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Introduction: Few studies have investigated women's experiences with orgasm and the factors that they cite as important for their orgasmic function and sexual behavior related to foreplay and sexual stimulation. Aim: To investigate and describe overall sexual function in a cohort of North American women, with a special focus on orgasmic function, satisfaction, triggers, risk factors, and sexual behavior.
Methods: A total of women aged years completed a questionnaire survey, which included the Female Sexual Function Index FSFI questionnaire and questions on orgasmic function, duration of sexual activity, sexual behaviors and relationship, and the partner's sexual function.
Statistical analysis was performed using SPSS to illuminate factors affecting sexual function. Outcomes: The main outcome measures are FSFI score, satisfaction with sexual life, ability to reach orgasm, orgasm frequency, preferred sexual stimulation, and sexual habits.
External stimulation was reported to be the fastest trigger to orgasm. Clinical implications: The knowledge on how women reach orgasm and how it is related to the partners' willingness to have sex and other factors can be incorporated in the clinical work. Limitations are the cross-sectional design, the lack of a sexual distress measure, and a possible selection bias.
Most women did reach orgasm through different kinds of stimulation. Correlation was good between preferred and performed sexual activities and positions. J Sex Med ; Published by Elsevier Inc. All rights reserved. Abstract Introduction: Few studies have investigated women's experiences with orgasm and the factors that they cite as important for their orgasmic function and sexual behavior related to foreplay and sexual stimulation. Publication types Research Support, Non-U.