Summary of "What Women Secretly Need More Of During Penetration | How to Increase Orgasm"

Key wellness / self-care & sexual health strategies (evidence-based)

Reframe “what’s normal”
- Only ~18% of women can reliably orgasm from intercourse alone; ~82% typically need more stimulation—most often direct clitoral stimulation.
- Feeling like something is “missing” usually reflects anatomy + technique, not personal failure.
Center pleasure on clitoral stimulation
- The clitoris is the primary orgasm organ, with internal structures that extend deeper than what’s externally visible.
- Traditional in-and-out thrusting often provides insufficient direct clitoral contact, because the clitoris sits above the vaginal opening.
Use “rocking” to improve stimulation
- Research links rhythmic rocking/swinging of the pelvis/trunk with higher orgasm frequency.
- Practical takeaway:
  - Stay fully inserted (avoid isolated thrusting)
  - Rock continuously to maintain continuous contact with the clitoral area
Try “codal alignment” (structured technique)
- Developed by researcher Edward Eel (late 1980s).
- Setup + movement principles:
  - Start in a modified missionary position where the penetrator is higher
  - Aim for constant external clitoral contact (with the base of the penis or toy)
  - Use coordinated pressure/counter-pressure rocking rather than thrusting in/out
- Reported outcomes in the original study:
  - Higher orgasm rates and more frequent simultaneous orgasms
  - Orgasms described as more complete/satisfying
- Note: results may vary by individual anatomy, but overall evidence is described as positive.
Apply “rocking principles” to any position (not only one technique)
- Example alternatives mentioned:
  - Woman on top: angle hips forward for grinding against the pubic bone area while maintaining continuous clitoral contact.
Pair penetration with direct clitoral stimulation
- About 70% of women reportedly use “pairing.”
- What to do:
  - Add manual clitoral stimulation or a toy/sex aid during penetration
- Why:
  - Orgasm tends to be more frequent and more intense when clitoral + vaginal stimulation happen together.
Communicate first to make the technique work
- Before trying a new position/approach:
  - Talk about it and confirm consent/enthusiasm
  - Treat it like a choreographed dance so both partners move in sync
- If it doesn’t work the first time:
  - Don’t catastrophize—practice and iterate
Use comfort-enhancing sex aids
- Tools like pillows, swings, or specialized stools can help you access positions that better support continuous clitoral contact.
Support arousal and lubrication
- If orgasms have been difficult, also ensure:
  - Enough arousal
  - Adequate lubrication
- Improve with:
  - More time for foreplay
  - Use lubricants

Presenters / sources

Presenter: Dr. Karina Malik (urologist and pelvic surgeon)
Referenced researcher/developer: Edward Eel (codal alignment technique; late 1980s)
Referenced study methods/populations:
- A large study of 200+ women using structural equation modeling
- A representative US study of about 3,000 women (reported percentages for techniques like rocking/angling/pairing)
- Mentions of additional studies (results vary by individual anatomy)