Paul and Fatima are in their late 20s and have been married for 2 years. Their sexual intimacy includes various sexual behaviors. Paul has noticed that while he has no difficulty getting an erection, he does have difficulty ejaculating when he and Fatima are having intercourse. Fatima rarely feels sexually satisfied during intercourse and often relies on self-stimulation to achieve an orgasm. Fatima doesn't see her lack of orgasm with Paul as a problem; however, Paul does. Paul is beginning to make excuses for not having sex.Of the following possibilities, Fatima's sexual response is most likely due to
A. guilt over sexual behaviors she engages in.
B. a need for direct stimulation of the clitoris to achieve orgasm.
C. orgasmic dysfunction.
D. vaginismus.
Answer: B
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