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Case Title:    why her clitoral stimulation causes only clitoral pulsing without sexual orgasm - on the brain-clitoris connection and the brain's release of oxytocin and endophins.
Reader: 1/09/2003> 

I reall need your help. I masturbate using a 4 1/2" clitoral stimulator. I use it for a little while, but then I start to feel weird...although it's a nice feeling....it feels sensual. I keep the vibrator on my clit, but then the sensuality get so intense that I can't take it anymore so I have to stop. I can feel my clitoris moving slightly in and out, like it's pulsing. What causes this? and how come I can't orgasm?

Dr. Lin: 01/10/2003>The over-stimulation of the clitoris will cause the involutary contraction of the clitoral shaft without triggering the pituitary glands to release the orgasmic hormone Oxytocin and the front brain (pleasure/reward center) and pituray glands to release the feeling good hormone endophins. Without oxytocin, the pulsing of the clitoris is only a local reflexion of L1-clitoris circuit. Oxytocin can cause the large-scale outer-vaginal and clitoral contraction for clitoral orgasm. If you want to trigger the clitoral orgasm, you have to erect your clitoris first via the parasympathetic S2-S4 nerves. A full erection of the clitoris will relay the sensory nervous signals back to the brain where the autonomic nervous controller switches the nervous function from the parasympathetic to sympathetic and at the same time trigger the release of oxytocin and endophins if there is sufficient testosterone and dopamine nervous action on the pituitary glands. In this regard, dopamine is converted to adrenaline and the sympathetic nerves from T10 to L2 (clitoral stimulation only triggers the clitoral/pubic sub-surface's L1 and L2)  will fire up the orgasmic contraction in the contractile fibers of the clitoris, vagina, labia, pelvic floor muscles and even inside the pelvic acvity and the uterus. Note that the clitoral orgasmic contraction is limited in the outer part of the vagina, from the clitoris/labia to the first 2-3 inch of the vagina, but never reaches the deep pelvic cavity and uterus.
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