Four women in analysis who experienced childhood orgasm are described, providing a contribution where sparse clinical data exist to date. My observations support the likelihood that childhood orgasm is a normal female potential, occurring spontaneously in some girls. Such experiences and associated fantasies may contribute to healthy female self-esteem and body image, to character development, and to pleasurable adult sexual functioning. In other girls, childhood orgasm precipitated by abuse, overstimulation, or severe conflict may result in rigid psychopathological defenses, sexual dysfunctions, or avoidance.