Luanne and Gerald

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Luanne and her husband, Gerald, have been married for 24 years. In an e-mail to The Oprah Show, Luanne reveals a sexual secret she's been keeping for two decades. "I don't think I have ever had an orgasm. Instead, I have faked hundreds of them," she writes. "My husband would be devastated to know that I have faked it, but I am ready to break the silence and to move forward in achieving my full orgasmic potential."

After receiving the e-mail, Dr. Berman sets up a session with the couple to get to the bottom of Luanne's mercy fakes. "I think the main issue for me is that I am not feeling completely satisfied. I don't have a complete understanding of what a true orgasm feels like," Luanne says. "I feel like I'm keeping something from my husband. I feel like I'm betraying him."

Gerald says he had no idea that Luanne had been faking it for so long until she showed him the e-mail she sent The Oprah Show. "I would assume she'd have an orgasm. It was based on sound. What I would assume was her climax. I have to admit that she had me fooled."

Though surprised, Gerald says he isn't angry with Luanne. "Eventually it evolved into sorrow for Luanne because, you know, not having experienced an orgasm, I couldn't imagine that. And it's such a big part of my life," he says.