The lateral coital position is reported as the most effective coital position available to men and women, presuming there is an established marital-couple interest in mutual effectiveness of sexual performance.
As described in premature ejaculation, when a facility in lateral coital positioning has been obtained, there is no pinning of either the male or female partner. There is mutual freedom of pelvic movement in lateral coital position in any direction, and there will be no cramping of muscles or necessity for tiring support of body weight.
The lateral coital position provides both sexes flexibility for free sexual expression.
This position particularly is effective for the woman, as she can move with full freedom to enjoy either slow or rapid pelvic thrusting, depending upon current levels of sexual tensions. In this coital position, the male can best establish and maintain ejaculatory control.
From the female superior to a lateral coital position, there are several successive steps to be taken.
The husband with his left hand should elevate his wife’s right leg while moving his leg under hers so that his left leg (now outside of her right leg) is extended from his trunk at about a 45-degree angle.
The wife simultaneously should extend her right leg (the one that is being elevated) so that positionally she is now supporting her weight on her left knee with the right leg extended, instead of being on her knees as in the female-superior position. As she makes these adjustments, she should lean forward to parallel her trunk to that of her husband.
Then the male clasps his partner with his left arm under her shoulders, his hand placed in the middle of her back, and his right hand on her buttocks, holding the two pelves together. The two partners then should roll to his left (her right) while still maintaining intravaginal containment of the penis.
Once the partners have moved into the lateral positioning, the two trunks should be separated at roughly a 30-degree angle. The male rolls back from his left side to rest on his back. The female remains relatively on her stomach and chest with minimal elevation of her left side and her head turned toward her husband. Pillows should be placed beneath both heads for comfort and to provide support for the woman’s slightly angled position.
Occasionally there is value in a supportive pillow placed along her right side. The only weight that must be supported is that of the wife’s right thigh, which rests upon the husband’s left thigh. His left thigh is supported by the bed, so there is no problem with long-continued weight support.
The concern for arm placement is resolved if the woman’s right arm is circled under her pillow and the husband’s left arm (in the same fashion) moves under her pillow beneath her shoulders or underneath her neck. This leaves the woman’s left arm and hand and the husband’s right arm and hand for mutual play and body caressing.
The female accomplishes leverage for pelvic thrusting by pulling up her extended right leg slightly so that her knee comes to rest on the bed. Her left leg should be cast over her husband’s right hip with the knee resting comfortably on the bed. The two knees provide her with all the traction she needs for pelvic thrusting whenever sex tension demands for any form of thrusting develop.
In view of the physical complexity of changes in position, usually, it is suggested that man and wife try converting the simulated female-superior mounting position to the lateral position at least two or three times before establishing a coital connection and then attempting conversion from superior to lateral positions.
The trial runs usually begin in a humorous vein, yet with functional seriousness, husband and wife easily can work out the problems of comfortable arms and legs placement and rapidly accomplish facility with the position-conversion technique.
Again, the lateral coital position is the most effective coital position from the mutuality of shared male and female freedom of sexual experimentation. The potential return is well worth the effort of the marital couple involved in learning to convert from the female-superior positioning.
One of the more realistic goals this form of therapy may suggest to the non-orgasmic woman relates to self-reorientation which tends to improve or helps to ensure maximum interdigitation of the dual-system basis of effective sexual function theorized in the topic of therapy and orgasmic dysfunction. The goal seeks to create or encourage the best possible climate in which each system; biophysical and psychosocial can function.