Vaginal Orgasm Research Articles

(039) Vaginal Orgasms: Really exists?

Abstract Introduction In 1948 Alfred Kinsey’s investigation of female and male sexuality found that 80% of women reached orgasm mainly through non-coital sexual experiences, such as oral and physical manipulation of the genitals or through sex toys. After that many peer-reviewed studies confirmed these data as well as in our practice. However, the question remains; what happened with the other 20% that reached orgasm through vaginal penetration. Objective To describe the epidemiological sexual characteristics of the 20% of women who reached orgasm mainly through vaginal penetration. Methods Over 3000 sexual histories were done in our medical center and were used to collect data regarding the reasons for the orgasm obtained through vaginal penetration. This study includes retrospective and prospective questionnaires applied to all patients seen in our centers. Results The epidemiological sexual characteristic of this specific group of women are: - 75% have had only one sexual partner in their lives - 20% of them have had two sexual partners in their life and - 5% of them have more than two. It has been very scantly found that women with a history of multiple sexual partners enjoy sexual penetration. The orgasmic response resulting from coital sex was more persistent and presently found while the number of sexual partners was less. Increased orgasmic responsiveness was also present when the initiation of the sexual activity with the partner was earlier in life. Conclusions When the sexual development of a woman is allowed to mature in the presence of a lifelong partner. Their response to penetrative vaginal stimuli is better and the obtention of sexual pleasure and orgasm reinforce this response that persists throughout life and is more attainable over any other form of vaginal stimulation. Disclosure No

Women’s Experiences of Different Types of Orgasms—A Call for Pleasure Literacy?

Background There is an ongoing controversy about women’s sexuality and the existence of different orgasms. The debate is tilted toward anatomical and physiological evidence, which often leaves subjective experiences out of the picture. The aim of the current mixed-methods study was to capture women’s accounts of their experiences of orgasmic states. Methods As part of a larger online survey, 513 women (M = 25.89 years, SD = 5.60) from a community sample filled in open-ended questions on their experience of different kinds of orgasms. Additionally, women rated semantic differentials with bipolar adjectives characterizing vaginal and clitoral orgasms. A sub-sample of n = 257 women (50%) had experienced both, vaginal and clitoral orgasms and rated both separately on the semantic differential. Results Wilcoxon signed-rank test showed significant differences in that clitoral orgasms were, amongst others, rated as sharper, easier, and more controllable, while vaginal orgasms were rated as wilder, deeper, more pulsating, and extending. In open-ended questions, women talked about various other orgasmic experiences, such as mixed clitoral/vaginal orgasms, whole body, cervical, anal, or mental orgasms. Some women were uncertain about their orgasmic experiences. Conclusion It is time to integrate anatomical, psychophysiological, and experiential data and conclude that either “all clitoral” or “clitoral and vaginal” falls short to do justice to the complexity of women’s orgasms. Understanding and defining these various types of orgasms and allowing for the apparent diversity to have its place in research and in social discourse is a task for future research and pleasure-positive sex education to increase pleasure literacy.

Anne Koedt: Politics of the Vaginal Orgasm and Female Sexuality

Abstract: This paper focuses on Koedt’s main discourse of female sexuality that develops out of the traditional phallocentric assumption in her critical essay “The Myth of the Vaginal Orgasm.” She argues that the centre of female orgasm is the clitoris, not the vagina. The paper examines how the nature of female sexuality is constructed and misrepresented by male hegemonic structure to subjugate and control women. The analysis uses a qualitative methodology in the form of the close reading of the text. It is a multidisciplinary study cutting across the disciplines of lesbian feminism, psychology, physiology, sexology, and psychiatry and attempts to investigate as to how female orgasm has previously been considered in an inadequate way. It tries to vindicate how female sexuality has politically been treated and how there exists a relationship between female sexuality and male domination. The paper also offers a very candid critique of female orgasm, female sexuality, the meaning of sexual pleasure, the vaginal orgasm, the clitoral orgasm, and different other forms of female orgasm. In the postmodern era, the main issue of gender equality is replaced by a category of sexuality. This paper provides an overview that sex in society revolves around the pleasure of men and women’s sexual desire is constructed according to the male interests. The result of the study reveals that extreme gender bias never lets women speak about their own sex lives. The analysis is intended to create awareness and education for both men and women about sexual pleasure and counter the previous misconceptions and doubts about female orgasm and female sexuality.

Clinical Implications in Vaginal Orgasm Response

Previous research has shown that counselors feel uncomfortable addressing clients’ sexual concerns due to a lack of education on topics related to human sexuality. Various studies have attempted to identify the characteristics of vaginal orgasm, including whether women and other people with vaginas (PWV) can achieve different kinds of orgasms. The current study examines responses to participants surveyed across the United States on their orgasm response and compares responses of participants who achieved orgasm through masturbation and those who achieved orgasm through sex with a partner to determine whether PWV experience one kind of orgasm during masturbation and experience a different kind of orgasm during sex with a partner. Results from the current study suggest that there are two distinct orgasm experiences achieved by PWV which differ in physiological and psychological response. Counselors and counselor educators can use results from this study to help expand their knowledge on sexual response to feel more confident in their practice

Orgasmic disorder in women

Significant delay or absence of orgasm or reduced frequency during sexual intercourse with or without penetration / stimulation and / or after penetration. Markedly reduced intensity of orgasmic sensations and individual psychological discomfort. Women with orgasm disorder have never had a clitoral or vaginal orgasm (penetration) regardless situation or stimulation. Worldwide prevalence of orgasmic disorder in women is 42% and can be maintained depending on partner, stimulation, situation or regardless partner, stimulation, situation etc. The disorder may emerge from the beginning of the sexual life or begin after a period of relatively normal sexual function. Keywords: orgasmic disorder in women, s-on, therapy, testing, evaluation, sexual disorders.

Acceptance of sexual behavior and orgasm frequency in premenopausal women

Summary Cultures influence the beliefs regarding the relevance of sexual orgasms. Negative automatic thoughts during sexual activity significantly decreased the likelihood of female orgasm. This study aimed to investigate the acceptance of varied sexual behaviors and orgasm frequency in premenopausal women. A cross-sectional, hospital-based survey from October 2015 to April 2016 was conducted. Four hundred and seventy-two of 510 (92.5%) sexually-experienced premenopausal women, aged 30.0 (± 9.1, 15.7–51.3) years were eligible from a gynecology department outpatient unit in a southern Taiwan clinic. Participants presented much lower acceptance of non-vaginal sexual behaviors. Acceptance of oral sex was significantly negatively associated with age (P = 0.031), with those over 40 years reporting the lowest. Participants over 40 reported a higher frequency of vaginal orgasm than those aged 15–19 and 20–29 years (P = 0.036 and P = 0.034). No significant difference was found among the acceptance of vaginal sex, oral sex, cunniligus and anal sex, and masturbation frequency by sexual orientation groups. Lesbians reported a higher frequency of vaginal orgasm than heterosexual women (P = 0.041). Future clinical interventions to facilitate positive sexual experiences in Chinese women could focus on development of skills of non-vaginal sexual stimulation, and more positive sexual beliefs.

The Clitoris: Anatomical and Psychological Issues

ABSTRACTThe anatomy of the clitoris is much larger than commonly believed. Besides the small tip of the clitoris known as the glans, which protrudes in the external genitalia, the crura (or legs) of the clitoris extend 9 cm inside the body, with erectile tissue adjacent to the vagina and urethra. This finding has significance for theories of female sexual responsiveness, including the differentiation of clitoral and vaginal orgasms. It also offers guidelines for preserving erotic response during pelvic surgery in women. The facts of clitoral anatomy, clarified with modern scanning procedures by surgeon Helen O’Connell and colleagues (2005), have been repeatedly discovered, forgotten, and rediscovered, at least since 1844, when the German anatomist Kobelt made accurate drawings. Psychological reasons for why the true anatomy of the clitoris has so often been repressed or misrepresented by anatomists, psychologists, and other scientists are proposed. That most anatomists have historically been men may have led to disregard for precise charting of the clitoris that might lead to greater preservation of female sexual response. Envy by male anatomists of female sexual response may also play a role. Correct anatomical knowledge may significantly alter psychoanalytic theory and practice.

Premature Ejaculation During Vaginal Intercourse Is Not a Disease

Premature ejaculation (PE) is a dysfunction characterized by ejaculation which always or nearly always occurs prior to or within about one minute of vaginal penetration, and the inability to delay ejaculation on all or nearly all vaginal penetrations, and negative personal consequences. Is the PE during vaginal intercourse really a male sexual dysfunction? Review of the literature. PE is limited to heterosexual men engaging in vaginal intercourse as there are few studies available on PE research in homosexual men or during other forms of sexual activity. PE is considered the cause of the failure to vaginal orgasm in the partner, with negative psychological consequences in males. As a matter of fact, the vaginal orgasm does not have any scientific basis. Many men believe long intercourse is the key to having orgasm during intercourse, but long intercourse is not helpful to most women. Vaginal orgasm does not exist, therefore the duration of penile-vaginal intercourse is not important for women’s orgasm.

Vaginal orgasm is associated with indices of women's better psychological, intimate relationship, and psychophysiological function

A recent study by Therrien and Brotto (2016) examined the associations of orgasm during intercourse, concordance of laboratory genital and subjective arousal, and demographic variables in a group of sexually dysfunctional women. The authors claimed that their results cast doubt on the large body of multi-method multi-national research demonstrating that women's orgasm from penile-vaginal intercourse, and specifically vaginal orgasm are associated with a broad range of indices of women's better psychological, intimate relationship, and psychophysiological health. The problems with Therrien and Brotto's (2016) conclusions are discussed, and include that they did not even measure vaginal orgasm (they measured orgasm during intercourse, which can in some cases consist of orgasm elicited by clitoral masturbation during intercourse), and the non-generalisability of their findings from a sexually dysfunctional sample to the general population of women. Evidence is also presented against their claims that findings regarding orgasm during intercourse have not been investigated by other researchers, and their denial of differences between vaginal orgasm and clitoral orgasm. Denial of the myriad benefits of vaginal orgasm undermines women's sexual and general health potential, and serves only the demands of political correctness.

Vaginal versus clitoral? Or, vaginal and clitoral? A reply to Brody and Costa

This brief article is a reply to Brody and Costa's (2017) commentary on the article “A critical examination of the relationship between vaginal orgasm consistency and measures of psychological and sexual functioning and sexual concordance in women with sexual dysfunction” (Therrien & Brotto, 2016). Although I could provide a counter-point to each of the criticisms of our article, I have chosen instead to use this space to remind readers that our understanding of the underlying anatomy of women's orgasms is nascent. In addition, a variety of types of stimulation contribute to whether, how, and how intensely a woman may reach orgasm. Findings on the nature of female orgasm don't “prove” or “disprove” other findings. Rather they need to be analyzed in the context of the range of contributory variables.

288 Which Female Prefer Longer Penises?

Women's orgasms are four types: 1) Clitoridene, 2) G-spot, 3) Vaginale, 4) All three together. Lack of orgasm is the second most common female sexual problem, affecting more than 20% of woman.The aim of our study was to find if the vaginal orgasm provoke only when penis of her partner is longer than average penis. The study was an online survey and by personal experiences. The samples were 1275 coitally experienced women. The effect of penis size on the likelihood of having an orgasm from penile – vaginal intercourse (PVI), was assessed by the question: “Are you more likely to have an orgasm from PVI with a man who has somewhat longer than average penis”? Answers were: a) More likely to have an orgasm with longer penis; b) No difference – I orgasm equally well with long or average penis lengths; c) Less likely to have an orgasm with a longer penis; d) I do not (or do not often) have an orgasm from PVI; e) I have not had enough PVI partners to make a comparison. Exclusion criteria were being coitally inexperienced and responses suggesting a high risk of misreporting

A critical examination of the relationship between vaginal orgasm consistency and measures of psychological and sexual functioning and sexual concordance in women with sexual dysfunction

A substantial body of research supports the hypothesis that vaginal orgasm is associated with overall better health outcomes for women. The primary aim of this study was to examine correlates of orgasm consistency with intercourse (OCI) in a sample of women with sexual dysfunction to see whether these findings held in a clinical sample. Study 1 (n=255) focused on demographic and psychological correlates of OCI and Study 2 (n=81) focused on the association between sexual arousal concordance and OCI. A longer relationship length and higher orgasm scores predicted OCI whereas mood, sexual abuse history, and relationship satisfaction did not. In Study 2, sexual arousal concordance, as measured with vaginal photoplethysmography and a continuous self-report measure of sexual arousal, was not associated with OCI. These findings challenge the conclusions of Brody et al. that vaginal orgasm is a sign of psychological, sexual, and relational health.

P-06-002 Women's masturbation history, vaginal orgasm consistency, and sexual and relationship satisfaction

P-06-002 Women's masturbation history, vaginal orgasm consistency, and sexual and relationship satisfaction

Screened Bodies

Consider two instances of screened bodies. The first comes from the article published in the Journal of Sex & Marital Therapy where a group of urologists and radiologists attempted to “confirm that it is feasible to take images of the male and female genitals during coitus and to compare this present study with previous theories and recent radiological studies of the anatomy during sexual intercourse” (Faix et al. 2002: 63). In their well-illustrated study of Magnetic Resonance Imaging (MRI) screen shots—often simplified and clarified with keyed line drawings—they address the history of trying to imagine and depict heterosexual intercourse, the movement, shape, and position of engaged male and female genitalia, and the factors affecting arousal and orgasm. (The study can only suggest the possibility of two types of vaginal orgasm as the man climaxes once during the experiment while the woman does not. Clitoral stimulation is mentioned but not pursued in the study.) The researchers assert the parameters of “normal” private and sexual lives and echo “natural” expectations with regard to sex, gender, sexuality, and sexual positions and practices. They involve themselves in visual analyses of drawings, sketches, ultrasound displays, and MRI monitors—discussing the details and features of the various technologies and the advantages and drawbacks of the different experimental conditions. They make a special note of “the couple” not experiencing difficulty having intercourse during the four sessions and mention the man’s consumption of Viagra.

Resurrecting Germaine’s theory of cuntpower

ABSTRACTIn the early years of the second wave, two very different approaches to female sexuality and feminist politics were in circulation, Anne Koedt’s ‘The Myth of the Vaginal Orgasm’ and Germaine Greer’s theory of cuntpower. While the clitoral orgasm became the ‘feminist orgasm’ during these years, Greer’s more open and genitally inclusive theory of cuntpower encouraged women to explore the variations of their own heterosexuality in the name of women’s and sexual liberation. This article will argue that Greer’s ideas about cuntpower are worth resurrecting and integrating into our understanding of second wave feminist sexual politics. It will also argue that Greer’s utilisation of the media allowed her ideas to influence ordinary women’s understanding of the potential of their sexuality, their right to orgasm and its connection to women’s liberation.

The whole versus the sum of some of the parts: toward resolving the apparent controversy of clitoral versus vaginal orgasms.

BackgroundThe nature of a woman’s orgasm has been a source of scientific, political, and cultural debate for over a century. Since the Victorian era, the pendulum has swung from the vagina to the clitoris, and to some extent back again, with the current debate stuck over whether internal sensory structures exist in the vagina that could account for orgasms based largely on their stimulation, or whether stimulation of the external glans clitoris is always necessary for orgasm.MethodWe review the history of the clitoral versus vaginal orgasm debate as it has evolved with conflicting ideas and data from psychiatry and psychoanalysis, epidemiology, evolutionary theory, feminist political theory, physiology, and finally neuroscience.ResultsA new synthesis is presented that acknowledges the enormous potential women have to experience orgasms from one or more sources of sensory input, including the external clitoral glans, internal region around the “G-spot” that corresponds to the internal clitoral bulbs, the cervix, as well as sensory stimulation of non-genital areas such as the nipples.ConclusionsWith experience, stimulation of one or all of these triggering zones are integrated into a “whole” set of sensory inputs, movements, body positions, autonomic arousal, and partner- and contextual-related cues, that reliably induces pleasure and orgasm during masturbation and copulation. The process of integration is iterative and can change across the lifespan with new experiences of orgasm.

Comprehensive review of the anatomy and physiology of male ejaculation: Premature ejaculation is not a disease.

Human semen contains spermatozoa secreted by the testes and a mixture of components produced by the bulbo-urethral and Littre (paraurethral) glands, prostate, seminal vesicles, ampulla, and epididymis. Ejaculation is used as a synonym for the external ejection of semen, but it comprises two phases: emission and expulsion. As semen collects in the prostatic urethra, the rapid preorgasmic distension of the urethral bulb is pathognomonic of impeding orgasm, and the man experiences a sensation that ejaculation is inevitable (in women, emission is the only phase of orgasm). The semen is propelled along the penile urethra mainly by the bulbocavernosus muscle. With Kegel exercises, it is possible to train the perineal muscles. Immediately after the expulsion phase the male enters a refractory period, a recovery time during which further orgasm or ejaculation is physiologically impossible. Age affects the recovery time: as a man grows older, the refractory period increases. Sexual medicine experts consider premature ejaculation only in the case of vaginal intercourse, but vaginal orgasm has no scientific basis, so the duration of intercourse is not important for a woman's orgasm. The key to female orgasm are the female erectile organs; vaginal orgasm, G-spot, G-spot amplification, clitoral bulbs, clitoris-urethra-vaginal complex, internal clitoris and female ejaculation are terms without scientific basis. Female sexual dysfunctions are popular because they are based on something that does not exist, i.e. the vaginal orgasm. The physiology of ejaculation and orgasm is not impaired in premature ejaculation: it is not a disease, and non-coital sexual acts after male ejaculation can be used to produce orgasm in women. Teenagers and men can understand their sexual responses by masturbation and learn ejaculatory control with the stop-start method and the squeeze technique. Premature ejaculation must not be classified as a male sexual dysfunction. It has become the center of a multimillion dollar business: is premature ejaculation-and female sexual dysfunction-an illness constructed by sexual medicine experts under the influence of drug companies?

Vaginal biological and sexual health – the unmet needs

ABSTRACTThe vagina is a most neglected organ. It is usually clinically considered with a minimalistic view, as a ‘connecting tube’ for a number of physiologic functions: passage of menstrual blood, intercourse, natural conception and delivery. Unmet needs include, but are not limited to, respect of vaginal physiologic biofilms; diagnosis and care of the optimal tone of the levator ani, which surrounds and partly support it; care of its anatomic integrity at and after delivery and at pelvic/vaginal surgery; care of long-term consequences of pelvic radiotherapy; long-term care of the atrophic changes it will undergo after the menopause, unless appropriate, at least local, estrogen therapy is used; appreciation and respect of its erotic meaning, as a loving, receptive, ‘bonding’ organ for the couple. The vaginal erotic value is key as a non-visible powerful center of femininity and sexuality, deeply and secretly attractive in terms of taste, scent (together with the vulva), touch and proprioception. The most welcoming when lubrication, softness and vaginal orgasm award the woman and the partner with the best of pleasures. Prevention of sexual/vaginal abuse is a very neglected unmet need, as well. Who cares?

Female Sexual Function and Heart Rate Variability

Few studies have examined the associations of resting heart rate variability (HRV) with female sexual function and behavior. Therefore, we welcome the recent study finding that women with below average resting HRV (as assessed by the standard deviation of NN intervals; SDNN) had lower sexual arousal and lower global sexual function than women with average or above average SDNN (while viewing a neutral film) (Stanton et al. 2015). The SDNN reflects relatively lower sympathetic activity and/or relatively higher parasympathetic activity. Those authors noted the lack of studies on female sexuality and HRV, but missed citing an important study which explored the associations of HRV with women’s frequency of orgasm produced by several different sexual behaviors (Costa and Brody 2012). In that study, it was found that women who had any orgasm triggered by penile-vaginal intercourse (PVI) without simultaneous clitoral masturbation (henceforth, vaginal orgasm) in the past month had higher resting HRV (as assessed by the standard deviation of heart rate, a relatively similar index of HRV) than women who did not have a vaginal orgasm in the past month (Costa and Brody 2012). Of note, orgasm produced by other sexual behaviors including PVI with concurrent clitoral masturbation for the orgasm, clitorally-focused partnered masturbation, oral sex, solitary masturbation, and anal sex were unrelated to resting HRV. Orgasm from vaginally-focused masturbation by the woman’s partner was nearly significantly associated with higher HRV, but this marginal association disappeared in multivariate analyses controlling for the other orgasm trigger frequencies, resulting in only vaginal orgasm being associated with women’s greater resting HRV. These findings were discussed in terms of lower HRV being a reflection of pathophysiological processes that can impair female orgasmic responsiveness specifically during PVI (Costa and Brody 2012). This raises the possibility that vaginal responsiveness is more easily adversely affected by psychological and physiological dysfunctional processes than responding to direct clitoral masturbation. The vagus nerve (the main driver of the parasympathetic nervous system influences on HRV) transmits afferent sensory information from the proximal vagina and cervix to the brain, but is not stimulated by the clitoris (Komisaruk and Whipple 1998; Komisaruk et al. 2004). Given that appropriate afferent vagal stimulation might increase (or ‘‘tune’’) efferent vagal activity on a relatively long-term basis (Gellhorn 1967), it is plausible that PVI may enhance HRV with concomitant health benefits (Costa and Brody 2012). These findings are congruent with another study finding that greater resting HRV (standard deviation of heart rate) was associated with greater PVI frequency in a sample of both sexes, and the sex of the research participant was not a significant confounding variable (Brody and Preut 2003). Unlike in the study by Stanton and colleagues, in these two studies, resting HRV was measured without an inserted vaginal probe (Brody and Preut 2003; Costa and Brody 2012), which Stanton and colleagues listed as a potential confounder in their own study. In a large nationally representative Czech sample, female sexual arousal disorder was related to lack of history of vaginal orgasm and difficulties in focusing on & Rui M. Costa rmscosta@gmail.com

Female sexual dysfunction is an artificial concept driven by commercial interests: FOR: FSD is a multimillion dollar business.

Female sexual dysfunction (FSD) can be classified as low sexual desire (diminished libido), sexual arousal disorder (difficulty to become aroused or maintain arousal during sexual activity), orgasmic disorder (persistent or recurrent difficulty in achieving orgasm after sufficient sexual arousal and continuing stimulation), and sexual pain disorder (pain associated with sexual stimulation or vaginal contact). Prevalence data suggest that 10–42% of women experience orgasmic disorder, and that 15% of women report some pain during intercourse. If a woman has an orgasm through clitoral stimulation, but not during intercourse, it does not meet the criteria for a clinical diagnosis of female orgasmic disorder. If the orgasmic difficulties are the result of inadequate sexual stimulation, these cases should not be diagnosed as a disorder of female orgasm (American Psychiatric Association, American Psychiatric Publishing 2013). Questionnaires are used to establish the diagnosis and to assess the response to treatment of FSD. The female sexual function index (FSFI) questionnaire is the most widely used measure of FSD, and has been cited in more than 1500 articles; however, the validity of the FSFI has not been addressed in the literature (Forbes et al. J Sex Res 2014;51:485–91). Physiologically the FSFI does not provide an assessment of female sexual function as it contains mainly psychological terms (Rosen et al. J Sex Marital Ther 2000;26:191–208). The FSFI seems to assess the degree of lubrication and ease of penetration, whereas very little attention is paid to clitoral sensation. In fact, a decline in desire, and a decreased ability to achieve orgasm, is associated specifically with penile–vaginal intercourse. As a matter of fact, FSD as a concept is popular because it is based on something that doesn't exist, i.e. the vaginal orgasm. Female orgasm is caused by the female erectile organs and, physiologically, female sexual satisfaction is based on orgasm and resolution (Puppo Clin Anat 2013;26:134–52). Moynihan stated: ‘I described the making of female sexual dysfunction as the freshest, clearest example of the corporate sponsored creation of a disease…The 19 item female sexual function index, published in 2000, was supported by Bayer and Zonagen at a time they hoped to treat so-called arousal disorder. The sexual function questionnaire was funded by Pfizer, and half of the authors on the 2002 paper describing its development were Pfizer employees, including the lead author’ (Moynihan BMJ 2010;341:c5050). FSD has become the centre of a multimillion-dollar business, and seems to be essentially focused on sexual function resulting from penile–vaginal intercourse. The FSFI questionnaire must not be used to assess FSD. Is FSD an illness constructed by sexologists under the influence of drug companies? Questionnaires for the diagnosis and treatment of male and female sexual dysfunctions must mainly assess the presence or absence of orgasm (a function of the human body, which must be assessed in the subject) with masturbation, and the questions posed should not use the words ‘intercourse’ or ‘satisfaction’. None declared. Completed disclosure of interests form available to view online as supporting information.