Yeah, I can usually feel the clit both swell and withdraw during orgasm, if I happen to be getting the girl in question off via fingers/tongue. Vaginal spasming is also a good indicator during intercourse, although I have heard that this can be simulated by women with good muscular control. Most girls I've been with also display a characteristic increase of moisture during orgasm.
What is harder to fake, however, is the characteristic flushing of the skin, watering of the eyes, and whole-body muscular twitching associated with orgasm. The first is, of course, harder to spot in non-Caucasian women, or Caucasian women with extremely dark skin tones; but at least in Caucasian women of a Northern European-type coloration, it's usually a good indicator. The others are fairly reliable in all women.
Obviously, if the girl's a squirter, that makes it fairly easy to spot the real ones....
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Dull sublunary lovers love,
Whose soul is sense, cannot admit
Absence, because it doth remove
That thing which elemented it.
(From "A Valediction: Forbidding Mourning" by John Donne)
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