Ready or Not: Exploring Sexual Arousal with Women who Report Sexual Arousal Difficulties

Abstract

The purpose of this study is to examine possible differences in genital and subjective components of sexual arousal between women with and without sexual arousal/desire difficulties (SADD). Previous research has focused on physiological differences with women who have SADD, in particular, genital response to erotic stimuli. The pattern of results in the literature indicates that women with SADD exhibit similar genital responses to controls (Meston, Rellini, & McCall, 2010), yet women with SADD typically report a decrease in intensity of genital sensation in sexual situations (Laan, van Driel, & van Lunsen, 2008; Giraldi, Rellini, Pfaus, & Laan, 2013), calling into question the method of measurement employed to assess genitalresponse. In the current study, genital and subjective arousal, along with genital-subjective agreement (i.e., sexual concordance), will be investigated to determine if there is a difference between women with SADD and controls. Participants will include 30 self-identified heterosexual women who will complete a validated self-report measure of sexual function and a session in which they rate their subjective sexual arousal while their genital blood flow is measured in response to various films. Laser Doppler Imaging will be used to measure genital blood flow for the first time in this population. This study could lead to a better understanding of sexual arousal in women with SADD, which will assist with diagnosis, as well as identify areas to focus on when trying to develop treatments for sexual dysfunction.