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What's the difference between a vaginal and clitoral orgasm?

What's the difference between a vaginal and clitoral orgasm? Is it only possible to have a vaginal orgasm during intercourse? If you can have a clitoral orgasm through other activity, but not intercourse, why is that? If your clitoris is stimulated during intercourse, will that give you a clitoral orgasm during sex? So how do you have a vaginal one? Can you have both at the same time?


Where can I find the birth control sponge and what’s the efficacy rate?

1) I've always used condoms combined with a sponge for birth control. That worked well because if anything happened with the condom, there was always a backup — it made me feel safer. Then I get to New York, I go into three drug stores, and none of them have sponges. Now what? I don't want to rely on just condoms, I don't want to take pills because the whole hormone thing is rather frightening, and a doctor said that diaphragms make you more prone to get urinary tract infections, which I get frequently. So what am I supposed to do? What's up with this total absence of sponges?

2) In exploring other forms of contraception, what is the reliability rate of the "sponge"?