From what I understand those who have orgasmed during a sexual assault often have to deal with unique traumas. Because orgasm can be for some strictly a physiological reaction to someone randomly hitting the correct stimuli there’s a lot of confusion and turmoil for the person unwillingly experiencing it. A common reaction is for folk to believe themselves sinful, dirty, or utterly betrayed by their own body for having that reaction.

So it sounds like overall an increase in lingering mental trauma not any kind of offset.