Prostate massage Male genital anatomy, showing the location of the prostate with respect to the rectum The abundance of nerve endings in the anal region and rectum can make anal sex pleasurable for men or women. An Encyclopedia states that "the inner third of the anal canal is less sensitive to touch than the outer two-thirds, but is more sensitive to pressure" and that "the rectum is a curved tube about eight or nine inches long and has the capacity, like the anus, to expand". With its glans or body as a whole estimated to have around 8, sensory nerve endings,   the clitoris surrounds the vagina and urethra ,  and may have a similar connection with the anus. In pornography, anal sex is commonly portrayed as a desirable, painless routine that does not require personal lubricant ; this can result in couples performing anal sex without care, and men and women believing that it is unusual for women, as receptive partners, to find discomfort or pain instead of pleasure from the activity.
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However, the sensations in both sexes are extremely pleasurable and are often felt throughout the body, causing a mental state that is often described as transcendental, and with vasocongestion and associated pleasure comparable to that of a full-contractionary orgasm. For example, modern findings support distinction between ejaculation and male orgasm. Orgasm may also be achieved by the use of a sex toy , such as a sensual vibrator or an erotic electrostimulation. It can additionally be achieved by stimulation of the nipples or other erogenous zones , though this is rarer. Orgasm by psychological stimulation alone was first reported among people who had spinal cord injury. Scientific literature focuses on the psychology of female orgasm significantly more than it does on the psychology of male orgasm, which "appears to reflect the assumption that female orgasm is psychologically more complex than male orgasm," but "the limited empirical evidence available suggests that male and female orgasm may bear more similarities than differences. In one controlled study by Vance and Wagner , independent raters could not differentiate written descriptions of male versus female orgasm experiences".
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