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Current Sexual Health Reports

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01-03-2020 | Clinical Therapeutics (B McCarthy, R Segraves and R Balon, Section Editors)

Orgasm Equality: Scientific Findings and Societal Implications

Authors: Elizabeth A. Mahar, Laurie B. Mintz, Brianna M. Akers

Published in: Current Sexual Health Reports | Issue 1/2020

Abstract

Purpose of Review

Studies have consistently found that there is a gendered orgasm gap, with men experiencing orgasm more frequently than women in heterosexual sexual encounters. This literature review aims to highlight the current state of research on orgasm equality and to explore the reasons underlying this orgasm gap.

Recent Findings

Our review of recently published studies indicates that the gendered orgasm gap still exists today. Additionally, these studies underscore how sociocultural factors can contribute to the differences in reported orgasm frequency between men and women in heterosexual encounters.

Summary

This review suggests that our cultural prioritization of penile-vaginal intercourse over more clitorally focused sexual activities is linked to the gendered orgasm gap. Additional related contributing sociocultural factors may include women’s lack of entitlement to partnered sexual pleasure, societal scripts about masculinity, and women’s cognitive distractions during partnered sex. Recommendations to increase orgasm equality are discussed.

The term cisgender refers to an individual whose gender identity (e.g., woman) matches their sex assigned at birth (e.g., female). To date, all but one study conducted on the orgasm gap has focused on cisgender individuals and/or has not reported individuals’ gender identity. For this reason, we limit our review to heterosexual sex between cisgender women and men.

A literature search of Google Scholar and University of Florida’s OneSearch was conducted with a particular focus on articles published since January 2015. We searched for peer-reviewed English-language articles with the keywords of “orgasm gap,” “orgasm equality,” “orgasm inequality,” “pleasure gap,” gender “orgasm rate,” or gender “orgasm frequency.” This search yielded 83 articles. After excluding articles on irrelevant topics, we were left with 24 articles. References of these articles were manually searched to identify additional studies.

Shirazi et al. [26] demonstrated that the way questions are phrased regarding the occurrence of orgasm during intercourse modulates women’s reported frequency of such orgasms, with the highest rate of orgasm reported when the question specifies that intercourse include concurrent clitoral stimulation and the lowest rate of orgasm reported when the question specifies no such concurrent stimulation, with a mid-range rate found when this was left unspecified.

In this convenience sample, 19% said they rarely if ever orgasmed with a partner.

Given our cultural usage of the words sex and intercourse as equivalent, research asking about women’s orgasms during “sex” could lead to lower reports of orgasms than actually occur during partnered sexual activity because many heterosexual women exclude activities that are associated with increased likelihood of orgasm (e.g., receiving oral sex) from their personal definitions of sex [9•, 35]. Researchers are thus advised to use precise wording in their studies of orgasm.

Haavio-Mannila E, Kontula O. Correlates of increased sexual satisfaction. Arch Sex Behav. 1997;26:399–419. https://doi.org/10.1023/A:1024591318836.CrossRefPubMed

Wade LD, Kremer EC, Brown J. The incidental orgasm: the presence of clitoral knowledge and the absence of orgasm for women. Women Health. 2005;42:117–38. https://doi.org/10.1300/J013v42n01_07.CrossRefPubMed

Kopun F. Mind the ‘orgasm gap.’ The Star 2010. https://www.thestar.com/life/fashion_style/2010/10/06/mind_the_orgasm_gap.html. Accessed 13 Oct 2019.

Herbenick D. 64% of women had an orgasm the last time they had sex. Men’s Health 2010. https://www.menshealth.com/sex-women/a19540631/64-of-women-had-an-orgasm-the-last-time-they-had-sex. Accessed 13 Oct 2019.

Sultan A. New sex survey bust a few myths but reaffirms orgasm gap. St Louis Post-Dispatch 2010. https://www.stltoday.com/lifestyles/relationships-and-special-occasions/new-sex-survey-busts-a-few-myths-but-reaffirms-orgasm/article_abab27ba-cfe8-11df-93be-00127992bc8b.html. Accessed 13 Oct 2019.

Herbenick D, Reece M, Schick V, Sanders SA, Dodge B, Fortenberry JD. An event-level analysis of the sexual characteristics and composition among adults ages 18 to 59: results from a national probability sample in the United States. J Sex Med. 2010;7:346–61. https://doi.org/10.1111/j.1743-6109.2010.02020.x.CrossRefPubMed

Garcia JR, Lloyd EA, Wallen K, Fisher HE. Variation in orgasm occurrence by sexual orientation in a sample of U.S. singles. J Sex Med. 2014;11:2645–52. https://doi.org/10.1111/jsm.12669.CrossRefPubMedPubMedCentral

Andrejek N, Fetner T. The gender gap in orgasms: survey data from a mid-sized Canadian city. Int J Sex Health. 2019;31:26–35.CrossRef

• Frederick DA, St. John HK, Garcia JR, Lloyd EA. Differences in orgasm frequency among gay, lesbian, bisexual, and heterosexual men and women in a U.S. national sample. Arch Sex Behav. 2018;47:273–88. https://doi.org/10.1007/s10508-017-0939-zExamined orgasm frequency in a large national sample that included non-heterosexual identified people.CrossRefPubMed

10.

Frederick DA, Lever J, Gillespie BJ, Garcia JR. What keeps passion alive? Sexual satisfaction is associated with sexual communication, mood setting, sexual variety, oral sex, orgasm, and sex frequency in a national U.S. study. J Sex Res. 2017;54:186–201. https://doi.org/10.1080/00224499.2015.1137854.CrossRefPubMed

11.

Jones AC, Robinson WD, Seedall RB. The role of sexual communication in couples’ sexual outcomes: a dyadic path analysis. J Marital Fam Ther. 2018;44:606–23. https://doi.org/10.1111/jmft.12282.CrossRefPubMed

12.

Leonhardt ND, Willoughby BJ, Busby DM, Yorgason JB, Holmes EK. The significance of the female orgasm: a nationally representative, dyadic study of newlyweds’ orgasm experience. J Sex Med. 2018;15:1140–8. https://doi.org/10.1016/j.jsxm.2018.05.018.CrossRefPubMed

13.

Piemonte JL, Conley TD, Gusakova S. Orgasm, gender, and responses to heterosexual casual sex. Personal Individ Differ. 2019;151:109487. https://doi.org/10.1016/j.paid.2019.06.030.CrossRef

14.

Struckman-Johnson C, Nalan-Sheffield K, Gaster S, Struckman-Johnson D. Sexual behavior in parked cars reported by Midwestern college men and women. J Sex Res. 2017;54:1064–76. https://doi.org/10.1080/00224499.2016.1221881.CrossRefPubMed

15.

Armstrong EA, England P, Fogarty ACK. Orgasm in college hookups and relationships. In: Risman BJ, editor. Families as the really are. New York: W.W. Norton; 2009. p. 362–77.

16.

Eschler L. The physiology of the female orgasm as a proximate mechanism. Sex Evol Gend. 2004;6:171–94. https://doi.org/10.1016/j.jsxm.2017.04.004.CrossRef

17.

Frith H. Orgasmic bodies: the orgasm in contemporary Western culture. Houndmills: Palgrave Macmillan; 2015.CrossRef

18.

Gusakova S, Conley TD, Piemonte JL, Matsick JL. The role of women’s orgasm goal pursuit in women’s orgasm occurrence. Pers Individ Dif. 2019:1–9. https://doi.org/10.1016/j.paid.2019.109628.CrossRef

19.

Mintz LB. Becoming cliterate: why orgasm equality matters - and how to get it. New York: HarperOne; 2017.

20.

Wade L. Are women bad at orgasms? Understanding the gender gap. In: Tarrant S, editor. Gender, sex, and politics: in the streets and between the sheets in the 21st century. New York: Routledge; 2015. p. 227–37.CrossRef

21.

Laumann EO, Gagnon JH, Michael RT, Michaels S. The social organization of sexuality: sexual practices in the United States. Chicago: University of Chicago Press; 1994.

22.

Hite S. The Hite report: a nationwide study of female sexuality. New York: Seven Stories Press; 1976.

23.

Carvalheira A, Leal I. Masturbation among women: associated factors and sexual response in a Portuguese community sample. J Marital Fam Ther. 2013;39:347–67. https://doi.org/10.1080/0092623X.2011.628440.CrossRef

24.

Graham CA. The DSM diagnostic criteria for female orgasmic disorder. Arch Sex Behav. 2010;39:256–70. https://doi.org/10.1007/s10508-009-9542-2.CrossRefPubMed

25.

Herbenick D, Fu T-C, Arter J, Sanders SA, Dodge B. Women's experiences with genital touching, sexual pleasure, and orgasm: results from a U.S. probability sample of women ages 18 to 94. J Sex Marital Ther. 2017;44:201–12. https://doi.org/10.1080/0092623X.2017.1346530.CrossRefPubMed

26.

Shirazi T, Renfro KJ, Lloyd E, Wallen K. Women’s experience of orgasm during intercourse: question semantics affect women’s reports and men’s estimates of orgasm occurrence. Arch Sex Behav. 2018;47:605–13. https://doi.org/10.1007/s10508-017-1102-6.CrossRefPubMed

27.

Brewer G, Hendrie CA. Evidence to suggest that copulatory vocalizations in women are not a reflective consequence of orgasm. Arch Sex Behav. 2011;40:559–64. https://doi.org/10.1007/s10508-010-9632-1.CrossRefPubMed

28.

Salisbury CM, Fisher WA. "did you come?" a qualitative exploration of gender differences in beliefs, experiences, and concerns regarding female orgasm occurrence during heterosexual sexual interactions. J Sex Res. 2014;51:616–31. https://doi.org/10.1080/00224499.2013.838934.CrossRefPubMed

29.

30.

Fugl-Meyer KS, Oberg K, Lundberg PO, Lewin B, Fugl-Meyer A. On orgasm, sexual techniques, and erotic perceptions in 18- to 74-year-old Swedish women. J Sex Med. 2006;3:56–68. https://doi.org/10.1111/j.1743-6109.2005.00170.x.CrossRefPubMed

31.

Armstrong EA, England P, Fogarty ACK. Accounting for women’s orgasm and sexual enjoyment in college hookups and relationships. Am Sociol Rev. 2012;77:435–62. https://doi.org/10.1177/0003122412445802.CrossRef

32.

• Blair KL, Cappell J, Pukall CF. Not all orgasms were created equal: differences in frequency and satisfaction of orgasm experiences by sexual activity in same-sex versus mixed-sex relationships. J Sex Res. 2017;55:719–33. https://doi.org/10.1080/00224499.2017.1303437Important study shedding light on how women’s orgasm experiences can differ in same-sex versus mixed-sex relationships.CrossRefPubMed

33.

Mintz L, Guitelman J. Orgasm problems in women. In: Binik Y, Hall K, editors. Principles and practice of sex therapy. 6th ed. New York: Guilford Press. in press.

34.

Muehlenhard CL, Shippee SK. Men's and women's reports of pretending orgasm. J Sex Res. 2010;47:552–67. https://doi.org/10.1080/00224490903171794.CrossRefPubMed

35.

Horowitz AD, Spicer L. “Having sex” as a graded and hierarchical construct: a comparison of sexual definitions among heterosexual and lesbian emerging adults in the U.K. J Sex Res. 2013;50:139–50. https://doi.org/10.1080/00224499.2011.635322.CrossRefPubMed

36.

Séguin LJ, Rodrigue C, Lavigne J. Consuming ecstasy: representations of male and female orgasm in mainstream pornography. J Sex Res. 2018;55:348–56. https://doi.org/10.1080/00224499.2017.1332152.CrossRefPubMed

37.

Klaassen MJE, Peter J. Gender (in)equality in internet pornography: a content analysis of popular pornographic internet videos. J Sex Res. 2015;52:721–35. https://doi.org/10.1080/00224499.2014.976781.CrossRefPubMed

38.

Porter CN, Douglas N, Collumbien M. ‘Enhance her pleasure – and your grip strength’: Men’s health magazine and pseudo-reciprocal pleasure. Cult Health Sex. 2016;19:738–51. https://doi.org/10.1080/13691058.2016.1258591.CrossRefPubMed

39.

Richters J, Visser RD, Rissel C, Smith A. Sexual practices at last heterosexual encounter and occurrence of orgasm in a national survey. J Sex Res. 2006;43:217–26. https://doi.org/10.1080/00224490609552320.CrossRefPubMed

40.

McClelland SI. Intimate justice: sexual satisfaction in young adults. PhD [dissertation]. New York: The City University of New York; 2009.

41.

Goldey KL, Posh AR, Bell SN, van Anders SM. Defining pleasure: a focus group study of solitary and partnered sexual pleasure in queer and heterosexual women. Arch Sex Behav. 2016;45:2137–54. https://doi.org/10.1007/s10508-016-0704-8.CrossRefPubMed

42.

Barnett MD, Moore JM, Woolford BA, Riggs SA. Interest in partner orgasm: sex differences and relationships with attachment strategies. Personal Individ Differ. 2018;124:194–200. https://doi.org/10.1016/j.paid.2017.12.015.CrossRef

43.

Kontula O, Miettinen A. Determinants of female sexual orgasms. Socioaffect Neurosci Psychol. 2016;6:31624. https://doi.org/10.3402/snp.v6.31624.CrossRefPubMed

44.

McClelland SI. Who is the “self” in self reports of sexual satisfaction? Research and policy implications. Sex Res Soc Policy. 2011;8:304–20. https://doi.org/10.1007/s13178-011-0067-9.CrossRef

45.

Fahs B. Coming to power: Women’s fake orgasms and best orgasm experiences illuminate the failures of (hetero)sex and the pleasures of connection. Cult Health Sex. 2014;16:974–88. https://doi.org/10.1080/13691058.2014.924557.CrossRefPubMed

46.

Willis M, Jozkowski KN, Lo W-J, Sanders SA. Are women’s orgasms hindered by phallocentric imperatives? Arch Sex Behav. 2018;47:1565–76. https://doi.org/10.1007/s10508-018-1149-z.CrossRefPubMed

47.

Mallory AB, Stanton AM, Handy AB. Couples’ sexual communication and dimensions of sexual function: a meta-analysis. J Sex Res. 2019;56:882–98. https://doi.org/10.1080/00224499.2019.1568375.CrossRefPubMed

48.

Cormier LA, O’Sullivan LF. Anti-climactic: investigating how late adolescents perceive and deal with orgasm difficulty in the context of their intimate relationships. Can J Hum Sex. 2018;27:111–22. https://doi.org/10.3138/cjhs.2018-001.CrossRef

49.

Chadwick SB, van Anders SM. Do women’s orgasms function as a masculinity achievement for men? J Sex Res. 2017;54:1141–52. https://doi.org/10.1080/00224499.2017.1283484.CrossRefPubMed

50.

Opperman E, Braun V, Clarke V, Rogers C. "It feels so good it almost hurts": Young adults' experiences of orgasm and sexual pleasure. J Sex Res. 2014;51:503–15. https://doi.org/10.1080/00224499.2012.753982.CrossRefPubMed

51.

Lamb S, Lustig K, Graling K. The use and misuse of pleasure in sex education curricula. Sex Educ. 2013;13:305–18. https://doi.org/10.1080/14681811.2012.738604.CrossRef

52.

Orenstein P. Girls and sex: navigating the complicated new landscape. New York: HarperCollins; 2017.

53.

Meana M, Nunnink SE. Gender differences in the content of cognitive distraction during sex. J Sex Res. 2006;43:59–67. https://doi.org/10.1080/00224490609552299.CrossRefPubMed

54.

Newcombe BC, Weaver AD. Mindfulness, cognitive distraction, and sexual well-being in women. Can J Hum Sex. 2016;25:99–108. https://doi.org/10.3138/cjhs.252-A3.CrossRef

55.

Tavares IM, Laan ET, Nobre PJ. Cognitive-affective dimensions of female orgasm: the role of automatic thoughts and affect during sexual activity. J Sex Med. 2017;14:818–28. https://doi.org/10.1016/j.jsxm.2017.04.004.CrossRefPubMed

56.

Ålgars M, Santtila P, Jern P, Johansson A, Westerlund M, Sandnabba NK. Sexual body image and its correlates: a population-based study of Finnish women and men. Int J Sex Health. 2011;23:26–34. https://doi.org/10.1080/19317611.2010.509692.CrossRef

57.

Herbenick D, Schick V, Reece M, Sanders S, Dodge B, Fortenberry JD. The female genital self-image scale (FGSIS): results from a nationally representative probability sample of women in the United States. J Sex Med. 2011;8:158–66. https://doi.org/10.1111/j.1743-6109.2010.02071.x.CrossRefPubMed

58.

Brotto LA, Basson R, Smith KB, Driscoll M, Sadownik L. Mindfulness-based group therapy for women with provoked vestibulodynia. Mindfulness. 2015;6:417–32. https://doi.org/10.1007/s12671-013-0273-z.CrossRef

59.

Bell SN, McClelland SI. When, if, and how: young women contend with orgasmic absence. J Sex Res. 2018;55:679–91. https://doi.org/10.1080/00224499.2017.1384443.CrossRefPubMed

60.

Koepsel ER. The power in pleasure: practical implementation of pleasure in sex education classrooms. Am J Sex Educ. 2016;11:205–65. https://doi.org/10.1080/15546128.2016.1209451.CrossRef

61.

Warshowsky H, Mosley DV, Mahar EA, Mintz L. Effectiveness of undergraduate human sexuality courses in enhancing women’s sexual functioning. Sex Educ. 2019:1–16. https://doi.org/10.1080/14681811.2019.1598858.CrossRef

62.

Guitelman J, Mahar EA, Mintz LB, Dodd HE. Effectiveness of a bibliotherapy intervention for young adult women’s sexual functioning. Sex Relatsh Ther. 2019:1–21. https://doi.org/10.1080/14681994.2019.1660761.

63.

Warshowsky H. Cliteracy for him: effectiveness of bibliotherapy for heterosexual men’s sexual functioning. PhD [dissertation]. Gainesville: University of Florida; 2019.

64.

Dyar C, Newcomb ME, Mustanski B, Whitton SW. A structural equation model of sexual satisfaction and relationship functioning among sexual and gender minority individuals assigned female at birth in diverse relationships. Arch Sex Behav. 2019:1–18. https://doi.org/10.1007/s10508-019-1403-z.

Title: Orgasm Equality: Scientific Findings and Societal Implications
Authors: Elizabeth A. Mahar
Laurie B. Mintz
Brianna M. Akers
Publication date: 01-03-2020
Publisher: Springer US
Published in: Current Sexual Health Reports / Issue 1/2020
Print ISSN: 1548-3584
Electronic ISSN: 1548-3592
DOI: https://doi.org/10.1007/s11930-020-00237-9

At a glance: The STEP trials

Springer Medicine

Orgasm Equality: Scientific Findings and Societal Implications

Abstract

Purpose of Review

Recent Findings

Summary

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose of Review

Recent Findings

Summary

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