However, the sensations in both sexes are extremely pleasurable and are often felt throughout the body, causing a mental state that is often described as transcendental, and with vasocongestion and associated pleasure comparable to that of a full-contractionary orgasm. For example, modern findings support distinction between ejaculation and male orgasm. Orgasm may also be achieved by the use of a sex toy , such as a sensual vibrator or an erotic electrostimulation. It can additionally be achieved by stimulation of the nipples or other erogenous zones , though this is rarer. Orgasm by psychological stimulation alone was first reported among people who had spinal cord injury.