(637) Characteristics of Couples with Vaginal Orgasms

Introduction In 1948, Alfred Kinsey described that more than 80% of women reach orgasm primarily through non-coital sexual activities such as oral sex, manual stimulation, and the use of sex toys. Clinical experience over more than 25 years has confirmed this same pattern of sexual response in thousands of women. At the same time, the characteristics of the remaining 15%–20% who achieve orgasm mainly or exclusively through vaginal penetration have been identified. Objective The objectives are to describe the reasons why and how 15%–20% of women reach orgasm primarily through vaginal penetration, and to analyze the advantages and disadvantages of this type of sexual response in women. The study also aims to explore the social and sexual development that characterizes these couples, emphasizing how a traditional, conservative, and religious lifestyle has been a predominant factor among them. Methods A retrospective study was conducted on 1,030 women over a 10-year period (2012–2022) who were characterized by achieving vaginal orgasms. The total number of new patients during this period was 7,653, of whom 5,816 (76%) were sexually active. Among these, 1,030 (17.7%) reported experiencing orgasm mainly or exclusively through vaginal penetration. Sexual history and sexual satisfaction questionnaires were used to evaluate these patients. Results Women who reach orgasm primarily or exclusively through vaginal penetration were characterized by the following: having had fewer sexual partners (60% had one partner, and only 1% more than four partners); a very low percentage of non-coital sexual practices; and belonging predominantly to conservative, traditional, and religious cultures or families. Their sexual development, beginning in adolescence, was characterized by exclusive sexual activity with traditional and religious partners, without masturbation or non-coital encounters. They were able to adapt, learn, and reinforce the ability to reach orgasm through vaginal penetration. Most of these women were unable to engage in solitary sexual activity when their partners developed sexual dysfunction or passed away. Conclusions We present the main reasons why a specific group of women experience orgasm primarily through vaginal penetration. Their socio-familial and personal characteristics are described, providing a better understanding of why these women respond more actively to vaginal penetration than most women do to non-coital sexual stimulation. Disclosure No