Siglo XXI: La gestión de la Calidad se considera la prioridad del siglo. En el contexto de los servicios públicos la calidad, se centra en objetivos de orientación y
Capítulo 2. Gestión del Conocimiento en Salud
D. Los Hospitales en la web
2. Reflexiones sobre la Gestión del Conocimiento en la Península Ibérica
Illustration by Mia Jennings E-mail [email protected]
The following are methods of masturbation women reported using in the book, The Hite Report by Shere Hite. The data was collected between 1972 and 1976. While the methods of masturbation
probably haven't changed, the number of women who utilize a particular technique may have, since women's attitudes towards themselves and their bodies have changed with time. Plus, women have much easier access to sexual aides like vibrators and dildos than they did twenty years ago. The methods described may help guide women in the process of learning to masturbate, and those women seeking to explore new ways of reaching orgasm during solo sex. It may also help women who feel they are the only one who masturbates in a particularly unusual, at least less talked about, way to feel "normal". If nothing else, we see the extreme diversity in techniques.
Type 1A, Indirect Clitoral Stimulation:
"To masturbate, fantasizing, or getting into an aroused state
mentally is important. Also, for me, being alone is important. I use the tips of my fingers for actual stimulation, but it's better to start with patting motions or light rubbing motions over the general area. As excitement increases I began stroking above the clitoris and finally reached a climax with a rapid, jerky circular motion over the clitoral hood. Usually my legs are apart, and occasionally I also stimulate my nipples with the other hand."
"If I'm in a hurry (pressed for time), I use the vibrator on the base of the clitoris, with my legs open. But usually I use my fingers
rubbing around the base of my clitoris, and when I'm near orgasm, I move my fingers to a circular motion on top of my clitoris. My legs are always apart, and I alternate hands because one gets
tired. My other hand will caress my breasts or just rest. And I move my body a lot when I have the orgasm."
"Wow! What a question! Usually I lie on my back, my legs apart. I almost always have my panties on, as rubbing the clitoris itself directly is just annoying. I use one hand, two fingers together, rubbing up and down in short strokes right over my clitoris. As I get closer to climax, my legs tend to spread apart and my pelvis
tilts up more. I don't move around too much, but sometimes during climax I roll from side to side."
"I use my hands and my imagination, and have probably tried every imaginable position and motion - the basic simulation remains the same. I use my finger to stimulate the clitoris, sometimes inserting another finger into my vagina at the same time. I touch only my genital area when I masturbate, because I am not stimulated by touching my body in general, as I am if my partner touches me all over."
"I stimulate the clitoris on either side with my legs apart, and do not move any other part of my body. It is as though I allow myself very efficient masturbation without guilt because anything else (touching myself all over, etc.) would be sick."
"When I masturbate I simply think locally stimulating thoughts, then a brief touch of fingers and it's over. Ha! Sneaky, isn't it!"
"I use a simple battery-operated vibrator. I usually apply it to the right side of my clitoris, using a slight circular motion. I start with my legs apart, but they usually come together involuntarily. I really think what goes on in my mind (just who I am fantasizing I am with) is more important than the mechanical aspects."
Type 1A, Direct Clitoral Stimulation:
"I use my third finger, moistened, to stroke and rub on and around my clitoris. My other hand pulls back the lips, keeping a gentle tension on the clitoral area. I alternate the rapid clitoral rubbing with a slower rub of the vaginal entrance. (Actually, 'rub' is hardly the right word, since it is a very light touch until just before
orgasm, by which time I am very wet.) My legs are wide apart, my knees up-not much torso motion until orgasm, when there are strong spasms in my torso and pelvis"
"I masturbate with one hand only - mostly around the head of my clitoris, then gradually switching onto the head - always with a rubbing, back and forth motion. My other hand helps to hold the
skin so firm contact can be gained. I alternately have my legs together and apart."
"I lie on my back with my legs together tightly. I use my left hand to pull the top of my genitals tight and apart so I can use my right hand to stroke my clitoris. I use a circular motion starting slow with a light pressure, and then increase the pressure until I start to
come. The I slow down according to the sensation I wish until the orgasm is completed. If I want to come again I start over."
"I masturbate with an electric toothbrush. I put a dampened
washcloth over the toothbrush and lubricate my clitoris with lotion.
I lie on my back with my legs spread. With my left hand, I spread the labia to expose the clitoris, and I hold the vibrator with my right hand and gently press it on my clitoris. Sometimes I move it up and down, sometimes I leave it in one spot, depending on what feels good. But I never really get excited until I start fantasizing. I do not move my hips. The action is all with the hand/vibrator and my clitoris."
"I use my fingers only. My left hand holds the outer lips of my vagina open, and my right forefinger and second finger rubs the right side of my clitoris. Sometimes I rub up and down, but usually I rub in slow circular motions. My legs are closed, strained and straight out. Sometimes I will do this lying on my stomach, but not usually. It's a lot harder - I usually do that after I've masturbated a few times and I'm still frustrated. I don't move very much, in
contrast with having orgasm with a partner, and I also make much less noise."
Type 1A1, Clitoral Stimulation and Occasional Vaginal Penetration:
"I usually masturbate by gentle stroking of the clitoral region, not the clitoris directly, but on the skin above and around it; then I place the fingers around the clitoris and move them back and forth rhythmically and with a bit of pressure. Thus, to achieve orgasm, pressure is one factor, rhythmic movement another, and protection of the clitoris from direct stimulation is another. This last one is achieved by using the surrounding skin to stimulate the clitoris.
Finally, tightening my asshole and concentrating on having an
orgasm helps bring it on. Sometimes I stick my finger in my vagina as this seems to stabilize the clitoris and is a bit exciting. My legs are apart. I don't move very much."
"I usually start out rubbing my clitoris on the side of it, with my finger. Sometimes I use a mirror and watch - I used to stand up in front of a large mirror. Then, usually because my finger doesn't really turn me on much, I get out the vibrator. Sometimes I read pornography, sometimes I fantasize. Sometimes I get out the baby oil and rub my breasts and stomach. I move the vibrator up and down along the slit between my legs. One leg is usually with the knee in the air, the other, opened, on the bed. I move my lower body up to meet the downward motion of the vibrator. Sometimes I lick my fingers and wet my tit, and just manipulate it, shake it around. Sometimes is tick the vibrator in and out of my vagina, like screwing"
"My earliest masturbation was with tub water, and later with my hand, which is what I still do. I use the middle finger of my right hand in vigorous up and down motions which speed me up even more toward climax. Sometimes I put a finger deep inside my vagina with my thumb maintaining clitoral contact. Recently, since reading the literature, I have tried contracting my vaginal muscles, which does seem to enhance the act. Sometimes I will thrust my whole body up, moving with my feet under my behind, ending up with my chest and torso and sexual area pushing up and facing the sky. My greatest release is with my legs pushed way apart to give the sensation of the greatest opening. I once tried a cucumber, and also a vibrator, but that gave me the feeling I was out of myself a little - not just me, that is."
Type 1A2, Clitoral Stimulation and Vaginal Penetration Always:
"I put one finger on my clitoris and with the other I move a bottle in and out of my vagina (a plastic bottle). I have my legs apart at first until I orgasm, and then I put them together. First I rub my clitoris and then insert the bottle. When I come I close my legs with the bottle in me as far as it will go."
"I use my fingers first to penetrate my vagina, for purposes of enlarging the sensation in the general area, but then for orgasm I lightly and then more firmly rub my clitoris in a circular or up and down motions. With my other hand (left hand0, I'm generally turning the pages of the pornography book I'm reading. Yes, it's awkward. Legs apart."
"I fantasize first until I am lubricated. Often I tease myself and hold off touching until I am quite aroused. Sometimes I rub my whole body on the bed, lying on my stomach, and occasionally come that way, but usually I am on my back. First I caress the outer labia, then around the clitoris, using a circular motion, then I insert a finger in my vagina, while laying on my back or side, and move with it. I can come very quickly if my legs are together, but there is a better orgasm when my legs are apart and I work harder for it"
"I begin with manual stimulation of my clitoris. Then simultaneous stimulation of both clitoris and vagina,. Sometimes I use the
finger/fingers (first and second or just second) of the other hand for vaginal stimulation. Sometimes I use an object - usually the nicely rounded, smooth handle of my hairbrush (no spiked dildoes for this me, thank you) for vaginal stimulation. I am defensive about mentioning that I use something other than my hand.
Among all my associates there seems to be an unspoken taboo against all such 'unnatural' things. I have no object fetishes. I am not into hurting myself. It's just easier - it's hard to reach inside one's own vagina. My wrist gets tired, especially if I'm slow in coming. Also I guess I find needing vaginal stimulation is also unfashionable and I'm somewhat sensitive about that too."
Type 1A3, Clitoral Stimulation with Vaginal Penetration at Orgasm:
"When I was a child, I would masturbate by holding both hands between my legs very tightly and gently bouncing my whole body.
Now I usually use my fingers to rub the whole genital area in a circular movement. The I usually put one or two fingers inside my vagina before orgasm to feel the contractions."
"Just after I climax I often put a few fingers just inside the mouth of my vagina to feel the contractions - not just to see if they
happen; it is very satisfying sexually."
Type 1A4, Palm Over Clitoris, Fingers Inside Vagina:
"I hold my hand palm flat on the clitoral area, and fingers inserted in my vagina about one inch or so, and just massage gently."
"I begin stroking the vaginal opening, then insert two fingers in my vagina and stimulate my clitoris with the palm of my hand with very rapid patting motions. My legs are together."
"I use one hand and clutch the mons, vibrate my hand over it until I get a warm feeling, then open my labia with a finger, and make it wet up and down, then insert a finger into my vagina and move it up and down very fast while the palm vibrates the mons. My legs are wide apart."
"I caress my nipples to get started, and look at pornography. Then I gently massage my mound until I am generally aroused, then insert my fingers into the vagina and at the same time rub my clitoris with my palm. Sometimes I suck on a rubber penis."
Type 1A, Clitoral Stimulation and Anal Penetration:
"Upon thinking certain sexy thoughts my blood pressure feels like it's increasing, my heartbeat instantly becomes quick and hard. My clitoris tickles and within a few seconds my vagina gets slippery. I rub my clitoris with my left index finger. I penetrate my vagina and/or rectum with the index and/or middle finger of my right hand and move them in and out at whatever speed I wish. My genitals reach two or three stages of tickling intensity - each tickling more than the one before. I rub my clitoris in a back and forth motion.
Sometimes I use household items which have the shape of a penis, for penetration."
"I masturbate in a darkened room. I sometimes read erotic literature, especially anal-oriented. I stimulate myself with
lubricated fingers or a vaginal foam applicator or a douche or enema tip. I usually make circular motions on my pubic area with one hand and touch my anus with the other hand, sometimes
inserting my finger or an object into my rectum. It does not matter if my legs are together or apart. I move very little."
"Sometimes I use my fingers on my clitoris with one inside my vagina, one on the anal area, or just on the clitoris. Usually I use one of two sizes of vibrators - a small one for my anus and a large for my vagina. One hand is used for the clitoris, the other holds the two vibrators in place. Legs are usually apart. Circular motions."
Type 1B, Clitoral and Vulvar Stimulation:
"Dig this. I use the side of my electric woman's razor to
masturbate. I rub up and down and sideways and usually use the other hand to stimulate the rim of my vagina meanwhile."
"I use my fingers primarily. I begin by softly caressing my body and breasts, and genital organs. Sometimes I use two hands on my genitals, but not always. I try to wait until I feel moist before
touching myself, because if I am not moist I usually have difficulty in achieving orgasm. So I rub and stroke my external organs,
gently, and raise my legs into the air (wide apart) and then rub a little more vigorously - which leads to orgasm or orgasms. It seems necessary to raise my legs or I don't come. I often wonder if other women are the same."
Type 2A, Clitoral Stimulation while Laying on Stomach:
"I use my forefinger. I lie on my stomach and hug a pillow with my other hand. I use a circular and up-and-down motion on my clitoris and usually keep my legs a little apart, but as I get closer to
orgasm, I bring them tight together. Sometimes I move a lot and other times just a little."
"I masturbate mainly on my stomach and use my right hand to stimulate my clitoris in a hard up-and-down movement, using my
middle finger, index, and ring fingers. My left hand fondles my breasts. I move a lot in a rotating motion and up and down. I
mmmmm a lot and say 'fuck'. I keep my legs open in the beginning and as I feel myself coming to an orgasm I close my legs and pull my body up off the floor, bed, whatever. Sometimes I masturbate standing up and use the same motion and move quite a bit.
Occasionally I masturbate on my back and find it hard to reach orgasm that way."
"When masturbating, I lie on my stomach with my legs slightly apart, using both hands, the knuckles of the right hand providing direct pressure to the mons, with the left hand adding more
pressure to the right hand. The motion of a moderately rapid front-to-back movement provides the clitoral friction I need."
"Sequence: I put a towel on the bed, put the vibrator on the towel with the pulsator pointed up (the pulsator has a rubber cup of about 1 inch in diameter). I usually wet the pulsator before
starting. Then I lie completely quiet on my stomach with my arms and legs making a wide V, with the pulsator working the mons area. I don't use my hands until orgasm approaches, when I move the vibrator slightly with the left hand so that it is at exactly the right place. Just before orgasm, my hands and neck become rigid and my hands wise into the air a bit just before I move my left one to manipulate the vibrator at the critical time."
"I masturbate on my stomach with my right hand between my legs and gently and circularly massage my clitoris. I rarely touch my breasts or the rest of my body because I've found that physically that does little for me."
Type 2A1, Laying on Stomach with Occasional Vaginal Penetration:
"I masturbate on my stomach with my legs together, pressing on my clitoris with the fingers of both hands (index and middle
fingers), one on top of the other. Sometimes I fondle my breasts or buttocks with one hand, or insert my fingers into my vagina, but not usually. I move much less than in intercourse."
"I am on my stomach lying with a pillow between my legs, either rubbing against the pillow or also using my fingers. My body is rigid and stiff as I rub my clitoris in a circular motion. My other hand is on my nipple, squeezing it, and sometimes I have a vibrator in either my vagina or ass. Legs vary."
Type 2A2, Laying on Stomach with Vaginal Penetration:
"I lie on my stomach with my legs as far apart as possible and put about three pillows under me to further arch my back. I massage my body at the genital region and insert the middle finger of one hand up my vagina and press my other hand hard against it , at the region of my clitoris. This way I can strongly stimulate both my clitoris and cervix (which is often sensitive but not as much as the clitoris). My breath becomes short and gasping and my body starts pulsating and contracting violently, as my body comes down on the finger and the hand behind it. I have tried using two or three
fingers, but this had the disadvantages that then it doesn't extend up as far as one finger."
"I use my hands beginning with a general overall rubbing of myself to warm my hands and my body. Then I move to my crotch and slowly apply pressure with the tips of all four fingers, Then I turn onto my stomach. I begin to use a circular motion with two fingers on my clitoris and occasionally an up and down motion with my clitoris between my fingers. With my right hand I check to see if my vagina is wet, and fantasize. I continue to stimulate my clitoris with my left hand and then insert two fingers into my vagina. I love the folds and crevasses. It is amazing to feel the inside of oneself. I also sometimes stimulate the opening of the urethra, but that can be painful. My legs are usually closed, but sometimes open. If I
"I use my hands beginning with a general overall rubbing of myself to warm my hands and my body. Then I move to my crotch and slowly apply pressure with the tips of all four fingers, Then I turn onto my stomach. I begin to use a circular motion with two fingers on my clitoris and occasionally an up and down motion with my clitoris between my fingers. With my right hand I check to see if my vagina is wet, and fantasize. I continue to stimulate my clitoris with my left hand and then insert two fingers into my vagina. I love the folds and crevasses. It is amazing to feel the inside of oneself. I also sometimes stimulate the opening of the urethra, but that can be painful. My legs are usually closed, but sometimes open. If I