The coital alignment technique and directed masturbation: a comparative study on female orgasm.
Level 2 - randomized trial
Individual randomized controlled trial
PubMed 7608994 · doi:10.1080/00926239508405968
What was done
A randomized trial evaluated two behavioral interventions among a non-clinical sample of 36 married women and their spouses. Couples were randomly assigned to a sexual enrichment workshop focused either on the coital alignment technique (19 women) or directed masturbation (17 women). Outcomes assessed included female orgasm consistency during intercourse, orgasm strength, and total orgasms during partner-related activities.
What was found
The abstract reports no raw numbers, effect sizes, or p-values. It notes that both workshops produced improvements in intercourse orgasm consistency, orgasm strength, and the total number of partner-related orgasms. For intercourse orgasm consistency specifically, the coital alignment technique produced a somewhat more positive outcome than directed masturbation.
Why it matters
The study suggests that structured instructional techniques, particularly the coital alignment technique, can improve female orgasmic consistency during partnered intercourse.
Limits
The sample size is very small (36 women across two arms), and no numerical statistics are provided in the abstract. The findings are restricted to a non-clinical cohort of married couples, limiting generalizability to clinical populations with diagnosed orgasmic disorders, unmarried individuals, or diverse relationship contexts. There was no inactive or waitlist control group.
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.