The Big "O"

Orgasm Help
The Doctors and female sexual health expert Dr. Jennifer Berman explain some helpful treatments to increase orgasms.

Over-the-counter testosterone creams, many of which are not yet FDA-approved, may increase sensitivity. “It is the main sex-steroid hormone that governs libido in both men and women,” Dr. Berman says. “You can get it from your doctor off-label, and he can prescribe it from a compounding pharmacy. They make it in a form of a gel, a cream, a drop. In my patients that have hormonal issues, libido problems and an orgasmic problem, oftentimes the testosterone or the topical things won’t be enough.”

If the testosterone does not work, Dr. Berman uses an oxytocin nasal spray with her patients. Oxytocin is a hormone secreted in the brain that causes the uterus to contract during labor and also causes feelings of attachment. Studies have shown that oxytocin is secreted in significant amounts during arousal and orgasm.

The Eros Therapy device is a small, handheld device that is placed over the clitoris, which restores blood flow to the genital area. The device increases clitoral and genital sensitivity, lubrication and helps women achieve orgasm. “It is a good option, a good alternative, and if used on a regular basis, it will stimulate the nerves and blood vessels and enhance genital and vascular heath,” Dr. Berman says.

Find out what time of day can help you achieve the best orgasm of your life!

Faking Orgasms
According to a study, 67 percent of women and 30 percent of men admit to faking an orgasm during intercourse. The Doctors and Dr. Ruth reveal the most common reasons people fake sexual climax and how to tell if your partner's is authentic. Faux climaxing may be done to spare your partner's feelings, or simply to get it over with, but doing so can reinforce wrong behaviors in the bedroom. Whatever the reason, faking an orgasm can deprive you of sexual satisfaction, compromising overall intimacy with your significant other.

Dr. Masterson explains the physical signs of a realorgasm, and reveals the benefits of self-pleasuring to pinpoint your sexual needs.

Mental Orgasm
More than 50 percent of women would rather fake an orgasm than talk about it with their partner. But what if you could have an orgasm just by thinking about it? Strange Sex on TLC profiles a sex educator who learned to do just that and now teaches the skill to others.

Jamye, 31, took the class featured on Strange Sex and explains, “It’s so much about breathing, and pelvic floor muscles and really focusing all the sensation in your body.”

“Our brain is our biggest sex organ,” OB/GYN Dr. Lisa Masterson adds.

E.R. physician Dr. Travis Stork demonstrates how MRIs reflect that brain activity is the same whether a person is physically or mentally stimulated.

Learn why some people shake after an orgasm

Is the G-Spot Real?
The G-spot, also known as the Grafenburg spot, is an erogenous zone located about 2 inches inside the entrance to the vagina.

“Every woman has a different place on our body that’s erogenous,” Dr. Lisa says. “A lot of women don’t have an orgasm from vaginal penetration. You have to find what does it for you.”

Try a fitness routine that promises a coregasm, a workout-induced orgasm

The Male G-Spot
The male G-spot is actually the prostate gland; a small, chestnut-sized bump located approximately two inches inside a man’s rectum, and when massaged or stimulated, can bring him to orgasm.

Another alternative is to rub the area between the scrotum and the anus, which can provide a similar sensation. Dr. Berman demonstrates how to find the male G-spot.

The P-SpotUrologist and sexual health expert Dr. Jennifer Berman says the P-Spot is a man's prostate, an erogenous zone, much like the G-spot is for women. Pressure on the prostate increases pleasurable sensations that maximize and intensify orgasm.

Dr. Berman says pressure on the prostate is also good for men. "It helps to eliminate excess fluid, prevent prostatitis and prevent blockage of the ejaculatory ducts, so there is a health benefit to prostate massage," she says.

Don't Forget the NosePamela and Will, married for eight years, join plastic surgeon Dr. Drew Ordon and Dr. Lisa at the Arousal Bar onstage. Dr. Ordon explains that the sense of smell is very important when it comes to arousal.

Pheromones are scents the body exudes which the opposite sex can pick up on. Pamela and Will test pheromone colognes — androstenol, which attracts men, and androstenone, which attracts women.

The couple participates in a blind smell test using different essential oils. Find out which scents get their motors running

Female Ejaculation

Dr. Lisa explains that a female ejaculation only happens to about 35 percent of women. “I love this question, because a lot of women don’t even know it exists, and they think it’s not healthy,” Dr. Lisa says. “But it’s totally healthy and a totally normal variant for women.”

The Skene’s gland, which is located between the vagina and urethra, is similar to the male prostate gland and excretes fluids, just like in male ejaculation. The fluid contains proteins and enzymes and has the consistency of water or urine, but is clear in color and has no scent.

“Women can excrete this fluid when they have an orgasm, which can be surprising for men,” Dr. Lisa says. “It doesn’t have anything to do with incontinence or leaking urine when you have sex, even though that can happen to some women. Embrace it. It’s part of your body, and it’s OK!”

Foreplay and Brains
Dr. Louann Brizendine, author of The Male Brain, says foreplay should start 24 hours before sex. "In the female brain, everything that happens 24 hours before is still in her brain," she says. "If you've had a fight the day before, her amygdala, which is the area of the brain that has all the intense emotions, like anger, and fear and being upset, are still there, and that will put the breaks on her sexual arousal circuit.

"For guys," she continues, "foreplay is everything that happens three minutes before insertion!"

Dr. Brizendine says a 20-second hug is a good start to foreplay. Research shows hugs release oxytocin in the female brain, which makes the woman feel good and calms down the amygdala.

The Importance of Kissing
"Males use kissing to get things started, but females use kissing to assess him as a potential partner," Dr. Brizendine says. Research shows men prefer deep, wet tongue kissing, while women want to start off a little slower.

Erogenous AnatomyErogenous zones are places on the body that, when stimulated, cause sexual excitement and arousal. Plastic surgeon Dr. Ordon runs through some of women's "spots."

The G-Spot, or Grafenberg spot, is a highly sensitive area located 2-3 inches inside the vagina, on the front or upper vaginal wall.

The A-spot is the anterior fornix erogenous zone, located inside the vagina, in front of the cervix.

The C-spot, or clitoris, is the female equivalent of the tip of a male penis, and has more than 8000 nerve fibers. Located above the vulva, the visible portion is roughly the size of a nickel. Many women find it easier to reach orgasm from clitoral stimulation than vaginal stimulation alone.

“They [men] think it’s all about vaginal penetration, and it’s not,” Dr. Lisa says.

The U-spot surrounds the urethra on the outer opening of the vaginal area.

Learn more great bedroom tips from world-renowned sex expert Dr. Ruth Westheimer!