Jannini EA, Whipple B, Kingsberg SA, Buisson O, Foldès P, Vardi Y. Who’s afraid of the G-spot? J Sex Med. 2010;7:25–34.

Article  PubMed  Google Scholar 

Masters HW, Johnson EV, Reproductive Biology Research Foundation (U.S.). Human sexual response. Boston: Little, Brown; 1966.

Jannini EA, Rubio-Casillas A, Whipple B, Buisson O, Komisaruk BR, Brody S. Female orgasm(s): one, two, several. J Sex Med. 2012;9:956–65.

Article  PubMed  Google Scholar 

Singer J, Singer I. Types of female orgasm. J Sex Res. 1972;8:255–67.

Article  Google Scholar 

Gruenwald I, Lowenstein L, Gartman I, Vardi Y. Physiological changes in female genital sensation during sexual stimulation. J Sex Med. 2007;4:390–4.

Article  PubMed  Google Scholar 

Gravina GL, Brandetti F, Martini P, Carosa E, Di Stasi SM, Morano S, et al. Measurement of the thickness of the urethrovaginal space in women with or without vaginal orgasm. J Sex Med. 2008;5:610–8.

Article  PubMed  Google Scholar 

Levin R. The physiology and pathophysiology of the female orgasm. In: Women’s Sexual Function and Dysfunction. CRC Press; 2005, Boca Raton, FL, pp 228–35.

Jannini EA, Buisson O, Rubio-Casillas A. Beyond the G-spot: clitourethrovaginal complex anatomy in female orgasm. Nat Rev Urol. 2014;11:531–8.

Article  PubMed  Google Scholar 

Komisaruk BR, Wise N, Frangos E, Liu W-C, Allen K, Brody S. Women’s clitoris, vagina, and cervix mapped on the sensory cortex: fMRI evidence. J Sex Med. 2011;8:2822–30.

Article  PubMed  PubMed Central  Google Scholar 

Fugl-Meyer KS, Oberg K, Lundberg PO, Lewin B, Fugl-Meyer A. On orgasm, sexual techniques, and erotic perceptions in 18- to 74-year-old Swedish women. J Sex Med. 2006;3:56–68.

Article  PubMed  Google Scholar 

Pfaus JG, Quintana GR, Mac Cionnaith C, Parada M. The whole versus the sum of some of the parts: toward resolving the apparent controversy of clitoral versus vaginal orgasms. Socioaffect Neurosci Psychol. 2016;6:32578.

Article  PubMed  Google Scholar 

Herbenick D, Fu T-C, jane, Arter J, Sanders SA, Dodge B. Women’s experiences with genital touching, sexual pleasure, and orgasm: Results from a U.s. probability sample of women ages 18 to 94. J Sex Marital Ther. 2018;44:201–12.

Article  PubMed  Google Scholar 

Vieira-Baptista P, Lima-Silva J, Preti M, Xavier J, Vendeira P, Stockdale CK. G-spot: Fact or fiction?: A systematic Review. Sex Med. 2021;9:1–1.

Article  Google Scholar 

Mollaioli D, Sansone A, Colonnello E, Limoncin E, Ciocca G, Vignozzi L, et al. Do We Still Believe There Is a G-spot? Current Sexual Health Rep. 2021. https://doi.org/10.1007/s11930-021-00311-w.

Mollaioli D, Sansone A, Ciocca G, Limoncin E, Colonnello E, Di Lorenzo G, et al. Benefits of Sexual Activity on Psychological, Relational, and Sexual Health During the COVID-19 Breakout. J Sex Med. 2021;18:35–49.

Article  CAS  PubMed  Google Scholar 

Suschinsky KD, Chivers ML. The relationship between sexual concordance and orgasm consistency in women. J Sex Res. 2018;55:704–18.

Article  PubMed  Google Scholar 

Tavares IM, Laan ETM, Nobre PJ. Cognitive-affective dimensions of female orgasm: The role of automatic thoughts and affect during sexual activity. J Sex Med. 2017;14:818–28.

Article  PubMed  Google Scholar 

Moura CV, Tavares IM, Nobre PJ. Cognitive-affective factors and female orgasm: A comparative study on women with and without orgasm difficulties. J Sex Med. 2020;17:2220–8.

Article  PubMed  Google Scholar 

Leeners B, Hengartner MP, Rössler W, Ajdacic-Gross V, Angst J. The role of psychopathological and personality covariates in orgasmic difficulties: A prospective longitudinal evaluation in a cohort of women from age 30 to 50. J Sex Med. 2014;11:2928–37.

Article  PubMed  Google Scholar 

Mariano A, Di Lorenzo G, Jannini TB, Santini R, Bertinelli E, Siracusano A, et al. Medical comorbidities in 181 patients with bipolar disorder vs. Schizophrenia and related psychotic disorders: Findings from a single-center, retrospective study from an acute inpatients psychiatric unit. Front Psychiatry. 2021;12. https://doi.org/10.3389/fpsyt.2021.702789.

Jannini TB, Rossi R, Sconci V, Bonanni RL, De Michele F, Cavallo G, et al. Italian validation of Arizona Sexual Experience Scale (ASEX) on patients suffering from psychotic spectrum disorders. Riv Psichiatr. 2022;57:18–22.

PubMed  Google Scholar 

Alarcon-Rodriguez R, García-Álvarez R, Fadul-Calderon R, Romero-Del Rey R, Requena-Mullor M, Read Tejada M, et al. The relationship between female orgasmic disorder, attention-deficit/hyperactivity disorder, and depression in Dominican women. J Sex Med. 2024;21:614–9.

Article  PubMed  Google Scholar 

Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, et al. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000;26:191–208.

Article  CAS  PubMed  Google Scholar 

Nappi RE, Albani F, Vaccaro P, Gardella B, Salonia A, Chiovato L, et al. Use of the Italian translation of the Female Sexual Function Index (FSFI) in routine gynecological practice. Gynecol Endocrinol. 2008;24:214–9.

Article  PubMed  Google Scholar 

American Psychiatric Association. Diagnostic and statistical manual of mental disorders. American Psychiatric Association Publishing; 2022.

Mollaioli D, Di Sante S, Limoncin E, Ciocca G, Gravina GL, Maseroli E, et al. Validation of a Visual Analogue Scale to measure the subjective perception of orgasmic intensity in females: The Orgasmometer-F. PLoS One. 2018;13:e0202076.

Article  PubMed  PubMed Central  Google Scholar 

Kroenke K, Spitzer RL, Williams JBW. The PHQ-9. J Gen Intern Med. 2001;16:606–13.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Löwe B, Decker O, Müller S, Brähler E, Schellberg D, Herzog W, et al. Validation and standardization of the Generalized Anxiety Disorder Screener (GAD-7) in the general population. Med Care. 2008;46:266–74.

Article  PubMed  Google Scholar 

Bolgeo T, Di Matteo R, Simonelli N, Dal Molin A, Lusignani M, Bassola B, et al. Psychometric properties and measurement invariance of the 7-item General Anxiety Disorder scale (GAD-7) in an Italian coronary heart disease population. J Affect Disord. 2023;334:213–9.

Article  PubMed  Google Scholar 

Mazzotti E, Fassone G, Picardi A, Sagoni E, Ramieri L, Lega, I et al. The Patient Health Questionnaire (PHQ) for the screening of psychiatric disorders: a validation study versus the Structured Clinical Interview for DSM-IV axis I (SCID-I). Official J Italian Soc Psychopathol. 2003. https://old.jpsychopathol.it/article/il-patient-health-questionnaire-phq-per-lo-screening-dei-disturbi-psichiatrici-uno-studio-di-validazione-nei-confronti-della-intervista-clinica-strutturata-per-il-dsm-iv-asse-i-scid-i/. Accessed 2 Aug 2024.

Faul F, Erdfelder E, Buchner A, Lang A-G. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods. 2009;41:1149–60.

Article  PubMed  Google Scholar 

Lavie-Ajayi M, Joffe H. Social representations of female orgasm. J Health Psychol. 2009;14:98–107.

Article  PubMed  Google Scholar 

Shaeer O, Skakke D, Giraldi A, Shaeer E, Shaeer K. Female orgasm and overall sexual function and habits: A descriptive study of a cohort of U.s. women. J Sex Med. 2020;17:1133–43.

Article  PubMed  Google Scholar 

Arias-Castillo L, García L, García-Perdomo HA. The complexity of female orgasm and ejaculation. Arch Gynecol Obstet. 2022;308:427–34.

Article  PubMed  Google Scholar 

Buisson O, Jannini EA. Pilot echographic study of the differences in clitoral involvement following clitoral or vaginal sexual stimulation. J Sex Med. 2013;10:2734–40.

Article  PubMed  Google Scholar 

Nimbi FM, Galizia R, Rossi R, Limoncin E, Ciocca G, Fontanesi L, et al. The biopsychosocial model and the sex-positive approach: An integrative perspective for sexology and general health care. Sex Res Social Policy. 2022;19:894–908.

Article  Google Scholar 

Basson R. Human sex-response cycles. J Sex Marital Ther. 2001;27:33–43.

Article  CAS  PubMed  Google Scholar 

Maunder L, Micanovic N, Huberman JS, Chivers ML. Orgasm consistency and its relationship to women’s self-reported and genital sexual response. Can J Hum Sex. 2022;31:32–45.

Article  Google Scholar 

Costa RM, Brody S. Sexual satisfaction, relationship satisfaction, and health are associated with greater frequency of penile-vaginal intercourse. Arch. Sex. Behav. 2012;41:9–10.

Article  PubMed  Google Scholar 

Brody S, Weiss P. Simultaneous penile-vaginal intercourse orgasm is associated with satisfaction (sexual, life, partnership, and mental health). J Sex Med. 2011;8:734–41.