Miri Women's Health

While the multiplicity of etiological influences is acknowledged, the factor of religious orthodoxy remains of major import in primary orgasmic dysfunction as in almost every form of human sexual inadequacy.

To be diagnosed as having primary orgasmic dysfunction, a woman must report a lack of orgasmic attainment during her entire lifespan. There is no definition of male sexual dysfunction that parallels this severity of exclusion.

Random orgasmic inadequacy is illustrated in the history below. With but two episodes of orgasmic attainment in her life, Mrs. H provides a history of one manipulative and one coital effort to orgasmic release. Her two highlighted sexual experiences were as much of a surprise to her when they occurred as they were to her husband.

Both contributing positively or negatively to any state of sexual responsivity but having no biological demand to function in a complementary manner. With the reminder that finite analysis of male sexual capacity and physiological response also has attracted little scientific interest in the past.

For many women, one of the most frequent causes for orgasmic dysfunction, either primary or situational, is a lack of complete identification with the marital partner.

To consider situationally non-orgasmic, a woman must have experienced at least one instance of orgasmic expression, regardless of whether it was induced by self or by partner manipulation, developed during vaginal or rectal coital connection, or stimulated by the oral-genital exchange.

Neither the biophysical nor the psychosocial systems which influence the expression of the human sexual component have a biologically controlled demand to make specifically positive or negative contributions to sexual function.

The husband has directed to place himself in a sitting (slightly reclining, if desired) position, with his back against a comfortable placement of pillows at the headboard of the bed. With the husband's legs adequately separated to allow his wife to sit between them, she should recline with her back against his chest, pillowing her head on his shoulder.

When the marital partners extend their psychosensory interchange to coition in the female-superior position, the wife once mounted is instructed to hold herself quite still and simply to absorb the awareness of penile containment.

A separate discussion of female sexuality is necessary primarily because the role assigned to the functional component of a woman's sexual identity rarely has been accorded the socially enforced value afforded male sexuality.