Acceptance of sexual behavior and orgasm frequency in premenopausal women

Cultures influence the beliefs regarding the relevance of sexual orgasms. Negative automatic thoughts during sexual activity significantly decreased the likelihood of female orgasm. This study aimed to investigate the acceptance of varied sexual behaviors and orgasm frequency in premenopausal women. A cross-sectional, hospital-based survey from October 2015 to April 2016 was conducted. Four hundred and seventy-two of 510 (92.5%) sexually-experienced premenopausal women, aged 30.0 (± 9.1, 15.7-51.3) years were eligible from a gynecology department outpatient unit in a southern Taiwan clinic. Participants presented much lower acceptance of non-vaginal sexual behaviors. Acceptance of oral sex was significantly negatively associated with age (P = 0.031), with those over 40 years reporting the lowest. Participants over 40 reported a higher frequency of vaginal orgasm than those aged 15-19 and 20-29 years (P = 0.036 and P = 0.034). No significant difference was found among the acceptance of vaginal sex, oral sex, cunniligus and anal sex, and masturbation frequency by sexual orientation groups. Lesbians reported a higher frequency of vaginal orgasm than heterosexual women (P = 0.041). Future clinical interventions to facilitate positive sexual experiences in Chinese women could focus on development of skills of non-vaginal sexual stimulation, and more positive sexual beliefs.