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Sexual desire is funny mystery. You want to be relaxed enough so that you can then enjoy a build up of tension. It seems like two different directions at the same time, yet that is how sex works. The following current medical research looks at these two directions:

MRIs were taken of the brains of women who have low desire. Their brain activity was compared to the activity in women without low desire. In the women with low desire, the area of the cortex that is involved in self-monitoring and has ‘inhibitory executive control’ showed hyper activation. This meant her YES for sex was dampened down, and she had built-in inhibition. This is not what most women want.

In medicine, low desire through one frame is seen as the result of an imbalance in the excitatory and inhibitory processes inside of us. These are biochemical processes. The imbalance is caused by too little excitement or too much inhibition or a combination of those two phenomena.

Neurotransmitters are one focus of what may be involved. For example, Serotonin is a neurotransmitter that stabilizes our moods, is calming, and promotes good sleep. It is also a key inhibitory factor in sexual desire. It weakens the ability of the excitatory systems in our bodies to be activated by sexual cues. Sexual cues are what trigger our arousal and get us activated sexually. You want to be activated to have a good time.

Medicine is currently looking at ways to intervene in this process by modulating these excitatory and inhibitory pathways through targeting of neurotransmitters. Bupropion (Wellbutrin), bremelanotide (possible brand name is Rekynda) buspirone (Buspar), and flibanserin (Addyi) are examples of the drugs being explored to activate. At this time only flibanserin (Addyi) has been approved by the FDA to treat low desire.   Of note, there are combination products under study now. A combination product of testosterone and buspirone has been designed and is not yet available in the US, and a combination of trazodone and bupropion is in development here.

There are non-pharmacological ways to influence neurotransmitter levels too!   Cuddling with your mate and spending time with girlfriends are two that are well known to increase your activating neurotransmitter levels.

In my blog post titled: “Women and Sexual Arousal” I talk about Addyi, click here to read it.

More coming on this topic in future newsletters.

There is quite a lot to celebrate about the fame body and how it responds to and is geared for sexual pleasure. It is quite marvelous. When arousal is triggered, cascades of events occur. Neurotransmitters release from a woman’s brain and she gets a nice tingly feeling in her genital tissue. Her nipples become firm, and the clitoris gets erect. Her vulva swells and the labia change from flesh or pink color to a dusky rose or purple. She feels sexually excited. The vaginal walls get suddenly wet. Her clitoris and its two 5 to 7cm long internal legs and surrounding significant vascular tissue engorge with blood. Some muscles contract and heart rate increases. Breathing is fast. There is a sense of tension.

On the outside of a woman’s vulva, women and their partners can see the glans of the clitoris, that external bump of tissue. This glans has the most nerve endings of any place on her body. This is similar to the head of a man’s penis which is thought to be the most sensitive part of the penis with the highest concentration of nerve endings. Both these glans are very sensitive to touch and they can be extremely so. Yet they are not the whole story of arousal and orgasm. Obvious on the male, yet hidden on the female are the shaft and the two internal legs. The shaft and the legs, are what cause the organs, both the penis and the clitoris, to swell when arousal happens. They become erect. That internal swelling can be felt through the upper vaginal Wallin the area we know as the G-spot. When swelling is significant enough and those clitoral legs are impacted by the swelling that surrounds the urethra, an internal orgasm occurs, a vaginal orgasm. There is also an area of the vaginal wall that is deeper inside, referred to as the A-spot or the Deep spot. This spot is in front of the cervix, and when stimulated can lead to orgasm. This is mediated by a different nerve and women report that it feels different than an external orgasm.

The only function of the clitoris and its 8,000 nerve endings is for a woman to experience pleasure, sexual pleasure. The clitoris does not secrete substances or hormones, it does not contribute directly to reproduction or urination, it does not support other processes in her body. It is there for her pleasure.

On top of this awesome genitalia there are the many other erogenous zones in the female body. Her lips, her breasts, her nipples and the skin at the nape of her neck or inner thigh are territories of sensual delight to be explored. Skin can be wonderfully erotic and is packed with nerve endings. Light feathery touch can be scintillating, exploration can be done with your lips, tongue, fingers. There are 2,500 nerve endings per square centimeter in female fingertips, for example, and a lot can be communicated with touch intended to excite and arouse.

Look at the female body and you can appreciate that the physical groundwork for exquisite pleasure has been pre-established. Having this sensitive equipment does not mean women get easily aroused. Many don’t. One has to have one’s arousal triggered for this cascade of events to occur. What triggers arousal is the million dollar question. Arousal is not something you choose – it is something you discover. Arousal can start long before you get in the bedroom, or it can start in the bedroom. It can start with a look, a touch, a smell. If a woman’s arousal is heightened and sustained on enough of her multiple channels, her orgasm happens.

Click here to read my blog post about women and sexual arousal.