Zwi Hoch

Vaginal Erotic Sensitivity by Sexological Examination

We studied vaginal erotic sensitivity by vaginal sexological examinations as part of the evaluation and treatment process of couples complaining of female coital anorgasmia but readily orgasmic at female self—or partner‐performed external genital stimulation. The existence on the anterior vaginal wall of an anatomically clearly definable erotically triggering entity, termed “The G Spot”, was refuted by our findings. The entire anterior vaginal wall, including the deeper situated urinary bladder, periurethral tissues and Halbans fascia, rather than one specific spot, were found to be erotically sensitive in most of the women examined, and 64% of them learned how to reach orgasm by direct specific digital and/or coital stimulation of this area. All other parts of the vagina had poor erotic sensitivity. This supports our conceptualization of a ‘clitoral/vaginal sensory arm of orgasmic reflex’ including the clitoris, the entire anterior vaginal wall as well as the deeper situated tissues. Instead of looking for a ‘vaginal (coital) orgasm’ distinctly different from a ‘clitoral orgasm’, this concept speaks towards a ‘genital orgasm’ potentially achievable by separate or, most effectively, combined stimulation of those different trigger components of the genital sensory arm of the orgasmic reflex. The format and technique of the vaginal sexological examiniation are described, and its possible applications and limitations are discussed.

A commentary on the role of the female sexological examination and the personnel who should perform it

Abstract The sexological examination of the female patient, as performed in our Center, has proved to be an essential and almost indispensable diagnostic and therapeutic tool for the treatment of female sexual dysfunction. When performed by an adequately trained gyneco‐sexologist, in the presence of the patients sexual partner (if available), this examination helps the patient to proceed through the process of gradually assuming self‐responsibility in searching and feeling for her specific “sexual nerve endings,” also enhancing communication between the spouses. The format and technique of the “female sexological examination” is described and the scientific background, indications, results, and reservations are discussed. Special emphasis is placed on the personnel who should carry out such an examination.

The Sensory Arm of the Female Organsmic Reflex

ABSTRACTThe sexological examination of the female patient has proved to be, in our experience, an essential and almost indispensable diagnostic and therapeutic aid for the treatment of female sexual problems, especially orgasmic dysfunctions. When performed by an adequately trained gyneco-sexologist, in the presence of the patients husband, this examination helps the couple in establishing the exact “defining” of the wifes specific sexual nerve endings.As a result of numerous sexological examinations performed on a patient population presenting with so-called “dysfunctions” classified as “orgasmic only on selfstimulation” and “orgasmic by self or partner non-coital stimulation,” as well as on three adequately functioning volunteers, according to a prestandardized manner, we are able to conclude that the sensory arm of the orgasmic reflex is located not only in the clitoris, as is currently believed, but also in the anterior wall of the vagina. Adequate combined stimulation of these two genital locations...

Androgen therapy in hypogonadotrophic hypogonadism: time course of erotosexual functions

This study was designed to assess the duration of androgens effects on male sexuality to recommend an optimal therapeutic regime. Nine young men with hypogonadotrophic hypogonadism were repeatedly tested for 9 weeks after an i.m. dose of a Depo-testosterone preparation. Testing included self-rating of sexuality and recording of penile tumescence during sleep and during pornographic film, slides, and self-induced fantasy. Although serum testosterone decreased to subnormal levels by the fourth week, erectile strength, according to self-report, became subnormal by the eighth week, whereas other reported parameters remained unchanged. Erectile response to erotic stimulations remained unchanged for the entire 9 weeks. Nocturnal erections were supranormal for the first 2–4 weeks and normalized thereafter. Testosterones effect on male sexuality seems to persist beyond the period of normal serum testosterone. Treatment can, therefore, be given bimonthly.

Sexual Knowledge and Attitudes of Israeli Medical Students as Compared to American Medical Students

AbstractIn order to construct a Human Sexuality Course more suitable for the specific needs of Israeli medical students, a national study on their sexual knowledge and attitudes was performed using the Sex Knowledge and Attitude Test (S.K.A.T.). The results obtained were compared with a national study of American medical students.When analyzing our results according to the standard score method of the S.K.A.T., the Israeli student appeared significantly less knowledgeable in sexual matters (especially on medical-psychological and sociological items), and much more conservative than his American counterpart in most of his attitudes regarding sex (except for his views on heterosexual relations). When further examining our results according to a sample-adjusted method, the majority of our students seemed to be rather liberal. This apparent discrepancy might be explained by differences in defining “liberal” and “conservative” in our two countries (or in any other cultures where the S.K.A.T. is used), and shou...

Results of the Sex Knowledge and Attitude Test of Medical Students in Israel

At the Paris Congress of Medical Sexology (1974) and at a later W.H.O. meeting on “Education and Treatment in Human Sexuality” (1975), the conclusion reached was that there is an urgent need for human sexuality courses to be included in medical schools’ curricula. Paul H. Gebhard (1974) stated at the W.H.O. meeting: “The medical profession should be reminded that sex research, sex education and sex therapy are all its clearly-evident responsibilities….” This was already recognized by a large number of medical schools in the United States and Europe, and Harold I. Lief (1974), who was one of the first scientists to call for formal sex education for the medical student, summarizes, at the same W.H.O. meeting, the situation in the United States today, “The human sexuality course is offered for academic credit in 88% of medical schools.”

Androgen Therapy in Hypogonadotrophic Hypogonadism: Time Course of Erotosexual Functions

This study was designed to assess the duration of androgens effects on male sexuality to recommend an optimal therapeutic regime. Nine young men with hypogonadotrophic hypogonadism were repeatedly tested for 9 weeks after an i.m. dose of a Depo-testosterone preparation. Testing included self-rating of sexuality and recording of penile tumescence during sleep and during pornographic film, slides, and self-induced fantasy. Although serum testosterone decreased to subnormal levels by the fourth week, erectile strength, according to self-report, became subnormal by the eighth week, whereas other reported parameters remained unchanged. Erectile response to erotic stimulations remained unchanged for the entire 9 weeks. Nocturnal erections were supranormal for the first 2-4 weeks and normalized thereafter. Testosterones effect on male sexuality seems to persist beyond the period of normal serum testosterone. Treatment can, therefore, be given bimonthly.