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A case of phobic dyspareunia is described. We are talking about a 22-year-old girl whose genital pains first arose 2 years ago during intercourse with a man whose penis length was 25 cm. She had only 5 intercourses with him, and then because of these pains interrupted the relationship with him. Now she is dating a 22-year-old guy who lives in another city, and they come to visit each other. Genital pains and burning in the vagina occur in her not only during intercourses with him and after their end, but even when they are in different cities. In the latter case, they arise when she is planning a trip to another city, involving sexual contacts with her boyfriend (wakes up at night and experiences genital pain and burning sensation “to tears”). Because of this, she cannot sleep. When such a trip is not supposed, then she does not have pain and burning sensation in the genitals. It so happens that the patient comes to her boyfriend, but they do not perform vaginal intercourse, and everything is limited to petting and oral sex. This is preceded by her request to him, and he is sympathetic to her problem. But pains in the genitals occur even with cunnilingus, if not only the clitoris but also the vagina is involved (“bakes, pricks, gives birth to hedgehogs”). She reports that it so happens that pains arise when she comes to her boyfriend, but the matter has not yet come to sexual contact. Before intercourses, she notes the presence of a fear of pain associated with their implementation. This fear is accompanied by tension in the muscles of the body and difficulty in breathing. Currently, sexual desire is sharply weakened, which can be explained by the presence of dyspareunia. During the examination by the gynecologist, no profile pathology was revealed in the patient. Appropriate cognitive influences and 10 sessions of hypnosuggestive programming were carried out. As a result of the therapy, she stopped avoiding sexual intercourses, began to live a regular sex life, pain during and after intercourses practically ceased to arise, libido was increased.

Sex practices among heterosexuals are not well studied. We aimed to explore sexual practices among heterosexuals attending a sexual health clinic. This cross-sectional survey was conducted at Melbourne Sexual Health Centre between March and April 2019. Data were collected on kissing, oral sex (fellatio or cunnilingus), vaginal sex, anal sex and rimming in the previous 3 months. Univariable and multivariable logistic regression analyses were performed to examine the associations between engaging in anal sex and other sex practices. There were 709 participants (333 men; 376 women) who were eligible and completed the survey (response rate was 24.6%). In the past 3 months, most participants had had vaginal sex (n = 677; 95.5%), with a mean of 3.0 (standard deviation (SD): 3.9) vaginal sex partners, and half reported engaging in condomless vaginal sex in the past 3 months (n = 358; 50.1%). A total of 135 (19.0%) participants had had anal sex, with a mean of 1.3 (SD: 1.0) anal sex partners, with 63.5% (n = 94) engaging in any condomless anal sex in the past 3 months. Most participants (n = 637, 89.8%) had received oral sex in the past 3 months; this proportion did not differ by age group or gender. Women (n = 351, 93.4%) were more likely to perform oral sex than men (n = 275; 82.6% men) (p < 0.001) and to have received rimming (26.6% women vs. 12.6% men; p < 0.001). Men were more likely to have performed rimming (25.5% men vs. 9.3% women; p < 0.001). After adjusting for age, number of partners and sexual practice, anal sex was associated with being ≥35 years (adjusted odds ratio (aOR): 2.3; 95% CI: 1.2–4.2), receiving rimming (aOR: 3.8; 95% CI: 2.4–6.0) and performing rimming (aOR: 2.8; 95% CI: 1.8–4.6). Rimming and anal sex are practiced by one-fifth or more of heterosexuals. Older heterosexuals were more likely to engage in anal sex and to perform rimming. Future research should consider the benefits of testing extragenital sites where appropriate.

Background Oral and anal sex practices among heterosexuals are not well-studied. We aimed to explore these sexual practices among heterosexuals attending a sexual health clinic. Methods This cross-sectional survey was conducted at Melbourne Sexual Health Centre between March-April 2019. This survey asked questions on oral sex (fellatio or cunnilingus), anal sex and rimming in the previous 3 months among heterosexuals. Age was categorized by: 18–24; 25–34; and ≥35 years. Results There were 709 participants (333 males; 376 females) who were eligible and completed the survey, with a median age of 26 (IQR: 23–31) and 35% (n=250) born in Australia. Most participants had had vaginal sex (n=677; 95.5%), with a median of 2 (IQR: 1–3) vaginal sex partners, and half did not use a condom (n=358; 50.1%). 148 (20.8%) participants had had anal sex, with a median of 1 (IQR: 1–1) anal sex partner, with 63.5% (n=94) not using a condom. There were no significant differences in vaginal/anal sex partner number or condom use by gender. Being ≥35 years was associated with higher mean partner number for anal sex (ptrend=0.021) and being 18–24 years with higher mean partner number for vaginal sex (ptrend=0.027). Most participants (n=637, 89.8%) had received oral sex; this proportion did not differ by age group or gender. Females (n=351, 93.4%) were more likely to perform oral sex than males (n=275; 82.6% males) (p Conclusion Rimming and anal sex are practiced by one fifth or more of heterosexuals. Younger heterosexuals had higher numbers of vaginal sex partners, while older heterosexuals had higher numbers of anal sex partners and were more likely to perform rimming.

ObjectiveThis study aimed to determine the frequency of mouthwash use and its association to oral sex practice in heterosexuals.DesignA cross-sectional study.SettingData obtained from a sexual health clinic in Victoria, Australia, between March 2019 and April 2019.ParticipantsHeterosexual men and women attending the sexual health clinic answered a survey using computer-assisted self-interview.Primary and secondary outcome measuresUnivariable and multivariable logistic regression were performed to examine the association between frequent mouthwash use (ie, daily or weekly mouthwash use) and oral sex practices (including tongue kissing, fellatio, cunnilingus and insertive rimming).ResultsThere were 681 heterosexuals included in the analysis: 315 (46.3%) men and 366 (53.7%) women. Of participants, 302 (44.3%) used mouthwash frequently, 173 (25.4%) used mouthwash infrequently and 206 (30.2%) never used mouthwash. There was no significant difference in the proportion of frequent mouthwash users between men and women (46.4% of men vs 42.6% of women; p=0.329). The proportion of frequent mouthwash users increased with increasing age groups (39.3% in ≤24 years, 45.2% in 25–34 years and 52.8% in ≥35 years or older; ptrend=0.039) with those aged ≥35 years having a 1.80 times (95% CI: 1.12 to 2.89) higher odds of being a frequent mouthwash user than those aged ≤24 years. There were no significant associations between frequent mouthwash users had sexually transmitted infection (STI) risk after adjusting for age and country of birth.ConclusionOlder heterosexuals are more likely to use mouthwash. Given the high proportion and associations of mouthwash use in heterosexuals, future investigations related to oral STIs in this group should include mouthwash use.

In May 2018, an old interview resurfaced with DJ Khaled in The Breakfast Club, a popular morning radio show. In this interview, he mentioned that he does not perform cunnilingus on his wife, repeatedly stating, “I don’t do that” and explained “[there are] different rules for men.” Although depictions of oral sex are rampant in hip hop, most focus on fellatio in heterosexual relationships. Narratives are shifting both in society and within hip hop regarding female sexuality and cunnilingus, particularly with the influx of female rappers and sex positive lyricism. This chapter aims to examine the evolution of sexual scripts surrounding cunnilingus in hip hop from a sex positive framework and evaluates how toxic masculinity and misogyny negatively affect sex positive sexual scripts.

Attention to sexual stimuli is a prerequisite to process such stimuli as sexually-meaningful and is an important means to facilitate sexual arousal. Attending to sexual cues is crucial for healthy sexual functioning. Studies suggest that sexual dysfunction is associated with less attention towards sexual stimuli. The goal of this study was to use an eye-tracking-based free-viewing paradigm to investigate whether women with sexual dysfunction visually attend to the genital area in dynamic sexual stimuli (i.e., erotic videos) differently than women with subclinical sexual function or those with typical sexual functioning. A total of 69 women (Mage = 27.77, SD = 8.00) with clinical (n = 30), subclinical (n = 23), and typical (n = 16) levels of sexual functioning watched four 1-min video clips depicting heterosexual couples engaging in vaginal intercourse or cunnilingus while the total fixation duration on the genital area as well as their subjective and genital sexual arousal were recorded. As hypothesized, the clinical group fixated on the genital area less than women with typical sexual functioning. A longer total fixation duration on the genital area was followed by increases in subjective arousal and genital arousal. The relationship between attention and arousal was not moderated by sexual functioning group. This study provides first evidence of the role of sustained visual attention for facilitating sexual arousal in women with and without sexual dysfunction.

This study examined the prevalence and forms of sexual behavior in a sample of sexual minority women (SMW) with a history of experiencing discrimination. One hundred fifty ethnically diverse lesbian, bisexual, queer, and other non-heterosexual-identified cisgender women completed a national online survey. Rates of sexual behavior over the past 6 months were high, including having sex with someone who had had many sexual partners (40.7%), engaging in cunnilingus without protection (64%), and having sex under the influence of substances (56.7%). A canonical correlation found that heterosexist experiences and sexual behaviors had 20.7% overlapping variance. Experiences of heterosexism by individuals in service jobs, strangers, or those in helping professions were tied to engagement in more impulsive sexual behaviors. Multiple linear regressions found that heterosexism explained 19.3% of the variance in impulsive sexual behaviors, 8.6% in sex with uncommitted partners, and 8.8% in intent to engage in sexual behaviors. Despite the high rates of sexual behavior found in this study, a focus on sexual behaviors among SMW has largely been omitted from health research. Based on the current findings, interventions for addressing sexual behaviors in SMW as well as future research directions are discussed.

As is typical of the metaphorical nature of poetry, the Song of Songs describes sexual activities indirectly, without giving any explicit references. As a result, interpreters often hesitate to define the exact practices portrayed in any given verse. For example, both Song 2:16 and 6:3 describe the male lover as “he who grazes among the lotuses.” Many scholars read these verses as some type of sexual activity, but do not specifically define the action. Using comparative evidence from Egyptian and Sumerian love poetry, as well as contextual analysis of these verses within the Song as a whole, I argue that these verses depict a particular type of love-making, cunnilingus. According to my reading, Song 2:16 and 6:3 focus exclusively on the sexual pleasure of the two partners, disregarding other potential benefits of sexual intercourse, such as reproduction, giving us a rare glimpse into a particular sexual practice in ancient Israel.

Under the renowned transmission paradigm Ro= scD, the reproductive rate of an infection (Ro) may be ≥1.0 sufficient to sustain or raise prevalence in a defined population despite a short duration of infectivity (D), if transmission efficiency (s) or the rate of transmission events (c) is sufficiently high. s is substantial for urethral to pharyngeal transmission, and probably modest for pharynx to urethra. But is s for analingus for pharyngeal to rectal infection or rectal to pharyngeal sufficient to sustain prevalent infections at either anatomic site? Is s for kissing high enough to contribute substantially to pharyngeal gonorrhea? Overall, is s for pharyngeal gonococcal infection sufficient to account, directly or indirectly, for half or more of all gonorrhea in men who have sex with men (MSM)? This proposition flies in the face of a century of historical opinion and clinical observation, the anatomy of sex, and available data. As observed by Marcello Truzzi and famously popularized by Carl Sagan, extraordinary claims require extraordinary evidence, a standard not met by observations in a single clinic or metropolitan area or by mathematical models that may not account for confounding factors. While bidirectional transmission by fellatio is well documented and contributes to ongoing transmission in MSM, the transmission efficiency of gonorrhea by kissing, or by analingus for either rectal or pharyngeal infection (or by cunnilingus, in either direction) probably is insufficient to sustain prevalence. Indeed, if anal and vaginal sex magically disappeared as sexual practices, gonorrhea might disappear entirely in exclusively heterosexual men and women and would become uncommon in MSM, including those with high rates of partner change. Reject the proposition!

BACKGROUND. Rectal infection with Chlamydia trachomatis (CT) is frequent in women who deny receptive anal sex and is thought to arise from autoinoculation of the rectum from vaginal secretions. An alternate hypothesis is that oral sex inoculates and establishes gastrointestinal tract infection. Distinguishing these hypotheses is difficult in women. In men, autoinoculation is unlikely and heterosexual men frequently perform oral sex, but rarely participate in receptive anal exposure behaviors. METHODS. We enrolled high-risk men with and without nongonococcal urethritis (NGU) who presented to a sexually transmitted infection clinic in Indianapolis, Indiana. Urine and rectal swabs were collected and tested for urogenital and rectal CT, Neisseria gonorrhoeae (NG), and Mycoplasma genitalium (MG). Men completed surveys concerning symptoms, sexual orientation, and detailed recent and lifetime oral and anal sexual behaviors. RESULTS. Rectal CT was detected in 2/84 (2.4%) heterosexual men who reported cunnilingus, but no lifetime receptive anal behaviors. All of the men who denied receptive anal behaviors were negative for rectal NG and MG. In homosexual and bisexual men, rectal CT prevalence was high (9.7%) and rectal NG (4.8%) and MG (4.8%) were also detected. CONCLUSIONS. We detected rectal CT infections in heterosexual men who reported cunnilingus but denied receptive anal behaviors. Oral sex may be a risk factor for rectal CT infection via oral inoculation of the gastrointestinal tract. SUMMARY. We observed a low incidence of rectal C. trachomatis infection in heterosexual men.

Humans perform copulatory behaviors that do not contribute directly to reproduction (e.g., cunnilingus, prolonged copulation). We conducted a content analysis of pornography to investigate whether such behaviors might contribute indirectly to reproduction by influencing ejaculate volume—an indicator of ejaculate quality. We coded 100 professional pornography scenes depicting the same male actor copulating with 100 different females, affording control for between-male differences in estimated ejaculate volume. Coders visually estimated ejaculate volume and recorded the time the actor spent engaged in cunnilingus, penile-vaginal penetration, and in any physical contact with his partner. We found support for the hypothesis that a man who spends more time performing cunnilingus produces an ejaculate with greater estimated volume, even after controlling statistically for the age and attractiveness of the actress, and time spent in physical contact with his partner. Additionally, we tested the ejaculate adjustment hypothesis for prolonged copulation and found no support. Prolonged copulation does not facilitate production of an ejaculate with greater estimated volume, even after controlling statistically for time spent in physical contact with a partner. This research is the first to use content analysis to document that pre-ejaculatory copulatory behavior predicts estimated ejaculate volume and also is the first to document a relationship between the time spent performing cunnilingus and ejaculate quality.

OBJETIVO: Precisar el comportamiento de la gestante respecto a las relaciones sexuales. DISEÑO: Estudio prospectivo en 260 puérperas inmediatas atendidas en el Departamento de GinecoObstetricia del Hospital Regional de Loreto, mediante una encuesta aplicada por dos internas de obstetricia capacitadas previamente. RESULTADOS: EL 7,3% era menor de 15 años, 27,3% tuvo entre 15 y 19 años, el 57,3% entre 20 y 35 años y el 8,1% era mayor de 35 años. El 54% era multípara y el 46% primípara. El 92,4% inició sus relaciones sexuales antes de los 20 años. El 59,6% tuvo más de 2 relaciones al mes durante la primera mitad del embarazo y sólo el 34,6% durante la segunda mitad. El 87,3% disminuyó su frecuencia de relaciones sexuales respecto a su etapa pregravídica y el 70% presentó disminución de la líbido; 17,7% tenía miedo de dañar al feto con las relaciones sexuales. En la segunda mitad del embarazo el 41% prefirió la posición de costado y el 12,7% practicó el felatio y el cunni lingus. El 41,2% contestó que su orgasmo había disminuido. El 24,6% reconoció que se masturbaba durante la gestación. El 11,5% tuvo su última relación sexual dentro de la semana antes del parto y el 17,7% dentro del mes antes del mismo. CONCLUSIONES: Durante el embarazo disminuyen la libido, la frecuencia de relaciones sexuales y el orgasmo. También existen cambios de posición en la segunda mitad de la gestación. Se recomienda proporcionar información a la gestante sobre las relaciones sexuales durante la gestación.

Oral sex is commonly practiced by sexually active couples of various age groups, including male-female and same-gender adolescents. The various type of oral sex practices are fellatio, cunnilingus, and analingus. Oral sex can transmit oral, respiratory, and genital infections from one site in body to the other. Oral health has a direct correlation on the transmission of infection; a cut in the mouth, bleeding gums, lip sores or broken skin increases chances of life-threatening infections. Although oral sex is considered a low risk activity, it is important to use protection such as physical barriers, health and medical issues, ethical issues, and oral hygiene and dental issues. The ulcerations or unhealthy periodontium in mouth accelerates the phenomenon of transmission of infections into the circulation. Thus, consequences of unhealthy or painful oral cavity are significant and oral health should be given paramount importance for the practice of oral sex.

Sexual medicine experts and sexologists must spread certainties on the biological basis of the female orgasm to all women, not hypotheses or personal opinions. Therefore, they must use scientific anatomical terminology. The anatomy of the clitoris and the female orgasm are described in textbooks, but some researchers have proposed a new anatomical terminology for the sexual response in women. The internal/inner clitoris does not exist: the entire clitoris is an external organ. The clitoris is not composed of two arcs but of the glans, body, and crura or roots. "Clitoral bulbs" is an incorrect term from an embryological and anatomical viewpoint: the correct term is "vestibular bulbs." The bulbocavernosus muscles are implicated in inferior vaginismus, while the pubovaginal muscle is responsible for superior vaginismus. The clitoral or clitoris-urethro-vaginal complex has no embryological, anatomical and physiological support: the vagina has no anatomical relationship with the clitoris, and the clitoris is a perineal organ while the supposed G-spot is in the pelvic urethra. G-spot/vaginal/clitoral orgasm, vaginally activated orgasm, and clitorally activated orgasm, are incorrect terms: like "male orgasm," "female orgasm" is the correct term. The "vaginal" orgasm that some women report is always caused by the surrounding erectile organs (triggers of female orgasm). The male penis cannot come in contact with the venous plexus of Kobelt or with the clitoris during vaginal intercourse. Also, female ejaculation, premature ejaculation, persistent genital arousal disorder (PGAD), periurethral glans, vaginal-cervical genitosensory component of the vagus nerve, and G-spot amplification, are terms without scientific basis. Female sexual satisfaction is based on orgasm and resolution: in all women, orgasm is always possible if the female erectile organs, i.e. the female penis, are effectively stimulated during masturbation, cunnilingus, partner masturbation, or during vaginal/anal intercourse if the clitoris is simply stimulated with a finger. Clin. Anat. 28:293-304, 2015. © 2014 Wiley Periodicals, Inc.

DEFINITIONS: The term Bacterial Vaginosis is used to describe the condition of a patient complaining of fishy odor, sticky mucopurulent discharge from vagina adherent to vulva and secretions staining the fomites. The patient is frustrated and not getting a cure for so many a months from the medical practitioners. Finally women who attend to sexually transmitted disease clinic to get a complete cure. The patients prone to get Bacterial vaginosis: (1) Couple using Condom lubricated with Nanoxynol-9 a spermicidal, bactericidal destroys the Doderline bacilli (H2 O2 producing lactobacilli) a commensal in the vagina which maintain the acid pH in the vagina to prevent bacterial vaginosis an ascending retrograde infection from perineum and anus. (2) perverted sex activities like cunnilingus and both homo and hetero sexual active couple acquire to get bacterial vaginosis. (3) Saline douching of the vagina alters the pH as alkaline and facilitates bacterial vaginosis. (4) Tampooing or napkins kept for long duration without knowing the consequences of menstrual bleeding as a culture media for bacterial vaginosis to occur as a retrograde infection.

Objective: In the medical literature, there is little known about vaginal wind, though from clinical expertise, it turns out to be a consistent and underreported problem. The aim of this review was to collect the available literature about the different aspects of vaginal wind. Study design: A systematic literature search was conducted using three databases until December 2015. The search strategy was built using relevant synonyms of vaginal wind. Study characteristics were extracted. Risk of bias, the quality of the relevant studies and the level of evidence was judged. Results: Eleven studies met the inclusion criteria. Vaginal wind occurs on random movements and during or after coitus. The prevalence ranges from one to 69%. The pathophysiology is unclear and the incidence unknown. Known risk factors are vaginal delivery and urinary incontinence. Provoking factors are coitus, digital stimulation, cunnilingus and exercising. Female sexual function is decreased. The sexual function of male partners with vaginal wind is not influenced. Overall vaginal wind leads to a decrease in the quality of live and can have cause social isolation. The treatment is related to the cause and mainly not successful. Tampons can be used for treatment as well as prevention. Conclusion: Vaginal wind is an underestimated health issue with a severe impact on sexual functioning. Adequate research is needed regarding the influence of sexual activity, weight, age, parity, the underlying pathophysiological mechanisms, prevention and treatment. (C) 2017 Elsevier B.V. All rights reserved.

Head neck squamous cell carcinomas (HNSCCs) are a significant cause of morbidity and mortality all around the world. Just like tobacco and alcohol, Human papilloma virus (HPV) infection is now recognized to play a role in the pathogenesis of a subset of HNSCCs. Unprotected sexual behaviours with the HPV carrier plays an important role in transmission of this virus. The global incidence of head and neck cancers is declining, but the incidence of HPV related head and neck cancers is rapidly increasing over the last few decades. However, most institutions do not mandate documentation of sexual history or counselling of patients regarding sexual practices like they do for tobacco and alcohol addictions in HNSCC patients. The aim of this review of literature is to analyse if there is a strong evidence to correlate oral sex with HPV related HNSCC and counsel the patient’s regarding sexual behaviours.

Using in-depth interviews with 43 college women who were, on average, 21 years old (SD = 0.79), the authors explored women's attitudes toward and experiences of cunnilingus. The authors found that cunnilingus posed interactional challenges for women, but that these varied by relationship context. Drawing on scripting theory, the authors argue that the sexual scripts available to contemporary American college students assume cunnilingus in relationships, but not in hookups, where the incorporation of the practice is more contested. For individual women, tension emerged when their preferences for cunnilingus contradicted the sexual script of the relationship context. Women who desired cunnilingus in hookups had to be assertive to get it, whereas those who did not want cunnilingus in hookups were relieved that it was not expected. The taken-for-granted nature of cunnilingus in relationships was a source of pleasure for women who enjoyed it and of difficulty for women who wished to avoid it. In relationships, some women's reluctance about cunnilingus was transformed by men's enthusiasm. More generally, this study implies that ambiguity in sexual scripts may heighten the interactional challenges of sex by creating uncertainty about expectations and gaps between sexual scripts and individual preferences.

One of the most iconic concurrences between porn and hip-hop culture is the song How Many Licks?, performed by Lil’ Kim in 2000 and focused on the practice of cunnilingus by men. The single appeare...

Recent studies indicate that cunnilingus may be as prevalent as fellatio among American adolescents. Despite this approximate equivalence in rates, there is an imbalance in the amount and type of attention paid to fellatio and cunnilingus. Furthermore, there has been little empirical examination of young women's experiences and perceptions of cunnilingus during adolescence. Two studies in response to this gap in knowledge were conducted. In Study 1, regression analyses indicated that a young woman's sexual assertiveness was linked to having more lifetime cunnilingus partners, as well as more cunnilingus experiences in the past three months. Study 2 explored young women's perceptions of cunnilingus and their speculations about their male partners' perceptions thereof. Linear mixed modeling revealed that participants had highly favorable impressions of cunnilingus, which they believed their male partners shared. These findings are considered in terms of positive adolescent sexual development and cultural norms regarding female sexuality.

As illustrated by the case reported here, pre-arousal aversive clitoral sensitivity (PACS) is characterized by a sensation that is too strong to be pleasant prior to physiological sexual arousal but that becomes intensely pleasurable after sexual arousal is achieved. Using a self-administered computerized questionnaire, participants with PACS (18.5% of the 763 participants) turned in scores that were significantly more problematic on sexual satisfaction, sexual communication, depression and 5-item PACS scales than the majority of participants. Those with PACS were more likely to avoid sex, less likely to reach orgasm with their partners and less likely to have ever reached orgasm in response to manual stimulation of their genitals or cunnilingus. This is the first case report and the first research report on PACS. More research will be required to determine: (1) incidence and etiology of PACS, (2) whether to classify PACS as an abnormality or a variant of normal and (3) the most effective ways to help tho...

Introduction Although women's total removal of their pubic hair has been described as a “new norm,” little is known about the pubic hair removal patterns of sexually active women in the United States. Aims The purpose of this study was to assess pubic hair removal behavior among women in the United States and to examine the extent to which pubic hair removal methods are related to demographic, relational, and sexual characteristics, including female sexual function. Methods A total of 2,451 women ages 18 to 68 years completed a cross-sectional Internet-based survey. Main Outcome Measures Demographic items (e.g., age, education, sexual relationship status, sexual orientation), cunnilingus in the past 4 weeks, having looked closely at or examined their genitals in the past 4 weeks, extent and method of pubic hair removal over the past 4 weeks, the Female Genital Self-Image Scale (FGSIS) and the Female Sexual Function Index (FSFI). Results Women reported a diverse range of pubic hair-grooming practices. Women's total removal of their pubic hair was associated with younger age, sexual orientation, sexual relationship status, having received cunnilingus in the past 4 weeks, and higher scores on the FGSIS and FSFI (with the exception of the orgasm subscale). Conclusion Findings suggest that pubic hair styles are diverse and that it is more common than not for women to have at least some pubic hair on their genitals. In addition, total pubic hair removal was associated with younger age, being partnered (rather than single or married), having looked closely at one's own genitals in the previous month, cunnilingus in the past month, and more positive genital self-image and sexual function. Herbenick D, Schick V, Reece M, Sanders S, and Fortenberry JD. Pubic hair removal among women in the United States: Prevalence, methods and characteristics.

Introduction Women's sexual function may be influenced by various factors including medical conditions, trauma or abuse, medications, relationship dynamics, relaxation, mood, and body image. However, few studies have explored the influence of a woman's genital self-image on her sexual function or behaviors. Aims The purpose of this study was to establish a reliable and valid measure of female genital self-image, the Female Genital Self-Image Scale (FGSIS), and to assess the relationship between scores on the FGSIS and women's sexual function. Methods The FGSIS was developed in two stages. Phase One involved an analysis of cross-sectional paper-based survey data and a review of the literature. Phase Two involved a cross-sectional internet-based administration of the scale items to a total of 1,937 women. Main Outcome Measures Psychometric properties of the scale were evaluated through the use of reliability analysis, factor analysis, and score differences based on women's experience of orgasm from receiving cunnilingus or from self-masturbation with a vibrator. Correlation analysis was used to explore the relationship between female genital self-image and scores on the Female Sexual Function Index (FSFI). Results The scale was found to have sufficient reliability (Cronbach's alpha = 0.88) and one factor that explained 59.23% of the variance. Women who had ever experienced orgasm as a result of cunnilingus or self-masturbation with a vibrator and women who reported having had a gynecological exam in the previous 12 months had significantly higher FGSIS scores than those who had not ( P P Conclusion The FGSIS was initially found to be a reliable and valid measure though further research is needed to understand its properties in diverse populations. In addition, female genital self-image was found to be positively related to women's sexual function. Herbenick D, and Reece M. Development and validation of the female genital self image scale.

Oral sex is commonly practiced by sexually active male-female and same-gender couples of various ages, including adolescents. The various type of oral sex practices are fellatio, cunnilingus and analingus. Oral sex is infrequently examined in research on adolescents; oral sex can transmit oral, respiratory, and genital pathogens. Oral health has a direct impact on the transmission of infection; a cut in your mouth, bleeding gums, lip sores or broken skin increases chances of infection. Although oral sex is considered a low risk activity, it is important to use protection and safer sex precautions. There are various methods of preventing infection during oral sex such as physical barriers, health and medical issues, ethical issues and oral hygiene and dental issues. The lesions or unhealthy periodontal status of oral cavity accelerates the phenomenon of transmission of infections into the circulation. Thus consequences of unhealthy or painful oral cavity are significant and oral health should be given paramount importance for the practice of oral sex.

Studies of adolescent female sexuality often focus on coitus to the exclusion of noncoital behaviors, the relational context of sexual interactions, and adolescent women's subjective perceptions of their experiences. In this study, 38 undergraduate women's retrospective accounts of their adolescent heterosexual experiences were examined. Generalized estimating equation models were used to test the relation of diverse heterosexual behaviors and relationship types to participants' subjective perceptions of desire, wanting, and pleasure. Of the sexual behaviors, coitus was the strongest predictor of participants' subjective perceptions. Compared to coitus, erotic touching, manual stimulation, and fellatio were significantly less predictive; there were no differences between coitus and cunnilingus or coitus and kissing. Of the relationships (serious, dating, "friends with benefits" [FWBs], and "hookups"), FWBs was the strongest predictor of participants' desire, wanting, and pleasure; in comparison, hookups were significantly less predictive. These findings offer insight into the sexual behaviors and preferences of young women, as well as distinctions between types of non-romantic sexual relationships.

Introduction Most pharmacological treatments that are currently being developed for women with sexual arousal disorder are aimed at remedying a vasculogenic deficit. Aim This study investigated whether pre- and postmenopausal women with sexual arousal disorder are less genitally responsive to visual sexual stimuli than pre- and postmenopausal women without sexual problems. Method Twenty-nine medically healthy women with sexual arousal disorder (15 premenopausal and 14 postmenopausal), diagnosed using the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) criteria, and 30 age-matched women without sexual problems (16 premenopausal and 14 postmenopausal) were shown sexual stimuli depicting cunnilingus and intercourse. Main Outcome Measure Genital arousal was assessed as vaginal pulse amplitude (VPA) using vaginal photoplethysmography. Results Results showed no significant differences between the two groups in mean and maximum VPA, nor in latency of VPA response. Conclusion Women with sexual arousal disorder diagnosed according to DSM-IV criteria were not less genitally responsive to visual sexual stimuli than women without such problems. These findings are in line with previous studies. The sexual problems these women report are clearly not related to their potential to become genitally aroused. We argue that the DSM-IV criteria for sexual arousal disorder are in need of revision. In medically healthy women, impaired genital responsiveness is not a valid diagnostic criterion. Laan E, van Driel EM, and van Lunsen RHW. Genital responsiveness in healthy women with and without sexual arousal disorder.

Bartula and Sherman stated ‘‘This study determined the reliability, validity, and acceptability of a breast cancerspecific adaptation of the Female Sexual Function Index’’ [1]. Female sexual dysfunction (FSD) can be classified as sexual interest/arousal disorder (diminished libido and difficulty to become aroused or maintain arousal during sexual activity), orgasmic disorder (persistent or recurrent difficulty in achieving orgasm after sufficient sexual arousal and ongoing stimulation), sexual pain/penetration disorder. If a woman has an orgasm through clitoral stimulation, but not during intercourse, it does not meet the criteria for a clinical diagnosis of female orgasmic disorder, and if the orgasmic difficulties are the result of an inadequate sexual stimulation, these cases should not be diagnosed as a disorder of female orgasm. Questionnaires are used for the prevalence, etiology, diagnosis, and treatment of FSD. The female sexual function index (FSFI) questionnaire is the most widely used measures of FSD (including postmenopausal women) cited in more than 1500 articles. However, FSFI has potential measurement and psychometric flaws that have not been addressed in the literature [2]. FSFI is a 19-item questionnaire with six separate domains of female sexual function, namely desire (items 1 and 2), arousal (3–6), lubrication (7–10), orgasm (11–13), satisfaction (14–16), and pain (17–19). Items 1 and 2 (desire), 6 (arousal: satisfaction), 13 (orgasm: satisfaction), and 14–16 (satisfaction) physiologically do not assess female sexual function. These items are mainly psychological, while items 17–19 measure pain level during or following vaginal penetration. In the questions of the items 3–5 (arousal), 7–10 (lubrication), and 11–13 (orgasm) the word ‘‘intercourse’’ appears. Many questions seem to assess the degree of lubrication and ease of penetration, while little attention is given to clitoral sensation. ‘‘We encourage clinicians and researchers to think critically about whether the FSFI and IIEF are appropriate measures for their practice and research’’ [2]. FSFI questionnaire really to assess the female sexual function? As matter of fact the vagina is mainly a reproductive organ with little sensitivity, the vaginal orgasm is not corroborated by anatomical evidences. The female orgasm is caused by female erectile organs, including the clitoris (glans, body, crura, or roots), vestibular bulbs with the pars intermedia (i.e., female corpus spongiosum), and labia minora. Effective sexual stimulation allows orgasm and multiple orgasms in women. Clitoral stimulation is essential for women to achieve orgasm. The female orgasm is possible to achieve with an effective sexual stimulation by all women if the female erectile organs are effectively stimulated during masturbation, cunnilingus, partner masturbation, or during vaginal intercourse if the clitoris is simply stimulated with a finger. The clitoral sexual response is not affected by aging and for this reason women have the physical capability of being orgasmic at all ages. Gynecologists and sexologists should define having sex the situation in which the orgasm happens in both partners with or without a vaginal intercourse: definition for all human beings [3]. FSFI does not assess female sexual function, but primarily assesses vaginal intercourse. In fact, the decline of desire, decreased interest in sex and reduced ability to & Vincenzo Puppo dottvincenzopuppo@yahoo.it

Coitus and cunnilingus during pregnancy are generally safe; whereas orogenital sex involving vaginal air insufflations can be very dangerous, causing even the death of the women. We carried out a search of case reports and reviews concerning air embolism during pregnancy due to orogenital sex. Physicians consultations must cover all the rules of safe sexual behavior, including avoidance of vaginal air insufflations in the third trimester.Keywords: Air embolism, cunnilingus, orogenital sex, pregnancy

Context: The development of UK national targets to reduce the transmission of HIV and other STDs has focused health promotion efforts on advocating the use of condoms during penetrative vaginal and anal sex. However, other behaviors that can facilitate STD transmission—such as oral sex and, in particular, fellatio—have received limited attention. Methods: Between 2003 and 2005, a sample of 1,373 full- and part-time students, primarily aged 16–18, completed questionnaires about their knowledge, attitudes and experiences related to sexual behavior and health. Chi-square tests were used to assess differences by sexual experience and gender. Supplementary data were obtained from sexual event diaries completed by 108 young people. Results: Fifty-six percent of survey respondents had experienced fellatio or cunnilingus, including 22% of those who had not yet engaged in penetrative intercourse. Of young people who had had vaginal intercourse, 70% had previously had oral sex. Among those who had experienced fellatio once, 17% had used a condom, but only 2% of respondents who had engaged in fellatio more than once reported consistent use. Reduced pleasure and lack of motivation, desire and forethought were reasons given for not using condoms during fellatio; hygiene, avoidance of the dilemma of whether to spit or swallow ejaculate, and taste were commonly cited as triggers for use. Conclusion: Greater efforts are needed to publicize the risk of exposure to STDs that many young people face because of unprotected noncoital sexual activities before, as well as after, they enter into relationships involving intercourse.