51 pages 1-hour read

Bonk: The Curious Coupling of Science and Sex

Nonfiction | Book | Adult | Published in 2008

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Chapters 7-9Chapter Summaries & Analyses

Content Warning: This section of the guide includes discussion of sexual stimulation and response.

Chapter 7 Summary: “The Testicle Pushers: If Two Are Good, Would Three Be Better?”

Roach traces a century of “rejuvenation” schemes that centered on testicles as the supposed seat of male potency. She begins with Skevos Zervos, a harem obstetrician who, inspired by an Ottoman vizier’s testicle broth and the feminizing effects of castration, grafted animal and human testicular tissue in the early 1900s and publicized the idea that implants could restore virility. In the US, surgeon G. Frank Lydston brought the practice into medical journals, implanting donor testicular tissue (often from deceased young men) beside patients’ own gonads and reporting broad, sometimes extravagant benefits. France’s Serge Voronoff popularized chimp and baboon grafts for wealthy clients, claiming rejuvenation, though his case notes reflected mixed or disappointing outcomes; he earlier reported dramatic “Before and After” (160) results in rams. In California, San Quentin’s prison doctor, Leo Stanley, transferred glands from executed inmates (and farm animals) into aging prisoners and published equally sweeping claims across ailments, though incentives to report improvement complicated the data.


Roach shows how the craze spilled into popular culture (cocktail names, novelty ashtrays) and outright quackery, especially via Kansas radio surgeon John R. Brinkley’s lucrative goat-gland operations, later exposed as ineffective and dangerous. She then jumps forward to modern substitutes: silicone testicular prostheses (“Neuticles”), marketed for pets; Chinese Materia Medica, which touted animal penises as treatment for impotence; and the modern pharmaceutical turn, including the social backlash surrounding Viagra’s launch in Taiwan and even an unsuccessful panda-breeding experiment. For men who did not respond to PDE5 inhibitors, Roach surveys other options (including intracavernosal injections, MUSE urethral suppositories, and vacuum pumps) and touches on the weak evidence for treating impotence via acupuncture. She closes with pelvic-floor (Kegel) training, citing a 2005 study that finds notable improvements or recovery of erectile function after three months, while noting the lack of replication of those results. Throughout, the chapter catalogs the persistent allure (and overpromising) of testicle-centered “fixes,” alongside safer, evidence-based approaches.

Chapter 8 Summary: “Re-Member Me: Transplants, Implants, and Other Penises of Last Resort”

Roach surveys last-resort solutions for erectile dysfunction, focusing on penile prostheses, historical firsts, extreme case studies, and the fraught prospects of transplantation and reattachment. She opens with the AMS Malleable 650, in which malleable rods bend into position, and inflatable models, which use a scrotal pump to transfer saline into cylinders. In Taipei, Dr. Geng-Long Hsu implanted an AMS 650 in a 70-year-old patient dubbed Mr. Wang; Roach details the surgical steps (dilation with Hegar sounds, insertion into both corpora, closure) and the device’s functional reality: a permanent semi-rigid bulk that toggles between “down” and “up” rather than physiologic erection. She notes advice against certain positions (risk of extrusion), and includes urologist Irwin Goldstein’s reminder that erection, orgasm, and ejaculation are separable functions, with prostheses restoring rigidity but not desire.


Roach then sketches the origin story of implants (a 1952 cartilage strip in South Carolina following an ischemic injury from a prolonged erection) and surveys satisfaction data for malleable versus inflatable devices, including partner responses and culturally specific findings from polygamous couples. She shifts to whether wholly new organs could be transplanted; surgeons flag immune rejection, fibrosis of erectile tissue, and cancer-related contraindications from immunosuppression. Reattachment, by contrast, proves feasible: Thai microsurgeons in the 1970s repaired severed penises after domestic assaults, though complications occurred due to contamination, resulting in partial functional loss. Folklore records ducks consuming discarded organs. The chapter widens to self-castration cases (including religious delusion under a New Testament verse) and ends on the neurology of “phantom” erections after amputation (sensations that outlive anatomy until later spinal injury silences them). Throughout, Roach juxtaposes the practicality of prosthetics with the biological, surgical, and psychosocial limits of “re-membering” a penis.

Chapter 9 Summary: “The Lady’s Boner: Is the Clitoris a Tiny Penis?”

Roach follows a University of Washington MRI study that measures women’s genital arousal without invasive instruments. Radiologist Ken Maravilla scanned a volunteer, Meg Cole, who reported female sexual arousal disorder (FSAD): She experienced desire, but her body’s physiological response lagged. The protocol alternated neutral and erotic video while MRI captured clitoral blood-volume changes; Maravilla’s prior work showed that women’s clitorises hold roughly twice as much blood during erotic stimuli versus neutral footage. Roach notes the institution’s sensitivities around the term “porn” and the ethics review process.


The chapter situates FSAD among related diagnoses (FOD, HSDD) and describes the difficulty of recruiting true-FSAD subjects; concerned partners steer many volunteers away. Roach uses the imaging session to teach clitoral anatomy: Beyond the visible glans, the organ includes a shaft and paired crura (corpora cavernosa) analogous to penile structures. Developmentally, male and female genitalia begin from similar tissues, with the male pathway enlarging a clitoral-like primordium into a penis. Comparing older Masters and Johnson film observations (which saw glans changes that were often subtle or not visible) to MRI, Roach reports that total clitoral volume routinely doubles when aroused, once the hidden structures are counted.


She then traces biomedical hypotheses that frame women’s arousal problems as blood-flow issues: case reports of “clitoral priapism,” nocturnal clitoral erections, rabbit models of atherosclerosis that blunt genital response, and human findings that exercise improves arousal, possibly via cardiovascular efficiency (and/or reduced self-consciousness). Roach recounts Pfizer’s attempt to translate Viagra’s ED success to women; though genital blood flow increased, most women did not perceive meaningful benefit, underscoring the psychological as well as physiological determinants of female arousal. The chapter closes by introducing the FDA-cleared Eros clitoral vacuum device, contrasting the mechanical goal of a penis pump with the less obvious rationale for a “clitoris pump,” which Roach flags as a question to investigate.

Chapters 7-9 Analysis

In these chapters, Roach shifts from cataloging curiosity-driven research to examining the long arc of attempts to repair, enhance, or visualize sexual function. Although the chapters span goat-gland grafts, hydraulic implants, and MRI studies of clitoral blood flow, Roach unifies them through a tonal and structural strategy that blends reporting with wry commentary. Her humor becomes a tool of calibration: broad and satirical when confronting historical spectacle, more restrained when describing invasive surgeries, and understated and empathetic when describing women undergoing diagnostic imaging. This progression gives the section coherence and reveals how sexual science evolved from quackery to clinical intervention to a deeper exploration of subjective experience.


Roach begins by framing the rejuvenation fads of the early 20th century as both cautionary tales and cultural artifacts. Her portrayal relies on a mock-heroic tone in exposing the era’s belief that surgical bravado could restore masculinity: “It seemed no ailment stood strong in the face of another man’s testis” (158). With this statement, Roach distills the extravagant claims of the period into a single ironic punch. The hyperbole is deliberate: Roach uses exaggeration to show how talk about glands and promises of rejuvenation fed into each other and helped sell the procedures. Likewise, she references Brinkley’s slogan, “‘A man is as old as his glands’” (162), to exemplify the persuasive compression of complex physiology into a marketable aphorism. By focusing on these slogans and spectacles, Roach suggests that much early “sex research” was closer to salesmanship than to careful science. This contrast sets up later chapters and thematically connects to The Cultural Politics of Sex Research, suggesting that authority depends as much on charisma and fear as on data.


As Roach transitions to modern erectile solutions, she retains this irony but narrows its scope, redirecting attention to how contemporary medicine packages sexual restoration as a commodity. Her description of the AMS prosthesis as “a high-profit item with a steady demand” (177) punctures the clinical neutrality often associated with urological interventions. The blunt phrase reveals the commercial side of a procedure that is often presented as purely medical and deeply personal.


However, Roach balances this scrutiny with attention to accuracy and correction. In referencing Irwin Goldstein’s remark, “‘If you can play the piano before the implant, you can play the piano after the implant” (179), Roach highlights how analogy can clarify misconceptions about physiological pathways: Implants restore rigidity, not desire or orgasm. These rhetorical moves underscore a central tension of the section: Sexual medicine advances through evidence-based refinement but remains susceptible to the same simplifications and promises that once fueled gland grafts. This contradiction thematically situates the prosthesis chapters within The Science Versus the Soul of Sexuality, showing that biology and aspiration intersect in unstable ways.


Roach’s on-the-ground reporting adds moments in which humor coexists with empathy rather than replacing it. Her presence in operating rooms and clinics forces her to modulate her tone, especially when observing the embodied consequences of surgical solutions. Her description of a prosthesis user who “won’t become erect, he’ll just suddenly be erect. His hydraulics have been swapped for an ON/OFF toggle” (182) uses a metaphor to describe the device’s practicality without diminishing the patient’s dignity. The language is playful, but its underlying purpose is explanatory: to show what is gained and what is altered when mechanics substitute for organic arousal. These scenes highlight the human stakes of interventions that medical literature often treats abstractly, illustrating the interpersonal ripple effects (partner dynamics, expectations, and adaptation) that accompany any attempt to restore sexual function.


Chapter 9 expands the book’s scope by reframing arousal through female anatomy and imaging, marking a shift from mechanical fixes to the more complex territory of lived experience. Roach uses MRI data not to flatten female arousal into a penile analogue but to reveal the insufficiency of such equivalence. Her observation that women’s clitorises “hold twice as much blood while they are watching porn than when they are watching, say, footage of a Space Shuttle launch” (194) blends levity with scientific clarity, emphasizing the reliability of physiological measurement while acknowledging the absurdity inherent in laboratory stimuli. A later conclusion that “Viagra did in fact increase blood volume in the nethers, but most women seemed not to notice it” (200) provides a structural counterpoint to earlier chapters: Objective vascular change does not ensure subjective arousal. Roach uses this gap to question male-centered drug models and to introduce another of the book’s themes, The Importance of Communication in Finding Mutual Pleasure, showing how context and emotion shape physiology in ways that resist simple medical fixes.


Throughout these chapters, Roach’s narrative structure reflects the field’s movement from spectacle to commercialization to nuanced inquiry. Her humor sharpens rather than softens her critiques, allowing her to navigate ethically complex material without trivializing it. By embedding herself at sites of intervention and measurement, she brings the experiential and relational stakes of sexual science into clearer view, emphasizing that understanding sexuality requires attending to bodies, technologies, histories, and the cultural stories that shape desire.

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