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Excursus: The Anatomy of Love by Leonardo Da Vinci
Leonardo Da Vinci's insightful sketches bring to light the critical role of the pudendal nerve in male sexual functions, specifically erection and ejaculation. This nerve, pivotal in both genders, governs essential bodily functions like defecation and urination and is intricately connected to the genital and anal regions. Remarkably, the sensitivity of the anoderm – the skin encircling the anus – surpasses even that of the fingertips.
Complex conditions such as Restless Anal Syndrome, potentially triggered by various infections including COVID-19, are attributed to the entrapment of the pudendal nerve. This can lead to profound discomfort. In more severe cases, like Alcock canal syndrome, individuals may experience a range of symptoms from pelvic pain to genital numbness, and even erectile dysfunction.
Intriguingly, Tarlov cysts – CSF-filled dilations found at the S2-S4 pudendal nerve roots – have been linked to persistent genital arousal disorder in women. Research from Rutgers University suggests these cysts may influence the body's center of gravity, enhancing female libido through pudendal nerve stimulation, an effect somewhat akin to wearing high heels.
The practice of prostate massage, often pursued for sexual pleasure, offers another perspective on the pudendal nerve's function. Contrary to some medical opinions, the stimulation experienced during this massage is not a direct result of prostate gland stimulation, as it lacks sensitive innervation. Instead, it's the mechanical stimulation of the pudendal nerve that plays a key role.
Drawing a parallel from the animal kingdom, in apes, the pudendal nerve extends along the coccyx into the tail, playing a crucial role in maintaining balance during arboreal activities, such as leaping between trees.