The coital alignment technique sex position is used primarily as a variant of the missionary position and is designed to maximize clitoral stimulation during sexual intercourse. This is achieved by combining the "riding high" variation of the missionary position with pressure-counterpressure movements performed by each partner in rhythm with coitus. [1]
When used as a variant of the missionary position, the male lies above the female but moves upward along the woman's body, until his erection, which would otherwise point "up," is pointing "down", the dorsal side of the penis now pressing against the clitoris. As opposed to the missionary position, the male's body moves downward (relative to the female's) during the inward stroke, and upward for the outward stroke. She may also wrap her legs around his. Sexual movement is focused in the pelvises, without leverage from the arms or legs. The rocking upward stroke (where the female leads) and downward stroke (where the male leads) of sexual movement builds arousal that partners let develop and peak naturally. [2]
The woman on top variant is known as the reverse coital alignment technique. [3]
The technique for coital alignment was first defined by American psychotherapist Edward Eichel, [2] and the original study was published by Eichel, De Simone Eichel, and Kule in 1988 in the Journal of Sex & Marital Therapy. [1]
Since then, the topic has been studied several times in the same journal. [4] A 1992 report by Kaplan and her sex therapist trainees described the team's cursory trial of the CAT, acknowledging that they may have resorted to old routines after only a few attempts out of fear of disappointing their partners. [5] Their call for other sex therapists to give the technique more rigorous testing instigated a series of controlled studies by Hurlbert and colleagues reporting statistically significant results in the treatment of female hypoactive sexual desire. [6]
In 2005, Eichel asserted that "... the three classic problems of sexual "dysfunction" have been redefined as interdependent parts of ONE behavioral syndrome - the problems are NOT "diseases" ... [t]he "cure" is a fundamental change in sexual technique". In his concluding paragraph, Eichel wrote that "[t]he CAT model provides a fundamental matrix for the analysis of classic sex problems and other subtle, but widespread, sex-related health problems." [7]
Orgasm or sexual climax is the sudden discharge of accumulated sexual excitement during the sexual response cycle, resulting in rhythmic, involuntary muscular contractions in the pelvic region characterized by sexual pleasure. Experienced by males and females, orgasms are controlled by the involuntary or autonomic nervous system. They are usually associated with involuntary actions, including muscular spasms in multiple areas of the body, a general euphoric sensation, and, frequently, body movements and vocalizations. The period after orgasm is typically a relaxing experience, attributed to the release of the neurohormones oxytocin and prolactin as well as endorphins.
Female ejaculation is characterized as an expulsion of fluid from the Skene's gland at the lower end of the urethra during or before an orgasm. It is also known colloquially as squirting, although research indicates that female ejaculation and squirting are different phenomena, squirting being attributed to a sudden expulsion of liquid that partly comes from the bladder and contains urine.
A sex position is a position of the body that people use for sexual intercourse or other sexual activities. Sexual acts are generally described by the positions the participants adopt in order to perform those acts. Though sexual intercourse generally involves penetration of the body of one person by another, sex positions commonly involve penetrative or non-penetrative sexual activities.
The missionary position or man-on-top position is a sex position in which, generally, a woman lies on her back and a man lies on top of her while they face each other and engage in vaginal intercourse. The position may also be used for other sexual activity, such as anal sex. It is commonly associated with heterosexual sexual activity, but is also used by same-sex couples.
Doggy style is a sex position in which one participant bends over, crouches on all fours, or lies on their abdomen, for sexual intercourse, other forms of sexual penetration or other sexual activity. Doggy style is a form of a rear-entry position, others being with the receiving partner lying on the side in the spoons sex position or the reverse cowgirl sex position. Non-penetrative sex in this position may also be regarded as doggy style.
Premature ejaculation (PE) is a male sexual dysfunction that occurs when a male expels semen soon after beginning sexual activity, and with minimal penile stimulation. It has also been called early ejaculation, rapid ejaculation, rapid climax, premature climax and (historically) ejaculatio praecox. There is no uniform cut-off defining "premature", but a consensus of experts at the International Society for Sexual Medicine endorsed a definition of around one minute after penetration. The International Classification of Diseases (ICD-10) applies a cut-off of 15 seconds from the beginning of sexual intercourse.
Hypoactive sexual desire disorder (HSDD), hyposexuality or inhibited sexual desire (ISD) is sometimes considered a sexual dysfunction, and is characterized as a lack or absence of sexual fantasies and desire for sexual activity, as judged by a clinician. For this to be regarded as a disorder, it must cause marked distress or interpersonal difficulties and not be better accounted for by another mental disorder, a drug, or some other medical condition. A person with ISD will not start, or respond to their partner's desire for, sexual activity. HSDD affects approximately 10% of all pre-menopausal women in the United States, or about 6 million women.
Sexual dysfunction is difficulty experienced by an individual or partners during any stage of normal sexual activity, including physical pleasure, desire, preference, arousal, or orgasm. The World Health Organization defines sexual dysfunction as a "person's inability to participate in a sexual relationship as they would wish". This definition is broad and is subject to many interpretations. A diagnosis of sexual dysfunction under the DSM-5 requires a person to feel extreme distress and interpersonal strain for a minimum of six months. Sexual dysfunction can have a profound impact on an individual's perceived quality of sexual life. The term sexual disorder may not only refer to physical sexual dysfunction, but to paraphilias as well; this is sometimes termed disorder of sexual preference.
Post-coital tristesse, also known as post-coital dysphoria (PCD), is the feeling of sadness, anxiety, agitation or aggression, after orgasm in sexual intercourse or masturbation. Its name comes from Neo-Latin postcoitalis and French tristesse, literally "sadness". Many people with PCT may exhibit strong feelings of anxiety lasting from five minutes to two hours after coitus.
The human sexual response cycle is a four-stage model of physiological responses to sexual stimulation, which, in order of their occurrence, are the excitement, plateau, orgasmic, and resolution phases. This physiological response model was first formulated by William H. Masters and Virginia E. Johnson, in their 1966 book Human Sexual Response. Since that time, other models regarding human sexual response have been formulated by several scholars who have criticized certain inaccuracies in the human sexual response cycle model.
Female sexual arousal disorder (FSAD) is a disorder characterized by a persistent or recurrent inability to attain sexual arousal or to maintain arousal until the completion of a sexual activity. The diagnosis can also refer to an inadequate lubrication-swelling response normally present during arousal and sexual activity. The condition should be distinguished from a general loss of interest in sexual activity and from other sexual dysfunctions, such as the orgasmic disorder (anorgasmia) and hypoactive sexual desire disorder, which is characterized as a lack or absence of sexual fantasies and desire for sexual activity for some period of time.
Delayed ejaculation (DE) describes a man's inability or persistent difficulty in achieving orgasm, despite typical sexual desire and sexual stimulation. Generally, a man can reach orgasm within a few minutes of active thrusting during sexual intercourse, whereas a man with delayed ejaculation either does not have orgasms at all or cannot have an orgasm until after prolonged intercourse which might last for 30–45 minutes or more. Delayed ejaculation is closely related to anorgasmia.
Sensate focus is a sex therapy technique introduced by the Masters and Johnson team. It works by refocusing the participants on their own sensory perceptions and sensuality, instead of goal-oriented behavior focused on the genitals and penetrative sex. Sensate focus has been used to treat problems with body image, erectile dysfunction, orgasm disorders, and lack of sexual arousal.
In human sexuality, the refractory period is usually the recovery phase after orgasm, during which it is physiologically impossible for males to have additional orgasms. This phase begins immediately after ejaculation or edging and lasts until the excitement phase of the human sexual response cycle begins anew with low-level response. Although it is generally reported that females do not experience a refractory period and can thus experience an additional orgasm soon after the first one, some sources state that both males and females experience a refractory period because women may also experience a moment after orgasm in which further sexual stimulation does not produce excitement.
Sexual activities involving women who have sex with women (WSW), regardless of their sexual orientation or sexual identity, can include oral sex, manual sex, or tribadism.
Human female sexuality encompasses a broad range of behaviors and processes, including female sexual identity and sexual behavior, the physiological, psychological, social, cultural, political, and spiritual or religious aspects of sexual activity. Various aspects and dimensions of female sexuality, as a part of human sexuality, have also been addressed by principles of ethics, morality, and theology. In almost any historical era and culture, the arts, including literary and visual arts, as well as popular culture, present a substantial portion of a given society's views on human sexuality, which includes both implicit (covert) and explicit (overt) aspects and manifestations of feminine sexuality and behavior.
Postorgasmic illness syndrome (POIS) is a syndrome in which human males have chronic physical and cognitive symptoms following ejaculation. The symptoms usually onset within seconds, minutes, or hours, and last for up to a week. The cause and prevalence are unknown; it is considered a rare disease.
Sexual narcissism has been described as an egocentric pattern of sexual behavior that involves an inflated sense of sexual ability and sexual entitlement. In addition, sexual narcissism is the erotic preoccupation with oneself as a superb lover through a desire to merge sexually with a mirror image of oneself. Sexual narcissism is an intimacy dysfunction in which sexual exploits are pursued, generally in the form of extramarital affairs, to overcompensate for low self-esteem and an inability to experience true intimacy. This behavioral pattern is believed to be more common in men than in women and has been tied to domestic violence in men and sexual coercion in couples. Hurlbert argues that sex is a natural biological given and therefore cannot be deemed as an addiction. He and his colleagues assert that any sexual addiction is nothing more than a misnomer for what is actually sexual narcissism or sexual compulsivity.
Sexual arousal describes the physiological and psychological responses in preparation for sexual intercourse or when exposed to sexual stimuli. A number of physiological responses occur in the body and mind as preparation for sexual intercourse, and continue during intercourse. Male arousal will lead to an erection, and in female arousal, the body's response is engorged sexual tissues such as nipples, clitoris, vaginal walls, and vaginal lubrication.
The orgasm gap or pleasure gap is the disparity in sexual satisfaction—specifically the unequal frequency in achieving orgasm during sexual encounters—between heterosexual men and women. Across every demographic that has been studied, women report the lowest frequency of reaching orgasm during sexual encounters with men. Researchers believe that multiple causes contribute to the orgasm gap. Orgasm gap researcher Laurie Mintz argues that the primary reason for this form of gender inequality is due to "our cultural ignorance of the clitoris" and that it is commonplace to "mislabel women's genitals by the one part that gives men, but not women, reliable orgasms."
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