The biophysically disadvantaged female usually is additionally disadvantaged from a psychosocial point of view. Not only is there insufficient bio-physical opportunity to accomplish orgasmic return, but in short order the wife develops the concept of being sexually used in the marriage. She feels that her husband has no real interest in her personally nor any concept of responsibility to her as a sexual entity.
Many times the wife might be at a peak of sexual excitation with intromission. Without fear for her husband's sexual performance she could be orgasmically responsive shortly after coital connection, displaying full bio-physical capacity for sexual response, but as she sees and feels the male thrusting frantically for ejaculatory release, she immediately fears loss of sexual opportunity, is distracted from input of biophysical stimuli by that fear, and rapidly loses sexual interest.
With the negative psychosocial system influence from the concept of being used more than counterbalancing the high level of biophysically oriented sexual tension she brought to the coital act, orgasmic opportunity is lost.
A brief attempt should be made to highlight the direct association of male and female sexual dysfunction in marriage, for there were 223 marital couples referred to the Foundation for treatment with bilateral partner complaints of sexual inadequacy. By far the greatest instance of a combined diagnosis was that of a non orgasmic woman married to a premature ejaculator.
Of the total 186 premature ejaculators treated in the 11 year program, 68 were married to women reported as primarily non orgasmic and an additional 39 wives were diagnosed as situationally non orgasmie. Thus, in 107 of the 223 marriages with bilateral partner complaint of sexual dysfunction, the specific male sexual inadequacy was premature ejaculation.
Since the in-depth descriptions of the premature ejaculator presented in earlier topic include full descriptions of the problems of female sexual functioning in this situation, there is no need for a detailed history representative of the 68 women primarily non orgasmic in marriages to prematurely ejaculating men.
Another salient feature in the human female's disadvantaged role in coital connection is the centuries old concept that it is woman's duty to satisfy her sexual partner. When the age old demand for accommodation during coital connection dominates any woman's responsivity, her own opportunities for orgasmic expression are lessened proportionately.
If woman is to express her biophysical drive effectively, she must have the single-standard opportunity to think and feel sexually during coital connection that previous cultures have accorded the man.
The male partner must consider the marital bed as not only his privilege but also a shared responsibility if his wife is to respond fully with him in coital expression. The heedless male driving for orgasm can carry along the woman already lost in high levels of sexual demand, but his chances of elevating to orgasm the woman who is trying to accommodate to the rhythm, depth, and power of his demanding pelvic thrusting are indeed poor.
It is extremely difficult to categorize female sexual dysfunction on a relatively secure etiological basis. There is such a multiplicity of influences within the biophysical and psychosocial systems that to isolate and underscore a single, major etiological factor in any particular situation is to invite later confrontation with pitfalls in therapeutic progression.