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Eur J Obstet Gynecol Reprod Biol. 2014 Nov;182:118-22. doi: 10.1016/j.ejogrb.2014.09.007. Epub 2014 Sep 16.

Orgasm and women's waist circumference.

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ISPA-Instituto Universitário, Unidade de Investigação em Eco-Etologia (Eco-Ethology Research Unit), Lisbon, Portugal.
Charles University, Department of General Anthropology, Faculty of Humanities, Prague, Czech Republic. Electronic address:



Given that adiposity is related to poorer female sexual function, among many other health problems, the present study aimed at testing the hypothesis that larger waist circumference, an index of subcutaneous and abdominal fat mass, is associated with lack of specifically vaginal orgasm. Study design One hundred and twenty Portuguese women of reproductive age had their waist measured and reported their past month frequency of penile-vaginal intercourse (PVI), vaginal orgasm, orgasm from clitoral masturbation during PVI, non-coital partnered sex (in the absence of same-day PVI), non-coital partnered sex orgasm (regardless of same-day PVI), masturbation, and masturbation orgasm.


In both simple and partial correlations (controlling for age, social desirability responding, relationship status, and cohabitation status), larger waist circumference was associated with lack of any vaginal orgasm and with having masturbated in the past month. In a multiple regression, larger waist circumference was independently predicted by lesser frequency of vaginal orgasm, greater frequency of masturbation, and older age.


Abdominal fat mass appears to be adversely associated with lesser capacity for vaginal orgasm, but not for orgasms from other sexual activities. Results are discussed in the context of vaginal orgasm being relatively more contingent on situations of increased fitness in both partners.


Female orgasm; Intercourse; Waist circumference

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