While men may be focused on intercourse when it omes to sex, women in a new study say that highly satisfying sex relies more on just the actual penetration and may not even need to include it at all. The study found that women need clitoral stimulation to have an orgasm, and that doesn’t necessarily happen during sexual intercourse.

The findings are based on data from 1,055 women between the ages of 18 to 94 who answered an online survey about their sex livees. The researchers wanted to understand what kind of touch was determined to be pleasurable, and what role clitoral and vaginal stimulation played.

They found that the majority of women report they typically don’t reach orgasm just through intercourse, indicating that couples seeking a satisfying sex life need to explore a range of options for climax.

Anita Hoffer, a sexuality counselor and educator, said in an interview with CNN that many women fake orgasms.

“This is one of the saddest and most common problems I deal with in my clinical practice,” she said. “Women who either are uninformed or insecure and therefore easily intimidated by ignorant partners bear a great deal of shame and guilt at being unable to climax from intercourse alone. Many are greatly relieved when they learn that they are among the majority of women who engage in sexual intercourse.”

“The study purpose was to assess, in a U.S. probability sample of women, experiences related to orgasm, sexual pleasure, and genital touching,” the paper’s abstract reads. “In June 2015, 1,055 women ages 18 to 94 from the nationally representative GfK KnowledgePanel completed a confidential, Internet-based survey. While 18.4% of women reported that intercourse alone was sufficient for orgasm, 36.6% reported clitoral stimulation was necessary for orgasm during intercourse, and an additional 36% indicated that, while clitoral stimulation was not needed, their orgasms feel better if their clitoris is stimulated during intercourse. Women reported diverse preferences for genital touch location, pressure, shape, and pattern. Clinical, therapeutic, and educational implications are discussed.”