Creating Waves of Awareness
Orgasm and Homoeopathy
© Dr. Rajneesh Kumar Sharma M.D. (Homoeopathy)
Dr. Swati Vishnoi B.H.M.S.
For well formatted and illustrated article, pl. see attached pdf...
Anatomy of orgasm.. 2
Physiology of orgasm.. 3
Male orgasm.. 4
Female orgasm.. 4
1- Clitoral orgasm.. 5
2- Vaginal orgasm.. 5
3- Uterine orgasm.. 5
Pathology of orgasm.. 6
Types of orgasm.. 6
1. Primary anorgasmia. 6
2. Secondary anorgasmia. 6
3. Situational anorgasmia. 6
4. General anorgasmia. 6
Dry orgasm.. 7
Prostatic orgasm.. 7
Nipple orgasm.. 7
Role of orgasm.. 7
Orgasm and Homoeopathy. 7
Short Repertory of Orgasm.. 7
Orgasm is the sudden discharge of accumulated sexual tension during the sexual response cycle, resulting in rhythmic muscular contractions in the pelvic region along with increased heart rate, blood pressure, and respiration rate and depth with feeling of pleasure and relaxation.
Orgasm is necessary for both male and female. It gives the life a feeling of completeness while in contrary, if suppressed or incomplete, it may lead to several mental and physical disorders.
In a complete orgasm, normally developed, adult male and female reproductive organs are involved. Male and female organs are homologously same and derived from the same embryonic dermal layers.
II. Vas deferens
I. Seminal vesicles
II. Prostate gland
III. Bulbourethral glands
II. Mons pubis
III. Pudendal cleft
IV. Labia majora
V. Labia minora
IV. Fallopian tubes
I. Bartholin's glands
II. Skene’s glands
Anatomy of Male & Female reproductive organs Anatomy of Sexual Intercourse
Orgasm needs a complex of events to occur, including physical, psychological and mechanical ones in synchronization. There is a cycle beginning with excitement as blood rushes into the genitals, then reaches a plateau during which they are fully aroused, which leads to orgasm, and finally resolution, in which the blood leaves the genitals. During sexual arousal, androgens in males and estrogen in females act primarily. They are secreted by corresponding glands in abundance and get company of oxytocin and dopamine. Dopamine arouses as well as increases the passion and prepares the sex organs for sexual act. An increased infusion of the oxytocin during ejaculation is primarily responsible for the refractory period, and the amount by which oxytocin is increased may affect the length of each refractory period. Lack or absence of a refractory period in men may be due to increased infusion of the oxytocin. Another chemical responsible for the refractory period is prolactin, which represses the dopamine and thus finishes its action, satisfying the sex desire and feeling of pleasure, calmness and relaxation. This whole sexual act has five phases.
It consists of caressing and foreplay stimulating the sexual brain centers. In females, the nipples become erect by dorsal sexual nerves D4, D5, and D6. Lumbar sexual nerves L1, L2, and L3 lubricate and engorges the vagina. Clitoris become erect the vaginal lips retract to widen the vaginal entrance. In the male, the sympathetic system makes the heart beats faster, increases the breathing rate and the pupils open slightly with contraction of the scrotum.
In this phase more caressing is needed to reach the peak of excitement. The peak is higher in women. This is under control of para sympathetic sacral sexual nerves S2, S3, and S4. The woman has a longer lasting plateau than man.
This is the orgasm itself and the excitement reaches its highest intensity radiating from the genitals to the sexual centers, contracting every muscle from the head to the tips of the toes.
This is the stage of slowly coming down from sexual excitement with sense of pleasure and ease. This is slower in women because the women climb higher peaks.
In this phase the woman wishes to prolong a quiet, still embrace or amplexus and may even fall asleep for a few moments. In contrast, males feel free to resume their works.
In male, orgasm is achieved by physical sexual stimulation of the penis. During commencement of orgasm, accessory organs contract and the male can feel the ejaculation coming, two to three seconds prior to the real ejaculation, which the male cannot constrain, delay, or in any way control. Then after a refractory period starts. Male feels pleasurable contractions during ejaculation. The greater is the pleasure with the greater volume of ejaculate. Unlike females, for the man resolution phase includes a superimposed refractory period.
As a man nears orgasm during stimulation of the penis, he feels an intense and highly pleasurable pulsating sensation of neuromuscular euphoria. These pulses consist of a series of throbbing sensations of the bulbospongiosus muscles that begin in the anal sphincter and travel to the tip of the penis. They eventually increase in speed and intensity as the orgasm approaches until a final plateau. The pleasure sustains for 10- 30 seconds.
Now the sperm are transmitted up the vas deferens from the testicles, into the prostate gland as well as through the seminal vesicles to produce semen. The prostate secretes components of ejaculate. Ejaculation may continue for a few seconds after the euphoric sensation gradually tapers off. After ejaculation, a refractory period usually occurs, during which a man cannot achieve another orgasm. This can last indefinitely from a few seconds to several hours or days, depending on age and other individual factors.
Women's orgasms last long, approximately 20 seconds. Orgasm in females consists of a series of muscular contractions in the pelvic area including vagina, uterus, and anus with feeling of extreme pleasure. Sometimes, these contractions are followed by extra contractions or shudders at irregular intervals. In some orgasms, no pelvic contractions are measured at all. Orgasm is preceded by erection of the clitoris and moistening of the opening of the vagina. Some women show a sex flush, a reddening of the skin over much of the body due to increased blood flow to the skin. Near orgasm, the clitoral glans retracts under the clitoral hood, and the labia minora become darker. As orgasm becomes coming up, the outer third of the vagina tightens and narrows, while overall the vagina lengthens and dilates and also becomes congested. The myofibroblasts of the nipple-areolar complex contract, causing erection of the nipples and contraction of the areolar diameter, reaching their maximum at the start of orgasm.
All women are probably multiple orgasmic, but multiple orgasmic men are rare. The female is capable of rapid return to orgasm immediately after an orgasm, if re-stimulated before tensions have dropped below plateau phase response levels. After the initial orgasm, subsequent orgasms for women may be stronger or more pleasurable as the stimulation accumulates. At the moment of orgasm, women do not have any emotional feelings. While a man has only one orgasm, a woman can reach three peaks or climaxes-
In women, the most common way is clitoral stimulation. However, indirect clitoral stimulation as in vaginal penetration may also be sufficient. The clitoris is homologous to the penis, it is the equivalent in its capacity to receive sexual stimulation as it has more than 8000 sensory nerve endings like penis.
The Paccini’s bodies in the clitoris, highly pressure-sensitive, give the woman the unique pleasurable pain due to the hydraulic pressure caused by penis’s back and forth movement.
In the anterior vaginal wall as well as between top junction of the labia minora and urethra, there are sensitive areas, called as the G-spots which may produce an orgasm. G-spots are also found in urethral sponge running along the roof of the vagina. The greatest concentration of vaginal nerve endings are at the lower third i.e. near the entrance of the vagina.
The vaginal orgasm begins with the rhythmic contractions of the lower third of the vagina and combines with the sensitivity of clitoris resulting in a sense of great pleasure radiating throughout the entire body, in an intense contraction of all muscles, to the point that the toes curl.
To achieve uterine orgasm, the woman must squat on top of the man so that she could move freely, rubbing the clitoris, vagina and uterus, together, against the penis, producing the maximum intensity of friction possible. The produced sensation radiates to all the muscles of the pelvic and abdominal regions, resulting in strong contractions throughout the entire body with flushing of chest and the neck. In the uterine orgasm the woman has the maximum pleasure. This orgasm lasts only 5 to 10 seconds. If it lasted longer it would endanger the woman’s life.
There are certain dysfunctions and dissatisfactions with orgasms. Orgasmic dysfunction is a condition in which the individual has difficulty reaching orgasm, even with proper stimulation. This is mainly seen in women. For men, the disorder might present itself as an inability to reach orgasm during sexual intercourse or as ejaculation only after prolonged intense non-intercourse stimulation.
When sex is not enjoyable, it can become a chore instead of a satisfying, intimate experience for both partners. In course, sexual desire often declines, and sex occurs less often. This can create resentment and conflict in the relationship. Sexual response involves the mind and body working together in a complex way. Both need to function well for appearance of an orgasm. Many factors can result in orgasmic dysfunction-
There are certain conditions, according to which we can categorize orgasm into-
The failure to have orgasm or difficulty reaching orgasm after abundant sexual stimulation is called anorgasmia or inorgasmia. It may ne of four types-
Individual never experienced an orgasm.
Individual experiences difficulty reaching orgasm, in spite of experienced them before.
This is the most common type of orgasmic dysfunction. It is when a one can only orgasm during specific situations, such as oral sex or masturbation.
The inability to achieve orgasm under any circumstances.
It is a condition in which an individual cannot feel pleasure from an orgasm. If a male experiences erection and ejaculation but no orgasm, he is said to have sexual or ejaculatory anhedonia.
Sometimes, men may have orgasm without ejaculation. A dry orgasm is the condition to ejaculate without reaching orgasm. It may be due to delayed ejaculation, nocturnal emission or a case of anorgasmic ejaculation. Males with dry orgasms can frequently produce multiple orgasms, as the refractory period is reduced.
Men may also achieve orgasm by stimulation of the prostate.
Many women, during breast feeding, experience an orgasm.
A complete orgasm leaves the person with a pleasant, light, cheerful, relaxed, calm and well satisfied state, hereby called as pleasure syndrome. Incomplete orgasm may lead to a number of disorders and a panic state as well as anxiety contributing to several psychological and physical disorders, hereby called as anxiety syndrome. The following table shows physiology of complete and incomplete orgasms, leading to pleasure syndrome and anxiety syndrome-
Secretion of saliva
State of tonus, relaxed
Paralyzed or in spasm
In homoeopathy, the mode of treatment is holistic. The patient is considered as a sick individual. Orgasmic dysfunctions are specific to the personality of the individuals. Therefore, homoeopathy becomes the best suitable option for treatment of orgasm related disorders. The following are some most common and important remedies for orgasmic disorders-
Orgasm in General alum. am-c. am-m. Aml-ns. androc. ang. ARG-N. ARS. aur. bamb-a. bell. BERB. Brom. calad. CALC. cann-i. cath-a. caust. eug. ferr. Gels. Glon. graph. Ign. kola kreos. lac-c. lac-e. LACH. Lil-t. lyc. MELI. merl. musca-d. nat-m. Nux-v. olib-sac. Op. ORIG. Phos. plac. PLAT. pneu. positr. rhod. Sang. sel. SEP. spong. STANN. staph. stront-c. stroph-h. sul-ac. sulph. syph. tritic-vg. urol-h.
DREAMS - AMOROUS - orgasm; with bamb-a. nux-v.
DREAMS - LASCIVIOUS - orgasm; with musca-d.
DREAMS - LEWD - orgasm; with musca-d.
FEMALE - COITION - aversion to - orgasms, painful, from nat-m.
FEMALE - ORGASM – delayed BERB. brom.
FEMALE - ORGASM - dreams, in amorous bamb-a.
FEMALE - ORGASM – easy STANN.
FEMALE - ORGASM - involuntary - dreams, in amorous bamb-a.
FEMALE - ORGASM – involuntary ang. ARG-N. ARS. bamb-a. CALC. LIL-T. nat-m. NUX-V. OP. PLAT. sul-ac.
FEMALE - ORGASM - night - waking, on urol-h.
FEMALE - ORGASM – night arg-n.
FEMALE - ORGASM – night arg-n. urol-h.
FEMALE - ORGASM – painful nat-m.
FEMALE - ORGASM - waking, on cath-a.
FEMALE - ORGASM – wanting BROM. calad. kola
FEMALE - PAIN - cutting - ovaries - coition, during, at moment of orgasm syph.
FEMALE - PAIN - ovaries - coition - during - orgasm, during syph.
Female - SEX, female - aversion, to sex - orgasms, painful, from nat-m. staph.
Female - SEX, female - orgasms, general - delayed - delayed and painful ign. nat-m. staph.
Female - SEX, female - orgasms, general – delayed Berb. brom. caust. Nat-m. SEP.
Female - SEX, female - orgasms, general - dreams, in amorous bamb-a.
Female - SEX, female - orgasms, general – easy Plat. Stann.
Female - SEX, female - orgasms, general - involuntary with violent desire ang. Arg-n. Ars. Calc. Lil-t. nat-m. Nux-v. Op. PLAT. sul-ac.
Female - SEX, female - orgasms, general – night arg-n.
Female - SEX, female - orgasms, general – painful nat-m. plat. staph.
Female - SEX, female - orgasms, general – wanting Brom. calad. Nat-m. SEP.
Female - SEX, female - violent, desire - involuntary, orgasms, with ang. Arg-n. Ars. Calc. Lil-t. nat-m. Nux-v. Op. ORIG. PLAT. sul-ac.
Female - SEX, female - voluptuous, sensation, tingling, coitus-like - orgasm, with plat. sul-ac.
FEMALE - TINGLING, prickling, voluptuous - orgasm, with sul-ac.
Female - TINGLING, sensation, voluptuous, genitalia - orgasm, with sul-ac.
FEMALE - TINGLING, voluptuous - orgasm, with sul-ac.
FEMALE GENITALIA - COITION, - orgasm – delayed Berb. brom.
FEMALE GENITALIA - COITION, - orgasm – easy stann.
FEMALE GENITALIA - COITION, - orgasm – painful nat-m.
FEMALE GENITALIA - COITION, - orgasm – wanting Brom. calad.
FEMALE GENITALIA - DESIRE - violent - involuntary orgasms,with ang. Arg-n. Ars. Calc. Lil-t. nat-m. Nux-v. Op. PLAT. sul-ac.
FEMALE GENITALIA/SEX - ORGASM – delayed alum. Berb. brom. lac-e.
FEMALE GENITALIA/SEX - ORGASM – easy olib-sac. Plat. positr. Stann.
FEMALE GENITALIA/SEX - ORGASM – involuntary ang. Arg-n. Ars. Calc. Lil-t. nat-m. Nux-v. Op. PLAT. sul-ac.
FEMALE GENITALIA/SEX - ORGASM – night arg-n. nux-v. urol-h.
FEMALE GENITALIA/SEX - ORGASM – painful nat-m.
FEMALE GENITALIA/SEX - ORGASM – wanting Brom. calad. kola pneu. tritic-vg.
FEMALE GENITALIA/SEX - ORGASM - waves; in plac.
FEMALE GENITALIA/SEX - TINGLING, voluptuous - orgasm; with sul-ac.
Females - orgasm - delayed, wanting berb. brom.
Females - orgasm – easy stann.
GENERALITIES - ORGASM of blood - coition, after am-c. Sep.
Hysteria - sexual - orgasm, at the height of lac-c.
Male - EJACULATION, general - failing, during sex - though the orgasm is present cann-i. graph.
Male - EJACULATION, general - late, too - orgasm subsides several times before it leads to ejaculation eug.
Male - EJACULATION, general - late, too - orgasm subsides several times before it leads to ejaculation - some time after the orgasm calc.
Male - EJACULATION, general - late, too - some time after the orgasm calc.
MALE - EJACULATIONS, seminal discharge - failing during coition - orgasm is present, although cann-i. graph.
MALE - EJACULATIONS, seminal discharge - late, too - orgasm subsides several times before it leads to ejaculation eug.
MALE - EJACULATIONS, seminal discharge - late, too - some time after the orgasm calc.
MALE - THRILL, orgasm – diminished FERR.
MALE - THRILL, orgasm – intense androc.
MALE - THRILL, orgasm – prolonged cann-i.
MALE AND FEMALE GENITALIA/SEX - ORGASM – easy stann.
MALE GENITALIA - SEMINAL discharge, - failing during coition - though the orgasm is present cann-i. graph.
MALE GENITALIA - SEMINAL discharge, - late, too - some time after the orgasm calc.
MALE GENITALIA - SEMINAL discharge, - late, too - the orgasm subsides several times before it leads to ejaculation eug.
MALE GENITALIA/SEX - EJACULATION - failing during coition - orgasm is present; though the cann-i. graph.
MALE GENITALIA/SEX - EJACULATION - late, too - orgasm - after orgasm; some time calc.
MALE GENITALIA/SEX - ORGASM – easy Plat.
MALE GENITALIA/SEX - ORGASM – wanting calad. calc. sel.
MALE SEXUAL SYSTEM - Spermatorrhoea - with - emission and orgasm absent calad. calc. sel.
MIND - DREAMS - amorous - orgasm, with bamb-a.
MIND - EXCITEMENT, excitable - tendency - orgasm of blood, with graph.
Mind - FEARS, phobias, general - orgasm, sexual, of Plat. staph.
MIND - HYSTERIA - coition - agg. at height of orgasm lac-c.
MIND - HYSTERIA - orgasm; at the height of lac-c.
Mind - HYSTERICAL, behavior - sexual, excesses, after - orgasm, at the height, of lac-c. plat.
MIND - INSANITY - orgasm, at height of lac-c.
MIND - INSANITY, madness - orgasm, at height of lac-c.
MIND - INSANITY, madness - orgasm, at height of lac-c.
MIND - IRRITABILITY - orgasm, after ang.
MIND - IRRITABILITY - sexual - excitement, from - dreams and orgasm, in a woman NUX-V.
Orgasms - sexual, easy stann.
RESPIRATION - IMPEDED, obstructed - orgasms in hypogastrium rhod.
Sexual affections, disturbances in general - orgasms easy, in women stann.
URETHRA - DISCHARGE - orgasm; during Ign. nat-m. Phos.
Waves, ebullitions, fluctuations, orgasms am-m. Aml-ns. aur. bell. calc. ferr. Gels. Glon. kreos. LACH. lil-t. lyc. MELI. Nux-v. phos. Sang. SEP. spong. stront-c. stroph-h. sul-ac. sulph.
Chapter 10. Headache and Other Craniofacial Pains > Headaches Related to Sexual Activity Adams & Victor's Principles of Neurology, 10e ... of orgasm and persisted for several minutes or hours (orgasmic headache). The latter headaches were...
Chapter 24. Pelvic Organ Prolapse > Female Sexual Dysfunction Williams Gynecology, 2e ..., and inability to achieve orgasm. The etiology is frequently multifactorial and includes psychosocial factors...
Sexual Problems > S pecific S uggestions Behavioral Medicine: A Guide for Clinical Practice, 4e ..., perhaps masturbating to orgasm earlier on a day that a sexual encounter with a partner is anticipated...
Chapter 25. Sexual Dysfunction and Paraphilias > Etiology CURRENT Diagnosis & Treatment: Psychiatry, 2e ... orgasm. Spinal cord lesions, pelvic surgery as well as peripheral neuropathies can cause anorgasmia...
Psychiatric Disorders > C. Psychosexual Dysfunction Current Medical Diagnosis & Treatment 2015 ... This category includes a large group of vasocongestive and orgasmic disorders. Often...
Chapter 25. Sexual Dysfunction and Paraphilias > Psychopharmacological Treatment CURRENT Diagnosis & Treatment: Psychiatry, 2e ... with antidepressants with a decreased likelihood of causing orgasm delay. Buspirone at a dose of 60 mg/d can be used...
Chapter 25. Sexual Dysfunction and Paraphilias > Signs & Symptoms CURRENT Diagnosis & Treatment: Psychiatry, 2e ...-dressing is a complex psychosexual phenomenon, and orgasm does not necessarily occur during all cross...
Sexual Health & Dysfunction > General Principles in Older Adults Current Diagnosis & Treatment: Geriatrics ... to have an orgasm, and prolong the refractory period (the time it takes to have an erection after...
Chapter 48. Sexual Dysfunction > Physiology of the Female Sexual Response Harrison's Online ..., vasocongestion, lubrication, and eventual orgasm. Caregivers should consider a paradigm of a positive emotional...
Gynecologic Disorders > A. Disorders of Sexual Desire Current Medical Diagnosis & Treatment 2015 ... In the absence of specific medical disorders, arousal or orgasmic disorders or dyspareunia...
Chapter 47. Sexuality, Sexual Function, and the Aging Woman > Neurovascular System Hazzard's Geriatric Medicine and Gerontology, 6e ... noncholinergic (NANC) is particularly important for the rousal and orgasm phases of the female sexual response...
Chapter 31. The Sexual History > Assessment of Sexual Satisfaction CURRENT Diagnosis & Treatment of Sexually Transmitted Diseases ... or maintain an erection, premature ejaculation, pain with intercourse, or lack of orgasm. Further discussion...
Chapter 77. Diseases and Disorders of the Male Genitalia > History Fitzpatrick's Dermatology in General Medicine, 8e ... sexual function are libido, erection, ejaculation, and orgasm. ...
Chapter 58. Contraception & Family Planning > Coitus Interruptus CURRENT Diagnosis & Treatment: Obstetrics & Gynecology, 11e ... result from escape of semen before orgasm or the deposition of semen on the external female genitalia...
Chapter 3. Symptoms of Disorders of the Genitourinary Tract > Sexual Difficulties in Men Smith and Tanagho's General Urology, 18e ... of erection, absence of ejaculate with orgasm, premature ejaculation, and even loss of desire. ...
Chapter 13. Psychosocial Issues and Female Sexuality > Incidence Williams Gynecology, 2e ... orgasm, and 26 percent experience sexual pain (Hayes, 2006). Most difficulties last less than 6 months...
Adult Sexual Dysfunction > Sexual Pain Syndromes CURRENT Diagnosis & Treatment: Family Medicine, 4e ..., and thus orgasm. ...