Orgasm and Sexual Behavior Among Adolescents: Differences Across Genders and Dyad Configurations.

Despite recurring calls for diversity and inclusion in adolescent sexuality research, our understanding of adolescents' sexual experiences beyond heteronormative vaginal intercourse remains limited. The current study examined orgasm (during masturbation and with a partner) and sexual behaviors (providing and receiving manual and oral stimulation) in middle adolescents. We conducted logistic regression and path analyses separately for cisgender (n = 2738) and transgender/non-binary (TNB) youth (n = 62) to explore gender and dyad type (intersection between gender and partner gender) differences among 2800 Canadian adolescents (51.4% cisgender girls, M_age = 16.41, SD_age = 0.55). With cisgender boys as reference, cisgender girls had lower odds of experiencing orgasm during masturbation, reported more difficulties with orgasm during partnered sex, received more manual sex, and less oral sex. TNB individuals assigned male at birth received more manual stimulation, and TNB assigned female at birth received less oral sex. For dyad type, compared to cisgender boys partnered with a girl, cisgender girls partnered with a boy and cisgender girls with a gender diverse partner (i.e., non-binary, trans, genderfluid or agender) had lower odds of having ever experienced orgasm during masturbation, reported more difficulties experiencing orgasm during partnered sex, and received oral stimulation less often. Cisgender girls who were partnered with a girl did not differ from cisgender boys who were partnered with a girl. Findings may inform programs that promote sexual wellbeing among youth.