Out of a sample of 2,425 gynecological patients aged 21-40 and married for at least one year, three groups were selected according to the frequency of coital orgasm. The first group contained 1,266 (52.2%) orgastic women, the second group included 172 (7.1%) patients who did not reach orgasm during coitus, and the third group consisted of 55 (2.3%) patients whose absent orgasms were felt by the examinees as distressing. Significant differences were found between the three groups concerning family environment and childhood, level of education and professional standing, sexual development and life, and in the incidence of psychopathological symptoms. It appears that the absent capacity of women to attain orgasm in sexual intercourse is caused by several factors of both biological and psychosocial nature.