You are on page 1of 17

The Journal of Sex Research

ISSN: 0022-4499 (Print) 1559-8519 (Online) Journal homepage: https://www.tandfonline.com/loi/hjsr20

Female Multiple Orgasm: An Exploratory Internet-


Based Survey

M. Gérard, M. Berry, R. A. Shtarkshall, R. Amsel & Y. M. Binik

To cite this article: M. Gérard, M. Berry, R. A. Shtarkshall, R. Amsel & Y. M. Binik (2020): Female
Multiple Orgasm: An Exploratory Internet-Based Survey, The Journal of Sex Research, DOI:
10.1080/00224499.2020.1743224

To link to this article: https://doi.org/10.1080/00224499.2020.1743224

Published online: 17 Apr 2020.

Submit your article to this journal

View related articles

View Crossmark data

Full Terms & Conditions of access and use can be found at


https://www.tandfonline.com/action/journalInformation?journalCode=hjsr20
THE JOURNAL OF SEX RESEARCH
https://doi.org/10.1080/00224499.2020.1743224

Female Multiple Orgasm: An Exploratory Internet-Based Survey


M. Gérarda, M. Berryb, R. A. Shtarkshallc, R. Amseld, and Y. M. Binikd
a
Department of Psychology, Université du Québec à Montréal; bMcGill University Health Center; cBraun School of Public Health and Community
Medicine of the Hebrew University and Hadassah; dDepartment of Psychology, McGill University

ABSTRACT
Women’s multiorgasmic capacity has long been mentioned in the human sexuality literature. However, due
in part to the conceptual vagueness surrounding this phenomenon, few empirical studies have focused on
this topic, and our scientific knowledge is currently limited. This exploratory research is mainly aimed at
providing a much-needed assessment of the profiles of women reporting multiorgasmic experiences. For
this study, 419 sexually diverse women ages 18 through 69 who identified as multiorgasmic completed an
online survey assessing variables pertaining to sociodemographic background, context and characteristics of
a recent/typical multiorgasmic experience, relationships between multiple orgasm and sexual/nonsexual
aspects of life, and sexual and orgasmic history. Data reduction analyses using principal component analysis
pointed out that 15 variables of interest were distributed across six components, accounting for a large
proportion of the sample’s variance. A k-means cluster analysis further revealed that four distinct groups of
women could be parsed out. These four groups could be differentiated by three sets of variables—sexual
motivation, sexual history, and multiple orgasm characteristics—suggesting that female multiple orgasm is
not a unitary phenomenon. This research provides to date the most comprehensive picture of female
multiple orgasm and helps refine our conceptual understanding.

Despite a plethora of anecdotal evidence, much media enthusiasm, Overall, the only point of agreement among the proposed
and the availability of research reports for almost 90 years (Clark, definitions of multiple orgasm seems to be numerical: women
1946; Davis, 1929; Dickinson & Beam, 1931; Hamilton, 1929; who report having multiple orgasms experience more than one
Masters & Johnson, 1966), little is known about women’s multiple orgasm in succession in one sexual session. The specifics of what
orgasm experiences. Moreover, there is little consensus on what “in succession” means remains open to interpretation.
actually constitutes a multiorgasmic episode. Ever since Kinsey Influential conceptualizations of multiple orgasm have typically
et al.’s (1953) survey reported that 14% of women experienced lacked timing information, such that the time period between
multiple orgasm through intercourse, and Masters and Johnson’s orgasmic events has rarely been clearly specified (Hite, 1976;
(1966) psychophysiological work confirmed the physiological pos- Kinsey et al., 1953; Masters & Johnson, 1966; Sherfey, 1966).
sibility of multiple orgasm, scientific investigations specifically Kinsey et al.’s (1998) definition of multiple orgasm makes it
dedicated to female multiple orgasm have been rather scarce impossible to accurately determine a time period between the
(Amberson & Hoon, 1985; Bohlen et al., 1982; Darling et al., various orgasms of a multiorgasmic episode; they noted that
1991; Shtarkshall et al., 2008). As a result, we still have no clear orgasms “may come in rapid succession, with lapses of only
understanding of the distinct characteristics of multiple orgasm a minute or two, or in some instances of only a few seconds
and whether it is a unitary phenomenon. between orgasm” (p. 626).
Definitional challenges can account, in part, for the paucity of Alternatively, Masters and Johnson (1966) suggested classi-
research available on the topic. Despite recent attempts, orgasm fying female multiple orgasm into two types: “repeated” (mul-
has been a difficult concept to operationalize (Mah & Binik, 2001; tiple) and “sequential” (status orgasmus). Accordingly,
McMahon et al., 2004; Meston et al., 2004; Levine, 2004). In repeated orgasms refer to a series of orgasms separated by
particular, the nature of female orgasm has been the subject of rest periods during which sexual arousal does not drop
much debate over the past century, with multiple typologies— below plateau level, while sequential orgasms refer to “either
coital and extracoital orgasms, vaginal and clitoral orgasms, mixed a series of rapidly recurrent orgasmic experiences between
orgasms— competing to best characterize this experience which no recordable plateau-phase levels can be demonstrated,
(Clifford, 1978; Crepault, 1981; S. Fisher, 1973; Sholty et al., or a single, long-continued orgasmic episode … [which] may
1984; Singer & Singer, 1972). So far little evidence supports any last from 20 to more than 60 seconds” (p. 131). The duration
one of these typologies, and with so much difficulty in defining between the “rest periods” of the repeated orgasms remains
a single orgasm it is not surprising that there is little consensus unaddressed, while the timing of the sequential orgasm is also
about multiple orgasm. elusive.

CONTACT M. Gérard marina.gerard@mail.mcgill.ca Department of Psychology, Université du Québec à Montréal, CP 8888, Succursale Centre-ville, Montréal,
Québec H3C 3P8, Canada
© 2020 The Society for the Scientific Study of Sexuality
2 M. GÉRARD ET AL.

As far as Sherfey’s (1973) definition is concerned, it is started to shed light on promising avenues of investigation.
devoid of timing parameters altogether. She focused on the The literature appears to be consistent with regard to the
physiology and the strength of the sexual response: “Each relationship between variety of sexual activity and multiple
orgasm is followed promptly by refilling of the venous erectile orgasm. Multiorgasmic women tend to report a wider reper-
chambers, distension creates engorgement and edema, which toire of sexual activities than women who do not experience
creates more tissue tension … consequently, the more multiple orgasm (Darling et al., 1991; Shtarkshall et al.,
orgasms a woman has, the stronger they become” (p. 112). 2008). This finding is in line with recent data showing that
A decade later, informed by Masters and Johnson’s termi- women who engage in a variety of sexual acts are more
nology, Hite (1976) also distinguished sequential orgasms and likely to frequently experience orgasm (Frederick et al.,
multiple orgasms based on the presence or absence of breaks 2018). The literature also seems to consistently highlight
between the orgasms of a series. According to her description, the role of sexual fantasy in this phenomenon, as the multi-
sequential orgasms involve a necessary pause of unspecified orgasmic women surveyed reported a more frequent use of
duration between orgasms, while multiple orgasms are it than their nonmultiorgasmic counterparts (Darling et al.,
defined as continued orgasms with uninterrupted stimulation. 1991; Shtarkshall et al., 2008).
While Hite and Masters and Johnson seem to agree that Overall, multiorgasmic women report higher orgasm rates
multiple orgasm is not a unitary phenomenon, as both divide through partnered sexual activities than single orgasmic women
it into two types, their terminology is confusing as they both (Darling et al., 1991). Further multiple orgasm data show that
use the term sequential to refer to different multiorgasmic respondents with a “good partner” report higher prevalence
experiences. In fact, Hite’s sequential orgasms are concep- rates (29.8%) of multiple orgasm as well (Haning et al., 2008).
tually different from Masters and Johnson’s sequential Moreover, women who experience multiple orgasm through
orgasms, thereby capturing the ambiguity of the literature partnered sex are more likely to reach their first orgasm of the
and highlighting the conceptual vagueness still surrounding series before their partners (54.7%) compared to single orgasmic
the meaning of what “in succession” means. women (35.6%) (Darling et al., 1991), thereby suggesting the
The only recent multiple orgasm research to specify timing presence of partner effects on orgasmic pattern.
parameters is that of Haning and colleagues (2008): “Two or However, the literature is inconsistent with regard to sti-
more orgasms with a period of 30 seconds or more between mulation types associated with the experience of multiple
orgasms and continuing sexual tension in between the orgasm. Darling et al. (1991) revealed that multiorgasmic
orgasms” (p. 331). Haning and colleagues, however, failed to women were more likely to report using vaginal penetration
clarify whether “continuing sexual tension” meant continued with a finger and clitoral stimulation through thigh pressure
stimulation, thereby leaving room for interpretation. during masturbation than their single-orgasmic counterparts.
Accordingly, empirical research on female multiple orgasm Yet a similar proportion of their participants reported experi-
has been marked by methodological variations based on dif- encing multiple orgasm via masturbation (26.3%) or inter-
fering definitions (Amberson & Hoon, 1985; Darling et al., course alone (24.7%). Amberson and Hoon (1985) showed
1991). These definitions varied according to the timing para- that manual stimulation and vibratory stimulation of the
meters of the orgasm sequence and the presence or absence of genitals seem equally effective for reaching multiple orgasm.
continuous stimulation. This may have contributed to the The data are also inconclusive in terms of pleasure and
variations in reported prevalence rates. While nearly 50% of orgasm sequence, with some reports suggesting an increase in
Darling’s et al. (1991) sample were identified as multiorgasmic pleasure with successive orgasms (Bohlen et al., 1982; Hite, 1976;
based on the number of orgasms reported during a single Sherfey, 1973) and others reporting a lack thereof (Amberson &
sexual episode, Clifford’s (1978) sample yielded a prevalence Hoon, 1985). In line with these findings, Clifford’s (1978) data
rate of 30%, with multiple orgasm being defined as “more suggest that few women experience increased pleasure (N = 4,
than one orgasm in [an interval of only a few seconds up to 13.33%), while most (N = 25, 83.33%) report the successive
several minutes]” (p. 189). orgasms to be pleasurable yet not necessary.
Sampling and method variations may also account for Finally, studies addressing the potential association between
different findings among studies. The recent literature multiple orgasm and age of onset of sexual behaviors have also
includes single case reports (Bohlen et al., 1982; Campbell yielded mixed findings (Bohlen et al., 1982; Darling et al., 1991).
et al., 1975; Shtarkshall et al., 2008), one experimental study One case study tracks the development of a multiorgasmic pattern
(N = 17) (Amberson & Hoon, 1985), one larger self-report through biofeedback in a largely inexperienced 36-year-old
study limited to heterosexual nurses (N = 720) (Darling et al., woman (Bohlen et al., 1982), thereby lending support to the theory
1991), and two survey studies (N = 215; N = 100) whose main that sexual response patterns, including multiple orgasm, are
focus was not multiple orgasm (Clifford, 1978; Haning et al., largely learned (Pfaus et al., 2001). Yet a larger-scale study suggests
2008). Aside from suspected partner effects (Darling et al., that women who experience multiple orgasm tend to report earlier
1991; Haning et al., 2008; Shtarkshall et al., 2008) and a trend ages of onset of sexual behaviors—including masturbation and
reflecting the importance of clitoral stimulation (Amberson & orgasm— than single-orgasmic women, as well as earlier aware-
Hoon, 1985; Darling et al., 1991; Shtarkshall et al., 2008), this ness of pleasurable genital sensations (Darling et al., 1991).
literature is often unsystematic and elusive and rather suggests Interestingly, work by anthropologist Donald Marshall
that female multiple orgasm is largely idiosyncratic. (1971) had previously pointed out the commonness of women’s
While these limited data have so far provided us with an multiple-orgasm pattern among specific societies, like Mangaian
incomplete picture of female multiple orgasm, they have Tribes, whose proactive approach toward sexual education set
THE JOURNAL OF SEX RESEARCH 3

them apart. Paradoxically, scientific data indicate that a small scales, yes/no questions, and multiple-choice questions. In
fraction of women who experience multiple orgasm—only 10% addition, some questions allowed for the optional addition
—do so consistently (Clifford, 1978). Moreover, these data sug- of qualitative data pertaining to various aspects of partici-
gest that multiple orgasms seem to require mental concentration pants’ multiorgasmic experiences. Unfortunately, preliminary
and specific emotional conditions, particularly the first one of analyses based on the limited and fragmentary qualitative data
the series (Shtarkshall et al., 2008). available yielded no information pertinent to this article; thus,
In sum, although female multiple orgasm has been docu- only quantitative data are reported here.
mented for more than 50 years, little is known about its
definitional parameters (sustained versus sequential multiple Sociodemographics
orgasm, latency period between orgasms, etc.), contextual This first section included questions pertaining to age, sexual
circumstances (partnered versus solo activities, stimulation orientation, marital and sexual relationship status, number of
types and quality), and psychosexual influences (onset of children, religion (at birth and at the time of survey comple-
sexual activity types, sexual fantasy, etc.). It is also currently tion), geographic region, language, educational attainment,
unknown whether women with the ability to experience mul- employment status, and socioeconomic status.
tiple orgasm constitute a homogeneous group. As a result, this
exploratory study was designed with three specific goals in Multiple-Orgasm Experience
mind. First, we aimed to assess and describe the typical Our working definition of multiple orgasm for this study was
characteristics and history of women’s multiple-orgasm “two or more orgasms in a single sexual session without
experiences. Second, we intended to test the hypothesis that significant breaks.” This definition allowed us to capture the
there are specific subgroups of multiorgasmic women rather likely wide-ranging experiences of women who fall into both
than one single profile. Finally, we set out to compare multi- the “multiple orgasm” and the “sequential orgasm” categories,
ple-orgasm and psychosexual characteristics of participants as proposed by Hite (1976). When participants’ most recent
reporting a solo versus dyadic multiorgasmic context. multiorgasmic experience was not typical, they were asked to
respond by referring to the most recent experience they
deemed typical. In this section, subjects were asked to report
Method on a number of variables, including the time (i.e., days/weeks)
Participants since their last multiorgasmic experience, the number of
orgasms experienced in the multiorgasmic experience (either
The participants were adult, multiorgasmic females (N = 419) estimated or exact), how well they remembered the experi-
recruited through advertisements posted online in North ence, the context (i.e., partnered, solo, combined), duration of
America and in the Middle East (e.g., sexual health forums, the sexual episode, timing of first orgasm and second orgasm
psychology forums and blogs, social media related to sexology (i.e., latency), and the types of physical stimulation that trig-
and sexual research, newspapers), as well as through pamph- gered their orgasms. Using Likert-type scales, they were also
lets posted at various locations on the campus of a large, asked to provide scaled estimates of their arousal level
urban North American university. Study advertisements soli- (1 = Not at all, 10 = Very high arousal), the sensation intensity
cited women who were at least 18 years of age and who had felt during orgasms (1 = Not intense at all, 10 = The most
experienced and/or were still experiencing multiple orgasms, intense orgasm in the session), as well as indices of any change
during solo and/or partnered sexual activity. Recruitment in arousal they may have experienced after the first, second,
took place between February 2015 and August 2015. Each and “most important” orgasm in the series.
participant enrolled in this study provided informed consent
as per the regulations of the university ethics committee. Multiple Orgasm and Nonsexual Areas
A total of 1,351 women visited the survey platform. With respect to the relationship between multiple orgasm and
However, 895 did not fully complete the survey (34% reten- nonsexual areas of life, participants were asked to rate the
tion rate). Data from 37 participants were removed during overall importance of multiple orgasm in their lives (1 = Not
data cleaning, including the following: one respondent who important, 10 = Essential) as well as in their sex lives. They
reported being male; 32 participants who either reported were also asked to rate the degree of influence that several
more than a six-month delay since their most recent multiple factors have over their multiorgasmic capacity (1 = Does not
orgasm history (N = 27) or poor recollection of their most increase, 10 = Very much increases): these included cognitive/
recent multiple-orgasmic experience (N = 5); four participants affective states, partner variables, and physical factors. Finally,
whose data were internally incongruent. they were asked to report the degree of consistency of their
multiorgasmic capacity.
Survey Format and Content
Sexual and Orgasmic History
The survey content focused on five subject areas: (1) partici- Questions about sexual and orgasmic history examined the
pant sociodemographics; (2) most recent (or typical) multiple- following: age at first orgasm and first multiple-orgasm
orgasm experience; (3) relationship between multiple orgasm experience, context (solo versus with a partner) and quality
and nonsexual areas of the participant’s life; (4) sexual and of stimulation that induced first (ever) orgasm and first multi-
orgasmic history; and (5) current sex life and sexual beha- orgasmic experience, onset of masturbation and partnered
viors. Survey format included a combination of Likert-type sexual activity, as well as any inhibiting factors that may
4 M. GÉRARD ET AL.

have prevented the occurrence of multiple orgasm in past multiorgasmic experience, referred to as the dyadic group in
experiences. In addition, participants were asked to indicate the text (N = 268, 64%).
the highest number of orgasms ever experienced in a single Descriptive statistics, Pearson’s correlations with R square,
sexual session and to report on the importance of their multi- Pearson’s chi-square tests, and t tests were conducted on
orgasmic capacity in their lives. Using Likert-type scales, participants’ sociodemographic background, as well as on
women were also asked to report on a number of psychoso- the contextual and physiological characteristics of their multi-
cial-sexual variables, including their self-rated level of adven- orgasmic experiences and their psychosexual data. These ana-
turousness (1 = Not sexually adventurous at all, 10 = Very lyses are presented both conjointly and separately for the solo
sexually adventurous), disinhibition (1 = Very inhibited (shy), and dyadic groups.
10 = Very uninhibited (open)), and sexual interest (1 = Not at Both a principal component analysis (PCA) and a k-means
all interested in sex, 10 = Very interested in sex) compared to cluster analysis were conducted to determine the various
their peers. profiles of women experiencing multiple orgasm. As we
were investigating whether multiple-orgasm context (solo ver-
Current Sex Life and Sexual Behaviors sus dyadic) could perhaps speak to distinct features of
Participants were asked to report on several aspects of their women’s psychosocial history and translate into distinct mul-
sexual lives and behaviors, including the number of episodes tiple orgasm characteristics, one PCA for each group was
of masturbation and/or partnered sexual activity in the past conducted. Fifteen variables of primary interest drawn from
month, their level of sexual desire/drive in the past month three broad theoretical categories—sexual motivation, age of
(1 = No desire/interest, 10 = Very high desire/interest), and the onset of sexual activities, and multiorgasmic characteristics—
frequency of their sexual thoughts/fantasies in the past month. were identified from all surveyed variables based on their
conceptual relevance. This choice was informed by our multi-
ple-orgasm literature review and our reading of the larger
Procedure
orgasm literature. The sexual motivation variables (sexual
Prospective participants were provided with a web link direct- adventurousness, interest, and disinhibition) were selected
ing them to the study platform LimeSurvey hosted on the based on Darling et al.’s (1991) hypotheses regarding multi-
university’s secure link server. Consistent with our attempt to orgasmic women’s propensity for higher sexual motivation.
recruit an international and diverse group of participants and The ages of onset variables were selected based on the contra-
given the various geolocations of our collaborators, the survey dictory findings of Bohlen et al. (1982) and Darling et al.
was available in the following three languages: English, (1991). Finally, the variables comprising the multiorgasmic
Hebrew, and French. The website home page provided infor- characteristics were selected based on the wide-ranging num-
mation on the nature of the study and the eligibility require- bers of orgasms reported in the multiorgasm literature
ments. Upon agreeing to the terms of the consent form (Amberson & Hoon, 1985; Haning et al., 2008; Shtarkshall
uploaded to the survey platform, participants were granted et al., 2008) and temporal considerations typically surveyed in
access to the study content. Survey completion took approxi- the general orgasm literature (i.e., orgasm latency and session
mately 25 minutes. Eligible participants who completed the duration). These 15 variables (numeric scales) were included
full survey were automatically entered in a prize drawing for in a PCA with varimax rotation and Kaiser normalization
a 100 USD gift certificate for Amazon.com. conducted to identify the factors to be extracted and included
in the following k-means cluster analysis. A square root
transformation was performed to correct for positive skew
Data Analysis for two variables of interest: highest number of orgasms in
All analyses were conducted using IBM SPSS Version 24 one multiple-orgasm session and “number of orgasms in most
(IBM, SPSS Inc., Chicago, IL, USA). Sample size calculation recent multiple orgasm experience. A six-factor solution was
was determined based on the number of variables under study chosen to represent the data based on eigenvalues of 1 or
and the planned data reduction analyses (Cohen, 1988; higher and factor loadings greater than .50 (Cohen, 1988).
Mundfrom et al., 2005). Given the larger-than-expected repre- As there were almost no significant differences between the
sentation of Israeli participants in our sample, we conducted two groups of participants in terms of demographics, psycho-
some preliminary analyses to assess the extent of this potential sexual data, and PCA structure, the two groups were merged
source of bias. Results indicated that geolocation did not yield together and a single k-means cluster analysis was conducted
a major influence on our findings. rather than two separate ones. Standard scores (z scores) were
We divided our sample into two groups based on the self- calculated for all 15 variables and a k-means cluster analysis
reported context of the most recent/typical multiorgasmic (MacQueen, 1967) was performed to group subjects according
experience. The first group consisted of women who reported to the previously identified six components. A four-cluster
experiencing their most recent/typical multiple orgasm by solution was retained as it allowed for the best minimization
themselves (i.e., alone) through self-stimulation, referred to of the pooled within-cluster variation, while adequately dis-
as the solo group hereafter (N = 151, 36%); the second group tributing the sample across the four groups.
was composed of women reporting both the physical presence Finally, one-way analyses of variance (ANOVAs) were
of a partner (N = 246, 59%) and a combined context of self- conducted to assess significant differences between the four
and partnered stimulation (N = 22, 5%) during their clusters on the six components and 15 variables of interest.
THE JOURNAL OF SEX RESEARCH 5

Tukey’s honest significant difference (HSD) post hoc tests orgasm (M = 14.15, SD = 4.69) before reaching 14 years old.
were then performed on all significant differences. Nearly one-third reported having engaged in masturbation by
For all analyses, significance level was set at 0.05 and a beta the age of 10 years old. For most of the sample, age of onset of
of 0.2 was confirmed (Cohen, 1992): Bonferroni corrections partnered sexual activities (i.e., dyadic sexual activities exclud-
were applied when necessary. Effect sizes were calculated for ing intercourse) (M = 15.75, SD = 3.03) and intercourse
all significant differences using partial eta squared (η2) (M = 17.47, SD = 2.90) was reported to have occurred later.
(Lakens, 2013). A series of independent t tests with Bonferroni corrections
(α = .010) was conducted to assess potential differences in
terms of age of onset for sexual behaviors between the solo
Results and dyadic groups of women. No statistically significant dif-
Sociodemographic Background of the Sample ferences were found on mean age of onset for masturbation
(Msolo = 12.8, SD = 3.9; Mdyadic = 13.9, SD = 5.4, p = .013),
Participants ranged in age from 18 to 69 years with a mean orgasm (Msolo = 13.8, SD = 4.7; Mdyadic = 14.4, SD = 4.7,
age of 33.41 years old (SD = 10.59). Women’s first language p = .185), partnered sex (Msolo = 15.8, SD = 3.2; Mdyadic = 15.7,
was predominantly English (N = 331, 73.6%). The majority SD = 3.0, p = .784), and intercourse (Msolo = 17.6, SD = 3.2;
had received a university education (N = 312, 74.4%) and Mdyadic = 17.4, SD = 2.8, p = .490).
were currently in the workforce earning at least an average Nearly three-quarters of women (N = 310, 74%) reported
income. Our sample was sexually diverse, with a majority of experiencing their first-ever orgasm during solo masturbation,
women who identified as heterosexual (N = 275, 65.6%) and while 21.2% (N = 89) experienced their first orgasm during
more than one-quarter who identified as bisexual (N = 109, genital stimulation with a partner (oral, manual, combined),
26%). Many participants reported being currently involved and 4.7% (N = 20) during some “other” form of stimulation
with a romantic partner (N = 171, 40.8%). Finally, although type. Comparative analyses revealed that women in the dyadic
a large proportion of women indicated being raised in group were more likely to have experienced their first-ever
a religious household (N = 340, 75.6%), an equally large orgasm with a partner than women in the solo group, χ2 (1,
portion reported no current religious practice (N = 345, N = 399) = 20.15, p < .001. Interestingly, incidental stimula-
76.7%). Except for dating status, χ2 (7, N = 419) = 48.88, tion (e.g., riding a bicycle) was listed by several women
p < .01, and current religiosity (i.e., religious versus non- reporting another form of stimulation than self- or partnered
religious), χ2 (1, N = 419) = 7.40, p = .007, sociodemo- stimulation as the source of their first-ever orgasm.
graphic characteristics did not differ across group
membership (i.e., solo versus dyadic). Women in the dyadic
group were more likely to be in a sexual relationship Multiple Orgasm History, Characteristics, and Correlates
(N = 252, 94%) and to observe religious practices (N = 74, Age of Onset and Context of First Multiple-Orgasm
27.6%) than those in the solo group (N = 24, 15.8%, and Experience
N = 108, 71%, respectively). Women’s mean age of onset for multiple orgasm (M = 19.17,
SD = 6.01) was significantly higher than that of single orgasm
(M = 14.15, SD = 4.69), t (418) = 20.47, p < .001. Comparative
Sexual Histories
analyses revealed that women in the solo group experienced
Data regarding the sample’s age of onset of sexual behaviors their first multiple orgasm significantly younger (M = 17.91,
(masturbation, orgasm, partnered sex, and intercourse) are SD = 5.89) than women in the dyadic group (M = 19.88,
presented in Figure 1. Most women reported having engaged SD = 5.97), t (417) = 3.27, p < .001. A relatively strong
in masturbation (M = 13.51, SD = 4.91) and experienced correlation was found between age at first orgasm and age at

Masturbation Orgasm Partnered sex Intercourse


63.7
50.6
FREQIENCY (%)

39.4

38.4
36

25.5
23.6

21.2
18.1

17.2
13.4
12.2

8.6
3.6

3.1
2.9

2.9

2.6
2.4

2.1

2.1
1.7
5

1.4
0.7
0.5

0.5
0.5

10-13 14-17 18-21 22-25 26-29 30-34


AGE OF ONSET

Figure 1. Sample’s age of onset of sexual behaviors.


6 M. GÉRARD ET AL.

Table 1. Degree of control over multiorgasmic experience.


Items Total % (N) Solo % (N) Dyadic % (N)
Perceived control over multiorgasmic capacity
Incomplete control 52.50 (220) 41.1 (330) 59 (309)
Complete control 47.5 (199) 58.9 (89) 41 (110)
Multiorgasmic capacity consistency
Unable to reach multiple orgasm at times 56.3 (236) 55 (83) 57.1 (153)
Able to reach multiple orgasm whenever desired 43.7 (183) 45 (68) 42.9 (115)

first multiple orgasm for women in the solo group (r = .66, Table 2. Typical timing parameters of women’s multiorgasmic experience.
p < .001, R2 = .44); a moderate correlation was found between Timing parameters Total % (N) Solo % (N) Dyadic % (N)
these two variables for women in the dyadic group (r = .54, Duration of sexual interaction
1–5 minutes 2.6 (11) 7.3 (11) –
p < .001, R2 = .29). 6–14 minutes 21 (88) 40.4 (61) 10 (27)
15–29 minutes 31 (130) 34.4 (52) 29.2 (78)
30–60 minutes 33 (138) 14.6 (22) 43.4 (116)
Overall Degree of Control Over Multiorgasmic Experience > 60 minutes 12.4 (52) 3.3 (5) 17.5 (47)
A priori, a similar proportion of women reported a sense of First orgasm latency
≤ 1 minute 6.4 (27) 10.6 (16) 4.1 (11)
complete control over their multiorgasmic experience 2–3 minutes 15 (63) 25.2 (38) 9.3 (25)
(N = 199, 47.5%) compared to a sense of incomplete control 4–5 minutes 20.5 (86) 23.9 (36) 18.6 (50)
6–10 minutes 21 (88) 21.9 (33) 20.5 (55)
(N = 220, 52.5%) (Table 1). However, comparative analyses 11–15 minutes 14.1 (59) 7.9 (12) 17.5 (47)
revealed that a significantly higher number of women in the 16–30 minutes 17.7 (74) 9.3 (14) 22.4 (60)
> 31 minutes 5.3 (22) 1.4 (2) 7.4 (20)
solo group reported complete control over their capacity to Second orgasm latency
reach multiple orgasm compared to the dyadic women, χ2 (1, ≤ 1 minute 34.6 (145) 45.7 (69) 28.4 (106)
384) = 9.90, p = .002. A strong positive correlation between 2–3 minutes 28.6 (120) 26.5 (40) 29.8 (80)
the highest number of orgasms ever attained in one session 4–5 minutes 18.9 (79) 15.2 (23) 20.9 (56)
6–10 minutes 11.0 (46) 8.6 (13) 12.3 (33)
and the number of orgasms reported in the most recent/ 11–15 minutes 3.1 (13) 2.6 (4) 3.4 (9)
typical experience was found for the solo group (r = .77, 16–30 minutes 3.8 (16) 1.3 (2) 5.2 (14)
> 31 minutes – – –
p < .001, R2 = .59), while a more modest correlation emerged
for the dyadic group (r = .49, p < .01, R2 = .24).

Highest Number of Orgasms During a Multiorgasmic Session Duration, Orgasm Latency, and Break Duration
Experience Timing data are presented in detail in Table 2. Overall duration
Women reported their highest number of orgasms varying of the sexual episode showed great variability within the sample,
between two and more than 100. Two modal values were with dyadic women reporting a significantly longer session
found—five orgasms (N = 50, 12%) and 10 orgasms duration (M = 37.87, SD = 17.16) than their solo counterparts
(N = 50, 12%)—and no statistically significant difference (M = 20.26, SD = 14.20), t (417) = − 11.29, p < .001. Dyadic
emerged on the log-transformed scores between the solo and women were more likely to report a duration of 30 to 60 minutes,
dyadic groups (p = .081). Surprisingly, women’s age was only while solo women were more likely to report a duration of six to
very weakly correlated with their highest reported number of 14 minutes. Only a weak positive correlation was found between
orgasms (r = .14, p = .006, R2 = .002). No significant correla- the number of orgasms experienced and session duration,
tion emerged between women’s age at multiorgasmic onset regardless of sexual context, r = .15, p = .002, R2 = .02.
and their highest number of orgasms (p = .45). Women’s first orgasm latency data yielded an average of
11.02 minutes (SD = 10.55), with the dyadic group reporting
a significantly longer orgasm latency period (M = 13.19,
SD = 11.45) compared to the solo group (M = 7.16, SD = 7.33),
Recent/Typical Multiple Orgasm Experience t (417) = − 5.84, p < .001. A majority of women (N = 244, 58.2%)
Contextual Circumstances and Mood Correlates maintained continuous physical stimulation after the first
As mentioned, most women experienced their most recent/ orgasm of the series, while 20.5% of them (N = 86) put stimula-
typical multiorgasmic episode with a partner (N = 268, 64%) tion to a halt for approximately one minute, and 12.6% (N = 53)
as opposed to alone (N = 151, 33%). Based on a 0 to 10 scale for approximately two (N = 34) to three (N = 19) minutes.
(0 = Does not increase at all, 10 = Increases very much), Overall, over 90% of the sample reported either no break in
women endorsed being in a positive mood (M = 7.58, stimulation or a break of one to three minutes at most. Only
SD = 2.43), feeling close to one’s partner (M = 7.44, nine participants (2.2%) reported taking a break of 10 minutes or
SD = 2.92), and feeling relaxed (M = 6.99, SD = 2.60) as the more. A higher proportion of women in the dyadic group
three major factors likely to increase their propensity to (64.6%) reported continuous physical stimulation compared to
experience multiple orgasm. Conversely, women endorsed those in the solo group (47%).
being in a negative mood (M = 6.67, SD = 3.12), feeling The second orgasm of the series was experienced after an
distant from one’s partner (M = 5.54, SD = 3.53), and taking average of 3.65 minutes (SD = 4.00) of stimulation, thereby
drugs (M = 4.76, SD = 3.67) as the three major factors likely to displaying a significantly shorter orgasm latency than for the
decrease their propensity to experience multiple orgasm. first orgasm, t (418) = 14.19, p < .001. This second orgasm
THE JOURNAL OF SEX RESEARCH 7

latency period was still significantly shorter for women in the stimulation was cited as the most frequently used stimula-
solo group (M = 2.83, SD = 3.31) compared to those in tion type among all stimulation types listed (N = 227,
a dyadic context (M = 4.11, SD = 4.29), t (417) = 3.41, 54.2%), particularly for women in the solo group compared
p < .001. Women who had reported no break in stimulation to their dyadic counterparts, χ2 (1, 419) = 74.25, p < .001.
between the first and second orgasm of the series also dis- For women in the solo group, this was followed by (2)
played a shorter second orgasm latency period (M = 3.10, vaginal penetration by a finger/dildo and (3) vibratory
SD = 3.53) compared to those who reported taking a break stimulation. Comparatively, significantly fewer women in
from stimulation (M = 4.46, SD = 4.47), t (417) = − 3.56, the dyadic group reported using a vibrator to reach their
p = .001. No significant differences emerged between these first orgasm of the series, χ2 (1, 419) = 10.44, p = .01.
two groups for the first orgasm latency period (p = .689). Instead, these women reported relying on (2) oral clitoral
stimulation and (3) vaginal-penile penetration. In addition,
Typical Number of Orgasms in a Series data showed that women in the dyadic group were more
A wide dispersion was found in the reported number of orgasms likely to report breast stimulation than women in the solo
(2 to 101), the modal and median values being three orgasms group, χ2 (1, 419) = 4.00, p = .046.
(N = 140, 33.4%), regardless of dyadic or solo context, even While women in the solo group reported a similar pattern
when controlling for age. Among the reasons listed for ending of stimulation types for their second orgasm— clitoral manual
on their last orgasm of the series, most women ranked “feeling stimulation, vaginal penetration with a finger/dildo, and
satisfied” (N = 260, 62.1%) as the primary factor involved. vibratory stimulation—a slight change in frequency of the
Women in the dyadic group ranked “partner tired” (N = 91, stimulation types was noted in the dyadic group. These
34%) and “feeling too tired” (N = 76, 28.4%) as the other two women reported (1) vaginal-penile penetration as the most
main reasons involved; women in the solo group listed “feeling frequent stimulation type, followed by (2) manual clitoral
too tired” (N = 47, 31.1%) and “feeling sensitive/sore” (N = 40, stimulation and (3) vaginal penetration by a finger/dildo.
26.5%). Of note, the item “less pleasurable” was more frequently Figure 3 displays the stimulation types reported by women
endorsed by women in the solo group (N = 27, 17.9%) than for their second orgasm of the series.
women in the dyadic group (N = 13, 4.9%).
Subjective Arousal Levels
Stimulation Types Although nearly half the women (N = 201, 47.9%) reported an
Figure 2 displays the stimulation types reported by women increase in sexual arousal following their first orgasm of the
to achieve their first orgasm of the series. Manual clitoral series, one-quarter of them (N = 104, 24.8%) reported that

38.4
Manual clitoral stimulation 82.1
Vaginal penetration with finger/dildo 31.7
31.8
Vibrator use 4.1
13.2
35.1 Dyadic
Oral clitoral stimulation
Vaginal-penile penetration 34.7 Solo
4.9
Anal penetration with finger/dildo 3.3
Anal penile penetration 1.5
5.2
Breast stimulation 1.3
0 10 20 30 40 50 60 70 80 90

FREQUENCY OF USE (%)

Figure 2. Stimulation types reported for the first orgasm of the series.

38.1
Manual clitoral stimulation 82.1
Vaginal penetration with finger/dildo 28.7
4.1 29.8
Vibrator use 12.6
Oral clitoral stimulation 20.9
Dyadic
Vaginal-penile penetration 51.5
5.2 Solo
Anal penetration with finger/dildo 4
Anal penile penetration 3
4.1
Breast stimulation 1.3
0 10 20 30 40 50 60 70 80 90

FREQUENCY OF USE (%)

Figure 3. Stimulation types reported for the second orgasm of the series.
8 M. GÉRARD ET AL.

their arousal remained unchanged, and an even larger pro- month, χ2 (1, N = 419) = 18.90, p < .001. On average,
portion indicated (N = 114, 27.3%) instead a decrease in women currently involved in a sexual relationship had
arousal, χ2 (4, 419) = 9.96, p = .04. Women in the dyadic engaged at least eight times in partnered sex over the past
group were significantly more likely to report an increase in month (M = 8.78, SD = 7.67), with nearly 90% of them
arousal following their first orgasm (N = 141, 52.7%) com- reporting at least weekly partnered sex (four times per
pared to their solo counterparts (N = 60, 39.7%), who were month).
more likely to report a decrease in arousal instead.
Following the second orgasm of the series, most partici-
Identification of Subgroups of Women
pants rated their arousal level as either diminished (N = 164,
39.1%) or unchanged (N = 151, 36%), with only one-quarter Bivariate Correlations and Principal Components Analysis
of them continuing to report an increase in sexual arousal Solo Group. Principal component analysis (PCA) with varimax
(N = 104, 24.8%). Further comparative analyses showed that rotation and Kaiser normalization computed on the 15 variables
women in the dyadic group continued to experience an of interest yielded a six-component solution accounting for
increase in arousal (N = 78, 29.1%) compared to women in 77.41% of the solo group’s variance. The six components identi-
the solo group (N = 26, 17.2%). However, this difference was fied through the PCA were labeled as follows: Component#1:
not statistically significant, χ2 (4, 419) = 7.70, p = .103. general sexual motivation (15.74% of the variance);
Component#2: age of orgasm onset (14.81%); Component#3:
Orgasm Intensity Patterns age of partnered sex onset (12.24%); Component #4: current
No significant main effect emerged in terms of orgasm inten- sexual drive (12.03%); Component#5: multiorgasmic capacity
sity score between the first (M = 7.51, SD = 1.78) and second (12.01%); Component#6: multiorgasmic timing parameters
orgasm (M = 7.67, SD = 1.63) of the series, F (1, 417) = .838, (10.59%). The loadings of the variables that comprised the com-
p = .361. However, a significant interaction of group member- ponents ranged from .675 to .939 for each variable.
ship was found in orgasm intensity ratings, F (1, 417) = 11.64,
p = .01, partial η2 = .02, whereby women in the dyadic group Dyadic Group. A PCA conducted with similar parameters
experienced an increase in intensity between the first yielded a five-component solution accounting for 68.97% of
and second orgasm of the series (M1 = 7.48, M2 = 7.81), the dyadic group’s variance. Given the similar distribution of
while women in the solo group experienced a decrease (M1 the variables among the five components, they were labeled
= 7.56, M2 = 7.40). identically: Component#1: sexual motivation/drive (21.53%);
Component#2: age of orgasm onset (14.62%); Component#3:
age of partnered sex onset (11.97%); Component#4: multi-
Past and Current Sexual Motivations
orgasmic capacity (10.67%); Component#5: multiorgasmic
With respect to self-rated levels of sexual interest, adventur- timing parameters (10.17%). The loadings of the variables
ousness, and disinhibition during adolescence, women rated that comprised the components ranged from .493 to .914.
themselves higher than their peers for sexual interest Table 3 displays the results of the two PCAs.
(M = 7.3, SD = 2.4) but ranked themselves closer to their
peers on sexual adventurousness (M = 5.9, SD = 3.0) or sexual Entire Sample. Given the similarity of the component struc-
disinhibition (M = 5.8, SD = 2.8). Women’s self-rated levels of ture obtained for the two groups, a joint PCA combining both
sexual interest, adventurousness, and disinhibition at the pre- solo and dyadic women was conducted. Results yielded a six-
sent time were all significantly higher than their estimates component solution accounting for 74.87% of the sample’s
during adolescence, with a notable increase in self-rated variance with a similar distribution of variables per compo-
adventurousness (t (418) = − 13.19, p < .001) and disinhibi- nent. Table 4 displays the components distribution and their
tion (t (418) = 15.41, p < .001). Overall, women continued to respective factor variables and factor loadings.
rate themselves higher than their peers with respect to sexual
interest (M = 8.3, SD = 1.9), sexual adventurousness (M = 7.9, Cluster Analysis
SD = 2.0), and sexual disinhibition (M = 8.0, SD = 2.0). Upon conducting a k-means cluster analysis for the whole
Comparative analyses revealed that women in the solo and sample, with all six components previously identified, a four-
dyadic groups reported similar levels of past sexual interest, cluster solution was retained. ANOVAs revealed the presence
adventurousness, and disinhibition during adolescence, as of significant differences across the clusters for each of the 15
well as current levels of these same aspects. Reported levels variables comprising the six components identified through
of desire/sex drive over the past month were also in the higher the PCA (Table 5).
end of the 10-point range (M = 7.30, SD = 2.2) for the whole The first cluster (Cluster 1) is composed of 78 participants
sample, regardless of group membership (p = .055). In addi- (76% from the dyadic group, 24% from the solo group) pre-
tion, over half of women (N = 240, 57.3%) reported at least senting an average multiorgasmic capacity combined with
weekly sexual thoughts, and no significant differences were longer timing parameters, an average sexual motivation pro-
found between the dyadic and solo groups of women (p file, and a late psychosexual profile; the second cluster
= .335). Finally, women reported having engaged 8.4 times (Cluster 2) is the largest group (N = 234, 62% dyadic, 38%
(SD = 9.8) in solo masturbation over the past month on solo) and gathers participants presenting an average multi-
average. Women in the dyadic group were more likely to orgasmic profile, yet reporting the earliest ages of onset for
have engaged in masturbation at least once in the past both solo and partnered sex acts, as well as the highest sexual
THE JOURNAL OF SEX RESEARCH 9

Table 3. Principal component analysis with varimax rotation for the solo and dyadic groups.
Solo Group Clusters Dyadic Group Clusters
Variables of Interest 1 2 3 4 5 6 1 2 3 4 5
Disinhibition .860 .710
Adventurousness .869 .678
Interest .761 .865
Age of orgasm onset .888 .894
Age of masturbation onset .833 .864
Age of multiple orgasm onset .805 .736
Age of partnered sex onset .923 .909
Age of intercourse onset .921 .914
Highest number of orgasms .936 .852
Number of orgasms in last session .939 .830
Monthly fantasy .725 .739
Monthly masturbation .777 .493
Monthly sex drive .675 .765
Session duration .842 .784
First orgasm latency .892 .865

Table 4. Principal component analysis with varimax rotation for the whole
sample. be married (43%) and the least likely to report being divorced
Clusters (3%). Women in Cluster 3 were also the only ones endorsing
Variables of Interest 1 2 3 4 5 6 the statement “I am very religious.” Conversely, Cluster 4
Disinhibition .855 women were more likely to report no current religious prac-
Adventurousness .827 tice (91.5%) compared to the other three groups.
Interest .803
Age of orgasm onset .900
Age of masturbation onset .853
Age of multiple orgasm onset .765 Discussion
Age of partnered sex onset .916
Age of intercourse onset .925 Relying on a large and diverse sample, the current study first
Highest number of orgasms .882
Number of orgasms in last session .872 set out to explore and describe various characteristics of
Monthly fantasy .720 female multiple orgasm (timing, context, sexual arousal, etc.)
Monthly masturbation .778 in the hope of refining our understanding of some crucial
Monthly sex drive .544
Session duration .817 features of this experience. Bearing in mind the ambiguity of
First orgasm latency .862 the existing literature, we also aimed at documenting women’s
psychosexual history to clarify its potential association with
their multiorgasmic experience. A second objective was to
drive scores of the sample; the third cluster (Cluster 3) isolate distinct profiles of women experiencing multiple
includes 95 participants (55% dyadic, 45% solo) displaying orgasm, which was achieved through data reduction and
the most modest multiorgasmic profile, as well as the lowest clustering analyses. Finally, we aimed at investigating poten-
sexual motivation and sexual drive of the sample; and the tial context effects—solo versus dyadic—to clarify the role of
fourth cluster (Cluster 4) is composed of the 12 participants the circumstances surrounding the experience of multiple
(92% dyadic, 8% solo) displaying particularly high multior- orgasm.
gasmic capacity and remarkable timing parameters, while also
reporting the second latest age of onset for multiple orgasm in
Multiple-Orgasm Characteristics
the sample.
Figure 4 displays the sociodemographic characteristics of Overall, our findings suggest that our Hite-based definition of
the clusters. An initial ANOVA indicated that the clusters multiple orgasm allowed us to capture the wide-ranging
significantly differed in terms of age (F (3, 415) = 9.93, experience of multiorgasmic women while helping us refine
p < .001, η2 = .07). Follow-up Tukey’s HSD post hoc tests our understanding of some of the unclear timing parameters.
revealed that women in the Cluster 2 group were younger A little over half of women (N = 244) who identify as multi-
(M = 31.41, SD = 9.48) than women in the Cluster 1 group orgasmic seem to fall into the “multiple orgasm” category as
(M = 38.15, SD = 11.53) and that women in Cluster 4 were defined by Hite, meaning these women report experiencing
older than those in Cluster 1 and Cluster 3 (M = 33.64, two or more orgasms continuously, without any break in
SD = 10.79). Chi-squares computed on the remaining of the stimulation. Our data suggest that these women were more
sociodemographic data also showed that the clusters varied likely to be engaged in a dyadic sexual interaction and to
only in terms of sexual orientation (χ2 (21, 418) = 42.45, display a shorter second orgasm latency period than their
p = .004), marital status (χ2 (15, 419) = 41.71, p < .001), and counterparts. The other group of participants (N = 175)
current religiosity (χ2 (12, 419) = 24.21, p = .019). More seem to fall into the “sequential orgasm” category; these
specifically, analyses showed that Cluster 2 women were less women reported a stimulation break of at least one minute
likely to identify as heterosexual (N = 58.5%) than women in following their first orgasm of the series. For nearly 80% of
other clusters and more likely to have never been married this group, the reported stimulation break ranged from one to
(N = 55%). Instead, women in Cluster 3 were more likely to three minutes, with very few women reporting breaks longer
10 M. GÉRARD ET AL.

Table 5. Profiles of female multiple orgasm.


Cluster 1 Cluster 2 Cluster 3 Cluster 4
Variables N = 78 N = 234 N = 95 N = 12 F (Partial η2)
Age, M (SD) 38.15 (11.53) 31.41 (9.48) 33.64 (10.79) 39.50 (12.01) 9.92 (.07)
General sexual motivation, M (SD) 207.09**
Sexual disinhibition 8.41 (1.40) 8.85 (1.30) 5.65 (2.06) 8.58 (1.16) 102.84 (.43)**
Sexual interest 8.74 (1.26) 9.06 (1.05) 5.83 (2.01) 8.93 (1.24) 130.69 (.49)**
Sexual adventure 8.32 (1.37) 8.69 (1.33) 5.46 (2.08) 8.92 (1.38) 103.65 (.43)**
Solo orgasm onset 129.89**
Age at orgasm onset 19.59 (4.94) 12.18 (2.88) 14.37 (4.06) 15.50 (5.09) 75.45 (.35)**
Age at masturbation onset 19.04 (6.22) 11.38 (2.39) 14.20 (4.71) 13.67 (4.27) 73.17 (.35)**
Age at multiorgasmic onset 25.90 (4.19) 16.58 (4.78) 19.46 (5.24) 23.75 (6.73) 76.30 (.36)**
Partnered sex onset 27.66**
Age at partnered sex onset 16.90 (3.40) 14.71 (2.47) 17.19 (3.15) 17.00 (1.65) 24.04 (.15)**
Age at intercourse onset 18.37 (3.05) 16.50 (2.34) 19.00 (3.25) 18.33 (1.72) 23.74 (.15)**
Current sexual desire 59.75**
Monthly sexual drive 7.33 (1.93) 8.15 (1.70) 5.16 (1.94) 7.67 (2.43) 61.81 (.31)**
Monthly masturbation 5.92 (7.59) 10.39 (11.09) 5.55 (7.28) 8.83 (6.67) 7.83 (.05)**
Monthly sexual fantasy 7.34 (5.05) 10.26 (4.65) 4.22 (4.17) 7.75 (5.71) 39.24 (.22)**
Multiorgasmic capacity 239.20**
Number of orgasms in last multiorgasmic episode 4.73 (3.40) 4.29 (3.00) 3.45 (2.08) 37.50 (31.13) 128.18 (.48)**
Highest number of orgasms ever 11.69 (10.88) 10.68 (8.41) 8.52 (7.61) 70.58 (29.34) 146.02 (.51)**
Multiorgasmic timing parameters 5.21*
Duration of session (mns) 38.85(18.08) 31.17 (18.60) 24.87 (14.75) 43.33 (15.29) 10.85 (.07)**
First orgasm latency 14.29 (12.09) 10.17 (10.04) 10.81 (10.23) 7.90(8.73) 3.43 (.02)*
*p < .01; **p < .001.

100 Cluster 1 Cluster 2 Cluster 3 Cluster 4

91.5
83.0

90

79.0
79
75.0

80
67.0

64.0
70
FREQUENCY (%)

58.5

60
55

43.0

50
39.0

38.5

33.5

33.5

40
32.0

30.5

25.5
25.0

25.0

30
20.5
16.5
19

20
11.5

9.5
5.0

10
3.0
0.0

0.0

0
Heterosexual/Bisexual Same-sex Never married/Married Divorced Not religious

Figure 4. Sociodemographic characteristics of the clusters.

than five minutes (3.5%). Overall, our data suggest that for the Similarly, women engaged in a dyadic context reported
great majority of multiorgasmic women (N = 383), a lack of a longer orgasm latency period (13.19 minutes) than women
“significant break” means a break of no more than three engaged in self-stimulation (7.16 minutes), which is also in
minutes between the first and second orgasm of the series. line with Rowland and colleagues’ data (14.00 minutes and
To our knowledge, this is the first study specifically collecting 8:00 minutes, respectively) and Levine and Wagner’s (1985)
stimulation break duration and orgasm latency data in a large earlier data. With regard to orgasm latency for the first
and diverse sample of women experiencing multiple orgasm. orgasm of the series, most multiorgasmic women seem to be
Orgasm latency data revealed an interesting pattern of no different than single-orgasmic women. However, results
findings. Data for the first orgasm of the series are consistent show that the second orgasm of the series occurs significantly
with orgasm latency data recently obtained from single- more quickly than the first one; within four minutes of sti-
orgasmic women (Levine & Wagner, 1985; Rowland et al., mulation for women in a dyadic context and under four
2018). With the exclusion of a few outliers, multiorgasmic minutes for those in a solo context. The sharp difference
women reported an average time of 11 minutes before experi- between the first and second orgasm latency is consistent
encing their first orgasm of the series, which is identical to with the notion of a heightened physiological reactivity in
that reported by Rowland et al’s. (2018) participants. multiorgasmic women (Masters & Johnson, 1966).
THE JOURNAL OF SEX RESEARCH 11

While the nature of our data cannot specifically shed light evidence toward the existence of various profiles of multi-
on the maintenance of a plateau level of arousal following orgasmic women.
each orgasm, as indicated by Masters and Johnson (1966), our In line with large recent self-report studies (Frederick et al.,
findings suggest that the context of the sexual interaction— 2018; Herbenick et al., 2018), as well as psychophysiological
dyadic or solo—is an important variable to consider in the data (Prause et al., 2016), findings regarding stimulation types
assessment of multiorgasmic women’s arousal patterns. In highlight both the importance of clitoral stimulation as well as
fact, participants’ subjective arousal levels seem moderated the relatively modest contribution of intercourse alone to
by the context of their experience, with women in the dyadic female orgasm. Solo multiorgasmic women reported the
group consistently rating their arousal level as higher after same rate of manual clitoral stimulation for either the first
each successive orgasm compared with women in the solo or the second orgasm, while displaying a particularly
group. Moreover, their intensity ratings significantly increased short second orgasm latency period, with nearly half of
between the first and second orgasm of the series. While our them experiencing their second orgasm within one minute
data do not allow for the assertion that fundamental differ- of stimulation. This seems to point out that when adequately
ences exist between women who experience multiple orgasm aroused and stimulated, some women can give themselves
in a solo versus a dyadic context, we would posit that these a second orgasm with ease. Furthermore, bearing in mind
observed differences may be due to both physiological aspects, the ejaculation latency data—between five and seven minutes
such as different methods of stimulation, and psychological (Waldinger et al., 2005)—the fact that multiorgasmic dyadic
aspects, such as the experience of emotional intimacy and women reported clitoral stimulation as the most frequent
partner effects (e.g., seeing one’s partner aroused). Overall, stimulation type for their first orgasm and intercourse for
these findings echo Sherfey’s (1973) earlier physiological their second orgasm could point to important and previously
description of female multiple orgasm. Conversely, solo suspected partner effects (Darling et al., 1991; Shtarkshall
women tend to report either unchanged or decreased levels et al., 2008). It could be that male partners of multiorgasmic
arousal with each successive orgasm, which is in line with women are more likely to know what pleases them, which is
Amberson and Hoon’s (1985) earlier findings that successive one of the top two factors listed as female orgasm enhance-
orgasms are neither physiologically nor subjectively stronger ments (Herbenick et al., 2018), and/or that they are more
in a small sample of college women instructed to self- likely to delay their ejaculation, as initially suggested by
stimulate to orgasm. Darling et al. (1991). It could also point to multiorgasmic
Multiorgasmic capacity seems to vary greatly from one women’s sexual assertiveness in communicating their needs
multiorgasmic woman to another, particularly in the context and wants (e.g., requesting clitoral stimulation) (Shtarkshall
of a dyadic interaction. Perhaps unsurprisingly, women were et al., 2008), a factor also known to influence orgasmic func-
more likely to feel complete control over their multiorgasmic tion (Wade et al., 2005).
capacity in a solo context compared to a partnered interac-
tion. This finding is consistent with the larger orgasm litera-
Multiorgasmic Women’s Psychosexual History
ture reporting lower rates of orgasmic difficulties in the
context of masturbation than partnered sex (Rowland et al., Psychosexual data revealed that, on average, the majority of
2019). Overall, a wide range of number of orgasms was women who experience multiple orgasm reported an early age
reported, with two women exhibiting a very high multiorgas- of masturbation onset—over 60% had masturbated before the
mic capacity, such as previously reported by Shtarkshall et al. age of 14 years old—which is in line with some of the previous
(2008); less than 10% experienced more than eight orgasms in findings on multiorgasmic women’s solo sexual history
a row, and nearly one-third reported a typical multiorgasmic (Darling et al., 1991). Compared with retrospective data on
pattern of two orgasms. age of masturbation onset in single orgasmic women by
Interestingly, both the duration and context of the sexual Robbins et al. (2011), a larger proportion of women in our
interaction did not seem related to the number of orgasms sample had engaged in self-stimulation by age 14 (72.1%
experienced by multiorgasmic women during their typical versus 43.3%). However, a nonnegligible portion of our sam-
sexual episode. Previous studies have highlighted the limited ple also reported an average age of onset of solo sexual
role of duration on female orgasm quality (Herbenick et al., activities, or instead exhibited a later age of onset for such
2018), while others have shown an association between dura- activities compared with single orgasmic women. These find-
tion and orgasm frequency in heterosexual women only ings suggest that psychosexual patterns are not necessarily
(Frederick et al., 2018). It is noteworthy that only 10% of distinct between women who experience multiple orgasm
multiorgasmic women who engaged in a dyadic interaction and those who do not and again points at the heterogeneity
reported a sexual episode shorter than 14 minutes, a finding of the phenomenon.
consistent with Frederick et al’s. (2018) data suggesting that The majority of the women sampled in our study reported
women who usually orgasm in a partnered context are less higher levels of sexual motivation than their peers—in sexual
likely than women who rarely orgasm to report such shorter disinhibition, sexual interest, and sexual adventurousness—
durations. Duration of the sexual interaction for solo multi- which is in line with previous findings highlighting the role of
orgasmic women was also consistent with available data in sexual attitudes on orgasm function (Bancroft et al., 2009; Tavares
single orgasmic women (Carvalheira & Leal, 2013). The et al., 2018), particularly that of inhibition and lack of sexual
apparent lack of context influence on multiorgasmic capacity, interest in orgasm difficulties (Graham et al., 2006; Hevesi et al.,
as surprising as it may be, could be interpreted as added 2019). Along with higher levels of overall sexual motivation, they
12 M. GÉRARD ET AL.

also reported high levels of sexual desire. In fact, participants’ self- learning and/or early sexual initiation might be largely at
reported rates of sexual thoughts were higher than previously play in these women’s orgasmic patterns (Darling et al.,
documented in samples of heterosexual female undergraduates 1991). However, it would seem that their physiological
(Jones & Barlow, 1990). This finding is consistent with clinical response is quickly activated, and in a dyadic context for
anecdotes (Shtarkshall et al., 2008) as well as with previous data most of them, thus either strongly hinting at partner effects
(Darling et al., 1991) suggesting an association between multi- or at some yet to-be-determined physiological capability. Not
orgasmic capacity and more frequent sexual fantasy for some only do they display the shortest orgasm latency of the sample
women. Similar results were found for masturbation frequency, (7.90 minutes), which aligns with that reported by solo multi-
with multiorgasmic women indicating higher rates of monthly orgasmic women (7.16 minutes), but they also report the
masturbation (7.5 times) than previously reported in single orgas- longest duration of sexual activity. These findings suggest
mic female college samples (4.7 times per month) (Pinkerton et al., a need for further investigations into dyadic sexual commu-
2002), and in national U.S. samples of single orgasmic women nication and sexual attitudes (e.g., motivations for engaging in
aged 25 to 39 years old (6.6% versus 54.9% in our sample) partnered sex, meaning ascribed to sexuality) to better under-
(Herbenick et al., 2010). stand their particular experiences or further physiological
investigations. Overall, the very small number of women
who fit this profile (less than 3% of the total sample) would
Profiles of Multiorgasmic Women
suggest that such off-the-charts multiorgasmic experiences are
The composite nature of multiple orgasm as a phenomenon is rather uncommon.
evident through the analysis of the four profiles of multi- In contrast, women in Cluster 1 (N = 78) seem to display
orgasmic women obtained from our data. Analyses yielded a somewhat average multiorgasmic profile. Their multiorgas-
three major findings: (1) female multiple orgasm seems to be mic capacity data fall within the average reported by the
largely described by six major factors: overall sexual motiva- sample, while their timing parameters are higher than the
tion, age of onset of solo sexual activities and orgasm, current average. In fact, their reported duration of sexual activity is
levels of sexual desire, age of onset of partnered sexual activ- significantly higher than that of a majority of women in our
ities, multiorgasmic capacity, and timing parameters; (2) con- sample (Cluster 2 and Cluster 3, N = 329) and their orgasm
text—solo versus partnered—does not seem to be associated latency is significantly higher than that of the largest cluster of
with any unexpected differences in terms of multiple orgasm women (Cluster 2, N = 234). This can perhaps be explained by
characteristics; (3) four different profiles of multiorgasmic the fact that the vast majority of this cluster (nearly 80%)
women emerged from our data set, all showing significant reports a dyadic multiorgasmic context. Interestingly, their
variations in terms of the aforementioned aspects, but parti- psychosexual profile is characterized by the latest ages of
cularly with regard to sexual motivation, age of onset of sexual onset for solo activities—in other words, significantly higher
activity, and multiple orgasm characteristics. Further, our ages of orgasm and masturbation onset than the rest of the
findings suggest that most but not all multiorgasmic women sample—showing again that, contrary to previously posited
seem to stand out from single orgasmic women with regard to hypotheses (Darling et al., 1991), for a large fraction of multi-
sexual motivation and to some extent with regard to sexual orgasmic women earlier sexual initiation is not a distinct
history. factor in their capacity. Perhaps even more interesting is the
The few women in Cluster 4 (N = 12) are distinct from the fact that this cluster of women report earlier ages of onset for
rest of the sample due to their significantly higher multior- partnered sexual activities and intercourse than for solo mas-
gasmic abilities, both in terms of multiorgasmic capacity— turbation (16.90 years old for partnered sex and 18.37 years
with the highest number of orgasms of the sample (70.58)— old for intercourse versus 19.04 years old for masturbation).
and multiorgasmic timing parameters—with the shortest first This unique feature compared to the rest of the sample is
orgasm latency (7.90 minutes) and longest duration of sexual actually consistent with their report of a dyadic multiorgasmic
interaction (43.33 minutes). Although such high numbers of context. Moreover, sociodemographic data suggest that these
multiple orgasms have not yet been physiologically documen- women may hold more traditional values (i.e., highest percen-
ted, previously published clinical anecdotes support such data tage of heterosexual women and lowest percentage of non-
(Shtarkshall et al., 2008). The fact that they are the oldest religious individuals). Finally, their sexual motivation profile
women of the sample adds to the remarkable nature of their indicates that they feel generally more sexually motivated than
profiles and perhaps nuances the frequently found negative their peers, while reporting average current sexual drive and
association between age and orgasmic function (Rowland & monthly masturbation rates (5.7 times per month) relatively
Kolba, 2016). Equally surprising is both (1) their relatively consistent with published research on college women (4.7
average age of masturbation onset (13.67 years old), which is times per month in Pinkerton et al., 2002) and community
somewhat in line with that reported by other studies samples (Burri & Carvalheira, 2019). Based on our data, these
(14.2 years old in Pinkerton et al., 2002; 15 years old in women’s profile suggests that their multiorgasmic capacity is
Carvalheira & Leal, 2013; 14.00 years old in Burri & probably better explained by their sexual motivation and by
Carvalheira, 2019); and (2) their late multiorgasmic age of partner effects rather than their own, comparatively late, sex-
onset (23.75 years old), which is significantly higher than that ual exploration.
of a majority of women in our sample (Cluster 2: 16.58 years The largest group of women, Cluster 2 (N = 234), is also
old; Cluster 3: 19.46 years old). To some extent, this finding the youngest and includes multiorgasmic women whose pro-
tampers the reasonable assumption that developmental file seems to fit with previously published hypotheses, both in
THE JOURNAL OF SEX RESEARCH 13

terms of sexual motivation and psychosexual characteristics. orgasm. Finally, they display a significantly shorter duration
These women display the highest levels of general sexual of sexual activity compared to their rest of the sample, which
motivation and sexual desire of the sample, as well as higher could be interpreted through the lens of their solo sexual
figures than available data on masturbation frequency (10.4 context or as a by-product of further potential partner effects.
times per month) (Burri & Carvalheira, 2019; Pinkerton et al., Collectively, such initial findings indicate that, contrary to
2002). They also display the earliest ages of onset of the popular belief, female multiple orgasm is not the result of
sample for both solo activities (i.e., significantly younger a particular recipe but rather that some women might get there
ages of masturbation, orgasm, and multiorgasm onset) and one way and some another, which has significant clinical impli-
partnered sexual behaviors (i.e., significantly younger ages of cations. More specifically, this research suggests that various
partnered sex and intercourse) than most other clusters. psychosexual patterns can lead to multiple orgasm. In fact,
Moreover, they report younger ages of masturbation onset while early sexual self-exploration is a characteristic of the largest
(11.38 years old) and intercourse onset (16.5 years old) than cluster of multiorgasmic women, our findings also show that, for
previously documented in single-orgasmic college women some women, their multiorgasmic capacity developed later,
(14.2 and 17.5 years old, respectively, in Pinkerton et al., either by themselves or with a partner, as evidenced by Cluster
2002) and U.S. probability samples (17.5 for intercourse in 1 and Cluster 3. Our data also suggest, albeit unsurprisingly, that
Magnusson et al., 2015). In the case of these multiorgasmic sexual motivation and desire play an important role for most
women, and unlike the previous clusters, earlier sexual initia- multiorgasmic women, and yet, as illustrated by women in
tion could have very well contributed to their multiorgasmic Cluster 3, it does not necessarily need to be off the charts.
capacity. Yet their multiorgasmic characteristics—capacity Conversely, this research also supports previously published
and timing parameters—remain relatively average compared (Shtarkshall et al., 2008) and unpublished clinical anecdotes,
to the other clusters, thereby reinforcing the idea that various whereby women’s multiorgasmic capacity can, in some rare
psychosexual profiles, rather than one single type, characterize cases, reach exceptional proportions. Finally, as previously sus-
female multiple orgasm. Finally, sociodemographic data show pected by several researchers (Darling et al., 1991), our data seem
that this is a sexually diverse group of women, with fewer to point at various partner effects, with a majority of multi-
heterosexual and married individuals than in other clusters, orgasmic women reporting a dyadic sexual context. This is all
perhaps pointing at an endorsement of more liberal values. the more interesting, and perhaps surprising, considering recent
The fact that this profile includes the largest number of multi- data highlighting the challenges faced by heterosexual women in
orgasmic women could perhaps speak to the commonness of experiencing orgasm in a dyadic context (Frederick et al., 2018).
these broad features among other multiorgasmic women: high Still, as important as the multiorgasmic context may be in
sexual motivation, early solo sexual initiation, average orgasm enhancing our understanding of female multiple orgasm, the
latency, and more sexual diversity. fact that context as a variable did not result in different PCA
Finally, women in Cluster 3 (N = 95) first stand out from structures would suggest that it is not as pivotal a factor as
their multiorgasmic counterparts with regard to their rela- perhaps suspected, at least in our sample. Regardless, further
tively average sexual motivation profile. In fact, they report investigations seem warranted to refine our grasp of which
the lowest general sexual motivation scores of the sample. specific dyadic aspects (sexual communication, sexual attitudes,
However, these scores are still within population norms, as etc.) contribute to women’s multiorgasmic experiences.
these women rate their levels of sexual adventurousness,
interest, and disinhibition rather close to those of their
Limitations and Future Research
peers. Compared with available data on single-orgasmic
women, Cluster 3 women also exhibit typical levels of sexual There are important limitations to this research. First, while
drive, with rates of monthly masturbation (a little more than our Hite-based definition of multiple orgasm led us to recruit
5.5 times per month) similar to those of single-orgasmic a wide range of women reporting this experience, it is unlikely
women (Pinkerton et al., 2002). Moreover, they also stand that our sample is representative of all women who experience
out from the rest of the sample with regard to their partnered multiple orgasm. Second, although we were able to clarify
psychosexual profile: They report the oldest age of onset for some of the timing parameters relevant to the definition of
intercourse (19.3 years old), which also happens to be higher possible subtypes of multiple orgasm, data are still lacking.
than typically documented in single-orgasmic women Our sample was nearly evenly split between those reporting
(Magnusson et al., 2015; Pinkerton et al., 2002). Of note, is no break in stimulation (multiple orgasm) and those report-
their unique tendency to report being very religious that could ing a stimulation break (sequential orgasm) between the first
partly account for their delayed intercourse onset. Yet this and second orgasm of the series. Although timing parameters
cluster also includes a larger proportion of women who report were recorded for those reporting a stimulation break, thus
a solo multiorgasmic context (45% instead of 33%). Their later helping us refine the meaning of “in succession,” we did not
age of intercourse onset may explain their preference for obtain such data for the subsequent orgasms of the series.
a solo rather than a dyadic multiorgasmic context, perhaps Further research should collect these data, which will help
pointing to differences in terms of sexual attitudes and sexual address the long-standing hypothesis that there are different
communication/assertiveness compared to women in other types of multiple orgasm based on whether the experience/
clusters. Interestingly, these women are also more likely to stimulation is continuous. This shortcoming leaves the exact
report being married (43%), therefore reinforcing a need for meaning of “in succession” as somewhat vague despite having
further investigation into partner dynamics and multiple gained a certain advancement. Consequently, these
14 M. GÉRARD ET AL.

definitional challenges force us to be cautious upon interpret- two to three orgasms, either experienced in a solo or dyadic
ing our findings and attempting to generalize them to most context. Usually, there is no break in stimulation or a short break
multiorgasmic women. (of one to three minutes) between the first and second orgasm of
Third, a number of women in the solo group reported being in the series, and the transition between first and second orgasms is
a relationship (N = 108, 25%), and we could not tease apart marked by various patterns of sexual arousal (an increase or
whether they could have multiple orgasm only during solo activity a decrease) depending on the sexual context. By and large, our
because we asked about what was typical for them. Similarly, we findings suggest that female multiple orgasm is far from being
could not tell whether women in the dyadic group who experi- a unitary phenomenon. Several profiles of women report experi-
enced multiple orgasm through partnered stimulation did it via encing multiple orgasm and show significant variations in terms
their partners only or by themselves. Because orgasm is typically of their sexual motivation and desire, their history of sexual self-
understood as a multifaceted psychoneurophysiological event, it exploration and partnered sexual activities, as well as their multi-
proves difficult to decipher who is solely behind the triggering of orgasmic capacity per se. While our data point to the relevance
the multiorgasmic episode in a dyadic context. We would assume of heightened sexual motivation, partner dynamics, and, to some
it is an accumulation of stimulations, both physical and cerebral, extent, early sexual exploration, they also reveal that these factors
that leads one to experience multiple orgasm. may vary greatly among multiorgasmic women. Interestingly,
Fourth, our data were collected online through self-reports this wide-ranging survey also provided support for previously
and as such carries the well-known limitations associated with published anecdotes of exceptional multiorgasmic capacity,
this type of research. Although we carefully circumscribed the thereby reinforcing the validity of such reports. Future research
sample to women reporting a multiorgasmic event in the past aimed at refining the timing parameters associated with multiple
six months and with a good recollection of the event, the orgasm and relying on validated self-report instruments and
specificity of our questions was such (e.g., multiorgasmic psychophysiological measures may be helpful in enhancing our
timing parameters, arousal level changes, orgasm latency) limited understanding of this intriguing experience.
that recollection biases are likely. In particular, it is not clear
to us whether the latency to orgasm parameters that we
Disclosure Statement
collected are accurate or whether women remember such
latencies for each orgasm in a series. It may be possible to No potential conflicts of interest were reported by the authors.
ask women to use stopwatches, as has been done in the
premature ejaculation literature (Waldinger et al., 2005). It References
may also be possible to collect such data in the laboratory and
supplement them with psychophysiological data for women Adam, F., Geonet, M., Day, J., & de Sutter, P. (2015). Mindfulness skills
experiencing solo multiple orgasm. are associated with orgasm? Sexual and Relationship Therapy, 30(2),
256–267. https://doi.org/10.1080/14681994.2014.986085
Fifth, our nonvalidated outcome measures make it difficult to Amberson, J. I., & Hoon, P. W. (1985). Hemodynamics of sequential
assess the validity of the data collected and to replicate our find- orgasm. Archives of Sexual Behavior, 14(4), 351–360. https://doi.org/
ings. Future research designs would benefit from well-validated 10.1007/BF01550850
instruments to measure constructs such as orgasm (Orgasm Bancroft, J., Graham, C. A., Janssen, E., & Sanders, S. A. (2009). The dual
Rating Scale [ORS], Mah & Binik, 2002; Bodily Sensations of control model: Current status and future directions. Journal of Sex
Research, 46(2–3), 121–142. https://doi.org/10.1080/
Orgasm questionnaire [BSO], Dubray et al., 2017), and sexual 00224490902747222
excitation/inhibition (Sexual Excitation/Sexual Inhibition Bohlen, J. G., Held, J. P., Sanderson, M. O., & Boyer, C. M. (1982).
Inventory for Women [SESII-W], Graham et al., 2006), to name Development of a woman’s multiple orgasm pattern: A research case
a few. report. Journal of Sex Research, 18(2), 130–145. https://doi.org/10.
Sixth, in an attempt to keep the length of the survey 1080/00224498209551144
Burri, A., & Carvalheira, A. (2019). Masturbatory behavior in
reasonable, we did not inquire about other potentially impor- a population sample of German women. Journal of Sexual Medicine,
tant correlates of multiple orgasm, including cognitive- 16(7), 963–974. https://doi.org/10.1016/j.jsxm.2019.04.015
affective variables (e.g., mindfulness, Adam et al., 2015; sexual Campbell, B., Hartman, W., Fithian, M., & Campbell, I. (1975). Polygraphic
satisfaction, Kontula & Miettinen, 2016), partner data (e.g., survey of the human sexual response. The Physiologist, 18(3), 154.
age, relationship length, satisfaction) and biological para- Carvalheira, A., & Leal, I. (2013). Masturbation among women:
Associated factors and sexual response in a Portuguese community
meters (e.g., hormonal status, contraceptive use, medication). sample. Journal of Sex and Marital Therapy, 39(4), 347–367. https://
Seventh, although we referred to population data when avail- doi.org/10.1080/0092623X.2011.628440
able, it would have been useful to have a matched control group Clark, L. (1946). Emotional adjustment in marriage. CV Mosby
of single-orgasmic women. Moreover, Israeli participants were Company.
overrepresented in our sample, which needs to be kept in mind Clifford, R. E. (1978). Subjective sexual experience in college women.
Archives of Sexual Behavior, 7(3), 183–197. https://doi.org/10.1007/
upon interpreting our data. Finally, it seems likely to us that BF01542378
requiring responses to some of the qualitative questions would Cohen, J. (1988). Statistical power analysis for the behavioral sciences
have helped our understanding of this phenomenon. (2nd ed.). Lawrence Erlbaum Associates, Publishers.
Cohen, J. (1992). Quantitative methods in psychology: A power primer.
Psychological Bulletin, 112(1), 155–159. https://doi.org/10.1037/0033-
Conclusions 2909.112.1.155
Crepault, C. (1981). L’expérience orgastique. In C. Crépault, J. J. Levy, &
Based on a large and diverse convenience sample our findings H. Gratton (Eds.), Sexologie contemporaine (pp. 271–281). Les Presses
suggest that female multiple orgasm typically refers to a series of de l’Université du Québec.
THE JOURNAL OF SEX RESEARCH 15

Darling, C. A., Davidson, J. K., & Jennings, D. A. (1991). The female MacQueen, J. (1967). Some methods for classification and analysis of
sexual response revisited: Understanding the multiorgasmic experi- multivariate observations. In Proceedings of the 5th Berkeley
ence in women. Archives of Sexual Behavior, 20(6), 527–540. https:// Symposium on Mathematical Statistics and Probability, Volume 1:
doi.org/10.1007/BF01550952 Statistics, 281–297. Berkeley: University of California Press. http://
Davis, K. B. (1929). Factors in the sex life of twenty-two hundred women. projecteuclid.org/euclid.bsmsp/1200512992
Harper & Brothers. Magnusson, B. M., Nield, J. A., & Lapane, K. L. (2015). Age at first
Dickinson, R. L., & Beam, L. (1931). A thousand marriages. Williams & intercourse and subsequent sexual partnering among adult women
Wilkins. in the United States, a cross-sectional study. BMC Public Health, 15
Dubray, S., Gérard, M., Beaulieu-Prévost, D., & Courtois, F. (2017). (1), 98–107. https://doi.org/10.1186/s12889-015-1458-2
Validation of the self-report questionnaire assessing the bodily and Mah, K., & Binik, Y. M. (2001). The nature of human orgasm: A critical
physiological sensations of orgasm. Journal of Sexual Medicine, 14(2), review of major trends. Clinical Psychology Review, 21(6), 823–856.
255–263. https://doi.org/10.1016/j.jsxm.2016.12.006 https://doi.org/10.1016/S0272-7358(00)00069-6
Fisher, S. (1973). The female orgasm: Psychology, physiology, fantasy. Mah, K., & Binik, Y. M. (2002). Do all orgasms feel alike? Evaluating a
Basic Books. two-dimensional model of the orgasm experience across gender and
Frederick, D. A., St John, H. K. S., Garcia, J. R., & Lyod, E. A. (2018). sexual context. Journal of Sex Research, 39(2), 104–113. https://doi.
Differences in orgasm frequency among gay, lesbian, bisexual, and org/10.1080/00224490209552129
heterosexual men and women in a U.S. national sample. Archives of Marshall, D. S. (1971). Sexual behavior on Mangaia. In D. S. Marshall &
Sexual Behavior, 47(1), 273–288. https://doi.org/10.1007/ R. C. Suggs (Eds.), Human sexual behavior: Variations in the ethno-
s105080170939-z graphic spectrum (pp. 103–162). Basic Books.
Graham, C. A., Sanders, S. A., & Milhausen, R. R. (2006). The Sexual Masters, W. H., & Johnson, V. E. (1966). Human sexual response. Little &
Excitation/Sexual Inhibition for Women: Psychometric properties. Brown.
Archives of Sexual Behavior, 35(4), 397–409. https://doi.org/10.1007/ McMahon, C. G., Abdo, C., Incrocci, L., Perelman, M., Rowland, D.,
s10508-006-9041-7 Stuckey, B., Waldinger, M., & Xin, Z. C. (2004). Disorders of orgasm
Hamilton, G. V. (1929). A research in marriage. Albert & Charles and ejaculation in men. In T. Lue, R. Basson, R. Rosen, et al, (Eds.),
Boni. Sexual medicine: Sexual dysfunctions in men and women. Second
Haning, R. V., O’Keefe, S. L., Beard, K. W., Randall, E. J., Kommor, M. J., international consultation on sexual dysfunctions (pp. 409–468).
& Stroebel, S. S. (2008). Empathic sexual responses in heterosexual Editions 21.
women and men. Sexual and Relationship Therapy, 23(4), 325–344. Meston, C. M., Hull, E., Levin, R. J., & Sipski, M. (2004). Women’s
https://doi.org/10.1080/14681990802326743 orgasm. In T. Lue, R. Basson, R. Rosen, et al, (Eds.), Sexual medicine:
Herbenick, D., Fu, T. J., Arter, J., Sanders, S. A., & Dodge, B. (2018). Sexual dysfunctions in men and women. Second international consulta-
Women’s experiences with genital touching, sexual pleasure, and tion on sexual dysfunctions (pp. 783–850). Editions 21.
orgasm: Results from a U.S. probability sample of women ages 18 to Mundfrom, D. J., Shaw, D. G., & Lu Ke, T. (2005). Minimum sample size
94. Journal of Sex and Marital Therapy, 44(2), 201–212. https://doi. recommendations for conducting factor analyses. International
org/10.1080/0092623X.2017.1346530 Journal of Testing, 5(2), 159–168. https://doi.org/10.1207/
Herbenick, D., Reece, M., Schick, V., Sanders, S. A., Dodge, B., & s15327574ijt0502_4
Fortenberry, J. D. (2010). Sexual behavior in the United States: Pfaus, J. G., Kippin, T. E., & Centeno, S. (2001). Conditioning and sexual
Results from a national probability sample of men and women ages behavior: A review. Hormones & Behavior, 40(2), 291–321. https://doi.
14–94. Journal of Sexual Medicine, 7(suppl 5), 255–265. https://doi. org/10.1006/hbeh.2001.1686
org/10.1111/j.1743-6109.2010.02012.x Pinkerton, S. D., Bogart, L. M., Cecil, H., & Abramson, P. R. (2002).
Hevesi, K., Hevesi, G. B., Kolba, T. N., & Rowland, D. L. (2019). Self- Factors associated with masturbation in a collegiate sample. Journal of
reported reasons for having difficulty reaching orgasm during part- Psychology & Human Sexuality, 14(2–3), 103–121. https://doi.org/10.
nered sex: Relation to orgasmic pleasure. Journal of Psychosomatic 1300/J056v14n02_07
Obstetrics & Gynecology, 29, 1–10. https://doi.org/10.1080/0167482X. Prause, N., Kuang, L., Lee, P., & Miller, G. (2016). Clitorally stimulated
2019.1599857 orgasms are associated with better control of sexual desire, and not
Hite, S. (1976). The Hite report: A nationwide study of female sexuality. associated with depression or anxiety, compared with vaginally sti-
Macmillan Publishing Co. Inc. mulated orgasms. Journal of Sexual Medicine, 13(11), 1676–1685.
Jones, J. C., & Barlow, D. H. (1990). Self-reported frequency of sexual https://doi.org/10.1016/j.jsxm.2016.08.014
urges, fantasies, and masturbatory fantasies in heterosexual males and Robbins, C., Schick, V., Reece, M., Herbenick, D., Sanders, S. A.,
females. Archives of Sexual Behavior, 19(3), 269–279. https://doi.org/ Dodge, B., & Fortenberry, D. (2011). Prevalence, frequency, and
10.1007/BF01541552 associations of masturbation with partnered sexual behaviors
Kinsey, A. C., Pomeroy, W. B., Martin, C. E., & Gebhard, P. (1953). among US adolescents. Archives of Pediatrics & Adolescent
Sexual behavior in the human female (1st ed.). W.B. Saunders. Medicine, 165(12), 1087–1093. https://doi.org/10.1001/archpedia
Kinsey, A. C., Pomeroy, W. B., Martin, C. E., & Gebhard, P. (1998). trics.2011.142
Sexual behavior in the human female. Indiana University Press. Rowland, D. L., Donarksi, A., Graves, V., Caldwell, C., Hevesi, B., &
Kontula, O., & Miettinen, A. (2016). Determinants of female sexual Hevesi, K. (2019). The experience of orgasmic pleasure during part-
orgasms. Socioaffective Neuroscience & Psychology, 6(1), 31624. nered and masturbatory sex in women with and without orgasmic
https://doi.org/10.3402/snp.v6.31624 difficulty. Journal of Sex and Marital Therapy, 45(6), 550–561. https://
Lakens, D. (2013). Calculating and reporting effect sizes to facilitate doi.org/10.1080/00926230590513401
cumulative science: A practical primer for t-tests and ANOVAs. Rowland, D. L., & Kolba, T. N. (2016). Understanding orgasmic difficulty
Frontiers in Psychology, 4, 863. https://doi.org/10.3389/fpsyg.2013. in women. Journal of Sexual Medicine, 13(8), 1246–1254. https://doi.
00863 org/10.1016/j.jsxm.2016.05.014
Levine, R. J. (2004). An orgasm is … who defines what an orgasm is? Rowland, D. L., Sullivan, S. L., Hevesi, K., & Hevesi, B. (2018). Orgasmic
Sexual and Relationship Therapy, 19(1), 101–107. https://doi.org/10. latency and related parameters in women during partnered and mas-
1080/14681990410001641663 turbatory sex. Journal of Sexual Medicine, 15(10), 1463–1471. https://
Levine, R. J., & Wagner, G. (1985). Orgasm in women in the laboratory – doi.org/10.1016/j.jsxm.2018.08.003
Quantitative studies on duration, intensity, latency, and vaginal blood Sherfey, M. J. (1966). The evolution and nature of female sexuality in
flow. Archives of Sexual Behavior, 14(5), 439–449. https://doi.org/10. relation to psychoanalytic theory. Journal of the American
1007/BF01542004 Psychoanalytic Association, 14(1), 28–128.
16 M. GÉRARD ET AL.

Sherfey, M. J. (1973). The nature and evolution of female sexuality. Tavares, I. M., Laan, E. T. M., & Nobre, P. J. (2018). Sexual inhibition is
Vintage Books. a vulnerability factor for orgasm problems in women. Journal of
Sholty, M. J., Ephross, P. H., Plaut, S. M., Fischman, S. H., Charnas, J. F., & Sexual Medicine, 15(3), 361–372. https://doi.org/10.1016/j.jsxm.2017.
Cody, C. A. (1984). Female orgasmic experience: A subjective study. 12.015
Archives of Sexual Behavior, 13(2), 155–164. https://doi.org/10.1007/ Wade, L. D., Kremer, E. C., & Brown, J. (2005). The incidental orgasm:
BF01542149 The presence of clitoral knowledge and the absence of orgasm in
Shtarkshall, R. A., Anonymous, & Feldman, B. S. (2008). A woman with women. Women & Health, 42(1), 117–138. https://doi.org/10.1300/
a high capacity for multi-orgasms: A non-clinical case-report study. J013v42n01_07
Sexual and Relationship Therapy, 23(3),259–269. https://doi.org/10. Waldinger, M. D., Quinn, P., Dilleen, M., Mundayat, R.,
1080/14681990802094978 Schweitzer, D. H., & Boolell, M. (2005). A multinational population
Singer, J., & Singer, I. (1972). Types of female orgasms. Journal of survey of intravaginal ejaculation latency time. Journal of Sexual
Sex Research, 8(4), 255–267. https://doi.org/10.1080/ Medicine, 2(4), 492–497. https://doi.org/10.1111/j.1743-6109.2005.
00224497209550761 00070.x

You might also like