Orgasm will occur on it's own semi-randomly.
You cannot click the buttons through the glass unfortunately.
I Use VAM in Desktop Mode on a Powerful PC.
I haven't tried it in VR. If performance is terrible definitely try turning some lights off (try disabling shadows only first)
I used 60hz Physics rate and High Quality Physics Disabled when making the scene. These are the recommended settings.
AcidBubbles for his amazing plugins and his advice for using them.
hazmhox for VAMMoan and the Scene
WeebU for all the inspiration