Definition of SAYIN-ESR SCALE for Expanded Sexual Response

Authors: Nurcan Armagan1, Ümit Sayin2 and Asiye Kocatürk3
Institution: 1 Dept. of Obstetrics and Gynecology, Anatolian and Zeynep Kamil Hospitals, Üsküdar, İstanbul-Turkey
                     2 Institute of Forensic Sciences, İstanbul  University, Cerrahpaşa, İstanbul-Turkey
                     3 Dept. of Midwife and Nursery, Health Sciences Institute, Marmara University, İstanbul-Turkey  
Corresponding  E-mail:  
Abstract Title: Can Sexual Response be Enhanced and Expanded in the Human Female? Preliminary Findings and a Proposed Preliminary Psychometric Scale for Expanded Sexual Response (ESR)

Armagan N, Sayın HÜ, Kocatürk A. Can Sexual Response be Enhanced and Expanded in the Human Female: Preliminary Findings and a Proposed Psychometric Scale for Expanded Sexual Response (ESR). 38th Annual Meeting of IASR (International Academy of Sex Research), Lisbon-Portual, July 8-11, 2012; Abtract Book, 38: 9, 2012.

Rationale and Introduction: During the last decades, there are increasing numbers of reports, articles and books, proposing the hypothesis that sexual response in human female can be enhanced and/or expanded, as some ancient Eastern literature had pointed out. “Expanded Orgasm” (EO) was coined by Dr. Patricia Taylor in 2000. To investigate Expanded Sexual Response (ESR), we have communicated with women through surveys and internet communications.
Methods: We have corresponded with nearly 200 women to investigate the ESR phenomenon. A minority of them admitted that they had an extraordinary, enhanced sexual response, which is not yet clearly defined in the medical literature. We determined the preliminary characteristics of ESR through surveys, facebook, g-mail, skype communications, and by means of some notices on three websites and by other means. Our preliminary scale contains 25 basic questions about the extremes and limits of sexual behavior and orgasms of women, which is explained in the poster. The study is still continuing to establish the genuine psychometric scales for ESR after suitable variance, validity analysis are performed.
Results: It is concluded that some characteristics of the sexual response of women with ESR were different than that of the women without ESR (none-ESR, NESR): 1) The ESR women experienced both vaginal and clitoral orgasms. 2) The ESR women experienced multiple clitoral or vaginal orgasms in most of their sexual encounters.  3) The ESR women experienced blended orgasms as described by Ladas, Whipple and Perry (1982). 4) The ESR women claimed to have stronger pelvic floor muscles (PFM) compared to NESR women. 5) The libido of ESR women was very high compared to NESR women. 6) ESR women described a phenomenon called G-Spot orgasms. 7) ESR women described sensitive erogenous zones in their genitalia other than glans clitoris8) ESR women masturbated more frequently than NESR women. 9) ESR women had erotic fantasies more frequently than the NESR women. 10) ESR women admitted to have a form of altered states of consciousness during some of their prolonged orgasms.
 Conclusions: We concluded that ESR may exist in a minority of women. We defined ESR as: “To be able to attain long lasting and/or prolonged and/or multiple and/or sustained orgasms that lasted longer and more intense than the classical single orgasm patterns defined in the literature”. We propose that more research should be performed to unveil the characteristics and basics of ESR phenomenon.


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