Peter Attia· MD
the idea was that people started with getting aroused right and I think in their concept it was all physiologic because they mostly just looked at physiologic parameters they understood the psychology of things to some extent that there was this idea that people get physically and mentally excited they reach some sort of escalation and maybe even a peak or a plateau and that can be variable you know and there's some models that for women there's more variability in plateaus and and then it the classic response Cycles it results in an orgasm climax Peak lots of different words get used but we're just going to use the word orgasm keep it simple and that there's different patterns for that too right like so can I ask a question before that that goes before that so um what comes first desire or arousal is Desi desire comes first does it or do you have to have some arousal to Zen trigger design I'm going to talk about desire in a moment because that's an interesting question so but in their model they kept it simple you engaged in sex and you got aroused and and so maybe they thought like the interest in having sex was about being turned on or being aroused they didn't really get distinguished about it right and then you have an orgasm and for women like there's different patterns it could be happen in different ways with clitoral stimulation vaginal stimulation Etc um and sometimes multiple orgasms which was is more characteristic for the variability in women and then there's this idea of the like refractory or resolution phase and that's kind of for like many decades since they're working the late 50s early 60s that's how people have organized their thinking