Coital Alignment Technique for Female Orgasmic Disorder

What is it about?

Female orgasmic disorder is characterized by the absence, delay, or marked infrequency of orgasm, or the reduction in the intensity of orgasmic sensations in more than 75% of sexual activities. Although data vary from one study to another, it is a sexual dysfunction that affects a significant number of women, with an estimated 10% of them never experiencing an orgasm in their lifetime. It negatively affects women's quality of life, being associated with sexual dissatisfaction, decreased sexual self-efficacy, as well as anhedonia and avoidance of sexual relations, potentially also disrupting the quality of the couple's relationship. Psychological treatments offer advantages over pharmacological therapy, as they have no physical side effects and can restore sexual functioning and increase sexual satisfaction beyond a simple reduction in symptoms. Sexual therapy aims to promote changes in attitudes and beliefs, reduce levels of anxiety and depression, enhance communication, and improve sexual response. One of the techniques developed for this purpose is coital alignment. It is a sexual position in which the man's pelvis slowly and rhythmically stimulates his partner's clitoris during intercourse, allowing for direct stimulation. This study tested the effectiveness of the coital alignment technique applied online, comparing it with masturbation training and a control group on a waiting list. Fifty women diagnosed with female orgasmic disorder were randomly assigned to the three groups, and their erotophilia, attitudes toward masturbation, attitudes toward sexual fantasies, sexual assertiveness, sexual functioning, sexual satisfaction, and relationship satisfaction were assessed before and after the treatment. The results showed that both the coital alignment technique and masturbation are effective in treating female orgasmic disorder compared to the waiting list control group. The coital alignment technique showed slightly superior results in overall sexual functioning and its satisfaction component, while masturbation was slightly superior in more specific measures of orgasm.

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Photo by Yohann LIBOT on Unsplash

Photo by Yohann LIBOT on Unsplash

Why is it important?

It is concluded that although masturbation remains a relevant technique in the treatment of female orgasmic disorder, coital alignment can be an effective option that deserves more attention in sexual therapy.

Perspectives