The Influence of Types of Stimulation and Attitudes to Clitoral Self-stimulation on Female Sexual and Orgasm Satisfaction: : a Cross-sectional Study

Introduction: Societal assumptions and individual myths that define vaginal penetration as normal sexuality can affect the sexual pleasure of varied sexual activities. Although women orgasm much more easily through direct clitoral stimulation than through vaginal intercourse, many couples desire the latter. The purpose of this study is to investigate how orgasms from different types of stimulation with a partner affect sexual satisfaction and orgasm satisfaction in cisgender women. Also, the attitude of women to stimulate their clitoris themselves to reach orgasm during sex with their partner will be included.

Methods: Two independent surveys (N = 388 and N = 555) were conducted online in 2016 and 2020.

Results: Regression analyses showed that orgasm consistency through sexual intercourse had a stronger influence on orgasm satisfaction and sexual satisfaction than orgasm consistency through oral sex, stimulation by the partner’s hand, or self-stimulation. Positive thoughts and feelings about self-stimulation of the clitoris during sex with the partner showed only little effect, but in some cases, they were even negatively related to the reported satisfaction.

Conclusions: The results indicate that the common misconception about sexuality, that it is normal for women to experience orgasms during penile-vaginal intercourse, influences the subjective evaluation of one’s own sexuality. Orgasms from clitoral stimulation seem to have a second-class quality for some women, although there is no evidence that these orgasms feel like less pleasureable.

Policy Implication: Rigid assumptions about what normal sexuality should look like should be publicly addressed and discussed in sex education classes.