Since 1988, the Coital Alignment Technique has been heralded as the sex position that would allow women to experience orgasm during penetration. Originally created by psychotherapist Edward Eichel, the coital alignment technique, also known as CAT, the position was first published in the Journal of Sex & Marital Therapy in the 1980’s [1], which included several studies about it since then [2].

Coital alignment aims to simulate a woman’s clitoris with her partner’s pubic mound to create the friction necessary for orgasm. This is important because 36.6% of women require clitoral stimulation to orgasm [3], almost 7 out of 10 women focus solely on their clitoris during masturbation [4], although another study found that more than half of women prefer a combination of clitoral and vaginal stimulation to get off [5].

Researchers believe that “concurrent clitoral stimulation increases the likelihood of women experiencing orgasm in intercourse [6].”

CAT continues to be recommended as a treatment option for female orgasm disorder [7, 8].

The Coital Alignment Technique sex position is great if you like clitoral stimulation. To perform it with your man, you need to lie on your back with your legs open while your man is on top of you, just like in the regular missionary position.


Instead of thrusting deeply in and out, your man needs to move his body forward over your body, or “ride high [9]”. This will change the angle that your man’s penis enters you. It will now be pointing downwards and will be in greater contact with the back wall of your vagina (opposite from your G-Spot).

When you man is this position, his pubic bone (and sometimes the lower section of his penis) will more easily come into contact with your clitoris.


When you are in the CAT position, you’ll find that you will get much, much more out of it if you actively participate, rather than letting your man do all the work. The main thing you should focus on is keeping your clitoris in close contact with both your man’s pubic bone and the lower part of his penis, to keep it stimulated as he thrusts up and down. A great way to maintain contact is to wrap your legs around the back of your man’s legs and pull yourself into him.

You’ll find that you get more out of the Coital Alignment Technique if you get into a nice rhythm with your man, where you rock backward and forwards as he rocks up and down.


Your guy is going to be thrusting vertically upwards and downwards (directly towards the mattress) when performing the Coital Alignment Technique position. This is completely the opposite to missionary position when your man is thrusting in and out in a mostly horizontal position.

When performing the CAT with you, he won’t be thrusting that deeply, as part of his penis will be outside your vagina. Instead, he needs to focus on staying in contact with your clit almost the entire time and getting into a rhythm where you are both rocking back and forth while he is only performing small thrusts each time he rocks back and forth.


Many of my students have performed the CAT sex position with their partners. They have reported varying levels of success; some say it feels wonderful while others get little enjoyment out of it. They have filled me in on a few interesting points:

  • The Coital Alignment Technique can feel great for you, but often your man may not get much out of it.
  • If you prefer clitoral stimulation during sex, then you will love the CAT sex position as your man will be in continuous contact with your clit.
  • If your man has a very short penis, then he may have a tough time performing the Coital Alignment Technique properly without constantly slipping out.
  • You may find the CAT frustrating and may not initially get anything out of it, but before giving up on it, play around with slightly different positions to see if they are more pleasurable for you. Try putting a pillow or cushion under your hips. Try getting your man to arch his back. Try rocking in a more circular motion instead of just up and down.


I initially did not enjoy the Coital Alignment Technique position that much. A lot of other guys that I talked to felt the same way (but not all of them). Luckily for me, I eventually discovered a variation of it that I and a lot of other guys really enjoy…

Legs Together – Instead of keeping your legs open when your man is on top of you, put them together and keep them straight. It’s easiest to do this if your man is already inside you first. Your man then puts his legs outside yours, and you proceed with sex as you normally would with the Coital Alignment Technique. Putting your legs together will make your vagina feel far tighter for your man, meaning more stimulation and a tighter feel for him, while it still feels very similar to regular CAT for you.

Grab Each Other – If you require more clitoral stimulation and friction from your man, then you should grab each other. He can wrap his arms around your shoulders and back or even better, he can reach down and grab your butt and pull you closer. You can do the same and will find that grabbing his butt is better and also more erotic.

Note that closing your legs may not work if your partner is not well-endowed or if your thighs make it impossible to stimulate your clitoris.


While some people have gone so far as to call this the “perfect” sex position, the reality is that not everyone likes CAT. Some people prefer thrusting to rocking, some women dislike the lack of G-spot stimulation, and some men think it’s uncomfortable or even painful.

Like any sex position, you should experiment to see if you can find a way to make it work for you, but it’s okay if that’s not the case. There are plenty of other positions for you to try. For example, many women enjoy Thigh Tide because of the clitoral stimulation or Cowgirl because it puts them in control. Doggy style is also a good option for those women who can’t get enough G-spot stimulation.

The important thing, no matter what position you’re in, is to get direct clitoral stimulation. An easy way to do this is simply to use your hands — or his. Don’t be afraid to ask your man to touch you in the way you need or to literally take things into your own hands.

Some sex positions also enable you to use sex toys, which can increase your pleasure and the likelihood of you having an orgasm. There are couple’s toys such as We-Vibe that you “wear” during sex, but many vibrators can also be used with your partner.

Finally, remember that what may be preventing you from coming might not be the position you’re in. Something else might be at play. 


While CAT and some positions make it easier for you to orgasm during penetration, you don’t have to have an orgasm this way. It’s perfectly fine if you prefer to orgasm (or can only have an orgasm) through other types of sex, including manual and oral sex. So if you get off before your partner enters you or during mutual masturbation (more on that here) or even during dry humping before your clothes even come off, that’s all common and perfectly fine!The coital alignment was designed specifically to help women orgasm during penetrative sex, and you might find it does this for you. But if that’s not the case, you can have fun exploring other positions and techniques to orgasm during sex.

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