Peer Reviewed Publications
2026
Mulvehill, S. (2026). Orgasmic learning as a treatment framework for female orgasmic disorder/difficulty: A review using Perelman’s Sexual Tipping Point® Model. Current Sexual Health Reports, 18, Article 16. https://doi.org/10.1007/s11930-026-00428-w
Key Findings:
This review introduces orgasmic learning as a state-dependent treatment framework for FOD, drawing on more than five decades of evidence across genital, non-genital, somatic, pelvic floor, imagery-based, hypnotic, cannabis-associated, and breath-based pathways. It identifies the transition into an absorbed, altered, or otherwise orgasm-supportive state as the shared therapeutic target, expanding treatment beyond stimulation-centered and psychosexual approaches.
Mulvehill, S. (2026). Cannabis and the future of treating female orgasmic disorder/difficulty. Current Sexual Health Reports, 18(3). https://doi.org/10.1007/s11930-026-00417-z
Key Findings:
This review positions cannabis as a multidimensional therapeutic tool that enhances orgasm-facilitating processes—such as sensory responsiveness, presence, and interoceptive awareness—while reducing inhibitory factors like anxiety and cognitive distraction. It reframes treatment as requiring integrated, state-based approaches rather than single-pathway interventions.
2025
Mulvehill, S., & Tishler, J. (2025). Cannabis for female orgasmic disorder/difficulty: a systematic review. Sexual medicine, 13(4), qfaf061. https://doi.org/10.1093/sexmed/qfaf061
Key Findings:
Across multiple studies, cannabis use was consistently associated with improvements in orgasm frequency, ease, satisfaction, and intensity. Findings support cannabis as a promising therapeutic option and reinforce the need for controlled clinical trials.
2024
Mulvehill, S., & Tishler, J. (2024). Assessment of the effect of cannabis use before partnered sex on women with and without orgasm difficulty. Sexual medicine, 12(2), qfae023. https://doi.org/10.1093/sexmed/qfae023
Key Findings:
Cannabis use prior to partnered sexual activity was associated with increased orgasm frequency, reduced difficulty, and improved satisfaction. The study provides empirical support for cannabis as a potential treatment.
2022
Mulvehill, S., & Tishler, J. (2022). Four theories support a hypothesis that cannabis may be a treatment for female orgasmic disorder. The Journal of Sexual Medicine, 19(Suppl. 2), S209. https://doi.org/10.1016/j.jsxm.2022.03.476
Key Findings:
This conceptual paper proposes mechanisms including anxiety reduction, enhanced sensory processing, and increased attentional absorption, forming the theoretical foundation for subsequent research.