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 of foreplay. For example, she enjoyed having her back rubbed and she received a rather minor pleasure if her husband manipulated her labia. But she definitely preferred that the foreplay be confined to her clitoris. If her husband stroked her labia for more than a few seconds, the sensations became rather uncomfortable and she would ask him to stop.

Orgasm was almost invariably confined to the clitoris. During such orgasm, though her vagina sometimes became lubricated, she felt no pleasurable sensations there at all. At the point of orgasm she could feel no vaginal contractions nor any desire to have her husband thrust his penis ever deeper or more rapidly inside her, as is characteristic of the normal orgasm in women.

On the contrary, she generally preferred to be masturbated manually rather than to have sexual intercourse. Often, to avoid intercourse, she would masturbate her husband. Or, when they did have sexual intercourse, her husband would generally masturbate Toni afterward.

However, she was occasionally able to have a clitoral orgasm during intercourse. This always was achieved when she took the position on top and her husband was on the bottom. She was very circumstantial in her explanation of why she could achieve orgasm in this position, pointing out to me at some length that her clitoris could come into more direct contact with his penis in this position. There may be some truth in this fact, but what was of more interest to me was the extent to which she went to make her point clear. I have often found that women with this type of problem are, in the beginning at any rate, very anxious to avoid any suggestion that they may be enjoying the position because in our society it is the traditional male position in intercourse.

Just as she took the lead in financial and social matters in the family so did Toni take the lead in sexual matters. It