Differences In Sexual Satisfaction Research Articles

Sexual function in diabetic women and non-diabetic women

Objective Diabetes is a serious disease, which has short term and long-term complications. Sexual dysfunction is a chronic problem in diabetic patients, which is ignored in many patients. Although the majority of studies about sexual problems had done in men, these studies had done less in women. This study evaluates and compares sexual function in diabetic's women and non-diabetic women. Material and method In this study, fifty married diabetic females and fifty married non-diabetic females has been selected randomly. Demographic questionnaire and FSFI questionnaire (female sexual function index) for evaluation sexual function were used in two groups. Also another questionnaire about complications of diabetes, duration of diabetes, HbA1c, method of treatment and BP in group of diabetic women were used. Data were analyzed by t -test and Chi 2 tests. Results Prevalence of sexual problems in two groups of women was 98%. Frequency of sexual problems in two group's women was not significant difference in overall. Two group's women had significant difference in sexual satisfaction ( P =0.02). Diabetic women had less satisfaction than non-diabetic women. In diabetic women; there was significant relation between HbA1c and desire and arousal items ( P =0.01, P =0.008). There was not significance relation between sexual function of diabetic women and diabetic complications, age, educational level, job. Conclusion The majority of women had sexual problems. In diabetic women sexual satisfaction was significance less than non-diabetic women. In diabetic women, duration of diabetes and HbA 1C had significance relation with sexual problems. So that attention to sexual function in diabetic women and education about sexual function is necessary.

Sexual satisfaction and quality of life in survivors of localized cervical and ovarian cancers following fertility-sparing surgery

ObjectiveTo determine if sexual satisfaction and sexual quality of life (QOL) are different in survivors of localized cervical and ovarian cancers who undergo fertility-sparing surgery (FSS) as compared with standard surgery. Methods470 survivors of localized cervical and ovarian cancers diagnosed between the ages of 18–40 were recruited from the California Cancer Registry to complete a cross-sectional survey. Validated questionnaires were used to assess sexual satisfaction and sexual QOL. Results228 women with localized cervical cancer and 125 with localized ovarian cancer completed the survey. In the cervical cancer group, 92 underwent FSS. Compared with the 84 women who did not undergo FSS (had a hysterectomy, but retained at least one ovary), there was no significant difference in sexual satisfaction or sexual QOL mean scores in women who maintained their uterus (cold-knife cone or trachelectomy), after controlling for age and menopausal status. 82 women with ovarian cancer underwent FSS. Compared with the 39 women that had a bilateral salpingo-oophorectomy, we found no significant differences in sexual satisfaction or sexual QOL in women who maintained at least one ovary (USO or cystectomy), after controlling for age and menopausal status. ConclusionsWhile FSS may allow for post-treatment fertility, it may not confer a significant benefit with regard to sexual satisfaction or sexual QOL. Thus, the decision to perform FSS should not be dictated based on preservation of sexual functioning.

Sexual satisfaction and distress in sexual functioning in a sample of the BDSM community: a comparison study between BDSM and non-BDSM contexts.

Little attention has been paid to distress in sexual functioning or the sexual satisfaction of people who practice BDSM (Bondage and Discipline, Domination and Submission, Sadism and Masochism). The purpose of this study was to describe sociodemographic characteristics and BDSM practices and compare BDSM practitioners' sexual outcomes (in BDSM and non-BDSM contexts). A convenience sample of 68 respondents completed an online survey that used a participatory research framework. Cronbach's alpha and average inter-item correlations assessed scale reliability, and the Wilcoxon paired samples test compared the total scores between BDSM and non-BDSM contexts separately for men and women. Open-ended questions about BDSM sexual practices were coded using a preexisting thematic tree. We used self-reported demographic factors, including age at the onset of BDSM interest, age at first BDSM experience, and favorite and most frequent BDSM practices. The Global Measure of Sexual Satisfaction measured the amount of sexual distress, including low desire, arousal, maintaining arousal, premature orgasm, and anorgasmia. The participants had an average age of 33.15 years old and were highly educated and waited 6 years after becoming interested in BDSM to act on their interests. The practices in which the participants most frequently engaged did not coincide with the practices in which they were most interested and were overwhelmingly conducted at home. Comparisons between genders in terms of distress in sexual functioning in BDSM and non-BDSM contexts demonstrate that, with the exception of maintaining arousal, we found distress in sexual functioning to be statistically the same in BDSM and non-BDSM contexts for women. For men, we found that distress in sexual functioning, with the exception of premature orgasm and anorgasmia, was statistically significantly lower in the BDSM context. There were no differences in sexual satisfaction between BDSM and non-BDSM contexts for men or women. Our findings suggest that BDSM sexual activity should be addressed in clinical settings that account for BDSM identities, practices, relationships, preferences, sexual satisfaction, and distress in sexual function for men and women. Additional research needs are identified, such as the need to define distressful sexual functioning experiences and expand our understanding of the development of BDSM sexual identities.

Increasing our Understanding of Women’s Sexuality

I have been reading and writing about sexuality in later life for the past 15 years (Wade and DeLamater, 2002: DeLamater and Koepsel 2015). A growing number of papers reporting results from large-scale surveys in the U. S. have appeared since 1999 (AARP 1999; Lindau, et al. 2007; Herbenick, et al. 2010). These papers systematically report results by gender (binary), sometimes highlighting similarities, sometimes differences. Such reports often leave me wondering Bwhat do these results mean?^ What are the psychological, emotional, and relationship realities that underlie, for example, the difference in sexual satisfaction reported by married men and women? If similar questions interest you, read this book. Montemurro addresses a basic question about female sexuality: how dowomen develop a sense of sexual subjectivity, a sense of Bpossessing agency in sexual interactions,^ Bbeing a willing and eager participant in sexual encounters,^ and Bfeeling in control of sexual decision making^ (p. 4). This question has been addressed by several researchers in studies of adolescent women, including Martin (1996), Tolman (2002), and Schalet (2011); Montemurro expands the focus to adult women ages 20 to 68. She posits that this development occurs over time, perhaps a lifetime; hence the subtitle Bsexual evolution.^ She understands that whether a woman has a sense of her subjectivity can be influenced by a variety of events and transitions that may occur in women’s lives – the circumstances surrounding virginity loss, sexual assault, marriage, pregnancy and childbirth, divorce, menopause, extra dyadic relationships. She adopts the life-course perspective to provide a framework that encompasses this diversity, specifically the Gendered Sexuality over the Life Course (GSLC) model (Carpenter and DeLamater 2012). To study the impact of these transitions across the life course, Montemurro purposively sampled an equal number of women from the northeastern U.S. in their 20s, 30s, 40s, 50s, and 60s. She began recruiting by asking women she knew to recommend women of appropriate age; interviewees were asked to recommend other women. She also recruited by posting notices in a variety of settings. She focused on heterosexual women. Participants were diverse in race/ethnicity, self-reported SES, education, and marital and parental status. An Appendix provides detailed information on each of the 95 participants. In-depth face-to-face interviews, averaging one and one-half hours, were conducted with each one. An important, original contribution of the book is the sixstage model of the development of sexual subjectivity that Montemurro presents. The model is based on her careful analysis of the life experiences reported by participants. The stages are:

Sexual satisfaction in a heterosexual and homosexual Spanish sample: the role of socio-demographic characteristics, health indicators, and relational factors

The aim of the present study was to explore the relationship between (1) sexual satisfaction and (2) socio-demographic variables, health status, and relational factors in Spanish men and women. Using a quota sampling method, we assessed 2024 subjects aged between 18 and 80 years old with a socio-demographic questionnaire, the Global Measure of Sexual Satisfaction, the Global Measure of Relationship Satisfaction, the Short Form-36 Health Survey, and the Symptom Assessment-45 Questionnaire. Regarding the results, no significant differences in sexual satisfaction were found according to gender or sexual orientation. At the bivariate level, sexual satisfaction was negatively correlated with age, low education level, psychopathological symptoms, and length of relationship, and positively correlated with better physical health and relationship satisfaction. In heterosexual individuals, 55% of the variance in sexual satisfaction was predicted by vitality, depression, relationship satisfaction, length of relationship, and type of relationship. In homosexual individuals, bodily pain and relationship satisfaction predicted 44% of the variance in sexual satisfaction. Finally, the impact of health and relational variables on the sexual well-being of adults in the context of sex therapy is discussed.

The differences in sexual satisfaction, quality of life, and social support between patients with prostate cancer and cervical cancer after radiotherapy.

e20666 Background: Cervical cancer (CxCa) and prostate cancer (PRCa) have a major impact on sexuality, quality of life (QoL) and patients (pts) require social support(SS). Study aim was to compare sexual satisfaction and activity,QoL and level of required and received SS in group of CxCa and PRCa pts min.3 months after radical radiotherapy (RTH). Methods: 97pts were included to the study:50 non-metastatic PRCa pts (54-83y, M=68,8) and47 CxCa pts (27-69y,M=54,4) after RTH. Subjects filled out:QLQ-C30,PR25,CX24, Berlin Social Support Scales (BSSS) and demographic data.The Chi2,t-Student test,and linear regression analyses were used (p<0,5). Results: However sexual activity and satisfaction in both cancer groups is significantly lower (p<0,05) than in healthy population, no differences were observed between CxCa and PRCa pts. No difference were found between general and any subscale of QoL in both groups, although men needed significantly more help with eating, dressing, washing or using the toilet. However,men felt less male than women less feminine because of cancer (p<0,001). Predictors to better femininity evaluation (R2=0,650;p<0,05)were: higher appetite, emotional functioning, perceived available instrumental support and marital status. Predictors of poor masculinity evaluation (R2=0,346;p<0,05)were: shortness of breath, age, lower perceived available emotional support. The most significant differences (p<0,05) were observed between groups in the evaluation of SS: perceived available emotional SS was higher in pts with CxCa than with PRCa, while protective-buffering SS, currently received emotional SS and general SS were higher in the group of PRCa than CxCa pts. Conclusions: QoL was similar in both groups, in some areas men needed more help that women. Sexual activity and satisfaction is lower in cancer pts in comparison with general population, but no differences were observed between CxCa and PRCa pts, however emotional SS was crucial for better sexual satisfaction. The more visible difference were found in SS, and even men with PRCa have been receiving more SS,women with CxCa perceived particular SS higher than in fact such support had experienced.

Psychosexual Functioning and Body Image Following a Diagnosis of Ductal Carcinoma In Situ

There has been exponential growth in diagnoses of ductal carcinoma in situ (DCIS) in the past decade, yet little is known about sexual functioning and body image in women after diagnosis of DCIS. This is of particular importance because many of the parallel treatment modalities also used to treat invasive breast cancer, e.g., surgery and hormonal therapy, have been shown to have a detrimental effect on psychosexual function. The aim was to explore changes in sexual function and body image after diagnosis and treatment of in situ cancer. Evidence-based self-report measures assessing psychosexual functioning and body image. Women diagnosed with DCIS within the past 3 months and who reported being sexually active completed measures assessing various aspects of psychosocial and sexual functioning and body image. Outcomes were evaluated at baseline, 9-, and 18-month time points. All statistical tests were two sided. Three hundred four women completed this prospective survey. Overall, sexual function in women with DCIS appears to be very similar to women in the general population and does not seem to be significantly disrupted by a diagnosis of DCIS. Sexual function and body image were notably stable across the 18-month length of follow-up. Of those patients who underwent mastectomy, there were no differences in sexual satisfaction for patients who had reconstruction compared with patients who did not. Although it has been shown that women with DCIS have a number of psychosocial challenges, results from this large-scale prospective study of women suggest that sexual function and body image may not be significantly negatively affected by this diagnosis. Of note, these results were also the case for women who underwent mastectomy and hormonal therapy. These findings are reassuring for both patients and physicians in the context of decision making about treatment options.

Sexual Satisfaction in Females with Premenstrual Symptoms

The impact of premenstrual symptoms, such as the premenstrual syndrome (PMS) and the premenstrual dysphoric disorder (PMDD), on sexual satisfaction, sexual distress, and sexual behaviors has not yet been established. To assess the correlates and risk factors of sexual satisfaction and to evaluate sexual behaviors among Polish women with premenstrual symptoms. 2,500 females, aged 18 to 45 years, from the Upper Silesian region of Poland were eligible for the questionnaire-based, prospective population study. All the inclusion criteria were met by 1,540 women who constituted the final study group. The participants were further divided into two subgroups: PMS+ (749 females) and PMS- (791 healthy subjects). Two additional subgroups were created: PMDD+ encompassing 32 subjects diagnosed with PMDD, and PMDD- comprising 32 healthy women, matched to the PMDD+ females for age, marital status, education level, employment status, place of living, and body mass index. A multiple logistic regression analysis was performed to evaluate the influence of PMS on sexual satisfaction and adjust for potential confounders. To evaluate risk factors for sexual dissatisfaction in a population of Polish females of reproductive age, diagnosed with PMS and PMDD. Women from the PMS+ group were less sexually satisfied than PMS- (77.73% vs. 88.66%, P=0.001) and reported more sexual distress (28.65% vs. 15.24%, P=0.001). There were no significant differences in sexual satisfaction between PMDD- and PMDD+. Sexual satisfaction correlated positively with a higher frequency of sexual intercourses and a higher level of education. The presence of PMS correlated negatively with sexual satisfaction, even after adjusting for potential confounders in the multivariate logistic regression model (odds ratio=0.48; confidence interval: 0.26-0.89; P=0.02). The presence of PMS is a risk factor for sexual dissatisfaction in Polish women of reproductive age.

Relación entre satisfacción sexual, ansiedad y prácticas sexuales

Objective. To present the results of research carried out with the purpose of exploring the relationship between sexual satisfaction, anxiety and sexual practices. Method. The sample was made up of 1869 persons from the city of Bogota, Colombia, to whom three instruments were applied: a sexual satisfaction scale, the Taylor manifest anxiety scale, and a questionnaire on sexual practices. Results. Positive associations were found between anxiety and sexual satisfaction. With respect to socio-demographic characteristics, differences in sexual satisfaction were found based on characteristics such as gender, having a stable sexual partner, sexual orientation, the importance of love in sexual practices, religion, marital status and not having children or not sure about having them – all these relationships indicate a positive association with having an enjoyable sex life. Conclusion. The instruments are sufficiently reliable and valid to enable to give an account of the variables contemplated in the study. .

Examining Sexual Health Differences between Lesbian, Gay, Bisexual, and Heterosexual Adults: The Role of Sociodemographics, Sexual Behavior Characteristics, and Minority Stress

Many studies focus on the differences in mental health between lesbian, gay, bisexual (LGB), and heterosexual individuals. Less attention has been paid to the differences in various aspects of sexual health and the potential explanations for these differences. Data from a Dutch population study on sexual health (aged 19–70 years; N = 4,333) were used to examine the potential differences in sexual satisfaction, sexual victimization, sexual dysfunction, and sexual health care need. At the same time, this study examined whether the differences could be attributed to differences in general factors influencing sexual health (sociodemographic variables and sexual behavior characteristics) or to LGB-specific factors (minority stress). The results showed that bisexual women and bi- and homosexual men had more often experienced sexual coercion and reported a higher need for sexual health care than their heterosexual counterparts. Both general determinants (e.g., a higher number of sexual partners or being single) and LGB-specific factors (e.g., internalized homonegativity or negative social reactions related to sexual orientation) were associated with different aspects of sexual health. Interventions aimed at improving the sexual health of LGB individuals should focus on general risk factors, as well as on LGB-specific stressors. Methodological limitations of the study and implications for further research are discussed.

Changes in Sexual Function after the Midurethral Sling Procedure for Stress Urinary Incontinence: Long-term Follow-up

It is known that 50% to 68% of women with stress urinary incontinence (SUI) have sexual function impairment and avoid sexual intercourse. Reports of sexual function after SUI surgery vary, with reports of both improved function and deteriorated function. The goal of this study was to evaluate the impact of midurethral sling procedures on the sexual function of women suffering from SUI preoperatively and 36 months postoperatively. Among 75 patients who were diagnosed with SUI and underwent the midurethral procedure, 47 patients who answered the Korean version of the Female Sexual Function Index (FSFI) Questionnaire were analyzed prospectively. The retropubic route (RPR) was used in 26 patients, whereas the transobturator route (TOR) was used in 21 patients. Fifteen patients underwent concomitant posterior colporrhaphy. The FSFI was completed before surgery and 36 months after surgery. The patients' mean age was 44.9 years (range, 30-59 years) and their mean parity was 2.8 (range, 0-6). There were no significant differences in the individual FSFI domain scores between before surgery and 36 months (36.8±4.57) after surgery. There were no significant differences in sexual satisfaction between the patients with concomitant posterior colporrhaphy and patients with the midurethral sling procedure only. There were no significant differences in domain score between the TOR and the RPR, but patients experienced less pain after the RPR than after the TOR. There was no significant change in overall sexual function in women undergoing the midurethral sling procedure. Attention must be paid when performing the TOR procedure because it can cause pain during intercourse.

Sexual satisfaction of women partners of circumcised men in a randomized trial of male circumcision in Rakai, Uganda

To investigate the effect of adult medical male circumcision on female sexual satisfaction. We investigated self-reported sexual satisfaction among 455 women partners of men circumcised in a randomized trial of male circumcision for the prevention of human immunodeficiency virus in Rakai, Uganda. Women aged 15-49 years were interviewed about their sexual satisfaction before and after their partners were circumcised. We analysed female-reported changes in sexual satisfaction using chi-square or Fisher's exact tests. Only 2.9% (13/455) of women reported less sexual satisfaction after their partners were circumcised; 57.3% (255/455) reported no change in sexual satisfaction and 39.8% (177/455) reported an improvement in sexual satisfaction after their partner's circumcision. There were no statistically significant differences in sexual satisfaction before and after partner's circumcision by age, religion and education status. The overwhelming majority of women (97.1%) report either no change or improved sexual satisfaction after their male partner was circumcised. These findings suggest that male circumcision has no deleterious effect on female sexual satisfaction.

Does vaginal anti-incontinence surgery affect sexual satisfaction? A comparison of TVT and Burch-colposuspension

To evaluate the sexual satisfaction rates of women who underwent tension-free vaginal tape (TVT) procedure for stress urinary incontinence and compare it with the results of Burch-colposuspension. A self-administered questionnaire was given to 81 patients who had undergone TVT or Burch-colposuspension at our institution to determine sexual satisfaction rates and reasons for dissatisfaction. Forty-seven patients in TVT group and 22 patients in Burch-colposuspension group were considered eligible for the study. The mean follow-up period and age of patients in TVT and Burch-colposuspension groups were 34 months, 51.5 years and 89 months, 52.9 years, respectively. The difference between the ages in the two groups was not statistically significant, while the difference between mean follow-up periods was significant (p = 0.000). When evaluating sexual satisfaction, 73% in the TVT group and 86% in the Burch-colposuspension group did not report any difference in sexual satisfaction following surgery, while in the TVT group, 23% expressed negative and 4% positive changes, and in the Burch-colposuspension group 9% expressed negative and 5% positive post surgical changes. The differences in sexual satisfaction rates between the two groups were not considered significant. The majority (54%) of those who expressed a negative change suffered from dyspareunia. Although sexual satisfaction seems to be more adversely affected by TVT compared to Burch-colposuspension, the difference was not statistically significant. Further studies are required concerning different anti-incontinence techniques in order to arrive at more precise conclusions.

Sexual Satisfaction of Married Urban Chinese

While there is literature on family life satisfaction for married Chinese, there are few studies concerning marital sexual life satisfaction. Using data from the 1993 China Housing Survey conducted in the two major metropolitan cities of Shanghai and Tianjin, this study explores factors that are associated with sexual satisfaction of married urban Chinese. Ordinary Least Squares (OLS) is employed to estimate the effects of family relationships, socioeconomic status, division of house labor, and demographic characteristics on sexual satisfaction. Differences in sexual satisfaction among married men and women are also examined. The results show that family relationships and sexual satisfaction are closely correlated throughout all models. Socioeconomic status and division of house labor are partially correlated. Demographic-related characteristics, however, have little influence on sexual satisfaction. The correlations with sexual satisfaction between married men and women show more similarity than disparity.

Religiosity and the sexuality of women: Sexual behavior and sexual satisfaction revisited

Although our societal attitudes about sexuality continue to be dominated by the religious view that sexual desires are to be restrained and sexual pleasures to be avoided, the degree to which religiosity actually influences the sexuality of women remains a matter of conjecture. The purpose of this investigation was to ascertain the relationship, if any, between religiosity and the sexual behaviors and sexual satisfaction of women. An anonymous questionnaire concerning sexual attitudes, sexual behaviors, and female sexual response was administered to 868 female professional nurses in 15 states. Significant differences were found between the degree of religiosity and the age at initiation of sexual intercourse and attitudes toward masturbation. Similar to earlier findings, there were no significant differences in sexual satisfaction between women with high‐frequency and low‐frequency church attendance.

Homosexual and bisexual identity in sex-reassigned female-to-male transsexuals

Descriptions of female-to-male transsexuals who are sexually attracted to men are rare. This is a report on nine of them. Their awareness of gender dysphoria preceded their awareness of their attraction to men. Their wish to undergo sex reassignment as a means of resolving their gender dysphoria superseded any concerns about their sexual orientation or sexual adaptation after surgery. Several had had sexual relationships with men before sex reassignment which were unsatisfactory because these men viewed our subjects as women. After sex reassignment, the subjects successfully established sexual relationships with gay men; in some of them even penovaginal intercourse was part of their sexual activities. While hormonally and surgically reassigned, none of our subjects had had phalloplasty. All nine subjects were interviewed and given psychological tests measuring sexual satisfaction and psychological adjustment. Their results were compared to those of a group of self-identified gay men. No major differences in sexual satisfaction and psychological adaptation were found. The phenomenon of female-to-male transsexuals who develop a sexual orientation toward men may be more common than previously thought. Regarding female gender dysphoric individuals, our findings challenge the issue of using sexual orientation in classification systems of gender dysphoria syndromes and as a risk factor in the decision regarding sex reassignment. Further, our study invites us to rethink the genital criterion in the assessment of sexual orientation.

Wives' Employment Status and Marital Happiness of Religious Couples

This paper examines the impact of women's employment on the marital happiness of 313 Mormon couples. Five dimensions of marital happiness are considered: global marital happiness, marital cohesion, marital consensus, sexual satisfaction, and marital satisfaction. Analysis of the husbands' responses showed that husbands were most happy when their wives were working full time and least happy when they were working part time. When controls for religiosity and age of children are included, the results produced significant differences in sexual satisfaction with husbands of full-time employed wives reporting the most satisfaction, followed by those with traditional wives. Least satisfied were those with part-time employed wives. Few significant differences were found for wives across the employment categories. There was a significant difference in global marital happiness with traditional homemakers being the most happy, followed by full-time employed wives. Wives working part time were the least happy. When wives identified themselves as strong church members and the age of children was added as a variable, results showed traditional homemakers with preschool children had higher global marital happiness, consensus, and sexual satisfaction.