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The Elusive Orgasm

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Are you one of the thirty percent of women who has difficulties with orgasm? Do you want to experience greater sexual satisfaction? In easy to read language, The Elusive Orgasm provides a full overview of women's sexual pleasure, covering sexual triggers, stages of arousal, the power of mind, and how women differ from men. Longtime clinical psychologist and sex therapist Dr. Vivienne Cass reveals all the causes of women's orgasm difficulties -- and how to remedy them. In The Elusive Orgasm, you'll What an orgasm is How the clitoris is much more than "a little button" The stages of a woman's arousal The five types of orgasm difficulties The twenty-five causes of those difficulties Self-awareness via quizzes and questionnaires Sexual and non-sexual changes to help you orgasm Step-by-step plans to help you and your partner An extraordinarily thorough, all-inclusive exploration of every possible reason why women have orgasm challenges, The Elusive Orgasm gives you the tools to discover the source of your own orgasm difficulties, along with straightforward remedies.

339 pages, Paperback

First published January 1, 2004

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Vivienne Cass

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Displaying 1 - 6 of 6 reviews
2,160 reviews
December 22, 2025
I am sooooo dissapointed to read this book. It has some very useful stratagies mired like Gulliver in the strings of the Lilliputians. VC's ideas about fantasies are NOT helpful. There is no reason to believe that people are so simple that they need to match their fantasies to their real lives. Please really think about this. Fantasies are the freeing element of your mind's artistic creative side. If your fantasies don't do enough then think up more of them. AND

for heaven's sake stop thinking that your current sexual habits are getting in the way of having more sexual skills. This is like thinking that a pole vaulter can never learn to play tennis. There is no reason that you can't learn many ways to have O's including orally, anally, with cane's (!), with different dildo's and with your hands (with or without any of a variety of vibrator's). OMG I forgot the bathroom tub spigot! I hope by now you have figured out what really matters is whether you are interested in sex. Some part of each of us is. Just like we all are interested in music. Do we all take up instruments or make singing an important part of our life? of course not.

How you build or weave your life is up to you but that doesn't mean that we don't have all these possibilities. There is no research to support any of the idea that you'll be stuck with people in your life that are like the one's you fantasize about. If you really study the research you'll find that half of people's fantasies tend to be about partners people wouldn't consider being with. So Lesbians often fantasize about sex with men. Get it??? Fantasies do not predict behavior. Not that they don't ever mirror behavior. Just that fantasies are and are not about desirable behavior about 50% of the time.
Profile Image for Luna.
968 reviews42 followers
October 31, 2011
I can't say how great this book works in terms of effectiveness given I've just started the programmes, but I wanted to say that I really like the way Vivienne Cass approaches the issues presented. Her tables, descriptions and pointers have helped me to analyse where my problems and issues are, and have given me an idea of how to take my own personal growth.

With any book on this subject matter, it's really up to the reader to take the initiative to change how they approach the topic. Cass says she can't promise the reader will orgasm by the end- which I appreciated it. I'd hate for the author to promise that I'll be having multiple orgasms every time. It's up to me to, well, practice.

I like the programmes Cass offers at the end, and I know I'll be trying to my hand (pun so intended) to have a good.

Oh, and one more thing- I like how this book is lesbian-friendly. Cass switches between potential male and female partners and offers suggestions for both sexes. Fantastic!
Profile Image for Stephanie.
30 reviews3 followers
April 5, 2025
How to guide

This is a nice how to guide to overcoming the psychological blocks that can prevent someone to reach orgasm. I really like the program's listed and I think both programs should be practiced regularly because they allow individuals and couples to slow down and enjoy themselves regardless of any sexual block they may have.
Profile Image for Heather.
149 reviews
June 21, 2023
I'm not saying this book isn't useful, but I am saying it took me MONTHS to read, and bribing myself with mudslides while I read it. This was very much an I read it so my clients don't have to experience.

If you're planning on reading this I would recommend using the table of contents to pick out what feels like it'll be most relevant so you don't get overly bogged down. Also, if you make it to the change program.... Maybe skip Cass's suggestions of fantasy (a beam of light?!?) for something you'll actually find erotic.
202 reviews
October 11, 2025
This book lists out many potential reasons why some women cannot have orgasms. It's a bit tedious to read because the author keeps listing reasons and only gives helpful advice for overcoming the challenges occasionally. The personal program at the end is helpful (and the couple program at the end also sounds helpful) in that it encourages me to explore more and experience more. It also reminds me to try more methods to get aroused and not rely on one single method every time.
This entire review has been hidden because of spoilers.
Profile Image for Holly.
100 reviews2 followers
July 12, 2017
This book is as much about healthy relationships as it is about the female orgasm. You can tell Cass has a lot of experience working with women and their sex lives. She is a bit of an awkward writer at times but you get over that.
Displaying 1 - 6 of 6 reviews

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