In fact, orgasms do not necessarily have to involve the genitals at all, nor do they have to be associated with sexual desires, as evidenced by examples of exercise-induced orgasm. A new study finds that the cells that construct this coat may also be responsible for its demise. And how does a woman know if she has had an orgasm? Many people report that not all orgasms are the same 6 , which makes sense—our minds and bodies change from day to day due to mood, health, stress levels, etc. Another misconception is that penile-vaginal stimulation is the main way for both men and women to achieve an orgasm. Latest news Parkinson's disease: