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Genital responsiveness in healthy women--what about subjective genital engorgement?

机译:健康女性的生殖器反应能力-主观生殖器充血怎么办?

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We read with interest the article by Ellen Laan and her colleagues on "Genital Responsiveness in Healthy Women With and Without Sexual Arousal Disorder" [1]. This showed no significant difference in vaginal pulse amplitude (VPA) between those with arousal disorders and normal controls. Among their entry criteria, that for sexual arousal disorder was "partial or total lack of vaginal lubrication and vaginal dryncss during sex." They failed to mention lack of pleasurable sensation in the genital area, which should include "reduced minimal vulval swelling and reduced sexual sensation from the caress ol" the genitalia" [2]. Others have commented recently that normal subjective genital arousal in women may not: only be appreciated as lubrication but also as pleasurable genital sensations [3], We also find that: women in our clinical practice who have low or absent genital .arousal problems regularly complain that they no longer perceive this pleasant genital engorgement. It is this that they miss, probably much more than the lack of lubrication, which can easily be replaced artificially. We feel that defining genital arousal as only a lack of lubrication severely biases this study. Furthermore, not all vaginal lubrication derives from the vaginal wall as a transudate in response to vasoengorgement. Alan Riley demonstrated some years ago that up to a third of vaginal fluid produced at sexual arousal derives from the Bartholin's glands [4], which may be under local cholinergic neural control.
机译:我们感兴趣地阅读了艾伦·兰恩(Ellen Laan)和她的同事们有关“有和没有性唤起障碍的健康女性的生殖反应”的文章[1]。这表明在具有唤醒障碍的患者和正常对照者之间,阴道脉搏幅度(VPA)没有显着差异。在他们的进入标准中,针对性唤起障碍的标准是“在性交过程中部分或全部缺乏阴道润滑和阴道干燥。”他们没有提到生殖器部位缺乏愉悦的感觉,这应包括“减少生殖器的最小外阴肿胀和减少生殖器性交引起的性感觉” [2]。其他人最近评论说,女性的正常主观生殖器唤醒可能不会:不仅被视为润滑,还被视为愉悦的生殖器感觉[3],我们还发现:在我们的临床实践中,生殖器低或无生殖器的女性经常抱怨自己不再感觉到这种令人愉悦的生殖器充血。他们认为,生殖器唤醒仅是由于缺乏润滑,严重影响了这项研究;而且,并非所有的阴道润滑都源于阴道壁。阿兰·赖利(Alan Riley)几年前证实,性唤起时产生的阴道液中,有多达三分之一来自于巴索林氏腺[4],可能在局部胆碱能神经控制下。

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