You Are a Sex Therapist

You are a sex therapist. A man comes to you with a concern that while he achieves orgasm during vaginal penetration, his wife doesn't. He asks what is wrong with him or his wife. What can you tell him?

A) Treating orgasm during coitus as the indicator of sexual functioning may cause his wife's anxiety to perform instead of enjoying the intimate contact.
B) Coitus followed by orgasm is just a social script, and there is no objective reason to abide by it. Achieving orgasm by oral or manual stimulation can also count as a satisfying sex life.
C) If she achieves orgasm through stimulation of the clitoris, she is just like the vast majority of women. Vaginal-penetration orgasm is by far not the norm.
D) All of the above