Female Sexual Health Center

There is an apparent high prevalence of sexual dysfunction in non-clinical samples of women (1,2).

It is unclear, however, whether the percentage of women reporting problems with desire (33%), orgasm (25%), and lack of satisfaction (22%) reflects the prevalence of true sexual dysfunctions.

Traditional Sex Response Cycle of Masters, Johnson and Kaplan

The stages of sexual response have been described in discrete entities in progression in a linear fashion--desire, arousal, plateau of high sexual excitement, and orgasmic release--followed by resolution with the caveat that women have several patterns of orgasmic release, multiple, or prolonged.

Recently, this concept has been revisited and challenged. According to Rosemary Basson from Vancouver, B.C., the following has been reported in the Journal of Sexual Dysfunction and Medicine:

The overall focus is incorrect. Women tend to focus on composite emotional and physical satisfaction. Their physical satisfaction need not necessarily include orgasmic release. The women reporting lack of satisfaction in community surveys included those who were orgasmic. (2, 3,4)

References
1. EO Laumann. JAMA, 1999; 10: 537-45
2. R Rosen. Journal of Sexual Marital Therapy, 1993; 19: 171-88
3. KM Dunn. Journal of Sexual Marital Therapy, 2000; 26: 141-51
4. I Lunde. Journal of Sex Education Therapy, 1991; 17: 111-5.