"“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…"