I Orgasm By Squatting in the Shower & Tensing Up

Dear Dr. Betty,

I am 48 years old and had my first orgasm at 21 using a shower head. Through the years the only way I can achieve orgasm is by squatting in the shower and tensing up my body and using the shower head. I end up bearing down and bear weight on my toes. It is a big ordeal and I have to stretch out my body, particularly my calf muscles as they get so tight. I then have cramps in my calfs for days. I have presented this issue to many Gynecologists and even a few Sex Therapists and no one seems to be able to help me.

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