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Female Erogenous Zones

The female erogenous zones are areas with nerve endings that increase the sensitivity and their stimulation results in sexual response. The aim of exploring the female erogenous areas is to prepare the woman for sexual intercourse by increasing her level of arousal in order to enjoy the act and potentially reach an orgasm. The erogenous zones are different from woman to woman and it is also likely that the stimulation of the erogenous areas that some women find pleasant and exciting may be impossible to bear for others. The clitoris is an erogenous zone on a woman and has the densest concentration of nerve endings of any part of the skin.

Located past the clitoris, just above and on either side of the urethral opening, is sensitive erectile tissue known as the Skene's gland, or the U-Spot. Within the anterior of the vaginal canal, there is a patch of ribbed rough tissue which has a texture that is described as similar to the palate (the roof of a mouth) or a raspberry, and may feel spongy when a woman is sexually aroused. This is the Gräfenberg spot, or G-spot.

At the deepest point on the anterior (front) wall of the vagina, located between the cervix and the bladder, is the Anterior fornix erogenous zone, or A-Spot. It is described as having a wrinkly texture similar to the tip of the nose. Other areas known to be orgasmic for some women include the rectouterine pouch, accessible through both the back of the posterior wall of the vagina and the anterior wall of the anus, the perineal sponge, accessible though the perineum and the anterior wall of the anus, several inches in, and the uterus, which, when stimulated, can result in a uterine orgasm.

Surgery For ED

Surgery usually has one of three goals:

• to implant a device that can cause the penis to become erect
• to reconstruct arteries to increase blood flow to the penis
• to block off veins that allow blood to leak from the penile tissues

Implanted devices, known as prostheses, can restore erection in many men with ED.

Malleable implants usually consist of paired rods, which are inserted surgically into the corpora cavernosa. The user manually adjusts the position of the penis and, therefore, the rods. Adjustment does not affect the width or length of the penis.

Inflatable implants consist of paired cylinders, which are surgically inserted inside the penis and can be expanded using pressurized fluid (see Figure 3). Tubes connect the cylinders to a fluid reservoir and a pump, which are also surgically implanted. The patient inflates the cylinders by pressing on the small pump, located under the skin in the scrotum. The pump causes fluid to flow from a reservoir residing in the lower pelvis to two cylinders residing in the penis. Inflatable implants can expand the length and width of the penis to some degree. They also leave the penis in a more natural state than malleable implants do when not inflated.

Once a man has either a malleable or inflatable implant, he must use the device to have an erection. Possible problems with implants include mechanical breakdown and infection, although mechanical problems have decreased in recent years because of technological advances.

With an inflatable implant, an erection is produced by squeezing a small pump implanted in the scrotum. The cylinders expand to create the erection.

Surgery to repair arteries can reduce ED caused by obstructions that block the flow of blood. The best candidates for such surgery are young men with discrete blockage of an artery because of an injury to the groin or fracture of the pelvis. The procedure is usually unsuccessful in older men with widespread blockage.

Surgery to veins that allow blood to leave the penis usually involves an opposite procedure-intentional blockage. Blocking off veins, called ligation, can reduce the leakage of blood that diminishes the rigidity of the penis during an erection. However, experts have raised questions about the long-term effectiveness of this procedure, and it is rarely done.

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Can Emotions Play A Part?

Sexuality is often a delicate balance of emotional and physical issues. How you feel may affect what you are able to do. Many older couples find greater satisfaction in their sex life than they did when they were younger. They have fewer distractions, more time and privacy, no worries about getting pregnant, and intimacy with a lifelong partner.

Some older people are concerned about sex as they age. A woman who is unhappy about how her looks are changing as she ages may think her partner will no longer find her attractive. This focus on youthful physical beauty may get in the way of her enjoyment of sex. Men may fear that ED will become a more common problem as they age. Most men have a problem with ED once in awhile. But, if you worry too much about that happening, you can cause enough stress to trigger ED.

Older couples face the same daily stresses that affect people of any age. They may also have the added concerns of age, illness, retirement, and other lifestyle changes, all of which may lead to sexual difficulties. Try not to blame yourself or your partner. You may find it helpful to talk to a therapist. Some therapists have special training in helping with sexual problems. If your male partner is troubled by ED or your female partner seems less interested in sex, don’t assume he or she is no longer interested in you or in sex. Many of the things that cause these problems can be helped.