Revisiting the Gender Orgasm Gap: Relational, Sexual, and Behavioral Correlates of Orgasm Attainment Among Cisgender Heterosexual Adults

Abstract This study examines gender-specific differences in the frequency and correlates of orgasm in heterosexual couples. While previous research has extensively documented the persistence of the so-called “orgasm gap,” relatively few studies have simultaneously examined relational, behavioral, and sexual satisfaction variables within the same analytical framework and in non-Anglo-American cultural contexts. A sample of Italian adults ( N = 579; age 18–60) completed questionnaires assessing relationship quality, sexual satisfaction, coital and non-coital practices, and sexual frequency. As expected, men reported orgasm significantly more often than women. For both genders, orgasm frequency was positively associated with sexual arousal, variety of sexual activities and desired sexual frequency. However, the patterns of associations differed significantly between the sexes. For women, orgasm was strongly associated with relationship dimensions such as dyadic consensus, emotional closeness and general relationship satisfaction. For men, on the other hand, orgasm was more strongly associated with exploratory sexual behavior, including non-coital practices, use of sexual aids, and consumption of erotic media. These findings point to persistent gender differences in orgasmic experience and suggest that men’s orgasm is more strongly influenced by sexual novelty and stimulation, while women’s orgasm is more strongly associated with emotional and relational factors. A better understanding of these differences is essential for promoting more satisfying and equitable sexual experiences in couples. Future research should further explore these dynamics across different age cohorts and sexual identities to refine our understanding of orgasm and sexual well-being.