In section 2 of the Laan et al. article [1], it was asserted that "In general, women seem relatively unaware of their own genital changes, particularly at the early stages of sexual response, and therefore may lack the proprioceptive feedback that could farther increase their arousal" [1] (p. 75). Of note, studies conducted in Laan's laboratory [7,8] indicated that women who had greater intercourse orgasm consistency (but not greater orgasm consistency from other sexual behaviors) had excellent concordance of subjective and vaginal responses. These findings, together with those showing that self-reported lack of attention to vaginal sensations can reduce the capacity to attain intercourse orgasm [4], suggest that the putative lack of proprioceptive feedback of vaginal sensations might be a sign of distraction from sexual sensations in women with difficulties in attaining intercourse orgasm. Quite properly, Laan et al. [1] acknowledged that lack of focusing attention on sexual cues is a risk factor for orgasmic dysfunction, but they seemed to dismiss the cues from the vagina itself.
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