Professional Article

By: Dr. Ana Lúcia Nogueira | Gynecologist

Professor | President of SPGERF - Portuguese Society of Gynecology
Functional Regenerative Aesthetics

Sabeanas Clinic

At the beginning of my practice as a Gynecologist, I had a patient who told me that she had never had an orgasm and that she didn't know what it was. After hearing my explanation, she retorted:

'Just that?'

I thought maybe I just didn't know what it was.

At this point in my practice, one day at the hairdresser's near my first office, the women were very excited in their conversation about orgasms, according to them the technique to achieve them (taught by the gynecologist who was me), but they didn't know so they stretched themselves, it worked very well.

So the technique they were practicing was opening and closing their hands during sexual intercourse.

After thinking about it, I came to the conclusion that when I taught Kegel exercises to tighten and relax the pelvic floor muscles, I used to demonstrate by opening and closing my hands.

As I explained that it would be better for pleasure to do this exercise with the pelvic floor muscles, which the partner would appreciate, through word of mouth (whoever tells a story adds a point) they had already internalized this clenching and unclenching of the hands as a fantastic technique, in fact it worked, because, instead of having their minds lost in a variety of thoughts, they were focused on opening and closing their hands.

Physiological Responses: During orgasm, there are rhythmic contractions of the pelvic muscles, increased heart rate, and release of endorphins and slight release of fluids.

Multiple Orgasms: Unlike men, who usually need a recovery period (refractory period), many women can have multiple orgasms in a row.

Routes of Stimulation: Orgasm can be achieved through clitoral stimulation, vaginal penetration (although less common), G-spot stimulation, and other forms of touch or mental arousal.

Psychological Aspect: Desire, relaxation and emotional security are fundamental factors in facilitating orgasm. Anxiety, stress or worries can make it difficult.

The average time for a woman to reach orgasm is 8 minutes.

When a woman can easily achieve vaginal orgasm, preferably simultaneously with her partner, it is easier to have a deeper connection, even on a spiritual level.

If there is a decrease in connective tissue in the anterior wall of the vagina, the root of the clitoris, which is inserted into this wall approximately at the transition from the outer third to the middle third, called the G-spot, becomes very loose and the woman has to look for the best position to achieve orgasm.

The assessment of the quality of the connective tissue in the anterior wall of the vagina is assessed by a vaginal exam.

There is a way to make the G-spot tighter and more easily stimulated with hyaluronic acid infiltration, for example, which disappears completely after 6 months.

Or with a fractional CO2 Laser that stimulates the growth of fibroblasts and neovascularization, with thickening of the anterior wall of the vagina, tightening the G-spot and making it more easily stimulable.

Fibroblasts are cells that themselves produce intrinsic collagen and hyaluronic acid.

Through multiple studies on animals and with women carrying out numerous vaginal biopsies, it was proven that with one session per month, at the end of 3 sessions the vagina could have increased its thickness by 3-4 cm.

This effect is self-regulated and completely ends cell division at the end of 6 months.

Since this increase in connective tissue is achieved by the woman's own body and not by any external infiltration, the result achieved is maintained for life. Some maintenance sessions may be necessary over the years, but the gains made are never lost.