The female orgasm is brought about mainly as a result of clitoral stimulation and may not occur only via vaginal stimulation by the erect penis.
If the individual has failure of orgasm then a careful history of the complaint must be taken. Often additional clitoral stimulation, i.e. manual, oral or mechanical, may be sufficient for the female to achieve orgasm. Failure to achieve orgasm is a problem that may have a significant psychological contribution as well as one of inadequate technique.
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