The Orgasm Hour podcast

What Comes Between Arousal and Orgasm? | Female Orgasm Difficulty Explained | The Orgasm Hour Q&A, Episode 16

10/24/2026
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What Comes Between Arousal and Orgasm?

Why can a woman feel sexually aroused, enjoy stimulation, and still be unable to orgasm?

For decades, influential sexual response models have taught us to think of orgasm as following increasing stimulation and arousal. Masters and Johnson's classic 1966 model moved from excitement to plateau to orgasm. But for many women with female orgasm difficulty, anorgasmia, or Female Orgasmic Disorder, arousal alone does not reliably lead to orgasm.

So what happens between arousal and orgasm?A major scientific review of women's orgasm described orgasm as creating an altered state of consciousness. Research has also linked altered states of consciousness with greater sexual responsiveness.This raises an important question:Could the transition into an absorbed, altered, or otherwise orgasm-supportive state begin before orgasm and help make orgasm accessible?

In this episode of The Orgasm Hour, Dr. Suzanne Mulvehill explores the science of the absorbed state: what it is, what happens when we become deeply immersed in sensation, and why reduced self-monitoring may matter for women who struggle to orgasm.

We explore the Masters and Johnson sexual response model, the scientific definition of orgasm, research on altered states and female sexual responsiveness, Mishara and Schwartz's concept of altered states as “paradoxically healing,” and the emerging hypothesis that orgasmic access may depend not only on arousal but also on a transition in state.The question may not simply be:“Am I aroused enough?”It may be:“Can I enter the state in which orgasm becomes accessible?”The Orgasm Hour, Episode 16October 21 | 12 Noon ETHosted by Dr. Suzanne Mulvehill, Clinical Sexologist and OrgasmologistFemale Orgasm Research InstituteFemale Orgasm Training Institute

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