Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Maryland Medical Center, Baltimore, MD, USA.
Department of Obstetrics and Gynecology, George Washington University, and Women's Health and Research Consultants, Washington, DC, USA.
Sex Med Rev. 2017 Jul;5(3):275-281. doi: 10.1016/j.sxmr.2017.03.004. Epub 2017 Apr 25.
The study of the human orgasm has shown a core set of physiologic and psychological symptoms experienced by most individuals. The study of normal sheds light on the abnormal and has spotlighted rare physical and psychological symptoms experienced by some individuals in association with orgasm. These phenomena are rare and, as is typical of rare phenomena, their documentation in the medical literature is largely confined to case studies.
To identify peri-orgasmic phenomena, defined as unusual physical or psychological symptoms subjectively experienced by some individuals as part of the orgasm response, distinct from the usual or normal orgasm response.
A list of peri-orgasmic phenomena was made with help from sexual health colleagues and, using this list as a foundation, a literature search was performed of articles published in English.
Publications included in this review report on physical or psychological phenomena at the time of orgasm that are distinct from psychological, whole-body, and genito-pelvic sensations commonly experienced at the time of orgasm. Cases of physical symptoms related to the physiology of sexual intercourse and not specifically to orgasm were excluded.
Case studies of peri-orgasmic phenomena were reviewed, including cases describing cataplexy (weakness), crying, dysorgasmia, dysphoria, facial and/or ear pain, foot pain, headache, pruritus, laughter, panic attack, post-orgasm illness syndrome, seizures, and sneezing.
The literature review confirms the existence of diverse and frequently replicated peri-orgasmic phenomena. The value of case studies is in the collection and recording of observations so that hypotheses can be formed about the observed phenomena. Accordingly, this review could inspire further research on the neurophysiologic mechanisms of orgasm. Reinert AE, Simon JA. "Did You Climax or Are You Just Laughing at Me?" Rare Phenomena Associated With Orgasm. Sex Med Rev 2017;5:275-281.
人类性高潮的研究表明，大多数人都会经历一组核心的生理和心理症状。正常性高潮的研究揭示了异常现象，并突出了一些个体在性高潮时所经历的罕见的生理和心理症状。这些现象很少见，而且与罕见现象一样，它们在医学文献中的记录主要局限于病例研究。
确定性高潮时的现象，这些现象被定义为一些个体在性高潮反应中主观体验到的异常生理或心理症状，与通常的性高潮反应不同。
在性健康同事的帮助下列出了一系列性高潮时的现象，然后以此为基础，用英文进行了文献检索。
本综述中纳入的出版物报告了与通常在性高潮时体验到的心理、全身和生殖-骨盆感觉不同的性高潮时的身体或心理现象。排除了与性行为生理学有关但与性高潮无关的身体症状的病例。
对性高潮时的现象进行了病例研究，包括描述猝倒（虚弱）、哭泣、性高潮障碍、情绪低落、面部和/或耳部疼痛、足部疼痛、头痛、瘙痒、大笑、惊恐发作、性高潮后疾病综合征、癫痫发作和打喷嚏的病例。
文献综述证实了存在多样化且经常被复制的性高潮时的现象。病例研究的价值在于收集和记录观察结果，以便可以对观察到的现象形成假设。因此，本综述可以激发对性高潮神经生理机制的进一步研究。Reinert AE, Simon JA. "Did You Climax or Are You Just Laughing at Me?" Rare Phenomena Associated With Orgasm. Sex Med Rev 2017;5:275-281.
