Orgasm
in the Female
As in the male, vision, hearing, smell, touch, and other psychic
stimuli gradually build up the intensity of sexual excitement. During this
process, the vaginal walls become moist because of transudation of fluid
through the congested mucous membrane. In addition, the greater vestibular glands
at the vaginal orifice secrete a lubricating mucus.
The upper part of the vagina, which resides in the pelvic cavity,
is supplied by the hypogastric plexuses and is sensitive only to stretch. The
region of the vaginal orifice, the labia minora, and the clitoris are extremely
sensitive to touch and are supplied by the ilioinguinal nerves and the dorsal
nerves of the clitoris.
Appropriate sexual stimulation of these sensitive areas,
reinforced by afferent nervous impulses from the breasts and other regions,
results in a climax of pleasurable sensory impulses reaching the central
nervous system. Impulses then pass down the spinal cord to the sympathetic
outflow (T1 to L2).
The nervous impulses that pass to the genital organs are thought
to leave the cord at the first and second lumbar segments in preganglionic
sympathetic fibers. Many of these fibers synapse with postganglionic neurons in
the 1st and 2nd lumbar ganglia; other fibers may synapse in ganglia in the
lower lumbar or pelvic parts of the sympathetic trunks. The postganglionic
fibers are then distributed to the smooth muscle of the vaginal wall, which
rhythmically contracts. In addition, nervous impulses travel in the pudendal
nerve (S2, 3, and 4) to reach the bulbospongiosus and ischiocavernosus muscles,
which also undergo rhythmic contraction. In many women, a single orgasm brings
about sexual contentment, but other women require a series of orgasms to feel
replete.
Female
Urethra
The female urethra is about 1.5 in. (3.8 cm) long. It
extends from the neck of the bladder to the external meatus, where it opens
into the vestibule about 1 in. (2.5 cm) below the clitoris. It traverses the
sphincter urethrae and lies immediately in front of the vagina. At the sides of
the external urethral meatus are the small openings of the ducts of the
paraurethral glands. The urethra can be dilated relatively easily
.
.
Paraurethral
Glands
The paraurethral glands, which correspond to the prostate in
the male, open into the vestibule by small ducts on either side of the urethral
orifice.
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