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Dear Dr. Betty,

I believe that a high percentage of my orgasmic pleasure lies in my uterine contractions, although I find it difficult to separate all that I feel during orgasm into the reaction of my various internal organs.

I am trying to convince myself that I will still experience orgasm if I lose my uterus (which a rapidly progressing uterine prolapse may necessitate). Can you educate me (and all of us) about the physical dynamics of orgasm. I am 58 and only became orgasmic at 47 when I used the magic wand for the first time. I do not want to stop being orgasmic!!!

Dear Crystal,

I only wish I could educate you and all other women (myself included) on the physical dynamics of the female orgasm. A large part of our sexual response remains a mystery until further scientific investigation takes place. However, I'll share what I do know as a sexologist. Not all women report uterine contractions as being that important during orgasm. Some like yourself are very aware of the sensation and rely on it for their orgasmic pleasure.

Personally, I'm sometimes aware of mild contractions during masturbation, but when I'm incorporating vaginal penetration along with clit stim, I'm rarely aware of any uterine sensations. Some women have told me their orgasms improved after a hysterectomy while others bemoaned their loss. So it's very personal and different for all of us. Let me assure you this will not be the loss of your orgasms. However, they might be different. Recently I discovered my orgasm intensity has diminished somewhat, but I attribute that to the stress of starting a new business. Nothing stays the same.

First off, Imagine the uterus as a pear with the neck of the pear as the cervix. A prolapsed uterus (one that is pushing out of the vaginal opening) can also be treated by inserting a pessary, a small device that holds the uterus in place. You can check out another kind of hysterectomy described here by Dr.Bradley.

"Recently, an old operation for removal of the uterus has been updated with modern technology, and the result is remarkable. The operation is called a 'Laparoscopic Supracervical Hysterectomy.' The procedure is performed through tiny incisions as previously described, but the cervix is not removed. The body of the uterus (with or without the ovaries and tubes) is removed through one of these small half-inch incisions utilizing a new high-tech instrument." Dr. Bradley goes on to say, "The cervix is a highly erogenous area for many women, and the supracervical technique will not affect this structure. Whether or not sexual performance is better if the cervix is not disturbed is indeed controversial as there is no scientific way to truly evaluate this question. We have seen however much faster resumption of sexual activity (2 weeks) if the supracervical technique is utilized."

The problem with this procedure is that very few doctors are aware of it so you would have to become an advocate for you own health care, something I recommend. Just below the url, is another url where our astrologer at Planet Waves has several women discussing alternative healing methods. Let me know what you decide, but rest assured you'll continue to have orgasms now that you've embraced the Magic Wand. It is indeed magic for postmenopausal women or for any woman struggling to discover her orgasm.

Dr. Betty