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== Involuntariness == Medical research shows that the genital reflex is also regulated by the spinal cord and not necessarily under conscious control.<ref>[https://books.google.com/books?id=cKjnCQAAQBAJ&dq=genital+reflex&pg=PT45 "Nervous System: A Tutorial Study Guide"]{{Dead link|date=March 2024 |bot=InternetArchiveBot |fix-attempted=yes }}, by Nicoladie Tam, (2016) {{ISBN|9781301053025}}</ref><ref>{{cite book |url = https://books.google.com/books?id=I2n5hTAxdTYC&pg=PA431 |title = Spinal Cord Medicine: Principles & Practice |edition = Second |editor = Vernon W Lin |display-editors = etal |page = 431 |isbn = 978-1-935281-77-1 |date = 2010 |publisher = Demos Medical |access-date = January 25, 2022 |archive-date = February 27, 2023 |archive-url = https://web.archive.org/web/20230227055203/https://books.google.com/books?id=I2n5hTAxdTYC&dq=genital+reflex&pg=PA431 |url-status = live }}</ref><ref>{{cite journal |last1 = Allard |first1 = Julien |last2 = Truitt |first2 = William A. |last3 = McKenna |first3 = Kevin E. |last4 = Coolen |first4 = Lique M. |date = 2005 |title = Spinal cord control of ejaculation |journal = World Journal of Urology |volume = 23 |issue = 2 |pages = 119β26 |doi = 10.1007/s00345-004-0494-9 |pmid = 15947961 |s2cid = 24610895 }}</ref> An involuntary orgasm may occur as the result of [[sexual assault]] or [[rape]], which may result in feelings of [[shame]] caused by internalization of [[Victim blaming|victim-blaming]] attitudes.<ref>{{cite web |url = http://www.anugraha.info/Traningdownload.php?file=20111213044253Trauma.pdf&arg3=resource&op=center |archive-url = https://web.archive.org/web/20131227055826/http://www.anugraha.info/Traningdownload.php?file=20111213044253Trauma.pdf&arg3=resource&op=center |url-status = dead |archive-date = December 27, 2013 |access-date = December 26, 2013 |title = Trauma Counseling }} D. John Anthony, Anugraha Publications, Tamil Nadu, India, Sep. 2005.</ref><ref name="Non-consensual">{{Cite journal |author = Levin RJ, van Berlo W |title = Sexual arousal and orgasm in subjects who experience forced or non-consensual sexual stimulation β a review |journal = Journal of Clinical Forensic Medicine |volume = 11 |issue = 2 |pages = 82β8 |date = April 2004 |pmid = 15261004 |doi = 10.1016/j.jcfm.2003.10.008 |last2 = Van Berlo }}</ref> The incidence of those who experience unsolicited sexual contact and experience orgasm is very low, though possibly under-reported due to shame or embarrassment of the victim. Such orgasms may happen to either sex.<ref name="Non-consensual" /> An unwanted orgasm may arise from a [[persistent genital arousal disorder]]. In consensual [[BDSM]] play, [[forced orgasm]] may be practiced to exercise orgasm control.
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