Efficacy of Online Coital Alignment Technique in Female Orgasmic Disorder

This study was designed to assess the efficacy of the coital alignment technique applied online in the female orgasmic disorder, in comparison with masturbation coaching, and a waiting list group. Three groups of women who met the diagnostic criteria for female orgasmic disorder (coital alignment, n = 17; masturbation, n = 16; and waiting list, n = 17), ranging in age from 18 to 50 years, were formed. The three groups were assessed across two time points on erotophilia, negative attitudes toward masturbation, attitudes toward sexual fantasies, sexual assertiveness, sexual functioning, sexual satisfaction, and satisfaction with the relationship. Both coital alignment and masturbation were shown to be effective compared to the waiting list group. Coital alignment presented slightly superior results on global sexual functioning, while masturbations were slightly superior on more specific measures of orgasm. Clinical applications of these results in sex therapy are discussed.