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.

中文翻译：

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刺激类型和对阴蒂自我刺激的态度对女性性和性高潮满意度的影响：一项横断面研究

介绍

将阴道插入定义为正常性行为的社会假设和个人神话会影响各种性活动的性快感。虽然女性通过直接刺激阴蒂比通过阴道性交更容易达到性高潮，但许多夫妇希望后者。本研究的目的是调查来自伴侣的不同类型刺激的性高潮如何影响顺性别女性的性满意度和性高潮满意度。此外，女性在与伴侣发生性关系时刺激阴蒂达到性高潮的态度也将包括在内。

方法

2016 年和 2020 年在线进行了两项独立调查（N = 388 和 N = 555）。

结果

回归分析表明，与通过口交、伴侣手刺激或自我刺激的性高潮一致性相比，通过性交获得的性高潮一致性对性高潮满意度和性满足的影响更大。在与伴侣发生性关系时，关于阴蒂自我刺激的积极想法和感受几乎没有影响，但在某些情况下，它们甚至与报告的满意度呈负相关。

结论

结果表明，对性的普遍误解，即女性在阴茎 - 阴道性交期间体验性高潮是正常的，会影响对自己性行为的主观评价。对于某些女性来说，阴蒂刺激带来的性高潮似乎是次等的，尽管没有证据表明这些性高潮让人感觉不那么愉快。

政策含义

应该在性教育课程中公开讨论和讨论关于正常性行为应该是什么样子的严格假设。