Dr. Ruth K. Westheimer

Sex For Dummies


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any less clean than its male counterpart. But, if you still feel uncomfortable about this region, you have an easy solution.

      

If you want to be absolutely sure that both your genitals and your partner’s are squeaky clean, make a sexy sponge bath of both organs a normal part of your sexual routine. After all, nobody ever died from being too clean.

      

Urinary tract infections are fairly common in women, and one reason for this is that bacteria can be pushed inside the urethra during intercourse. Always keep this area clean, being very careful to wipe yourself front to back after going to the bathroom, not the other way around. Using douches and feminine sprays to keep your vagina clean isn’t recommended because they can upset the natural balance of bacteria found in the vagina and lead to yeast infections or bacterial vaginosis. However, urinating after intercourse to empty the bladder of any bacteria that may have been introduced may help a woman avoid urinary tract infections.

      The hymen: Symbol of virginity

      The hymen is the membrane that covers the entrance to the vagina. When intact, the hymen was once considered the traditional proof of a woman’s virginity. Her status as a virgin was verified by the bleeding that often occurs when the hymen is first penetrated (see Chapter 10).

      In some cultures, the mother of the bride would actually display the bloody sheets after the wedding night to show how pure her daughter had been before her marriage. And if by some chance the daughter had been slightly impure, some chicken’s blood would do — especially because DNA testing hadn’t been invented yet.

      The vagina: The main thoroughfare

      What makes women different from men is that much of our sexual apparatus is on the inside — most notably, the vagina. The vagina itself is a hollow, muscular tube that extends from the external opening at the vestibule all the way to the cervix, which is the entrance to the uterus. (The cervix and uterus have their own sections in this chapter.)

      An adult woman’s vagina is about 3 to 4 inches long and extremely flexible. During intercourse, the vagina stretches to accommodate the penis. When a woman gives birth, the vagina stretches even more, becoming part of the birth canal through which the baby passes on its way into the world. When a vagina has nothing in it, it collapses like an empty balloon.

      

The vagina doesn’t go straight back, but usually angles upward. (Some women have a tipped vagina, which angles downward, but this condition is rare.) Some women, not aware of the angle, have a difficult time inserting a tampon because they think it should be pushed straight back rather than at an angle that matches the vagina’s.

      Supporting the structure

Diagram of the parts near the vaginal area depicting how lubricating fluids and an enveloping fullness come from the vaginal walls to enhance sexual pleasure.

      Illustration by Kathryn Born

      FIGURE 3-3: Lubricating fluids and an enveloping fullness come from the vaginal walls to enhance sexual pleasure.

      Beneath the vagina, on the pelvic floor, are other muscles that are responsible for keeping the vagina elevated, tight, and firm. Women can do Kegel exercises, which I talk about in Chapter 12, to help tone these muscles.

      Lubricating the vagina

      During sexual excitement, a woman experiences several physical changes:

       The vaginal lips and clitoris swell.

       The nipples on her breasts become erect.

       The vaginal walls fill with blood in a process called vasocongestion, which is similar to the way blood flows into the penis during erection.

      The vagina becomes lubricated, or slippery, by the passage of fluids through the vaginal walls. This lubrication isn’t manufactured by a gland, but occurs when fluid filters into the vagina from blood vessels surrounding it. The vasocongestion causes increased pressure that, in turn, causes the fluid within the blood serum to be pushed through the tissues of the vaginal wall.

      In most mammals, the female doesn’t provide any lubrication; instead, the male secretes the lubricant, similar to what the Cowper’s gland in human males produces, but in much greater quantities. Researchers have noted that, when males of certain species, such as horses, get aroused, a steady stream of this fluid flows out of the penis.

      Changes through your life

      The vagina goes through several changes in a woman’s life.

       Before puberty, the vaginal walls are thinner and the vaginal tube is smaller, which is one reason that so much damage can be done to a young girl who is sexually abused.

       During puberty, the vagina grows, and hormones cause other changes to take place. The vagina becomes elevated, firm, and erect when a woman becomes sexually aroused.

       After menopause (which I explain very soon, so be patient), a woman’s hormonal levels go down, and the vaginal tissue becomes more fragile and less elastic. A woman’s natural lubrication also declines at this time. Luckily, you have ways to treat all these problems so that they don’t affect good sexual functioning.

      At your cervix

      At the top of the vagina is the cervix, which is the entrance to the uterus. The cervix is actually the lower portion of the uterus, and it protrudes approximately one-third of an inch into the vagina. The cervix produces a special mucus that changes according to the woman’s menstrual cycle — the monthly process of releasing eggs in preparation for possible pregnancy (see “The ‘Men’ Words: Menstruation and Menopause,” later in this chapter).