Sexuality

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April 10, 2026

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April 10, 2026

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"The female orgasm is a variable, transient peak sensation of intense pleasure, creating an altered state of consciousness, usually with an initiation accompanied by involuntary, rhythmic contractions of the pelvic striated circumvaginal musculature, often with concomitant uterine and anal contractions, that resolves the sexually induced vasocongestion and myotonia, generally with an induction of well-being and contentment. Findings from surveys and clinical reports suggest that orgasm problems are the first or second most frequently reported sexual problems in women. Between 11 and 60% of adult women suffer from lack of orgasm, depending on factors such as culture and religion. On an individual level, self-insight and a positive attitude towards one’s own genitals and sexuality are important. Female anorgasmia is a significant sexual problem. The woman who lacks orgasm often also lacks desire and joy of sexuality, has low self-esteem, often feels like a sexual failure, and feels sexually wrong and ashamed of herself for not being the “woman she was meant to be”. Perceptions of not being fully able to satisfy her partner sexually are normal and quality of life is often low. The problem of female anorgasmia, from a psychodynamic perspective, often goes back to the parental lack of acceptance of the patient’s genitals, body, and sexuality, often leading to intense feelings of shame and guilt, which seem to be repressed by a denial of physical and sexual needs, and accumulate in the pelvic and genital area. Sexual abuse and sexual traumas from rape and incest often cause lack of orgasm. If self-esteem is low, it is our clinical observation that there can be lack of orgasm from the simple psychological reason that the patient feels she does not deserve such pleasure, or does not know how to get it. It is very likely that anorgasmia is a socially inherited sexual dysfunction, but this has never been investigated scientifically. It is generally believed that anorgasmia, as most other sexual dysfunctions, is caused by a disturbed psychosexual development."

- Orgasm

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"The objective of this study was to test the Betty Dodson method of breaking the female orgasm barrier in chronic anorgasmic women. The aim was sexual and existential healing (salutogenesis) through direct confrontation and integration of both the repressed shame, guilt, and other negative feelings associated with body, genitals, and sexuality, and the repressed sexual pleasure and desire. We conducted a retrospective analysis of clinic data from holistic sexological manual therapeutic intervention, an intensive subtype of clinical holistic medicine (CHM). The patients received 3 × 5 h of group therapy, integrating short-term psychodynamic psychotherapy (STPP) and complementary medicine (CAM bodywork, manual sexology similar to the “sexological examination”). The therapy used the advanced tools of reparenting, genital acceptance, acceptance through touch, and direct sexual clitoral stimulation. A clitoral vibrator was used. Participants were 500 female patients between 18 and 88 years of age (mean of 35 years) with chronic anorgasmia (for 12 years on average) who were participating in the “orgasm course for anorgasmic women”; 25% of the patients had never experienced an orgasm. Our results show that 465 patients (93%) had an orgasm during therapy, witnessed by the therapist, and 35 patients (7%) did not. Postmenopausal women were as able to achieve orgasm as fertile women, as were women who never had an orgasm. No patients had detectable negative side effects or adverse effects. NNT: 1.04 < NNT < 1.12, NNH > 500. Therapeutic value: TV = NNH/NNT > 446. Our conclusions are that holistic sexological manual therapy may be rational, safe, ethical, and efficient."

- Orgasm

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"“Possibly about a third of civilized women get their climax externally [clitorally]; perhaps another third achieve it mainly in the vaginal passage, and another third achieve it seldom or never. Of women who can reach it from either area it is found that the inner climax is generally-but not quite always-the one most valued. It is held by psychiatrists that the emotional content of the two types of orgasm is different. Most women will confirm this, though there can be no question of the significance being identical for everybody.’’ This revealed considerable problems. According to Malleson, two-thirds of women were not achieving the vaginal orgasms held to be most desirable by Freud, by most sex manual authors, and frequently by women themselves. Less specifically, Helena Wright, who saw London women through her private medical practice and Family Planning clinics, wrote in 1947 that she had kept careful records of her patients’ experiences since 1928, and that ‘sexual satisfaction is not obtained by more than 50 per cent of married women’. Unsurprisingly Macaulay, who advised women to lower their expectations, was more sanguine about female sexual pleasure: ‘The answers I have received on questioning my patients about their sexual life are in complete contrast to the somewhat gloomy figures published by other writers.’ In her second sex manual, published in 1947, Wright commented that ‘Fifteen years ago most workers along this line thought that the main problem [for women] was ignorance.’ This, Wright felt, had changed, revealing another problem, which was that both men and women expected female sexual response to conform to a male pattern: [Men] discover very early in their sexual experience that…a comparatively short time of rhythmic movements of the penis in the vagina produces an orgasm and ejaculation easily and completely…men, therefore, expect that…"

- Orgasm

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"Masters and Johnson’s major conclusion was that there was only one female orgasm and that it originated in the clitoris regardless of where it was felt. This was in spite of their description of the vaginal response to erotic stimulation, explained here by the Breechers: ‘’The vagina too, responds. It can be thought of as a cylinder or ‘barrel’, which remains in a collapsed state in the absence of erotic stimulation. The Masters-Johnson studies have established that the outer third of this barrel reacts in one way and the inner two-thirds in a very different way during the successive phases of sexual response. As sexual tension mounts during the excitement phase… [t]he cervix and the uterus are pulled back and up…producing a ‘tenting’ of the vaginal walls surrounding the cervix. The net result of these and other changes is a dramatic ‘ballooning’ of the inner two thirds of the vagina. The diameter at the widest point of the ballooning may be three times the diameter of the erotically unstimulated vagina; and the total length of the vaginal barrel may be increased as much as a full inch.’’ Given this physical response the vagina cannot be described as inactive or even passive. However, Masters, and Johnson assumed this to be the case, and their findings focused on what they called clitorical orgasms. The female research subjects were chosen on the basis of their capacity to produce orgasms in the laboratory while under observation. Regarding these women, Masters and Johnson found that as ‘contrasted with the male’s usual inability to have more than one orgasm in a short period, many females, especially when clitorally stimulated can regularly have five or six full orgasms within a matter of minutes’. In this context, with these female subjects, it was found that the most intense orgasms on a physiological level occurred as a result of masturbation, not while engaging in penile-vaginal intercourse. In response to these findings, Dr Mary Jane Sherfey, an American psychoanalyst, concluded in 1966 that ‘biology gives to women an inordinate sexual drive and capacity which had to be suppressed in the interests of maternal responsibility and male property rights with the rise of modern civilisation’."

- Orgasm

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"[T]here were reasons for the acceptance of vaginal orgasm by female manual authors. The strong resistance to masturbatory activities reveals that such women were not internalizing a new prohibition in rejecting clitoral stimulation but extending an existing one. Manuals by women (and the evidence on behavior) also suggest that English women were generally less comfortable with varied sexual practices that were men. For many married women of this generation their sexual aspirations lay in a different direction. Although the theme had been present in the manuals throughout the inter-war period, the 1950s saw the peak of the insistence on vaginal orgasm for women and the peak of the glorification of sexual intercourse as a transcendent, shared emotional experience for the couple. Authors used phrases such as “their spirits as well as their bodies seem to rise together to a flame of ecstasy which is quite indescribable’ or ‘total emotional surrender’. Definitions of marital sexual pleasure incorporated emotion. In ‘’The Golden Notebook’’ (1962) the Rhodesian-born novelist Doris Lessing (b. 1919) made a frequently quoted, classic statement of support for the vaginal orgasm. She wrote that a ‘vaginal orgasm is emotion and nothing else, felt as emotion and expressed in sensation that are indistinguishable from emotion’. In her 1995 autobiography she also commented that ‘when I masturbated in my adolescence it was the vagina and its amazing possibilities I learned about. The clitoris was only part of the whole ensemble.’ In the 1950s, there were many articulate middle-class women who agreed with Doris Lessing and her perception of female sexual experience. They experienced coitus and vaginal orgasm as an emotional experience and they wanted men to participate emotionally also. Men had to alter their attitude to marital sexuality if they were to accommodate this demand, as a shared emotional experience was incompatible with the exercise of conjugal rights. Thus, in a context where male initiation and management of physical sexual activity was still the norm, the vaginal orgasm involved a further step toward the destruction of the double standard."

- Orgasm

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