Jannini EA, Whipple B, Kingsberg SA, Buisson O, Foldès P, Vardi Y. Who’s afraid of the G-spot? J Sex Med. 2010;7:25–34.
Masters HW, Johnson EV, Reproductive Biology Research Foundation (U.S.). Human sexual response. Boston: Little, Brown; 1966.
Jannini EA, Rubio-Casillas A, Whipple B, Buisson O, Komisaruk BR, Brody S. Female orgasm(s): one, two, several. J Sex Med. 2012;9:956–65.
Singer J, Singer I. Types of female orgasm. J Sex Res. 1972;8:255–67.
Gruenwald I, Lowenstein L, Gartman I, Vardi Y. Physiological changes in female genital sensation during sexual stimulation. J Sex Med. 2007;4:390–4.
Gravina GL, Brandetti F, Martini P, Carosa E, Di Stasi SM, Morano S, et al. Measurement of the thickness of the urethrovaginal space in women with or without vaginal orgasm. J Sex Med. 2008;5:610–8.
Levin R. The physiology and pathophysiology of the female orgasm. In: Women’s Sexual Function and Dysfunction. CRC Press; 2005, Boca Raton, FL, pp 228–35.
Jannini EA, Buisson O, Rubio-Casillas A. Beyond the G-spot: clitourethrovaginal complex anatomy in female orgasm. Nat Rev Urol. 2014;11:531–8.
Komisaruk BR, Wise N, Frangos E, Liu W-C, Allen K, Brody S. Women’s clitoris, vagina, and cervix mapped on the sensory cortex: fMRI evidence. J Sex Med. 2011;8:2822–30.
Fugl-Meyer KS, Oberg K, Lundberg PO, Lewin B, Fugl-Meyer A. On orgasm, sexual techniques, and erotic perceptions in 18- to 74-year-old Swedish women. J Sex Med. 2006;3:56–68.
Pfaus JG, Quintana GR, Mac Cionnaith C, Parada M. The whole versus the sum of some of the parts: toward resolving the apparent controversy of clitoral versus vaginal orgasms. Socioaffect Neurosci Psychol. 2016;6:32578.
Herbenick D, Fu T-C, jane, Arter J, Sanders SA, Dodge B. Women’s experiences with genital touching, sexual pleasure, and orgasm: Results from a U.s. probability sample of women ages 18 to 94. J Sex Marital Ther. 2018;44:201–12.
Vieira-Baptista P, Lima-Silva J, Preti M, Xavier J, Vendeira P, Stockdale CK. G-spot: Fact or fiction?: A systematic Review. Sex Med. 2021;9:1–1.
Mollaioli D, Sansone A, Colonnello E, Limoncin E, Ciocca G, Vignozzi L, et al. Do We Still Believe There Is a G-spot? Current Sexual Health Rep. 2021. https://doi.org/10.1007/s11930-021-00311-w.
Mollaioli D, Sansone A, Ciocca G, Limoncin E, Colonnello E, Di Lorenzo G, et al. Benefits of Sexual Activity on Psychological, Relational, and Sexual Health During the COVID-19 Breakout. J Sex Med. 2021;18:35–49.
Suschinsky KD, Chivers ML. The relationship between sexual concordance and orgasm consistency in women. J Sex Res. 2018;55:704–18.
Tavares IM, Laan ETM, Nobre PJ. Cognitive-affective dimensions of female orgasm: The role of automatic thoughts and affect during sexual activity. J Sex Med. 2017;14:818–28.
Moura CV, Tavares IM, Nobre PJ. Cognitive-affective factors and female orgasm: A comparative study on women with and without orgasm difficulties. J Sex Med. 2020;17:2220–8.
Leeners B, Hengartner MP, Rössler W, Ajdacic-Gross V, Angst J. The role of psychopathological and personality covariates in orgasmic difficulties: A prospective longitudinal evaluation in a cohort of women from age 30 to 50. J Sex Med. 2014;11:2928–37.
Mariano A, Di Lorenzo G, Jannini TB, Santini R, Bertinelli E, Siracusano A, et al. Medical comorbidities in 181 patients with bipolar disorder vs. Schizophrenia and related psychotic disorders: Findings from a single-center, retrospective study from an acute inpatients psychiatric unit. Front Psychiatry. 2021;12. https://doi.org/10.3389/fpsyt.2021.702789.
Jannini TB, Rossi R, Sconci V, Bonanni RL, De Michele F, Cavallo G, et al. Italian validation of Arizona Sexual Experience Scale (ASEX) on patients suffering from psychotic spectrum disorders. Riv Psichiatr. 2022;57:18–22.
Alarcon-Rodriguez R, García-Álvarez R, Fadul-Calderon R, Romero-Del Rey R, Requena-Mullor M, Read Tejada M, et al. The relationship between female orgasmic disorder, attention-deficit/hyperactivity disorder, and depression in Dominican women. J Sex Med. 2024;21:614–9.
Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, et al. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000;26:191–208.
Nappi RE, Albani F, Vaccaro P, Gardella B, Salonia A, Chiovato L, et al. Use of the Italian translation of the Female Sexual Function Index (FSFI) in routine gynecological practice. Gynecol Endocrinol. 2008;24:214–9.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. American Psychiatric Association Publishing; 2022.
Mollaioli D, Di Sante S, Limoncin E, Ciocca G, Gravina GL, Maseroli E, et al. Validation of a Visual Analogue Scale to measure the subjective perception of orgasmic intensity in females: The Orgasmometer-F. PLoS One. 2018;13:e0202076.
Kroenke K, Spitzer RL, Williams JBW. The PHQ-9. J Gen Intern Med. 2001;16:606–13.
Löwe B, Decker O, Müller S, Brähler E, Schellberg D, Herzog W, et al. Validation and standardization of the Generalized Anxiety Disorder Screener (GAD-7) in the general population. Med Care. 2008;46:266–74.
Bolgeo T, Di Matteo R, Simonelli N, Dal Molin A, Lusignani M, Bassola B, et al. Psychometric properties and measurement invariance of the 7-item General Anxiety Disorder scale (GAD-7) in an Italian coronary heart disease population. J Affect Disord. 2023;334:213–9.
Mazzotti E, Fassone G, Picardi A, Sagoni E, Ramieri L, Lega, I et al. The Patient Health Questionnaire (PHQ) for the screening of psychiatric disorders: a validation study versus the Structured Clinical Interview for DSM-IV axis I (SCID-I). Official J Italian Soc Psychopathol. 2003. https://old.jpsychopathol.it/article/il-patient-health-questionnaire-phq-per-lo-screening-dei-disturbi-psichiatrici-uno-studio-di-validazione-nei-confronti-della-intervista-clinica-strutturata-per-il-dsm-iv-asse-i-scid-i/. Accessed 2 Aug 2024.
Faul F, Erdfelder E, Buchner A, Lang A-G. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods. 2009;41:1149–60.
Lavie-Ajayi M, Joffe H. Social representations of female orgasm. J Health Psychol. 2009;14:98–107.
Shaeer O, Skakke D, Giraldi A, Shaeer E, Shaeer K. Female orgasm and overall sexual function and habits: A descriptive study of a cohort of U.s. women. J Sex Med. 2020;17:1133–43.
Arias-Castillo L, García L, García-Perdomo HA. The complexity of female orgasm and ejaculation. Arch Gynecol Obstet. 2022;308:427–34.
Buisson O, Jannini EA. Pilot echographic study of the differences in clitoral involvement following clitoral or vaginal sexual stimulation. J Sex Med. 2013;10:2734–40.
Nimbi FM, Galizia R, Rossi R, Limoncin E, Ciocca G, Fontanesi L, et al. The biopsychosocial model and the sex-positive approach: An integrative perspective for sexology and general health care. Sex Res Social Policy. 2022;19:894–908.
Basson R. Human sex-response cycles. J Sex Marital Ther. 2001;27:33–43.
Maunder L, Micanovic N, Huberman JS, Chivers ML. Orgasm consistency and its relationship to women’s self-reported and genital sexual response. Can J Hum Sex. 2022;31:32–45.
Costa RM, Brody S. Sexual satisfaction, relationship satisfaction, and health are associated with greater frequency of penile-vaginal intercourse. Arch. Sex. Behav. 2012;41:9–10.
Brody S, Weiss P. Simultaneous penile-vaginal intercourse orgasm is associated with satisfaction (sexual, life, partnership, and mental health). J Sex Med. 2011;8:734–41.
Berenguer C, Rebôlo C, Costa RM. Interoceptive awareness, alexithymia, and sexual function. J Sex Marital Ther. 2019;45:729–38.
Brody S. Alexithymia is inversely associated with women’s frequency of vaginal intercourse. Arch Sex Behav. 2003;32:73–77.
Pascoal PM, Byers ES, Alvarez M-J, Santos-Iglesias P, Nobre PJ, Pereira CR, et al. A dyadic approach to understanding the link between sexual functioning and sexual satisfaction in heterosexual couples. J Sex Res. 2018;55:1155–66.
Costa RM, Brody S. Women’s relationship quality is associated with specifically penile-vaginal intercourse orgasm and frequency. J Sex Marital Ther. 2007;33:319–27.
Rowland DL, Sullivan SL, Hevesi K, Hevesi B. Orgasmic latency and Related Parameters in Women During Partnered and Masturbatory Sex. J Sex Med. 2018;15:1463–71.
Brody S, Klapilova K, Krejčová L. More frequent vaginal orgasm is associated with experiencing greater excitement from deep vaginal stimulation. J Sex Med. 2013;10:1730–6.
Tavares IM, Laan ETM, Nobre PJ. Sexual Inhibition is a vulnerability factor for orgasm problems in women. J Sex Med. 2018;15:361–72.
Santomauro DF, Mantilla Herrera AM, Shadid J, Zheng P, Ashbaugh C, Pigott DM, et al. Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. Lancet. 2021;398:1700–12.
Rossi R, Socci V, Jannini TB, D’Aurizio G, Mensi S, Pacitti F, et al. Changes in mental health outcomes in the general population 14 months into the COVID-19 pandemic in Italy. J Affect Disord. 2023;325:35–40.
Pacitti F, Socci V, D’Aurizio G, Jannini TB, Rossi A, Siracusano A, et al. Obsessive-compulsive symptoms among the general population during the first COVID-19 epidemic wave in Italy. J Psychiatr Res. 2022;153:18–24.
Fotinos K, Sansone A, Greifenberger A, Katzman MA, Jannini TB, Reisman Y, et al. Pornography and sexual function in the post-pandemic period: a narrative review from psychological, psychiatric, and sexological perspectives. Int J Impot Res. 2024. https://doi.org/10.1038/s41443-023-00812-3.
Pennanen-Iire C, Prereira-Lourenço M, Padoa A, Ribeirinho A, Samico A, Gressler M, et al. Sexual health implications of COVID-19 pandemic. Sex Med Rev. 2021;9:3–14.
Brotto LA, Jabs F, Brown N, Milani S, Zdaniuk B. Impact of COVID-19 related stress on sexual desire and behavior in a Canadian sample. Int J Sex Health. 2022;34:1–16.
Sansone A, Mollaioli D, Ciocca G, Limoncin E, Colonnello E, Vena W, et al. Addressing male sexual and reproductive health in the wake of COVID-19 outbreak. J Endocrinol Invest. 2021;44:223–31.
Sansone A, Mollaioli D, Cignarelli A, Ciocca G, Limoncin E, Colonnello E, et al. Male Sexual Health and Sexual Behaviors during the First National COVID-19 Lockdown in a Western Country: A Real-Life, Web-Based Study. Sexes. 2021;2:293–304.
Sansone A, Mollaioli D, Limoncin E, Ciocca G, Bắc NH, Cao TN, et al. The Sexual Long COVID (SLC): Erectile dysfunction as a biomarker of Systemic Complications for COVID-19 Long Haulers. Sex Med Rev. 2022;10:271–85.
Toldam NE, Graugaard C, Meyer R, Thomsen L, Dreier S, Jannini EA, et al. Sexual Health During COVID-19: A scoping review. Sex Med Rev. 2022;10:714–53.
Seehuus M, Fertig M, Handy AB, Clifton J, Stanton AM. The impact of COVID-19 and long COVID on sexual function in cisgender women. J Sex Med. 2023. https://doi.org/10.1093/jsxmed/qdad155.
