But for women's orgasms, the old in-out is also problematic. The best evidence suggests that only 25 percent of women are consistently orgasmic during intercourse no matter how vigorous or prolonged it is, no matter how loving the relationship, no matter what position the lovers use, and no matter what the size of the man's penis.
During intercourse missionary, doggie, woman-on-top, whatever , the penis does not directly stimulate the clitoris, the organ responsible for women's orgasms. Sexuality experts reassure couples that the woman's inability to experience orgasm during intercourse is 1 very common, 2 no reflection on her sexual responsiveness, 3 no reflection on the man's sexual technique, and 4 no reflection the woman's feelings about the relationship.
Sexuality authorities also encourage couples to let go of the idea that women "should" have orgasms during intercourse. They encourage men to help women to orgasm using their fingers, hand, tongue, or a vibrator or other sex toys.
But many couple wish the woman could come during intercourse. The good news is that there are easy, loving ways to boost women's chance of orgasm during intercourse. The easiest ways involve the woman-on-top and rear entry doggie positions. Orgasm is more challenging in the man-on-top missionary position, but a minor adjustment makes it considerably more likely.
The woman kneels over the man's hips. The man makes a fist and places it at the junction of the lovers' pelvises. The woman leans forward, presses her clitoris against the fist and moves in any way that erotically excites her. Or the woman or man presses a vibrator into her clitoris.
The woman stands and bends at the waist or kneels on all fours and the man stands or kneels behind her. The man or woman can reach the woman's clitoris and gently caress it, or either the man or woman can press a vibrator against her clitoris. In this position, the woman's orgasm is least likely, but the "coital alignment technique" CAT helps.
Instead of the man lying on top of the woman chest-to-chest with his penis moving more or less horizontally, the man shifts so that his chest is closer to one of the woman's shoulders. As a result, his penis moves in a more up-and-down direction. The man rides higher on the woman's pelvis, and the bone at the base of his penis pelvic bone makes more contact with the clitoris. This increases direct clitoral stimulation and may provide enough to trigger the woman's orgasm.
By the 's, it was largely forgotten. But quietly, research has continued, and most results affirm the CAT's benefit. In one study, researchers worked with 36 women who could not have orgasms in the missionary position.
Half the women were encouraged to masturbate to become more comfortable with their genitals and their sexual responsiveness, a standard approach in sex therapy.
The others were taught the CAT. Based on diaries kept during the day period after this training, the masturbation group reported a 27 percent increase in orgasms during missionary-position intercourse, while the CAT group reported twice the increase, 56 percent. Now, many women say their best orgasms happen courtesy of the man's tongue or hand or a vibrator. But for women desiring orgasms during intercourse, these simple variations just might allow a woman to enjoy a new erotic pleasure.
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