The coital alignment technique and directed masturbation: a comparative study on female orgasm

J Sex Marital Ther. Spring 1995;21(1):21-9. doi: 10.1080/00926239508405968.


To evaluate the effectiveness of two sexual therapy techniques, a non-clinical population of 36 married women were randomly assigned with their spouses to either a sexual enrichment workshop with instruction on the coital alignment technique (19 women) or directed masturbation (17 women). Both workshops yielded clinically significant improvements in orgasm consistency during sexual intercourse, orgasm strength, and the overall number of orgasms experienced in partner-related activities. In instances where differences in the workshop were discovered (increases in orgasm consistency during sexual intercourse), the coital alignment technique yielded a somewhat more positive outcome than did directed masturbation. Treatment approaches that combine the two techniques, such as orgasm consistency training, may prove more beneficial than a treatment model that depends on either one or the other.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Coitus*
  • Female
  • Humans
  • Masturbation*
  • Middle Aged
  • Orgasm*
  • Sex Counseling / methods*