Beyond the G spot: Recent Research Concerning Women's Sexual Responses
Transcription
Beyond the G spot: Recent Research Concerning Women's Sexual Responses
Beyond the G spot: Recent Research Concerning Women's Sexual Responses Beverly Whipple, PhD, RN, FAAN Professor Emerita, Rutgers University Past-Vice President and Secretary General, World Association for Sexual Health Past-Director, International Society for the Study of Women’s Sexual Health Past-President, Society for the Scientific Study of Sexuality Past-President, American Association of Sexuality Educators, Counselors and Therapists 87 Matlack Drive, Voorhees, NJ 08043 phone and fax 856-309-1510 e-mail [email protected] 1 KEGEL EXERCISES This series of exercises popularly referred to as "Kegels" was developed by Dr. Arnold Kegel for women with urinary stress incontinence. These women would expel urine when they sneezed or coughed and these exercises were designed to tighten the pubococcygeus (PC) muscle, and help them control their urine. Dr. Kegel indicates that as this muscle is strengthened through voluntary contractions there is a return of vaginal sensitivity and greater ease in reaching orgasm with improved muscle tone. Perry and Whipple found that women who ejaculate on orgasm have stronger PC muscles than women who do not ejaculate.* Hartman and Fithian and Chia and Arava have reported that men can experience multiple orgasms when they practice contracting their PC muscle.** The following exercises to strengthen PC muscles are reprinted from page 60-61 of For Yourself: The fulfillment of female sexuality by Dr. Lonnie Garfield Barbach.*** "To locate your pubococcygeal muscle, urinate with your legs apart; the muscle you squeeze to stop the flow of urine is the PC muscle. Practice stopping the flow of urine a few times in order to become familiar with the muscle. Then, lie down and put your finger in the opening of your vagina and contract the PC muscle. See if you can feel the contraction around your finger in the opening of your vagina as you contract the PC muscle. "After practicing the following exercises for about six weeks, see if you notice any difference in the strength of your PC muscle when you put your finger in your vagina and squeeze. "The first Kegel exercise consists of squeezing the PC muscle for three seconds, then relaxing the muscle for three seconds, and squeezing it again. At first, do ten three-second squeezes at three different times during the day. It may be difficult at first to keep contracting for a full three seconds. If that is the case, contract for one or two seconds and build up the time as the muscle gets stronger. The advantage to these exercises is that you can do them anywhere and at any time and no one can tell you're doing them. Practice when you stop the car for a red light or in the morning when you wake up. Or do them when you answer the telephone at home or at work, or when you are lying down to rest. The muscles surrounding your anus may also move during the exercise, but if you find that you are moving your thigh muscles, your stomach or buttocks, you are probably squeezing the wrong muscle. "The second exercise is like the first except that the objective is to squeeze the muscle, release it, squeeze again and release as quickly as possible. This is nicknamed the "flutter" exercise. Again, squeeze and release ten times at three different times during the day. When you first start doing this exercise, it may feel like a tongue twister; you may not be able to tell if you are contracting or releasing and for a while it may keep getting 2 muddled all together. However, after working at it slowly, you will gradually be able to do the flutter more rapidly. "The third exercise consists of imagining that there is a tampon at the opening to the vagina and that you are sucking it up into your vagina.... "The fourth exercise consists of bearing down as during a bowel movement, but with the emphasis more on the vagina than the anal area. This exercise is more apparent to an observer. Both the sucking in and the bearing down should be held for three seconds, as with the first exercise. "All four exercises should be practiced ten times each at three different times during the day. As you progress with these Kegel exercises, slowly increase the number in each series until you are able to do twenty of each exercise in succession. You can do them as frequently during the day as you can find time, but consider three times daily a minimum. "If you notice some discomfort or tightness in the pelvic area at the beginning, reduce the number of daily contractions, but do not abandon the exercises. Like any muscle that is being exercised for the first time, it may be a little stiff at first. It is quite important to keep this muscle, like others in your body in tone. The exercises can become as much of a habit as brushing your teeth and, like brushing your teeth, they should be continued for the rest of your life." Men can identify their PC muscle the same way women do. They can also practice the first two exercises. They can judge the effectiveness of their exercises by doing the "towel experiment," as described by Whipple. * Perry, J.D., & Whipple, B. (1981). Pelvic muscle strength of female ejaculators: Evidence in support of a new theory of orgasm. The Journal of Sex Research, 17(1), 22-39. ** Hartman, W., & Fithian, M. (1984). Any Man Can. New York: St. Martin Press. Chia, M., & Arava, D.A. (1996). The Multi-Orgasmic Man. New York: HarperCollins. *** reprinted with permission of Dr. Lonnie Barbach Beverly Whipple, PhD, RN, FAAN 87 Matlack Drive, Voorhees, NJ 08043, phone and fax 856309-1510, email - [email protected] 3 HOW TO FIND THE GRAFENBERG SPOT The Grafenberg spot (G spot) is a sensitive area felt through the upper or front wall of the vagina. Sex researchers Dr. John Perry and Dr. Beverly Whipple named this area after Dr. Ernst Grafenberg who wrote about it in 1950. The G spot does not lie on the vaginal wall itself, but can be felt though it. It is usually felt about half way between the back of the pubic bone and the cervix and feels like a small lump that swells as it is stimulated. When it is first touched many women reply that it feels like they have a need to urinate, even if the bladder has just been emptied. However, within 2-10 seconds of massage, the initial reaction is replaced in some women by a strong and distinctive feeling of sexual pleasure. Some women report an orgasm from stimulation of this area and some also report an expulsion of fluid from the urethra when they experience this type of orgasm. The fluid expelled looks like "watered-down fat-free milk," and is usually about 1 teaspoon in quantity. Women have reported that they have difficulty locating and stimulating the G spot by themselves (except with a dildo, a G spot vibrator or similar device) but they have no difficulty identifying the erotic sensation when the area is stimulated by a partner. The problem with trying to locate the Grafenberg spot by yourself is that you need very long fingers and/or a short vagina to reach the area while lying on your back. A few women have reported that they are able to locate their G spot by themselves while seated on a toilet. After emptying their bladder they explore along the anterior (upper front) wall of the vagina with a firm pressure pushing up toward the navel. Some women find it helpful to apply a downward pressure on the abdomen, with their other hand, just above the pubic bone or top of the pubic hair line. As the G spot is stimulated and begins to swell, it can often be felt between the two sets of fingers. It often feels like a small spongy bean and in some women swells to the size of a half dollar. Experiment with the Grafenberg spot. You will need to use a heavier pressure then you do on the clitoris and you may feel the sensations deeper inside than you do with clitoral stimulation. After you have explored your Grafenberg spot you may want to share the experience with a partner. The G spot can be stimulated by the partner's fingers (with a "come here" type of motion), with a dildo or with a penis. The position most likely to lead to stimulation with a penis is the female sitting on top of the male. Some women report multiple orgasms from this type of stimulation and some report experiencing an orgasmic expulsion of fluid. The orgasm that results from this type of stimulation is often reported as feeling "deeper" inside. The fluid that is sometimes expelled does not smell, taste or stain like urine and its chemical composition is different from urine. 4 By sharing this information with you, I do not want to create a new goal for women to achieve. However, I do want you to be aware of the variety of orgasmic experiences that are available to women. In fact, some women have actually experienced their first orgasm by stimulation of the G spot. I do want to help those women who enjoy this type of stimulation and the resulting orgasms with or without the ejaculation of fluid to feel good about themselves and what they are experiencing. Many women have reported that they felt "abnormal" because they liked this type of stimulation or because they expelled a fluid with sexual stimulation. In fact, some women in the past learned to hold back the fluid and also learned to hold back and not have orgasm, to avoid the embarrassment of being what they considered "abnormal." I hope you will relax and enjoy whatever type of sexual stimulation you find pleasurable. Further information about the Grafenberg spot can be found in: Ladas, A.K., Whipple, B., & Perry, J.D. (1983) (2005) The G spot and other recent discoveries about human sexuality. New York: Dell Publishers (paperback edition) (2005) Holt. Also published in 19 additional languages including French, Dutch, Spanish, Chinese, Japanese, Portuguese, Afrikaans, German, Norwegian, Swedish, Danish, Italian, Hebrew, Greek, Thai, Turkish, and Icelandic. copyright 1992 Beverly Whipple, PhD, RN, FAAN, 87 Matlack Drive, Voorhees, NJ 08043 phone or fax 856-309-1510 e-mail [email protected] 5 PUBLICATIONS CONCERNING SEXUALITY BY Beverly Whipple, PhD, RN, FAAN Professor Emerita, Rutgers, The State University of NJ 87 Matlack Drive, Voorhees, NJ 08043 phone and fax 856 309 1510 e-mail [email protected] Addiego, F., Belzer, E.G., Comolli, J., Moger, W., Perry, J.D., & Whipple, B. study. The Journal of Sex Research, 17, 13-21. (1981). Female ejaculation: A case Addiego, F., Belzer, E.G., Comolli, J., Moger, W., Perry, J.D., & Whipple, B. Medical Aspects of Human Sexuality, 14, 99-100. (1980). Female ejaculation. Banner, L, Whipple, B., & Graziottin, A. (2006). Sexual arousal disorders in women. In H. Porst and J Buvat (Eds). Standard Practice in Sexual Medicine. (pp. 320-324). Malden, MA: Blackwell Publishing. Basson, R., Berman, J., Burnett, A., Degrogatis, L., Ferguson, D., Foucroy, J., Goldstein,I., Graziottin, A., Heiman, J., Laan, E., Leiblum, S., Padma-Nathan, H., Rosen, R., Segraves, K., Segraves, R.T., Shabsigh, R., Sipski, M., Wagner, G., & Whipple, B. (2000). Report of the international consensus development conference on female sexual dysfunction: Definitions and classifications. Journal of Urology, 163, 888-893. Basson, R., Berman, J., Burnett, A., Degrogatis, L., Ferguson, D., Foucroy, J., Goldstein,I., Graziottin, A., Heiman, J., Laan, E., Leiblum, S., Padma-Nathan, H., Rosen, R., Segraves, K., Segraves, R.T., Shabsigh, R., Sipski, M., Wagner, G., & Whipple, B. (2001). Report of the international consensus development conference on female sexual dysfunction: Definitions and classifications. Journal of Sex & Marital Therapy, 27(2), 83-94. Belzer, E., Whipple, B., & Moger, W. (1984). On female ejaculation. The Journal of Sex Research, 20, 403-406. Bianca, R., Sansone, G., Cueva-Rolon, R., Gomez, L.E., Ganduglia-Pirovano, M., Beyer, C., Whipple, B., & Komisaruk, B.R. (1994). Evidence that the vagus nerve mediates a response to vaginocervical stimulation after spinal cord transection in the rat. Society for Neuroscience Abstracts 20, 961. Bullough, B., Davis, M., Whipple, B., Dixon, J., Allgeier, E., & Drury, K. (1984). Subjective reports of female orgasmic expulsion of fluid. The Nurse Practitioner, 9, 55-59. Cueva-Rolon, R., Sansone, G., Bianca, R., Gomez, L.E., Beyer, C., Whipple, B., & Komsiaruk, B.R. (1996). Vagotomy blocks responses to vagino-cervical stimulation in genitospinal-neurectomized rats. Physiology and Behavior 60, 19-24. Cunningham, S.T., Steinman, J.L., Whipple, B., Mayer, A.D., & Komisaruk, B.R. (1991). Differential roles of hypogastric and pelvic nerves in the analgesic and motoric effects of vaginocervical stimulation in rats. Brain Research 559, 337-343. Fairchild, K.A., & Whipple, B. (2001). Addressing sexual concerns of women with heart disease. Medical Aspects of Human Sexuality, 1(2), 35-39. Gates, R., & Whipple, B. (2000). Smart Women, Strong Bones. Lake Oswego, OR: Four Heart Press. Gates, R., & Whipple, B. (2003). Outwitting Osteoporosis. Hillsboro, Oregon: Beyond Words Publishing. 6 Gianotten, W., Whipple, B., & Owens, A. (2006). Sexual activity is a cornerstone of quality of life: An update of “The health benefits of sexual expression.” In M. Tepper and A.F. Owens (Eds.) Sexual Health: vol 1 Psychological Foundations. (pp.28-42). Westport, CT: Prager. Goldberg, D., Whipple, B., Fishkin, R.E., Waxman, H., Fink, P.J., & Weisberg, M. (1983). The Grafenberg spot and female ejaculation: A review of initial hypotheses. Journal of Sex and Marital Therapy, 9, 27-37. Graziottin, A., Dennerstien, L,, Alexander, J.L., Giraldi, A., & Whipple, B. (2006). Classification, Etiology, and Key Issues in Female Sexual Disorders. In H. Porst and J Buvat (Eds). Standard Practice in Sexual Medicine. (pp. 305314). Malden, MA: Blackwell Publishing. Graziottin, A., Whipple, B., Dennerstein, L., Alexander, J.L., Banner, L., & Giraldi, A. (2006). Female sexual disorders: Future trends and conclusions. In H. Porst and J Buvat (Eds). Standard Practice in Sexual Medicine. (pp. 374-375). Malden, MA: Blackwell Publishing. Hyde, J.S., & Whipple, B. (2005). Synthesis: Overarching themes and future direction for research. In J.S. Hyde (Ed.) Biological Substrates of Human Sexuality. (pp. 171-178). Washington, D.C.: American Psychological Association. Ito, T.Y., Polan, M.L., Whipple, B., & Trant, A.S. (2006). The enhancement of female sexual function with ArginMax, a nutritional supplement, among women differing in menopausal status. Journal of Sex & Marital Therapy, 32:369-378. Jannini, E.A., Whipple, B., Kingsberg, S.A., Buisson, O., Foldes, P., & Varid, Y. (2010). Who’s Afraid of the Gspot? Journal of Sexual Medicine. 7: 25-34. Jannini, E.A., Rubio-Casillas, A., Whipple, B., Buisson, O., Komisaruk, B.R., & Brody, S. (2012) Female Orgasm(s): One, Two, Several.. Journal of Sexual Medicine 9: 956-965. Jones, K.P., Kingsberg, S., & Whipple, B. (2005). Women’s Sexual Health in Midlife and Beyond. ARHP Clinical Proceedings. 1-28. Kingsberg, S.A., & Whipple, B. (clinical advisors) (2005). Desire: Understanding female sexual response. Health & Sexuality, 10(2), 1-16. Kirsten, V.L., & Whipple, B. (1998). New Perspectives on HIV management. Nursing 98, 28(11), 34-40. Kiss, K.L., & Whipple, B. (1998). Ease into menopause naturally. Nutrition Science News, 3(8), 406-412. Komisaruk, B.R., Beyer-Flores, C., & Whipple, B. (2006). The Science of Orgasm. Baltimore, MD. Johns Hopkins Press. Komisaruk, B.R., Beyer, C., & Whipple, B. (2008). Orgasm. The Psychologist, 21 (2): 100-103. Komisaruk, B.R., Frangos, E., & Whipple, B. (2011) Hysterectomy Improves Sexual Response? Addressing a Crucial Omission in the Literature. Journal of Minimally Invasive Gynecology, 18(3), May/June. Komiaruk, B.R., Sansone, G.R., Bianca, R., Gerdes, C.A., O'Bannon, R.T., Whipple, B., & Caba, M. (1998). Central and peripheral genital neural pathways in female functional anatomy. In. M.M. Gomez (Ed) Bases Neurobiologicas y Ecologicas de la Conducta. (pp. 405-424) Mexico: Universidad Autonoma de Tlaxcala, Universidad Autonoma Metropolitana. Komisaruk, B.R., & Whipple, B. (1984). Evidence that vaginal self-stimulation in women suppresses experimentally-induced finger pain. Society for Neuroscience Abstracts 10, 675. 7 Komisaruk, B.R., & Whipple, B. (1986). Vaginal stimulation-produced analgesia in rats and women. In D. Kelly (Ed.) Stress Induced Analgesia, 467, (pp. 30-39). New York: New York Academy of Science. Komisaruk, B.R., & Whipple, B. (1988). The role of stimulation-produced analgesia in reproductive processes. In A.R. Genazzani, G. Nappi, F. Facchinetti and E. Martignoni (Eds.) Pain and Reproduction (pp. 125-140). England: Parthenon Press. Komisaruk, B.R., & Whipple, B. (1991). Physiological and perceptual correlates of orgasm produced by genital or non-genital stimulation. In P. Kothari (Ed) The Proceedings of the First International Conference on Orgasm. (pp. 69-73) Bombay, India: VRP Publishers. Komisaruk, B.R., & Whipple, B. (1994). Complete spinal cord injury does not block perceptual responses to vaginal or cervical self-stimulation in women. Society for Neuroscience Abstracts 20, 961. Komisaruk, B.R. & Whipple, B. (1995). The suppression of pain by genital stimulation in females. Annual Review of Sex Research 6, 151-186. Komisaruk, B.R., & Whipple, B. (1998). Love as a sensory stimulation: Physiological consequences of its deprivation and expression. Psychoneuroendocrinology, 23(8), 927-944. Komisaruk, B.R., & Whipple, B. (2000). 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American Journal of Neuroradiology, 23: 609-617. 8 Komisaruk, B.R., Whipple, B., Crawford, A., Grimes, S., Kalnin, A.J., Mosier, L., Liu, W.C., & Harkness, B. (2002) Brain activity (fMRI and PET) during orgasm in women in response to vaginocervical self-stimulation. Program No 841.17. Washington, D.D. : Society for Neuroscience CD-ROM. Komisaruk, B.R, Whipple, B., Crawford, A., Grimes, S., Liu, W-C., Kalin, A., & Mosier, K. (2004) Brain activation during vaginocervical self-stimulation and orgasm in women with complete spinal cord injury: fMRI evidence of mediation by the Vagus nerves. Brain Research, 1024, 77-88. Komisaruk, B.R., Whipple, B., Gerdes, C.A., Harakness, B., & Keyes, J.W. Jr. (1997). Brainstem response to cervical self-stimulation: Preliminary PET-scan analysis. Society for Neuroscience Abstracts 23, 1001. Komisaruk, B.R., Whipple, B., Gerdes, C.A., Sansone, G., Bianca. R., Cueva-Rolon, R., Harkness, B., & Keyes, J.W. (1996). Further evidence that the vagus nerve conveys genital sensory activity directly to the brain, bypassing the spinal cord. Proc. Int’l. Behav. Neuroscience Soc., June. Komisaruk, B.R., Whipple, B., Nasserzadeh, S., Flores-Beyer, C. (2010). The Orgasm Answer Guide. Baltimore, MD: Johns Hopkins University Press Komisaruk, B.R., Whipple. B., Jannini, E. (2012). Commentary on the PAPER by Dr. A. Ostrzenski: "G-Spot Anatomy: A New Discovery." Journal of Sexual Medicine. Ladas, A., Whipple, B., & Perry, J. (1982). The G Spot: And Other Recent Discoveries About Human Sexuality. New York: Holt, Rinehart and Winston. (Paperback, New York: Dell Publishers) (published in 19 languages) Ladas, A.K., Whipple, B., & Perry, J.D. (1982). Is there a G-spot? Glamour. October, 256-304. Ladas, A.K., Whipple, B., & Perry, J.D. (1982). Sexual fitness. Self Magazine. September, 118-122. Ladas, A., Whipple, B., & Perry, J. (2005). The G Spot: And Other Discoveries About Human Sexuality. New York: Holt. 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(1990). ME First and ME First: Medical Manifestations of HIV in Women. Brochures produced by the New Jersey women and AIDS Network through a grant from Hoffman-LaRoche Inc. (researcher, reviewer and consultant) Whipple, B. (1990). Female sexuality. In J. Leyson (Ed.) Sexual Rehabilitation of the Spinal Cord Injured Patient (pp. 19-38). Clifton, NJ: Humana Press. Whipple, B. (1991). Human Sexuality. In S. Smeltzer & B. Bare (Eds.) Brunner and Suddarth's Textbook of Medical-Surgical Nursing. Philadelphia, PA: J.B. Lippincott Co. Whipple, B. (1992) Issues concerning women and AIDS: Sexuality. Nursing Outlook, 203-206. Whipple, B. (1993). Rockin' 'n' rollin' your pain away. Health Update. Better Homes and Gardens, 71(4). Whipple, B. (1994). Orgasm. In V.L. Bullough & B. Bullough (Eds.) Human Sexuality: An Encyclopedia, (pp. 430-433). New York: Garland Publishing, Inc. Whipple, B. (1994). Contraceptive Technology 16th Revised Edition. (acknowledged contributor 1994-1996). New York: Irvington Publishers, Inc. Whipple, B. (1993). Outercourse: A pleasure-oriented model of sexual expression. In L.M. Crosier (Ed.) Losing It: The Virginity Myth (pp. 109-112). Washington, D.C.: Avocus Publishing, Inc. Whipple, B. (1995). Common questions about osteoporosis and menopause. American Journal of Nursing, January, 69-70. Whipple, B. (1995). Four common questions about women's health. American Journal of Nursing, February, 16A-16D. Whipple, B. (1995). Common questions about women and HIV/AIDS. American Journal of Nursing, July, 16A-16B. Whipple, B. (1995). Commonly asked questions about breast-cancer. American Journal of Nursing, November, 16A-16B. Whipple, B. (1995). Research concerning sexual response in women. The Health Psychologist, 17(3), 16-18. Whipple, B. (1997). How I became interested in sexology. In B. Bullough, V.L. Bullough, M.A. Fithian, W.E. Hartman & R.S. Klein (Eds) How I Got Into Sex, (pp. 472-480). Amherst NY: Prometheus Books. 11 Whipple, B. (Foreword to) Stubbs, K.R., & Saulnier, L.A. (1988). Romantic Interludes. Larkspur, CA: Secret Garden. Whipple, B. (2000). Beyond the G spot: Where do we go from here? In E.M.L. Ng, J.J. Borrs-Valls, M. PerezConchillo, & E. Coleman (Eds). Sexuality in the New Millennium. (pp. 35-42) Bologna: Editrice Compositori. Whipple, B. (2000). Laboratory methods in sex research. In E.M.L. Ng, J.J. Borrs-Valls, M. Perez-Conchillo, & E. Coleman (Eds). Sexuality in the New Millennium. (pp. 61-66) Bologna: Editrice Compositori. Whipple, B. (2000). Beyond the G spot: New research on human female sexual anatomy and physiology. Scandinavian Journal of Sexology, 3(2), 35-42. Whipple, B. (2000). Ernst Grafenberg: From Berlin to New York. Scandinavian Journal of Sexology, 3(2), 43-49. Whipple, B. (2000). Le point G: bilan et perspectives. Sexologies, 9(32), 6-13. (in French) Whipple, B. (Foreword to) Birch, R.W., & Ruberg, C.L. (2000). Pathways to Pleasure: A woman’s Guide to Orgasm. Howard, OH: PEC Publishing. Whipple, B. (Foreword to) Ellison, C.R. (2000). Women’s Sexualilties. Oakland, CA: New Harbor Publications. Whipple, B. (Foreword to) Stubbs, K.R. (2000). Erotic Passion. Tucson, Arizona: Secret Garden. Whipple, B. (2000). (Book review) Barbach, L. (2000). The pause: Positive approaches to perimenopause and menopause. Journal of Sex Education and Therapy, 25(4), 300-301. Whipple, B. (2001). Editorial: Women’s sexuality in the 21st century. Medical Aspects of Human Sexuality. 1(4), 7-8. Whipple, B. (Foreword to) Maltz, W., Boss, S. (2001). Private Thoughts. Novato, CA: New World Library. Whipple, B. (March 31, 2001) La Energia Sexual, Noticias, 84 (Argentinia) Whipple, B. (2001). Women’s sexual pleasure and satisfaction. Scandinavian Journal of Sexology, 4(4), 191-197. Whipple, B. (2002). Le plaisir et la satisfaction sexuels chez la femme. Sexologies, 11(39), 19-20. (France) Whipple, B. (2002). Women’s Sexual Pleasure and Satisfaction. Sexologies, 11(39), 21-24. Whipple, B. (2002). Women’s sexual pleasure and satisfaction: A new view of female sexual function. The Female Patient (Primary Care Edition), 27(8), 39-44. Whipple, B. (2002). Women’s sexual pleasure and satisfaction: A new view of female sexual function. The Female Patient (OB/GYN Edition), 27(8), 44-47. Whipple, B. (contributor) (2003) The Health Benefits of Sexual Expression. White Paper. (pp 1-8) New York: Planned Parenthood Federation of America, Inc. Whipple, B. (2004). Why sex is good for your health. Bottom Line Personal. September 15, 9-10. Whipple, B. (2005). Healthy Sexuality: Ask the Experts. On healthywomen.org. National Women’s Health Resource Center. 22 June. http://www.healthywomen.org/columns/healthysexualityasktheexperts/questionsandanswers> 12 Whipple, B. (2005). Healthy Sexuality: Ask the Experts. On healthywomen.org. National Women’s Health Resource Center. 25 August. http://www.healthywomen.org/columns/healthysexualityasktheexperts/questionsandanswers> Whipple, B. (2005). You’re never too old: Sex for seniors. Daily Health News, October 17, 2005. www.BottomLineSecrets.com Whipple, B. (2006). Sexual dissatisfactions. In P. Greenberger & J. Wider (Eds.) The Savvy Women Patient: How and Why Sex Matters for your Health. (pp. 282-286) Washington, D.C.: Society for Women’s Health Research. Whipple, B. (2006). Healthy Sexuality: Ask the Experts. On healthywomen.org. National Women’s Health Resource Center. 3 January. http://www.healthywomen.org/columns/healthysexualityasktheexperts/questionsandanswers> Whipple, B. (2006). Healthy Sexuality: Ask the Experts. On healthywomen.org. National Women’s Health Resource Center. 8 March. http://www.healthywomen.org/columns/healthysexualityasktheexperts/questionsandanswers> Whipple, B. (2006). Healthy Sexuality: Ask the Experts. On healthywomen.org. National Women’s Health Resource Center. 3 July. http://www.healthywomen.org/columns/healthysexualityasktheexperts/questionsandanswers> Whipple, B. (2006). The health benefits of sexual expression (Introduction). In M. Tepper and A.F. Owens (Eds.) Sexual Health: vol 1 Psychological Foundations. (pp.17-18). Westport, CT: Prager. Whipple, B. (2007). Beyond the G spot: New research on human female sexual anatomy and physiology and Updated Commentary. In William J. Taverner (Ed) Taking Sides: Clashing vies in human sexuality. (pp. 56-67). Dubuque, IA: McGraw Hill, Contemporary Learning Series. Whipple, B. (2007) Healthy Sexuality: As the Experts: On healthywomen.org National Women’s Health Resource Center: July http://www.healthywomen.org/columns/healthysexualityasktheexperts/questionsandanswers. Whipple, B., & Brash-McGreer K. (1997). Management of female sexual dysfunction. In M.L. Sipski & C. Alexander (Eds) Maintaining Sexuality with Disability and Chronic Illness: A Practitioners Guide. (pp. 509-534). MD: Aspen Publishers. Whipple, B., Gerdes, C.A., & Komisaruk, B.R. (1996). Sexual response to self-stimulation in women with complete spinal cord injury. Journal of Sex Research,33(3). 231-240. Whipple, B., & Gick, R. (1980). A holistic view of sexuality: Education for the professional. Topics in Clinical Nursing, 1, 91-98. Whipple, B., & Graziottin, A. (2006). Orgasmic disorders in women. In H. Porst and J Buvat (Eds). Standard Practice in Sexual Medicine. (pp. 334-341). Malden, MA: Blackwell Publishing. Whipple, B, Hartman, W.E., & Fithian, M. A. (1994). Orgasm. In V.L. Bullough and B. Bullough (eds). Human Sexuality: An Encyclopedia. (pp. 430-433) New York: Garland Publishing, Inc. Whipple, B., Josimovich, J.B., & Komisaruk, B.R. (1990). Sensory thresholds during the antepartum, intrapartum, and postpartum periods. International Journal of Nursing Studies. 27, (3), 213-221. Whipple, B., Kinsberg, S. & Farrington, A. (2007). Zdrowie Seksualine Kobiet W Widku Strdnim I Poweyzejzaburzenia sesksualne,. Przeglad Seksulogiczny. 3 (1), 22-30. (Poland) Whipple, B., Knowles, J., & Davis, J. (2006). The Health Benefits of Sexual Expression. In M. Tepper and A.F. Owens (Eds.) Sexual Health: vol 1 Psychological Foundations. (pp.18-27). Westport, CT: Prager. 13 Whipple, B., Knowles, J, & Davis, J. (2007). The Health Benefits of Sexual Expression: White Paper. New York: Planned Parenthood Federation of America. Whipple, B., & Komisaruk, B.R. (1985). Elevation of pain thresholds by vaginal stimulation in women. Pain, 21, 357-367. Whipple, B., & Komisaruk, B.R. (1988). Analgesia produced in women by genital self-stimulation. The Journal of Sex Research, 24, 130-140. Whipple, B., & Komisaruk, B.R. (1991). The G spot, orgasm, and female ejaculation: Are they related? In P. Kothari (Ed) The Proceedings of the First International Conference on Orgasm. (pp. 227-237) Bombay, India; VRP Publishers. Whipple, B., & Komisaruk, B.R. (1992). The G spot, vaginal orgasm female ejaculation: A review of research and literature. Sex Matters. (pp. 33-36). Amsterdam: Elsevier Science Publishers BV. Whipple, B., & Komisaruk, B.R. (1993). Current research trends: Spinal Cord Injuries. Proceedings NIH Conference on Reproductive Issues for Persons with Physical Disabilities. (pp. 197-207) Baltimore: Paul H. Brookes Publishing Co. Whipple, B., & Komisaruk, B.R. (1997). Sexuality and women with complete spinal cord injury. Spinal Cord, 35, 136-138. Whipple, B., & Komisaruk, B.R. (1998). Beyond the G spot: Recent research on female sexuality. Medical Aspects of Human Sexuality, 1(3), 19-23. Whipple, B., & Komisaruk, B.R. (1999). Beyond the G spot: Recent Research on Female Sexuality. Psychiatric Annals, 29(1), 34-37. Whipple, B., & Komisaruk, B.R. (2000). Beyond the G spot: Recent research on female sexuality. Impotence Worldwide, 17, 11-12. Whipple, B., & Komisaruk, B.R. (2002). Brain (PET) responses to vaginal-cervical self-stimulation in wo-men with complete spinal cord injury: Preliminary findings. Journal of Sex and Marital Therapy, 28: 79-86. Whipple, B., Martinez-Gomez, M., Oliva-Zarate, L., Pacheco, P., & Komisaruk,, B.R. (1989). Inverse relationship between intensity of vaginal self- stimulation-produced analgesia and level of chronic intake of a dietary source of capsaicin. Physiology and Behavior, 46, 247-252. Whipple, B., Myers, B.R, Komisaruk, BR. (1998). Male multiple ejaculatory orgasms: A case study. In. J.J. Borras-Valls & M. Perez-Conchillo (Eds). Sexuality and Human Rights (pp. 129-133). Valencia, Spain: World Congress of Sexology. Whipple, B., Myers, B., & Komisaruk, B.R. (1998) Male multiple ejaculatory orgasms: A Case Study. Journal of Sex Education and Therapy, 23(2), 157-162. Whipple, B., & Ogden, G. (1989). Safe Encounters: How Women Can Say Yes to Pleasure and No to Unsafe Sex. New York: McGraw-Hill (Paperback, Dell). Whipple, B., & Ogden, G. (1989). How to be your own best (sexual) friend. Cosmopolitan. September, 122-128. Whipple, B., & Ogden, G. (1994). Let your fingers do the walking: A very intimate guide. Woman's Own, 54-70. 14 Whipple, B., Ogden, G., & Komisaruk, B.R. (1992). Quantification of the perceptual and physiological correlates of imagery-induced orgasm in women. In W. Bezemer (Ed.) Sex Matters. (pp. 9-12). Amsterdam: Elsevier Science Publishers BV. Whipple, B., Ogden, G., Komisaruk, B.R. (1992). Physiological correlates of imagery induced orgasm in women. Archives of Sexual Behavior, 21(2), 121- 133. Whipple, B., Ogden, G., & Komisaruk, B.R. (1993). Orgasm: All in your head? Health Letter, 12(2), 2. Whipple, B., & Owens, A. (2006). The evolution of definitions for women’s sexual disorders. In A. Owens & M. Tepper (Eds.) Sexual Health: Vol 4, State-of-the-Art Treatment and Research. (383-390). Westport, CT: Prager. Whipple, B., & Rosenbaum, T.Y. (2004). The controversy over Kegels: Are women doing them correctly? The Alexander Foundation for Women’s Health: Newsletter, 3, 14-16. Whipple, B., Richards, E., Tepper, M., & Komisaruk, B.R. (1996). Sexual response in women with complete spinal cord injury. In D.M. Krotoski, M. Nosek, & M. Turk (Eds.) Women with Physical Disabilities: Achieving and Maintaining health and Well-Being (pp. 69-80). Baltimore: Paul H. Brooks Publishing Co. Whipple, B., Richards, E., Tepper, M., & Komisaruk, B.R. (1966). Sexual response in women with complete spinal cord injury. Sexuality and Disability, 14(3), 191-201. Whipple, B., Richards, E., Tepper, M., Gerdes, C., & Komisaruk, B.R. (1998). A quantitative and qualitative study concerning sexual response in women with complete spinal cord injury. In. J.J. Borras-Valls & M. Perez-Conchillo (Eds). Sexuality and Human Rights (pp. 267-271). Valencia, Spain: World Congress of Sexology. Whipple, B., & Scura, K.W. (1989). HIV and the older adult: Taking the necessary precautions. Journal of Gerontological Nursing, 15, 15-19. Whipple, B., & Scura, K.W. (1996). The overlooked epidemic: HIV in older adults. American Journal of Nursing, 96(2), 23-29. Whipple, B., & Welner, S.L. (2004). Sexuality Issues. In S. L. Welner & F. Hazeltine (Eds). Welner’s Guide to the Care of Women with Disabilities. (pp. 347-356) Philadelphia: Lippincott Williams & Wilkins. Zaviacic, M., & Whipple, B. (1993). Update on the female prostate and the phenomenon of female ejaculation. Journal of Sex Research, 30(2), 148-151. Zaviacic, M., Whipple, B., Zaviacicova, A., & Holman, I.K. (1993). Medicinske aspekty fenomenu uretralnych expulzii (ejakulacie) zeny a ich vyuzitie pre prax. Slovensky Lekar, 17, 53-56 (In Slovak). Zaviacic, M., & Whipple, B. (2001). Zenska ejakulacia, zenska prostata a zenska sexualita: Specificke sucasti biologie zenskeho pohlavia. Sexuologia, 1(2), 12-18. In Slovak Zaviacic, M., Whipple, B., Sisovsky, V., Zaviacic, T., & Palovic, M. (2006). From sexual arousal to the orgasm of the female of species homo sapiens: Sexological parameters of orgasmic process. Prakticka Gynekologia, 47-53. Zaviacic, M, Zavicic, T., Sisovsky, V., Palkovic, M., Whipple, B., & Albin, R.J. (2007). Funkcna Morfologia Zenskych Rodidiel A Genitallii Samic Niektorych Subhumannych Primatove: Vyznam Tychto Poznatkov Pre Porovnavanie Sexuologickych Parametrov. Slov. Gynek. Rorod, 14, 8-15. (Slovakia) Zaviacic, M., Sisovsky V., Palkovic, M., Zaviacic, T., Abline, R.J., Whipple, B., Holecova, M., & Kovacikova, Z. (2008). Ethological-sexual characteristis of some subhuman primates as compared to selected parameters of human 15 sexuality: The role of scent signalization among animals and the scent communication of humans in their sexual behavior. Sexuologia/Sexology, 8(2): 7-15 ( In Slovak and English). Featured in: "The healing power of sex" Readers Digest, June 1993 "Sex in America" U.S. News & World Report, October 17, 1994, 74-81. "Why sex research ignores women" Glamour, June 1994, 202+. "The truth about women and sex" Health", July, 1994, 53-60. "Sex in America Today" Parade Magazine", August 7, 1994, 5-7. "Letters from readers" SIECUS Report, October 1994, 25. "Can you have better orgasms" Redbook, November, 1994, 96+. "Sex and sensuality" Fitness, May, 1995, 113. "Making love better" Ladies' Home Journal, July, 1995, 48+. "Do you really know everything you've always wanted to know about sex" Cosmopolitan, August 1995, "Your love muscles" Glamour, February 1996, 187-198. "Sex after 65" Parade Magazine, March 17, 1996, 4-6 "Sensuality: Secrets of her orgasm" Men's Journal, May 1996, 97-100 "HIV/AIDS Older people are not immune" New Choices, June 1996, 66 "Sex tales" Living Fit, Septemer/October 1996, 80-84. "Sex questions you don't dare ask" Ladies' Home Journal, October 1996, 64-68. "Anatomy of an orgasm" Mademoiselle, November 1996, 156. "The hot zone" Fit, November/December 1996, 50-51. "Sex and the spinal cord" Scientific American, December 1996, 30-32. "Avoiding anticlimax: Ammo for your os" Men's Journal, December 1996. "Beverly Whipple: Climactic Discoveries" (profile) Ms.Women of the Year, January/February 1997, 35. "The joy of midlife sex"American Health, January/February 1997, 78-81. "The music therapy-pain link" Scientific American Focus, 1997, p. 127-128. "The sex skill you can practice anywhere" Redbook, February 1997, 74-77. "Is there sex after children?" Readers Digest, February 1997, 31-36. "The two of you" Brides , April/May 1997, 104. "Your sexual landscape" American Health, April 1997, 58-62, 108. "Am I normal?" Self, May 1997, 180-183, 218-221. "Good news about your sex life" Glamour, May 1997,222-225. "In shape: The new sexual geography" Shape, June 1997 "Sexuality and Women: A Researchers View" Nursing Spectrum, June 2, 1997 and September 22, 1997 "The pursuit of pleasure" Rutgers Magazine, Summer 1997, 23-29. "Sexy spots you'll want to visit" Chatelaine, August 1977, 44-47. "Why you should have sex today" Fitness, October 1997, 48. "Missionary Accomplished" GQ, October, 1997, 192-196. "Why he makes you hot" Redbook, November 1997, 58. "Sexual Peaks: How to make the most of yours" Redbook, November 1997, 141-143. "Love is the drug" Men's Health. November 1997, 104-108. "Surprising Health Benefits of Sex" Readers Digest, February 1998, 29-36. "The Female Orgasm" Scientific American: Women's Health: A Longterm Guide. Summer 1998, 38+ "How to make a Good "O" Great" Glamour, May 1998, 284-287. "Sex News: The real story behind the "orgasm pill." SEXlife. 59-60. "The new sexual revolution" Ladies Home Journal, Septembeer 1998, 188-191 + " Cosmo's and her G-spot Guide" Cosmopolitan, March 1999, 198-201 + "How to have hot, bold and playful sex" Heart & Soul, June-July 1999. “Postpartum pitfalls”’ Child, October 1999, 106-108 “Why we’re so unhappy in the bedroom” Shape, December 1999, 31-34+ “Sexologists After Dark!” Details, February 2000, 64-68+ “Your 39 most embarrassing sex questions answered” Redbook, February 2000, 91-93+ “Sexual health” Self, May 2000, 180-183. 16 “die Frau, die den G-Punkt fand” Bild, June 30, 2000, 1. “His & Her pleasure triggers” Glamour, July 2000, 100-105 “The Rx is Sex” Family Circle, BE WELL 2000. 72-76. “10 tips for a better Orgasms” Marie Claire, July 2000, 170+ “Not Tonight, Dear: Women’s Health” Philadelphia Magazine, October 2000, 90.159-180. “New insight into women’s workings” Sex & Health, December 2000 on line “Find your spark” Ladies Home Journal, January 2001, 66-70 “The sexiest pain reliever ever” Self, February 2001, 47. “Are you getting enough?” Shape, February 2001, 110-115. “Sex is much more than intercourse” CBS Health Watch, February 11, 2001 on line “Looking at sex differently” CBS Health Watch, February 11, 2001 on line “Your 56 top-secret sex questions” Redbook, April 2001, 138, 164-166. “5 secrets for making sex supersensual” Cosmopolitan, April 2001, 156-159. “Crimes of Passion” Brides, April/May, 2001, 572-574. “The Science of O” New York, April 30, 2001, 24-31. “Orgasmani: The new relationship cult” ELLE, May 2001, 144+ “Sex Secrets Experts Swear by” Mademoiselle, August, 2001, 94-95/ “El Mapa del Placer” Fucsia, September 2001 (Columbia, SA) “The pursuit of Happinerss” Essence, November 2001, 100-103. “His pain, her pain” New Scientist, 19 January 2002, 32-35. “The 7 Best Sex Ideas We’ve Ever Heard” Glamour, January 2002, 70-72. “Can we keep looking?” Men’s Health, Jan/Feb 2002, 32. “You on Top: The Sexiest Mattress of All” Cosmopolitan, August 2002, 130-132. “How to have your best orgasm ever at..20, 30, 40. Glamour, September, 2002, 164. “Sexual Healing” AARP Modern Maturity, January/February, 2003, 14-15. “7 Sex Secretes every Cosmo Girl must know” Cosmopolitan, January 2003, 108-111. “Your Orgasm (and His!) at 20, 30, 40” Glamour, March, 2003, 234-237. “What is male menopause? Advances for Nurses. April 28, 2003, 31-32. “The Pain Blocking Role of the Grafenberg Spot” The Chronicle of Urology & Sexual Medicine. June 2003, 11-13. “Sexual Healing” Prevention Magazine, August 2003, 136-142. “A life of achieving to be cont. Beverly Whipple receives AASECT’s ‘Professional Standard of Excellence’ award. Contemporary Sexuality, 37(8), August 2003, 1-5. “Your sexual health at 25, 35, 45” Redbook, August 2003, 38-40. “High Honors: Nurses regognized for their international work. AJN: 103(10), 103. “Finally, How to Find and Love your G spot” Cosmopolitan, October 2003, 209-213. “The Chemistry of Desire” and “Sexual Healing” Time Magazine, January 19, 2004. “Are you having all of the orgasms you can?” Marie Claire, January 2004, 146-148. “ How Sex keeps you healthy” Marie Claire, March, 2004 234-235. “Playboy Advisor” Playboy, May 2004, 47. “Can your doctor improve your sex life” Glamour, July 2004, 90-95 and 244. “Brain Scans Arouse Researchers” Wired News, May 2004. “Sex on the brain” The Times, London. May 15, 2004. 4-6. “I want your sex (history). Boston Globe, October 12, 2004. “Research could help women’s sex lives.” Calgary Herald. September 6, 2005. “Ask the experts” www.healthywomen.org January 1, 2006 “In search of a women’s fabled G spot” Philadelphia Inquirer, January 23, 2006. “For Women Only: Sex, Hong Kong-style Pressure for Pleasure” Star Publications (Malaysia). March 5, 2006. “Where is the lust?” Women’s Health, March 2006, 84-85. “G spot: It’s closer than you think” The Philadelphia Inquire, March 6, 2006 (Note: Many, many more to add here) 17 References concerning pain control by Dr. Beverly Whipple: Cueva-Rolon, R., Sansone, G., Bianca, R., Gomez, L.E., Beyer, C., Whipple, B., & Komisaruk, B.R. (1996). Vagotomy blocks responses to vaginocervical stimulation after genitospinal neurectomy in rats. Physiology & Behavior, 60(1), 19-24. Cunningham, S.T., Steinman, J.L., Whipple, B., Mayer, A.D., & Komisaruk, B.R. (1991). Differential roles of hypogastric and pelvic nerves in analgesic and motoric effects of vaginocervical stimulation in rats. Brain Research, 559, 337-343. Komisaruk, B.R., Bianca, R., Sansone, G., Gomez, L.E., Cueva-Rolon, R., Beyer, C., & Whipple, B. (1996). Brainmediated responses to vaginocervical stimulation in spinal cord-transected rats: Role of the vagus nerves. Brain Research, 708, 128-134. Komisaruk, B.R., Gerdes, C.A., & Whipple, B. (1997). Complete spinal cord injury does not block perceptural responses to genital self-stimulation in women. Archives of Neurology, 54, 1513-1520. Komisaruk, B.R., & Whipple, B. (1995). The suppression of pain by genital stimulation in females. Annual Review of Sex Research, 6, 151-186. Komisaruk, B.R., & Whipple, B. (1988). The role of stimulation-produced analgesia in reproductive processes. In A.R. Genazzani, G. Nappi, F. Facchinetti, & E. Martignoni (Eds.) Pain and Reproduction (pp. 125-140). England: Parthenon Press. Komisaruk, B.R., Banas, C., Heller, S., Whipple, B., Barbado, G.F., & Jordon, F. (1988). Analgesia produced by vasoactive intestinal peptide administered directly to the spinal cord in rats. In S. Said & V. Mutt (Eds.) Vasoactive Intestinal Peptide and Related Peptides, 527, (pp. 650-654). New York: New York Academy of Science. Komisaruk, B.R., & Whipple, B. (1986). Vaginal stimulation-produced analgesia in rats and women. In D. Kelly (Ed.) Stress Induced Analgesia, 467, (pp. 30-39). New York: New York Academy of Science. Martinez-Gomez, M., Whipple, B., Oliva-Zarate, L., Pacheco, P., & Komisaruk, B.R. (1988). Analgesia produced by vaginal self-stimulation in women is independent of heart rate acceleration. Physiology and Behavior, 43, 849850. Whipple, B. (1990). Neurophysiology of pain. Orthopedic Nursing, 9(4), 21-25. Whipple, B. (1987). Methods of pain control: Review of research and literature. Image: The Journal of Nursing Scholarship, 19, 143-146. Whipple, B., & Glynn, N.G. (1992). Quantification of the effects of music as a non-invasive method of pain control. Scholarly Inquiry for Nursing Practice, 6(1), 43-58. Whipple, Josimovich, J.B., & Komisaruk, B.R. (1990). Sensory thresholds during the antepartum, intrapartum, and postpartum periods. International Journal of Nursing Studies, 27(3), 213-221. Whipple, B., Ogden, G., & Komisaruk, B.R. (1992). Physiological correlates of imagery induced orgasm in women. Archives of Sexual Behavior, 21(2), 121-133. Whipple, B., Martinez-Gomez, M., Oliva-Zarate, L., Pacheco, P., & Komisaruk, B.R. (1989). Inverse relationship betwen intensity of vagianl self-stimulation-produced analgesia and level of chronic intake of a dietary source of capsaicin. Physiology and Behavior, 46, 247-252. 18 Whipple, B., & Komisaruk, B.R. (1988). Analgesia produced in women by genital self-stimulation. The Journal of Sex Research, 24, 130-140. Whipple, B., & Komisaruk, B.R. (1985). Elevation of pain thresholds by vaginal stimulation in women. Pain, 21, 357-367. 5/12 19