Featured Author: Dr. Other researchers found that most women do not routinely and some never experience orgasm during sexual intercourse. Women react to the resultant emotional pain by developing a poor self-concept or body image, distrust of their partner and other protective and pseudo-independent defenses that, in turn, predispose alienation in their relationships. Basically insecure anxious or avoidant attachment patterns they developed in childhood persist into adult life and strongly influence numerous aspects of sexual relating. The list is not meant to exhaust all possible psychological issues; however, in our clinical experience, we have found these to be fundamental and understanding them to be useful in helping women achieve richer, more satisfying sexual lives. They can have self-conscious thoughts about their breasts: Your breasts are small. Your breasts are misshapen.