Vaginal orgasm is the stimulation of the internal clitoris the skenes glans (which are located around the urethra). Technically speaking, clitoral orgasm vaginal orgasm are the same, or at least, very similar. With that said, most people are unable to orgasm with vaginal penetration/stimulation alone. Most people, over 70%, need direct clitoral stimulation to orgasm. (This has been recorded in the Hite Report and other repeated reports).