Having Orgasms Video Woman [REPACK]
The all-girl EDM band, ADAM, had a simple idea for the music video to their latest single, "Go to Go." The camera focuses on a stagnant shot of these women singing while they are inconspicuously mounted on an intense vibrator. The women slowly transform from composed musicians to hot and bothered women who have a difficult time concentrating on the lyrics. It's impossible to watch this video and not smile with these women who quickly begin to break down and giggle as the song, and their orgasms, build toward climax. Watch the full video below.
having orgasms video woman
The frequency fluctuated from several times weekly to every 6 months, without an identified trigger. The duration varied from 30 seconds to a few minutes. No dream mentation with sexual connotation was reported. These events were associated with clear recollection. She denied having any auras, stereoty-pies, automatisms, tongue biting, pain, loss of bladder control, falling out of bed, or injuries associated with the sleep-related orgasms. The patient denied masturbating at night or engaging in any provocative activities, such as watching programs with sexual content on television or electronic media. The occur-rence of presleep intercourse did not have any effect on the frequency of sleep-related orgasms.
In the past, she had brought up this problem with her gynecologist, but was chastised that the orgasms must be related to intentional masturbation. This unsympathetic medical response led to a profound sense of guilt and added further strain to a marriage already in discord. She felt that the sleep orgasms were probably a sign of marital discontent, which led to remorse. She did not share this formulation with her husband as she feared a rebuke from him. The rift with her spouse widened, ultimately leading to divorce.
Medical history included Sjögren syndrome, arthritic low back pain, hypothyroidism, and anxiety and bipolar disorders. Bipolar symptoms were fairly stable with the use of antipsychotic agents. The sleep-related orgasms were not associated with any shifts in mood state (hypomanic or depressive cycles). Medications included oxycontin 20 mg daily, roxicodone 10 mg every 4 hours, lurasidone 20 mg daily, venlafaxine 225 mg daily, amitriptyline 75 mg at night, and clonazepam (0.5 mg nightly, at the time of evaluation and video polysomnography [PSG]). Physical examination revealed a neck circumference of 15 inches, and crowded oropharynx with Freidman stage IV. Overbite and overjet were also noted. The tongue was large with dental indentation. Oropharyngeal diameter was narrow in lateral dimensions. Neurological examination did not reveal any abnormal findings with cranial nerves, motor or sensory system, or coordination. Brain magnetic resonance imaging (MRI) did not reveal any intracranial pathology. Prolonged video electroencephalogram (EEG) monitoring captured an episode of non-rhythmic shaking movements of the right leg of variable amplitude and frequency, during which she could still respond to extrinsic stimuli. No ictal or inter-ictal EEG discharges correlating with the event were recorded.
Since an increase in the frequency of sleep-related orgasmic episodes correlated with a decrease in the clonazepam dose, it was increased back to 1.5 mg at bedtime. In an attempt to characterize the presumed hypnic jerks, and also to assess if there might be a component of sleep-disordered breathing that could be aggravating the frequency of sleep-related orgasms, as has been found in other NREM parsomnias,6 a video PSG with extended EEG montage was performed that revealed severe central sleep apnea with apnea-hypopnea index of 130 events/h that was attributed to narcotic use, as other causes of central sleep apnea, such as congestive heart failure, stroke, and intracranial pathology, were ruled out based on history, physical examination, and testing including echocardiogram and MRI. The patient did not exhibit any abnormal behavior, including rhythmic or nonrhythmic movements in the awake or sleep state. A brief episode of incomprehensible vocalization out of stage N2 sleep was noted. Sleep latency was normal. There were 27 arousals on the diagnostic portion of the study, with an hourly arousal index of 9.8 events/h. Sleep efficiency was 87.3%; 3.6% of total sleep time was spent in stage N1 sleep, 96.4% in stage N2 sleep, 0% in stage N3 sleep, and 0% in stage R sleep. Excessive spindle activity was also noted. Periodic limb movement index was zero events/h. EEG did not reveal any epileptiform activity. Successful titration of positive airway pressure could not be achieved due to limited time for multiple therapeutic trials including continuous positive airway pressure, bilevel device, and auto servoventilation in a single-night study.
At later follow-up, the patient related that increasing the clonazepam dose to the prior strength of 1.5 mg at bedtime greatly lessened the frequency of both the sleep-related orgasms and hypnic jerks. She was disinclined to repeat a titration PSG. Therefore, it was suggested to discuss a reduction of narcotic medication with her pain specialist, if possible, followed by reassessment of the central sleep apnea with a repeat PSG.
It is noteworthy that these 3 cases of sleep orgasms in females presented with the same sleep sexual complaint to 4 different types of non-sleep clinics: psychiatry, menopause, gynecology, and neurology clinics. This underscores the importance of increasing awareness of the existence of sexsomnia, and its range of manifestations, in the sleep medicine field and across medical disciplines, to facilitate appropriate triage and early management, especially because sexsomnia in all its manifestations is usually treatable.
A medical dilemma posed by our case concerns the concurrent use of narcotics and a benzodiazepine, which is important to consider because it can increase the risk of sleep-disordered breathing. In our case, the patient exhibited central sleep apnea as a result of oxycontin use and did not show an obstructive component. Consequently, the patient and her pain specialist were urged to discuss a plan for reducing the dose of oxycontin, as guided by clinical prudence. Also, it is noteworthy that onset of sleep-related orgasms predated the initiation of narcotics for pain management. No change in frequency of nocturnal episodes was noted as a result of any narcotic dose adjustment.
Although it is possible that the sleep orgasms were another manifestation of (light) sleep-wake transitional phenomena, together with EHS and hypnic jerks, it may be more likely that the sleep orgasms were disordered arousal phenomena from deep NREM sleep (stage N3 sleep), since the only 2 previously documented cases of sexsomnia by video PSG, involving sleep masturbation, emerged from stage N3 sleep in a 60-year-old woman7 and from stage N3 sleep and stage N2 sleep in a 20-year-old man.8 Also sleep-related abnormal sexual behaviors are classified as a variant of a disorder of arousal from deep NREM sleep in the ICSD-3,1 primarily because most reported cases of sexsomnia have involved complex histories of slow wave sleep NREM parasomnias. It is notable, however, that all 3 sleep-related phenomena in our patient involved sudden, strong experiential events: spontaneous orgasms, EHS, and hypnic jerks.
A relevant clinical problem exemplified by our case is the delay from onset of problematic sleep orgasms to presentation, diagnosis, and therapy. Patients usually feel embarrassed and discredited, and are hesitant in sharing personal and potentially self-incriminating information. Physician reception and handling of this underrecognized sensitive complaint shapes the patient's behavior in seeking future medical attention, as evidenced by the patient's reluctance and timidity after the rebuke she received from her gynecologist. It is important to highlight that in our case, the nonjudgmental evaluation of her complaint by a female physician helped build trust and a therapeutic relationship that allowed her to fully share her historical account that ultimately resulted in a proper diagnosis and effective therapy.
Sexual problems often develop when your hormones are in flux, such as after having a baby or during menopause. Major illness, such as cancer, diabetes, or heart and blood vessel (cardiovascular) disease, can also contribute to sexual dysfunction.
Roseanne, who continually put on and took off her dark brown wraparound sunglasses, stretched Boteach's point that porn spoils sex further than the rabbi ever imagined, saying: "When American men watch pornography that's what they think they're supposed to do. That's why no one gets laid or, when they do, women don't have orgasms. This is why men can't fuck their way out of a paper bag."
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