Can we close the orgasm gap? Recent US data suggests that only 65% of heterosexual women usually orgasm during sex, compared with 95% of heterosexual men. In the same study 88% of lesbian women reported usual orgasm during sex. Dr Debra Wickman’s work focuses on helping women achieve great sex. This month on COG we talk about how to ask the difficult questions, and what interventions might help. Then on journal club, we discuss 2 recent papers. Szell N, Komisaruk B, Goldstein SW, Qu XH, Shaw M, Goldstein I. A meta-analysis detailing overall sexual function and orgasmic function in women undergoing midurethral sling surgery for stress incontinence. Sexual medicine. 2017 Jun 1;5(2):e84-93. McDonald E, Woolhouse H, Brown SJ. Sexual pleasure and emotional satisfaction in the first 18 months after childbirth. Midwifery. 2017 Dec 1;55:60-6.

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