Objectives: A limited number of studies was focused on sexual positions during intercourse and their impact on female orgasm potential. In our study, we focused on (1) assessment of the frequency of use of various sexual positions in heterosexual Czech men and women; (2) exploration of gender differences in pleasantness of sexual positions; and (3) testing the association between the positions used and female vaginal orgasm consistency (VOC).
Methods: The sample of Czech heterosexual citizens (9196 men; mean age 31.41/8145 women; mean age = 31.64) marked at the detailed list of 13 sexual positions in black-and-white silhouettes how often did they experienced such position in life (never - more than 100 times), how pleasant is a position (1 not at all pleasant - 4 very pleasant), and the percentage of intercourses while used each position in 5 years (0 - 100 %). VOC was assessed as proportion of penile-vaginal intercourses with stable partner leading to orgasm (1 never - 7 almost always).
Results: We found significant gender differences in pleasantness of all 13 positions (the highest difference found in positions when men receives oral sex from woman and lowest in missionary position). The strongest positive predictor of VOC with stable partner was the percentage of use and pleasantness of woman on top position, strong negative predictors were use and pleasantness of man penetrating from behind position and pleasantness of oral sex on woman.
Conclusion: High gender differences in pleasantness of some sexual positions should be explored in the context of sexual satisfaction in couples. Our results also suggest that the frequency of use of various sexual positions and techniques during foreplay and its perceived pleasantness is associated with female orgasmic potential during intercourse.