Decrease In Sexual Satisfaction Research Articles

Romantic Attachment and Sexual Satisfaction Trajectories Among Couples Transitioning to Parenthood

ABSTRACT The transition to parenthood (TTP) is an exciting yet destabilizing time for couples. First-time parents may experience changes in their sexual satisfaction during the TTP, but little is known about the factors associated with these changes. Romantic attachment might help understand why some new parents experience a decrease in sexual satisfaction while others do not. This prospective and dyadic study aimed to examine new parents’ sexual satisfaction trajectories through the moderator role of prenatal attachment anxiety and avoidance in these trajectories. A total of 221 primiparous Canadian couples completed four online questionnaires from the second trimester of pregnancy to 12 months postpartum. Dyadic latent growth curve analyses revealed that although pregnant people present lower prenatal sexual satisfaction than their partners, both parents show an increase in their sexual satisfaction from pregnancy to 12 months postpartum. For both parents, partners’ attachment anxiety was related to one’s own steeper increase in sexual satisfaction from pregnancy to 12 months postpartum. Finally, both parents’ attachment avoidance was related to their own lower sexual satisfaction during pregnancy. These findings will help educate and support expectant parents about anticipated fluctuations in sexual satisfaction.

Functional Results After Nerve-Sparing, Sphincter Preserving Rectal Cancer Surgery: Patient-Reported Outcomes of Sexual and Urinary Dysfunction.

There is an ongoing unmet need of early identification and discussion regarding the sexual and urinary dysfunction in the peri-operative period to improve the quality of life (QoL), particularly in young rectal cancer survivors. Retrospective analysis of prospectively maintained database was done. Male patients less than 60 years who underwent nerve preserving, sphincter sparing rectal cancer surgery between January 2013 and December 2019, were screened. International Index of Erectile Function (IIEF-5) questionnaire was given to assess erectile dysfunction (ED). Patients were asked questions regarding their sexual and urinary function from the EORTC-QL CRC 38 questionnaire, and responses were recorded. Patients were also asked to report any retrograde ejaculation in post-operative period. Sixty-two patients were included in the study. Fifty-four patients (87.1%) received a diversion stoma. Sixteen patients (29.6%) felt stoma was interfering with their sexual function. Six patients (9.7%) reported retrograde ejaculation. Only 5 patients (8.06%) had moderate to severe ED, and the rest had none to mild ED. On univariate and multivariate analysis, only age predicted the development of clinically significant ED. Ten patients (16.1%) had significantly reduced sexual urges, and 23 patients (37.1%) had significant decrease in sexual satisfaction after surgery. Five patients (8.06%) reported having minor urinary complaints. No patient reported having major complaint pertaining to urinary health. While long-term urinary complaints are infrequent, almost half the patient suffered from erectile dysfunction in some form. There is a weak but significant association of age and ED. Follow-up clinic visits provide an ideal opportunity to counsel patients and provide any medical intervention, when necessary.

Chronic Vulvar Pain and Health-Related Quality of Life in Women with Vulvodynia.

The aim of this study was to investigate the severity of chronic vulvar pain in women with vulvodynia and its impact on their health-related quality of life (QL). The study group consisted of 76 women aged 19 to 58. The study was carried out using the diagnostic survey method, i.e., (1) the questionnaire technique, comprising (A) the author's questionnaire (76 questions) and (B) the WHOQOL-BREF questionnaire, and (2) the VAS. When analyzing the severity of vulvar pain on the VAS, the highest proportion of women rated it at level 6 (23.68%). This was significantly determined by certain personal characteristics (age < 25 years old) and sociodemographic characteristics (marital status: unmarried women, divorcees, widows; high school education), each at p < 0.05. Vulvodynia causes a significant deterioration (64.47%) in QL, which is mainly caused by a reduction in the ability to perform activities of daily living (27.63%) and a decrease in sexual satisfaction (27.63%). The level of stress significantly exacerbates pain (p < 0.05). The severity correlates significantly (p < 0.05) and negatively (r < 0) with QL perception, which was rated worst in the physical domain. The use of treatment resulted in a significant improvement in the physical and psychological domains (p < 0.05), and the latter was particularly influenced by physiotherapy (p < 0.05).

Sexually Explicit Material and Its Relationship with Sociodemographic Variables, Sexual Satisfaction, and Relationship Satisfaction in a Spanish Sample.

Previous research that has examined the use of sexually explicit material (SEM) in the Spanish population and its relationship with sociodemographic variables, sexual satisfaction, and satisfaction with the relationship are practically non-existent. Therefore, the main goal was to analyze the pattern of use of SEM (frequency, format, context, content, and purpose of its use) and its relationship with sociodemographic variables (sex, age, sexual orientation, educational level, religiosity, status of partner, number of sexual partners, and age of first exposure to SEM), sexual satisfaction, and relationship satisfaction. The sample consisted of 221 participants, with an average age equal to 29.88 years (SD = 9.73) and of Spanish nationality. All participants completed a sociodemographic questionnaire, as well as the Spanish adaptations of the Sexual Media Questionnaire, Global Measure of Sexual Satisfaction, and Global Measure of Relationship Satisfaction. Based on the results, it was found that men use SEM more frequently than women, that the age of first exposure is 14 years old, the most used pattern of SEM is internet websites with sexual content in which adult men and women appear, and the way to visualize it is alone as private stimulation. In addition, it was shown that a higher frequency of SEM use implies a decrease in sexual satisfaction and vice versa, while there is no association between the frequency of SEM use and satisfaction with the relationship. The importance of considering the use of SEM, both in research on sexual satisfaction and in clinical practice, is discussed.

Impact of “COVID-19” Lockdown on Male Sexual Behavior in Egyptian Sample

Objective To assess the changes in the sexual behavior of Egyptian married men during the COVID-19 lockdown period. Methods In a cross-sectional study, the sexual behavior of 164 Egyptian married men was examined through an online questionnaire, designed by the authors, and uploaded to strictly male social media groups using Google Forms. The questionnaire included demographic and clinical variables about age, stress level about COVID-19, fear of infection during sexual relations and also compared sexual behavior before the COVID-19 lockdown. Results 39.17% of the sample reported decrease in sexual desire, 28.05% reported decrease in sexual frequency, 17.68% reported decrease in sexual satisfaction and 22% reported fear of infection with COVID-19 during sexual relations. Severe stress about COVID-19, increased rate of marital conflicts and fear of infection with COVID-19 during sexual relations were significantly associated with decreased sexual desire, frequency and satisfaction. Conclusions This study demonstrated severe stress about COVID-19, increased rate of marital conflict and fear of infection with COVID-19 during sexual activity, all of which were significantly associated with decreased levels of sexual desire, frequency and satisfaction respectively among married Egyptian men during the COVID-19 lockdown period. Promoting education to manage stress, decreasing marital conflicts and the correction of the mistaken belief that COVID-19 is a sexually transmitted disease is highly important to promote healthy sexual relations during the COVID-19 pandemic and lockdown period.

Validation de la version française de l’échelle de satisfaction sexuelle

ObjectivesThe objective of this study was to validate a French version of the Index of Sexual Satisfaction. This unidimensional scale, the most widely used in international studies, evaluates sexual satisfaction in the context of couple relationships. MethodsA total of 646 participants, 468 women and 178 men with an average age of 35.18 years old (SD: 13.77), completed 3 questionnaires: the French version of the Index Sexual Satisfaction (Comeau & Boisvert, 1985), the Hospital Anxiety and Depression scale (HADS) and the Dyadic Adjustment Scale-16 (DAS-16) online. Analyses were conducted in three stages: (1) descriptive, correlational and exploratory factorial analyses to verify the properties of the items; (2) confirmatory analyses to confirm the version obtained; and (3) concurrent validity analysis. ResultsThe analysis of the distribution of the items, the inter-item and item-total correlations, and the hierarchical oblique factor analysis led to the exclusion of 6 items. Confirmatory factor analysis of this 19-item version showed satisfactory indicators (RMSEA=0.012; SRMR=0.065; CFI=0.999; TLI=0.999; GFI=0.99) and Cronbach's alpha is 0.96. The results revealed that men are more sexually dissatisfied. The ISS-19 score is moderately and positively correlated with age and length of relationship. Finally, the correlations showed that depression is associated with a decrease in sexual satisfaction while the quality of interactions is associated with an increase in sexual satisfaction. The scale measures a general factor of sexual satisfaction. ConclusionThis study provided a 19-item French version of the Index of Sexual Satisfaction, providing a valid and reliable self-reported measure of sexual satisfaction. The results were discussed in light of their clinical and scientific implications.

014 Demographics and Characteristics of Patients Accessing a Prostate Cancer Supportive Care Program's Sexual Rehabilitation Clinic

All primary treatment modalities for prostate cancer (PC) can lead to significant impairment of sexual function including erectile dysfunction and a decrease in sexual satisfaction causing patient distress. The Prostate Cancer Supportive Care (PCSC) Program’s Sexual Rehabilitation clinic (SRC) was initiated in 2013 to assist PC patients and their partners with sexual recovery. Group education sessions and individual clinic appointments with a sexual health clinician use a bio-psycho-social approach to sexual rehabilitation.

Partnership status, living arrangements, and changes in sexual behaviour and satisfaction during the COVID-19 lockdown: insights from an observational, cross-sectional online survey in Singapore.

Background The SARS-CoV-2 (coronavirus disease 2019; COVID-19) pandemic and its concomitant movement control measures have had a profound impact on the world. In spite of its potential impact on sexual health, there is a lack of research on how the pandemic and its movement control measures have impacted sexual wellbeing among Singaporeans. Methods This observational, cross-sectional study was conducted from August to September 2020. Participants were recruited through an online survey instrument promoted through social media. Respondents self-reported their sexual behaviours and levels of sexual satisfaction prior to and during the COVID-19 pandemic movement control measures. Results We recruited a total of 562 participants, of whom 338 (60.1%) ever had a sexual experience. Singles (n=106, 31.4%) and those not living with their partners (n=115, 34.0%) reported a greater decrease in partnered sexual activities but a greater increase in individual sexual activities such as masturbation, sending and receiving nudes and watching pornography, relative to those who were living with their partners (n=117, 34.6%). Multivariable analyses indicated that relative to singles, those who were not living with their partners were more likely to experience a decrease in sexual satisfaction (adjusted prevalence ratio [aPR]=1.42, 95% CI [1.07, 1.90]), whereas those who were living with their partners were less likely to experience a decrease in sexual satisfaction (aPR=0.45, 95% CI [0.25, 0.81]). Conclusions Interventions may focus on enhancing sexual wellness by educating on and supporting individual or partnered sexual activities that may vary along the lines of partnership status and living arrangements during the implementation of movement control measures.

Prevalence, Patterns and Self-Perceived Effects of Pornography Consumption in Polish University Students: A Cross-Sectional Study.

This cross-sectional online survey of Polish students (n = 6463) assessed the frequency and patterns of pornography consumption, its self-perceived effects, the prevalence of self-perceived pornography addiction, and opinions on the potential effects of pornography and its legal status. Nearly 80% of students have been exposed to pornography (median age of first exposure: 14 years). Streaming videos were decidedly the most frequent form of use. In the subset of current users (n = 4260), daily use and self-perceived addiction was reported by 10.7% and 15.5%, respectively. The majority of those surveyed did not report any negative effects of pornography use on their sexual function, sexual, and relationship satisfaction. Instead, over one-quarter of students in relationships reported beneficial effects on its quality. The most common self-perceived adverse effects of pornography use included: the need for longer stimulation (12.0%) and more sexual stimuli (17.6%) to reach orgasm, and a decrease in sexual satisfaction (24.5%). Females and males with a Body Mass Index >25 kg/m2 more often reported a self-perceived decrease in relationship quality associated with pornography use. Age of first exposure was significantly associated with reported need for longer stimulation and more sexual stimuli to reach orgasm when using pornography, decrease in sexual satisfaction, and quality of romantic relationship, neglect of basic needs and duties due to pornography use, and self-perceived addiction in both females and males. The highest odds ratios were always observed for age <12 years in reference to exposure at >16 years. In the opinion of most of the surveyed students, pornography may have adverse effects on human health, although access restrictions should not be implemented. The study gives a broad insight into the pornography consumption in young Polish adults.

Analysis of factors that influence the quality of sexual life of climacteric women in China

Objective: The study aimed to identify the factors associated with the sexual lives of perimenopausal and postmenopausal women in China.Methods: A total of 426 participants were approached about this study from May 2012 to August 2013. In total, 252 cases were included in this study. One hundred and ninety-seven women who filled out the Quality of Sexual Life Questionnaire for Women (QSLQW) and the modified Kupperman Menopausal Index (KMI) had an active sexual life. Pearson’s coefficient index was used to determine the correlation between the KMI and different domains of the QSLQW. Multivariable statistical analysis was performed to determine the correlation between different factors and the sexual life of perimenopausal and postmenopausal women.Results: When the participants reported a higher KMI, they suffered lower sexual satisfaction (r = −0.16, p = 0.035), more severe sexual anxiety (r = −0.367, p = 4.9 × 10−7), and less sexual response (r = −0.21, p = 0.004). No correlation was found between the KMI and sexual communication, sexual attitude, and self-image. Multivariable statistical analysis showed that menopause status and higher KMI scores are associated with a decrease in sexual satisfaction among Chinese women (β = −9.76, 95% CI −16.89 to −2.64 and β = −0.41, 95% CI −0.68 to −0.15, respectively), and that the better the spousal relationship, the fewer deliveries and the higher the scores of sexual life quality (β = 8.86, 95% CI −0.91 to 18.63 and β = −6.65, 95% CI −11.83 to −1.48, respectively).Conclusion: Factors including parity, spousal relationship, menopausal status, and menopausal symptoms are associated with the quality of sexual life of perimenopausal and postmenopausal women in China.

The effect of female genital mutilation on couple sexual function

Background: Female genital mutilation (FGM) is a procedure that had physical, social, psychological, and sexual complications. The study aimed to assess effect of FGM on couple sexual function.Methods: case control nested from cross-sectional study in Fayoum governorate; it was conducted during a period of five months (March 2016 to July 2016).Results: The prevalence of FGM was 432(83.4%). The risk of exposure to mutilation was about four folds higher among women inhabitant rural areas, and about nine folds higher among low educated women, and around six folds higher if parents were low educated. Around one-third of women in the study 157 (30.3%) suffered psychological problems and 142 (27.4%) of them suffered marital and social problems related to FGM practice. Mutilated women had five folds decrease in desire: four folds decrease in sexual satisfaction and five folds increase in sexual dysfunction on contrary 57% to 59% decrease in arousal and orgasm. As regards to husband sexual satisfaction, it decreases by around three folds if their wives were mutilated. There is statistically a significant increase in couple sexual dysfunction among complicated mutilation.Conclusions: FGM is still practiced in Egypt and it resulted in many physical, psychological, and social complications; also it had a negative impact on the couple's sexual life.

Correlation of Women’s Marital and Sexual Satisfaction in Different Family Life Cycle Stages in Khorram Abad, Iran

Objectives: According to previous researches marital satisfaction has various patterns during family life cycle; meanwhile, there are only few studies showing a correlation between sexual and marital satisfaction in different stages of family life cycle. Therefore, the current study was designed to assess long-term female marital and sexual satisfaction in intimate relationships Materials and Methods: In this cross-sectional study, 266 married women in different stages of their life family cycle recruited in the study through cluster random sampling technique. Outcomes measurement was carried out using three questionnaires: demographic, ENRICH marital satisfaction, and Larson sexual satisfaction. Results: In this study, 24.4% of the women reported a high level of marital satisfaction while about 21.8% of them mentioned high levels of sexual satisfaction. Positive and highly significant correlation was observed between sexual and marital satisfaction in the first three stages of family life cycle (beginning a family (r=0.5, P = 0.001), childbearing family (r=0.46, P = 0.004), and families with preschool children (r=0.24, P = 0.036). That is, both of the above-mentioned factors decreased slightly, however, such a correlation was not observed in the following stages (P > 0.05). In addition, it was found that, in the last 3 stages (i.e., teenage, empty nest, and retirement), despite a decrease in sexual satisfaction, marital satisfaction increased. Conclusions: In general, the findings revealed that the correlation between sexual satisfaction and marital satisfaction reduced across the stages of life cycle. It seems that through deepening the relationship between the couples, other factors that are more important than sexual satisfaction would contribute to marital satisfaction as well.

Sexuality During Pregnancy: What Is Important for Sexual Satisfaction in Expectant Fathers?

This cross-sectional study aimed to examine changes in some aspects of sexuality (sexual desire, frequency, and satisfaction) in expecting fathers and to determine predictors of sexual satisfaction. Men whose partners were in the third trimester of pregnancy participated in the study (N = 105). Findings demonstrate that a majority of men experienced a decrease in the frequency of sexual activity during their partner's pregnancy. However, decrease in sexual desire was experienced by less than a third of the participants. Even though there was a decrease in sexual satisfaction in almost half of the men, participants generally perceived their sexual satisfaction as quite high. Aspects of the relationship with one's partner were shown to be the most important determinant of sexual satisfaction, and closeness with one's partner to be especially important. Most men (80%) reported fear of hurting the fetus during intercourse as one of the main reasons that prevented intercourse during pregnancy. However, this specific fear was not a significant determinant of sexual satisfaction. Results are discussed in light of previous findings examining sexuality among expecting fathers as well as among men in general.

Sexual Behavior and Sexual Satisfaction according to Gender in Korean Patients with Cancer.

This study was done to investigate sexual behavior and sexual satisfaction according to gender difference in Korean patients with cancer. In this study, a convenience sample of Korean patients with cancer who visited hospitals in J City was used. Data were collected between September and December 2012using structured questionnaires: Sexual frequency scale and General sexual satisfaction index (GSSI). Over half of the patients reported loss of sexual desire and changes in sexual behaviors. There was a significant decrease in sexual satisfaction among the male patients, compared to the female patients (t=2.34, p=.020). There were significant correlations between sexual satisfaction and sexual behaviors (male patients r=.45, p<.001; female patients r=.59, p<.001). The results of this study demonstrate the need to take gender into account in developing interventions for patients with cancer. These results will also contribute to the development of improved interventions for sexual health care.

Female Sexuality, Fertility, Pregnancy, and Delivery after Ileal Pouch Anal Anastomosis for Ulcerative Colitis

Ileal pouch anal anastomosis (IPAA) may have a significant impact on female sexuality and fertility. While most women report no change or even improved sexual function after IPAA, 9 to 25% of women will experience a decrease in sexual satisfaction as a result of dysparunia, vaginal dryness, and incontinence during intercourse. Fertility is significantly decreased after IPAA and studies suggest that only 36 to 56% of women who try to become pregnant after surgery will be successful. For those women who do become pregnant, pregnancy is safe with no associated increase in maternal or fetal mortality. A transient deterioration in frequency and continence is reported by some women during pregnancy and these problems typically resolve after delivery. Because of the potential for anal sphincter injury with vaginal delivery, there has been considerable debate regarding the preferred method of delivery after IPAA. Studies suggest that there is no difference in pouch function between women who have delivered vaginally and those who have had a planned caesarian section. However, the true rate of sphincter injury associated with vaginal delivery remains unclear and the long-term risk of incontinence after vaginal delivery is unknown.

A controlled trial of positive feedback to increase sexual arousal in women with spinal cord injuries

As recently as 1983, it was said that “modesty, discretion, and uneasiness” make it difficult to talk about the sexual concerns of women who have spinal cord injuries [12]. This statement underscores the overall lack of information and research generally available until the 1990s about the sexuality of women and SCIs. Since this time, however, a number of questionnaire reports have assessed the sexuality of women with SCIs [3,4, 6]. These reports overall have found that women with SCIs have a decrease in frequency of sexual activity [4, 6] in addition to a decrease in sexual satisfaction post injury. The natural history of sexual response of women with spinal cord injuries (SCIs) has been systematically investigated through controlled laboratory-based research. Women with complete upper motor neuron (UMN) injuries affecting the sacral spinal segments have been shown to have the ability to increase their level of subjective sexual arousal in the absence of in-

Vaginal stenosis and sexual function following intracavitary radiation for the treatment of cervical and endometrial carcinoma

Purpose : This study was designed to document the incidence and degree of vaginal stenosis, sexual activity, and satisfaction in women treated with intracavitary radiation therapy for cervical or endometrial carcinoma. Methods and Materials : The incidence of vaginal stenosis in 90 patients treated for either cervical carcinoma ( n = 42) or endometrial carcinoma ( n = 48) with standard doses of intracavitary radiation from 1989 to 1992 with at least 6 months follow-up was recorded. Vaginal length was measured using a modified vaginal dilator calibrated in centimeters. Semistructured patient interviews documented pretreatment and posttreatment sexual activity and sexual satisfaction. Results : Vaginal length was found to be dependent on diagnosis (cervical vs. endometrial), stage (I vs. II/III), and follow-up interval (6–12 months, 12–24 months, and >24 months). Slightly more women reported sexual activity post vs. pretreatment (31% active pretreatment vs. 43% active posttreatment). However, 22% of women reported a decrease in sexual frequency and 37% reported a decrease in sexual satisfaction. Reports for all parameters were worse for women treated for cervical carcinoma vs. women treated for endometrial carcinoma with the exception of dyspareunia. Conclusion : High-dose radiation for either cervical or endometrial carcinoma at standard doses with or without hysterectomy can cause a decrease in vaginal length as compared to the normal vaginal length of 8 to 9 cm documented by Masters and Johnson. Women treated with intracavitary implants remained as sexually active postimplant as preimplant, however, coital frequency and sexual satisfaction decreased while dyspareunia increased. The decrease in vaginal length may explain in part the decrease in sexual satisfaction but cause and effect have not been established.