newstart99: 3, 5 and 7 do for me.
Drpattisays: If there is one thing that I coach women to overcome, it's their negative body image issues. It can be a profound blockage. Okay, so all of us can relate in some way to this and it may change over time, too. The third issue is that sometimes the women cannot get to their big O because they do not know their own sexual patterns and how to get their own body to produce this effect.
I know that sounds very technical, but it is about producing an effect, and all the trappings that go along with it. So, what happens is this: Women think that they cannot get there, or don't know how; they have damaging feelings that get in the way; and often they don't know the techniques to get there in the first place so they cannot possibly tell or show a partner how to do that for them. Do you see the pattern here? Now, if a woman has some deep-seated emotional issues, like her dad sexually molested her when she was 10-16 years of age, she must get some in-depth therapy.
If on the other hand, she can work this through, then she may be able to get to her orgasms without intensive therapy. Sex therapy/coaching involves behaviors ... behavioral training, actually.
Czeke: She must also trust the man, Dr. Patti.
Drpattisays: Trusting her partner is essential, thanks for that input.
OP_Temom: Agrees with czeke completely.
Drpattisays: Or trust her woman, if she's lesbian. Some lesbians cannot achieve O, either. And the basic recommendation is, believe it or not is (if you all read any of the articles and boards you will know this already)... What is the key/foundation? What do I teach is the foundation for partner sex? Any guesses?