Orgasm in Women ...

[Michael Scally MD]

Time to Orgasm in Women in a Monogamous Stable Heterosexual Relationship

Background - Orgasm in women is a complex phenomenon, and the sparse data about time to orgasm (TitOr) in women are an impediment to the research on this complex phenomenon.

Aim - To evaluate the stopwatch measured TitOr in women in a monogamous stable heterosexual relationship.

Methods - The study was conducted through web-based and personal interview using a questionnaire, which addressed the issues related to TitOr. Sexually active women older than 18 years and women in a monogamous stable heterosexual relationship were included in the study. Those with comorbidities such as diabetes, hypertension, asthma, psychiatric illness, sexual dysfunction and those with partners with sexual dysfunction were excluded. The participants reported stopwatch measured TitOr after adequate sexual arousal over an 8-week period. The data analysis was performed using GraphPad software (©2018 GraphPad Software, Inc, USA).

Outcomes - The outcomes included stopwatch measured average TitOr in women.

Results - The study period was from October 2017 to September 2018 with a sample size of 645. The mean age of the participants was 30.56 ± 9.36 years. The sample was drawn from 20 countries, with most participants from India, the United Kingdom, the Netherlands, and the United States of America. The mean reported TitOr was 13.41 ± 7.67 minutes (95% confidence interval: 12.76 minutes–14.06 minutes). 17% of the participants had never experienced the orgasm. Penovaginal intercourse was insufficient to reach orgasm in the majority, in whom it was facilitated by certain positions and maneuvers.

Clinical Implications - The knowledge of stopwatch measured TitOr in women in real-life setting helps to define, treat, and understand female sexual function/dysfunction better and it also helps to plan treatment of male ejaculatory dysfunction, as reported ejaculatory latency in healthy men is much less than the reported TitOr here.

Strengths & limitations - Use of stopwatch to measure TitOr and a large multinational sample are the strength of the study. The absence of a crosscheck mechanism to check the accuracy of the stopwatch measurement is the limitation of the study.

Conclusion - Stopwatch measured average TitOr in the sample of women in our study, who were in a monogamous stable heterosexual relationship, is 13.41 minutes (95% confidence interval: 12.76 minutes–14.06 minutes) and certain maneuvers as well as positions during penovaginal intercourse help achieving orgasm, more often than not.

Bhat GS, Shastry A. Time to Orgasm in Women in a Monogamous Stable Heterosexual Relationship. The Journal of Sexual Medicine. Redirecting

 

[Michael Scally MD]

 

[Michael Scally MD]

What Does Research Tell Us About Women's Experiences, Motives and Perceptions of Masturbation Within a Relationship Context?

This systematic review provides an overview of what qualitative research has revealed about partner-related factors around women's masturbation and explores how these factors relate to women's behavior, perceptions, and motives toward masturbation. Eleven studies were identified and secondary thematic analysis was used for synthesis.

Women's perceptions often focus on the (potential) negative influences of masturbation on current or future relationships. Motivations some women reported for masturbating due to partner-related factors were diverse.

Findings suggested that some women modify their masturbation behavior when in a relationship. The implications of these findings for sexual health educators and clinicians are discussed.

Kılıç Onar D, Armstrong H, Graham CA. What Does Research Tell Us About Women's Experiences, Motives and Perceptions of Masturbation Within a Relationship Context?: A Systematic Review of Qualitative Studies [published online ahead of print, 2020 Jul 6]. J Sex Marital Ther. 2020;1-34. doi:10.1080/0092623X.2020.1781722 https://www.tandfonline.com/doi/abs/10.1080/0092623X.2020.1781722?journalCode=usmt20

 

[Michael Scally MD]

Female Ejaculation: An Update on Anatomy, History, and Controversies

Female ejaculation is a contentious topic. From a review of the literature, history indicates that it is not a modern concept; some females were aware of it in times past without understanding the role of the fluid or composition of the ejaculate.

Over time, scholars experimented, mainly with anatomical studies, in an attempt to identify the source of the ejaculate and explore its physiological and anatomical benefits for the female sexual experience. Despite these studies, views about female ejaculation remain controversial and inconsistent, with no clear conclusion as to its function.

This review discusses the history of studies of female ejaculation and presents various hypotheses from an anatomical and physiological perspective. After reviewing forty-four publications from 1889 to 2019 it became apparent that clinical and anatomical studies conducted during recent decades provide substantial evidence in support of the female ejaculatory phenomenon.

Anatomical studies have shown that the ejaculate originates in the paraurethral (Skene's) glands, but its composition has been debated. Female ejaculate differs from urine in its creatinine and urea concentrations. The fluid also contains prostate specific antigen (PSA) and could have antibacterial properties that serve to protect the urethra. While the specific function of female ejaculation remains a topic of debate, there is sufficient evidence to support the existence of the phenomenon.

Rodriguez FD, Camacho A, Bordes SJ, Gardner B, Levin RJ, Tubbs RS. Female Ejaculation: an update on anatomy, history, and controversies [published online ahead of print, 2020 Jul 18]. Clin Anat. 2020;10.1002/ca.23654. doi:10.1002/ca.23654 https://onlinelibrary.wiley.com/doi/abs/10.1002/ca.23654

 

[Michael Scally MD]

Female Orgasm and Overall Sexual Function and Habits

Introduction Few studies have investigated women's experiences with orgasm and the factors that they cite as important for their orgasmic function and sexual behavior related to foreplay and sexual stimulation.

Aim To investigate and describe overall sexual function in a cohort of North American women, with a special focus on orgasmic function, satisfaction, triggers, risk factors, and sexual behavior.

Methods A total of 303 women aged 18–75 years completed a 100-questionnaire survey, which included the Female Sexual Function Index (FSFI) questionnaire and questions on orgasmic function, duration of sexual activity, sexual behaviors and relationship, and the partner’s sexual function. Statistical analysis was performed using SPSS to illuminate factors affecting sexual function.

Outcomes The main outcome measures are FSFI score, satisfaction with sexual life, ability to reach orgasm, orgasm frequency, preferred sexual stimulation, and sexual habits.

Results FSFI scores, which were calculated for the 230 women who reported having had a steady male sex partner in the preceding 6 months, showed that 41% of the 230 women were at risk for female sexual dysfunction (a cutoff less than 26.55) and 21% were dissatisfied with their overall sexual life.

Almost 90% of the overall cohort reported good emotional contact with their partner, that their partner was willing to have sex, satisfaction with the partner’s penis size (wherever applicable), and good erectile function and ejaculatory control of their partner (wherever applicable). 81% of the overall cohort claimed to be sexually active.

Around 70% (70–72) did reach orgasm frequently, but around 10% never did so. Vaginal intercourse was reported by 62% of the overall cohort as the best trigger of orgasm, followed by external stimulation from the partner (48%) or themselves (37%). External stimulation was reported to be the fastest trigger to orgasm.

Clinical Implications The knowledge on how women reach orgasm and how it is related to the partners' willingness to have sex and other factors can be incorporated in the clinical work. Strengths & Limitations The use of a validated questionnaire and the relative large number of participants are strengths of the study. Limitations are the cross-sectional design, the lack of a sexual distress measure, and a possible selection bias.

Conclusion Most women in the overall cohort were satisfied overall with their sexual life and partner-related factors, even though 41% (of those who cited a steady sex male partner) were at risk for female sexual dysfunction. Most women did reach orgasm through different kinds of stimulation. Correlation was good between preferred and performed sexual activities and positions.

Shaeer O, Skakke D, Giraldi A, Shaeer E, Shaeer K. Female Orgasm and Overall Sexual Function and Habits: A Descriptive Study of a Cohort of U.S. Women. The Journal of Sexual Medicine 2020;17:1133-43. http://www.sciencedirect.com/science/article/pii/S1743609520300680

 

[Multislacking]

Really great series here with the magic wand:

 

[Millard]

View: https://twitter.com/jacasiegel/status/1373000215901433859


Abstract

Previous research revealed a gap in orgasm frequency between men and women, with women orgasming less frequently than men. Because female orgasms are rooted partially in psychological origins, this gap may be partly explained by sociocultural factors. Utilizing sexual satisfaction as an outcome measure and orgasm frequency as a mediator, we surveyed 1043 women about a multitude of factors to determine the relationship between sociocultural factors, orgasm frequency and sexual satisfaction. Because women may orgasm in different frequencies depending on context, we measured four different orgasm variables: orgasm with self (masturbation), orgasm with a familiar partner, orgasm with a new partner, and multiple orgasm frequency. Factors such as sexual orientation, sexual shame, sexual pride, sexual assertiveness, sexual attitudes (related to permissiveness, birth control and communion), endorsement of traditional gender roles, and endorsement of the sexual double standard were correlated with female orgasm frequency within different contexts. The only orgasm variable that predicted sexual satisfaction was orgasm with a familiar partner, indicating that not all orgasms can predict sexual satisfaction. Overall, sexual assertiveness was the variable that positively correlated with and predicted orgasm frequency in almost all contexts as well as sexual satisfaction. This indicates that socializing women to be more sexually assertive could potentially lead to more frequent orgasms and greater sexual satisfaction. The findings of this study can be used to bridge the orgasm gap between men and women, and in general help women in curating better and more positive sexual encounters.

Lentz, A.M., Zaikman, Y. The Big “O”: Sociocultural Influences on Orgasm Frequency and Sexual Satisfaction in Women. Sexuality & Culture (2021). https://doi.org/10.1007/s12119-020-09811-8

Frequency of Orgasm in Females

Orgasm with Self
(1)
What percent of the time do you experience orgasm by self-stimulation/masturbation (with no partner present)?

(2)
How difficult is it for you to reach orgasm by self-stimulation/masturbation (no partner present)?

Orgasm with Partner
(1)
Please read the following questions and remark what percent of the time you have experienced orgasm with a partner. (“Never,” “25% of the time,” “50% of the time,” “75% of the time.” “100% of the time”)

(a)
How often do you experience orgasm with a sexual partner?

(b)
What percent of the time do you experience orgasm within a committed relationship?

(c)
What percent of the time do you experience orgasm with a familiar partner (who you have had sex with before)?

(d)
What percent of the time do you NOT experience orgasm within a single session of sexual activity with a partner (in general)?

(e)
How often do you fake having an orgasm with a sexual partner?

(2)
How difficult is it for you to reach orgasm with a sexual partner?

Orgasm with New Partner
(1)
Please read the following questions and remark what percent of the time you have experienced orgasm with a partner. (“Never,” “25% of the time,” “50% of the time,” “75% of the time.” “100% of the time”)

(a)
What percent of the time do you experience orgasm in casual sex/one-night-stand encounters?

(b)
What percent of the time do you experience orgasm having sex with a NEW partner for the FIRST time?

Multiple Orgasms
(1)
Please read the following questions and remark what percent of the time you have experienced orgasm with a partner. (“Never,” “25% of the time,” “50% of the time,” “75% of the time.” “100% of the time”)

(a)
What percent of the time do you experience multiple orgasms with a partner (in general)?

(b)
What percent of the time do you experience multiple orgasms by self-stimulation/masturbation (with no partner present)?

(2)
How many orgasms do you usually experience within a single session of sexual activity with a partner?

(3)
How many orgasms do you usually experience within a single session of self-stimulation/masturbation (no partner present)?

 

[malfeasance]

View: https://twitter.com/jacasiegel/status/1373000215901433859


Abstract

Previous research revealed a gap in orgasm frequency between men and women, with women orgasming less frequently than men. Because female orgasms are rooted partially in psychological origins, this gap may be partly explained by sociocultural factors. Utilizing sexual satisfaction as an outcome measure and orgasm frequency as a mediator, we surveyed 1043 women about a multitude of factors to determine the relationship between sociocultural factors, orgasm frequency and sexual satisfaction. Because women may orgasm in different frequencies depending on context, we measured four different orgasm variables: orgasm with self (masturbation), orgasm with a familiar partner, orgasm with a new partner, and multiple orgasm frequency. Factors such as sexual orientation, sexual shame, sexual pride, sexual assertiveness, sexual attitudes (related to permissiveness, birth control and communion), endorsement of traditional gender roles, and endorsement of the sexual double standard were correlated with female orgasm frequency within different contexts. The only orgasm variable that predicted sexual satisfaction was orgasm with a familiar partner, indicating that not all orgasms can predict sexual satisfaction. Overall, sexual assertiveness was the variable that positively correlated with and predicted orgasm frequency in almost all contexts as well as sexual satisfaction. This indicates that socializing women to be more sexually assertive could potentially lead to more frequent orgasms and greater sexual satisfaction. The findings of this study can be used to bridge the orgasm gap between men and women, and in general help women in curating better and more positive sexual encounters.

Lentz, A.M., Zaikman, Y. The Big “O”: Sociocultural Influences on Orgasm Frequency and Sexual Satisfaction in Women. Sexuality & Culture (2021). https://doi.org/10.1007/s12119-020-09811-8

Frequency of Orgasm in Females

Orgasm with Self
(1)
What percent of the time do you experience orgasm by self-stimulation/masturbation (with no partner present)?

(2)
How difficult is it for you to reach orgasm by self-stimulation/masturbation (no partner present)?

Orgasm with Partner
(1)
Please read the following questions and remark what percent of the time you have experienced orgasm with a partner. (“Never,” “25% of the time,” “50% of the time,” “75% of the time.” “100% of the time”)

(a)
How often do you experience orgasm with a sexual partner?

(b)
What percent of the time do you experience orgasm within a committed relationship?

(c)
What percent of the time do you experience orgasm with a familiar partner (who you have had sex with before)?

(d)
What percent of the time do you NOT experience orgasm within a single session of sexual activity with a partner (in general)?

(e)
How often do you fake having an orgasm with a sexual partner?

(2)
How difficult is it for you to reach orgasm with a sexual partner?

Orgasm with New Partner
(1)
Please read the following questions and remark what percent of the time you have experienced orgasm with a partner. (“Never,” “25% of the time,” “50% of the time,” “75% of the time.” “100% of the time”)

(a)
What percent of the time do you experience orgasm in casual sex/one-night-stand encounters?

(b)
What percent of the time do you experience orgasm having sex with a NEW partner for the FIRST time?

Multiple Orgasms
(1)
Please read the following questions and remark what percent of the time you have experienced orgasm with a partner. (“Never,” “25% of the time,” “50% of the time,” “75% of the time.” “100% of the time”)

(a)
What percent of the time do you experience multiple orgasms with a partner (in general)?

(b)
What percent of the time do you experience multiple orgasms by self-stimulation/masturbation (with no partner present)?

(2)
How many orgasms do you usually experience within a single session of sexual activity with a partner?

(3)
How many orgasms do you usually experience within a single session of self-stimulation/masturbation (no partner present)?

Correlation or causation? Maybe women who orgasm more frequently are more sexually assertive, and not the other way around.

 

[TrennedOutLunatic]

Correlation or causation? Maybe women who orgasm more frequently are more sexually assertive, and not the other way around.

When my wife started orgasming more frequently,she did start becoming more sexually assertive. N=1

I am not joking.

Then again,can't blame her as well....
Took half a decade to finally get it right.
I wasn't helping either. 4..ehm..
Let's just say 10.16cm here. To make me feel better.
Screw the imperial system.


I am talking orgasm through penetration.

 

[meistugh]

Why should we care if women orgasm. Seriously. Who gives a fuck.

 

[meistugh]

Posted in the men's health section too? Weird as fuck Dr.