted an attorney, John R. Bushey of Luray, for adultery, a case that ended in a guilty plea and a $125 fine. [13][14] Adultery is against the governing law of the U. S. military. [15] In common law countries, adultery was also known as "Criminal Conversation". This was the civil tort arising from the same act(s) giving rise to the criminal action for adultery, being based upon the husband's loss of property rights to his wife as a chattel. Criminal Conversation was usually referred to by lawyers as "Crim. Con. ", and was abolished in England (1857) and Ireland (1976). Another tort, alienation of affection, arises when one spouse deserts the other for a third person. [ This act was also known as desertion, which was often a crime as well. [ A small number of jurisdictions still allow suits for criminal conversation and/or alienation of affection. A marriage in which both spouses agree to accept sexual relations by either partner with another person is a form of commongamy, and the spouses would not treat the sexual relations as adultery, although it could still be considered a crime in some legal jurisdictions. In Canada, though the written definition in the Divorce Act refers to extramarital relations with someone of the opposite sex, a British Columbia judge used the Civil Marriage Act in a 2005 case to grant a woman a divorce from her husband who had cheated on her with another man, which the judge felt was equal reasoning to dissolve the union.

An act of the highest levels of Infidelity and Cowardice Painting By Mohammed Sami,

An act of the highest levels of Infidelity and Cowardice Painting By Mohammed Sami, taken from a post by Layla Anwar "Broken Wings. . . No More. “ [youtube= http: //www. youtube. com/watch? v=JVCuj. KD J 3 c]

Le supplice des adultères by Jules Arsene Garnier

Le supplice des adultères by Jules Arsene Garnier

Equity and Extramarital Sex 269) • For women, at least, there is no indication

Equity and Extramarital Sex 269) • For women, at least, there is no indication that extramarital sex is casual or promiscuous. In one survey, of those married women who had ex tramarital sex, 43 percent had done so with only one partner (Blumstein & Schwartz, 1983). • According to equity theory, if individuals perceive a relationship as inequitable (if they feel they are not getting what they deserve), they become distressed. The more inequitable the relationship, the more distressed they feel. In order to relieve the distress, they make attempts to restore equity in the relationship. • For example, people who feel they are putting too much into a relationship and not getting enough out of it might let their appearance go, or not work as hard to earn money, or refuse sexual access, or refuse to contribute to conversations. The idea is that such actions will restore equity. If these equity processes do occur, they might help to explain patterns of extramarital sex.

Equity and Extramarital Sex 271 • Equity Theory: is an interpersonal exchange model which

Equity and Extramarital Sex 271 • Equity Theory: is an interpersonal exchange model which focuses on the rewards and costs associated with a sexual relationship. The view is that “engaging in extra marital sex can be a way of restoring equity in an inequitable relationship. ” • Psychologists Elaine Hatfield tested this theory. Partners who felt that they were “underbenefited” begin engaging in extramarital sex earlier in their marriage and had more extramarital partners than did partners who felt equitably treated or overbenefited.

Postmarital Sex • Divorced men were more sexually active than were divorced women. The

Postmarital Sex • Divorced men were more sexually active than were divorced women. The average frequency of intercourse reported was twice a month. • Newly single persons acquire new partners at a significantly higher rate than single, never married persons in the year following a breakup. Men with custody of children and men and women with low incomes have a higher rates of new partner acquisition, perhaps reflecting the impact of instability associated with a disillusion. • Widows are less likely than female divorcees to engage in postmarital sex. in one study 77% of widowed had been specially abstinent in the last year, compared with 29% of the divorced (2003).

Sex and Seniors • • Women: Sexuality and Menopause –majority of women continue to

Sex and Seniors • • Women: Sexuality and Menopause –majority of women continue to engage in sexual activity and enjoy it was during and after menopause. Although there is some decline sexual functioning after the last period, women with higher estrogen levels are so she with better sexual functioning. Testosterone may decline as sure levels of ovarian testosterone decline. Testosterone replacement therapy is available. Men: Testosterone production gradually declines over the years. Also the refractory period lengthens with age. The volume ejaculate gradually decreases and the force of ejaculation lessons. The study of healthy married man ages 45 to 74 was related to whether the men had erectile difficulties. • Among those 75 years and over, 71% of men were married and likely living with their spouse, compared with only 31% of women. (2000) About 24% of women and 31% of men ages 60 to 74 had intercourse at least weekly. • More than 25% of the women and half of the men at all ages report that they always have an orgasm from sexual activity.