▁and ▁the ▁lab ia , ▁along ▁with ▁increased ▁red ness ▁or ▁dark ening ▁of ▁the ▁skin ▁in ▁these ▁areas ▁as ▁blood ▁flow ▁increases . ▁Further ▁changes ▁to ▁the ▁internal ▁org ans ▁also ▁occur ▁including ▁to ▁the ▁internal ▁shape ▁of ▁the ▁v ag ina ▁and ▁to ▁the ▁position ▁of ▁the ▁u ter us ▁within ▁the ▁pel vis . ▁Other ▁changes ▁include ▁an ▁increase ▁in ▁heart ▁rate ▁as ▁well ▁as ▁in ▁blood ▁pressure , ▁feeling ▁hot ▁and ▁fl ushed ▁and ▁perhaps ▁experien cing ▁trem ors . ▁A ▁sex ▁flush ▁may ▁extend ▁over ▁the ▁ch est ▁and ▁upper ▁body . ▁ ▁If ▁sexual ▁stim ulation ▁continues , ▁then ▁sexual ▁ar ous al ▁may ▁peak ▁into ▁org asm . ▁After ▁org asm , ▁some ▁women ▁do ▁not ▁want ▁any ▁further ▁stim ulation ▁and ▁the ▁sexual ▁ar ous al ▁quickly ▁diss ip ates . ▁S ugg estions ▁have ▁been ▁published ▁for ▁continu ing ▁the ▁sexual ▁excitement ▁and ▁moving ▁from ▁one ▁org asm ▁into ▁further ▁stim ulation ▁and ▁maintain ing ▁or ▁reg aining ▁a ▁state ▁of ▁sexual ▁ar ous al ▁that ▁can ▁lead ▁to ▁second ▁and ▁subsequent ▁org as ms . ▁Some ▁women ▁have ▁experienced ▁such ▁multiple ▁org as ms ▁quite ▁sp ont ane ously . ▁ ▁While ▁young ▁women ▁may ▁become ▁sex ually ▁ar oused ▁quite ▁easily , ▁and ▁reach ▁org asm ▁relatively ▁quickly ▁with ▁the ▁right ▁stim ulation ▁in ▁the ▁right ▁circumstances , ▁there ▁are ▁physical ▁and ▁psych ological ▁changes ▁to ▁women ' s ▁sexual ▁ar ous al ▁and ▁responses ▁as ▁they ▁age . ▁Old er ▁women