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Jun 4, - Many women find they cannot climax during penile-vaginal sex. I see many women in my practice who feel relief just to know they are “normal” when they have trouble climaxing with just vaginal sex but can climax with direct clitoral stimulation. Women who have been able to. Feb 1, - The type of tension that helps women reach orgasm is muscle tension For others, a medical condition or side effects from a medication may.