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Unusual practices, although less bizarre, are more widespread amongst girls and women, as we pointed out earlier. The most basic pattern though is to lie in the normal female intercourse position and stimulate the vulva directly with the hand. The variations thereafter are immense. For example, the whole vulva may be massaged or one specific area of the side of the shaft of the clitoris lightly stroked. The edges of the inner lips may be specifically rubbed or they may be trapped between the fingers. A vertical or circular motion may be used. Some women press so hard that their knuckles turn white. This may be because their clitoris has fewer nerves than average. On reaching the plateau stage of sexual response many women change their type of stimulation. As orgasm approaches the area stimulated may be well away from the clitoris. Intermittent stopping is characteristic, although guilty women may race to have an orgasm as quickly as possible to get it out of the way.

Intermittently, one, but more commonly two, fingers may be inserted into the vagina and rotated rather than moved in and out. Since only the entrance of the vagina is very sensitive the purpose’s are to delay progress to orgasm, simply for the pleasure of it and, frequently, to act out a fantasy of penetration. Objects may be used to stimulate the vulva and are sometimes inserted into the vagina. The commonest object used like this today is probably the battery-driven vibrator, but in the past a huge variety of objects has been used if articles which have had to be medically removed from women’s vaginas are anything to go by.

Women are more reluctant to admit that they do anything to their vaginas when masturbating than they are to massaging and caressing the vulva. Some women use only the vagina when masturbating. It is in masturbation rather than in intercourse that women demonstrate their greater sexual capacities than men – although of course they may not fully use them. Women have been known to obtain fifty and (many) more orgasms in a single session. Such sessions are sometimes repeated frequently, especially if a vibrator is used. Clinically such women are no more likely to be ‘neurotic’ or ‘obsessional’ than other women (as has been suggested by ‘experts’ over the years), nor are they more likely to show over-growth of the inner lips or clitoris than are other women (as some women fear). Such an over-growth, which many women attribute to masturbation, is probably part of the normal anatomical variation between individuals. During early adolescence the labia may be more vulnerable to such enlargement.

In later life many women who have nothing physically wrong with their uterus or their hormones, but who nevertheless menstruate so heavily and so frequently that they are likely to end up having a hysterectomy, are, on psychosexual investigation, found to be poor and inadequate at having orgasms when masturbating and during intercourse. They often express strong opposition to masturbation. Psychosexual therapy designed to reverse the opposition to indulgence in sexual pleasure can sometimes bring the situation under control without a hysterectomy being needed. The underlying cause of the bleeding is possibly the continuous congestion of blood rarely relieved by orgasm.

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