The technique of coital alignment and its relation to female orgasmic response and simultaneous orgasm.
Level 3 - non-randomized controlled study
Non-randomized controlled comparative survey study
PubMed 3204637 · doi:10.1080/00926238808403913
What was done
Researchers evaluated the Coital Alignment Technique, a missionary position variation designed to maintain clitoral contact through coordinated pressure-counterpressure movement. A questionnaire was administered to an experimental group of individuals who had learned the technique (n = 43; 22 females, mean age 39.7) and a volunteer control group with no knowledge of the concept (n = 43; 22 females, mean age 38.7). Outcomes were analyzed using analysis of variance, post-hoc LSD tests, and Pearson product correlations across all participants (N = 86).
What was found
Experimental females showed statistically significant differences favoring the technique compared to control females on measures of coital orgasm, simultaneous orgasm, and orgasm experienced as complete and satisfying (p < .05, two-tailed). Greater adherence to technique behaviors across all 86 participants correlated positively with these outcomes and additional sexual satisfaction variables (p < .01). Exact numerical scores, effect sizes, and correlation coefficients were not reported in the abstract.
Why it matters
The paper introduces structured coital positioning focused on sustained clitoral stimulation as an option to improve female coital orgasmic response and partner simultaneity.
Limits
The study used a non-randomized, non-blinded comparative design subject to substantial self-selection and expectation bias. The sample size was small (N = 86 total across four subgroups), relied entirely on self-reported questionnaires, and baseline pre-intervention orgasmic function was not described in the abstract.
Cited by
- supports The coital alignment technique (CAT) involves a continuous rocking motion maintaining pubic contact over the clitoris during intercourse, which increases female orgasm rates.