Golombok Rust Inventory Of Sexual Satisfaction Research Articles

Recovering sexual satisfaction after prolapse surgery: a secondary analysis of surgical recovery.

We compared pre- and postoperative sexual function scores in sexually active women undergoing pelvic organ prolapse (POP) surgery. Planned secondary analysis of women enrolled in the Restricted Convalescence: Outcomes Following Urogynecologic Procedures study, a randomized trial of postoperative activity after POP surgery. All participants could return to sexual activity at 6 weeks. Participants completed the Pelvic Floor Distress Inventory (PFDI), the Patient-Reported Outcomes Measurement Information System (PROMIS) profile, and the Golombok Rust Inventory of Sexual Satisfaction (GRISS) questionnaires at baseline and 3 months. GRISS is a validated 28-item survey for heterosexual couples that contains seven subscales to assess sexual function. Higher scores represent worse sexual function. Thirty-seven sexually active women were assessed. Mean age ± standard deviation (SD) was 56 ± 11, most of whom (92%) were Caucasian; 78% had undergone minimally invasive sacrocolpopexy, and the remainder had native tissue vaginal repairs. GRISS scores improved 3 months after surgery [4.5 ± 2.6 to 3.6 ± 2.2, p< 0.001; mean decrease of 0.9, 95% confidence interval (CI) 0.36-1.36]. PFDI scores improved from 122 ± 53 at baseline to 28 ± 31 at 3months (p< 0.001). Higher GRISS scores were correlated with higher PFDI scores (Spearman's rho = 0.35, p= 0.03) at baseline and 3months (Spearman's rho = 0.31, p = 0.03). Several GRISS subscales improved after surgery: partner avoidance (p= 0.01), vaginismus (p= 0.02), noncommunication (p = 0.01), dissatisfaction (p= 0.03), and anorgasmia (p= 0.001). However, sexual infrequency (p= 0.08) and nonsensuality (p= 0.4) did not change. Fifty-one percent had sexual dysfunction before surgery, which decreased to 32% after surgery (p= 0.04). Sexual function and satisfaction are significantly improved 3 months following POP surgery. Improved sexual function is correlated with improved pelvic floor symptoms.

Sexual Dysfunction Is Associated with Depression and Anxiety in Patients with Predialytic Chronic Kidney Disease.

We aimed to determine the prevalence of sexual dysfunction and clarify the relationship between sexual dysfunction and depressive mood state, drugs, and disease activities in patients with predialytic chronic kidney disease (CKD). In total, 150 patients with CKD who had an estimated glomerular filtration rate of 15-60 mL/min were included; 65 healthy controls were selected. A detailed medical and sexual medical history was taken from individuals in the control and patient groups by applying the Golombok-Rust Inventory of Sexual Satisfaction and Hospital Anxiety and Depression Scale. Sexual frequency (p=0.027), impotence (p<0.001), and premature ejaculation scores (p<0.001) in male patients and sexual frequency (p=0.004), communication (p=0.004),, satisfaction (p<0.001), avoidance (p=0.008), orgasmic dysfunction (p<0.001), sensuality (p=0.002), and total sexual dysfunction scores (p<0.001) in female patients with CKD were found to be higher compared with the control group. In female patients, the depression scores of patients with stage 3 CKD were found to be higher than those of patients with stage 4 CKD (p=0.028). The avoidance scores of male patients with depression (p=0.006) were high. In contrast, the communication score of female patients with depression was high (p=0.004). It has been detected that the factors that affect the sexual dysfunction score of patients with CKD in males are age (p=0.006), hypertension (p=0.008), anxiety (p=0.003), and depression (p=0.002) and those in female patients are age (p=0.034), anxiety (p<0.001), and depression (p=0.001). Patients with predialytic CKD substantially have sexual dysfunction. The most important factors that affect sexual dysfunction are age, hypertension, anxiety, and depression.

Sexual Dysfunctions are Predicted by Childhood Sexual Abuse in Women with Opioid Use Disorder

ABSTRACTBackground: Studies on sexual functioning of populations with substance use disorders (SUDs) are mostly conducted with male substance users. We have very limited information about the sexuality and related factors in women with opioid use disorder (OUD). Objectives: We aimed to evaluate the relationship between childhood traumatic experiences (CTEs) and sexual dysfunctions (SDs) of women with OUD and to compare it with a sample of women who do not have SUD. Methods: Participants included 51 outpatient women with OUD who were on opioid maintenance treatment (OMT) with Buprenorphine/Naloxone and 48 women without SUD. Participants were evaluated by a semi-structured sociodemographic form, the Golombok-Rust Inventory of Sexual Satisfaction (GRISS), the Childhood Trauma Questionnaire (CTQ-28), the Beck Depression Inventory (BDI) and the State-Trait Anxiety Inventory (STAI). Results: In women with OUD; CTQ-28, BDI, STAI, and GRISS scores were significantly higher. In the partial correlation analysis, sexual abuse was found to be significantly correlated with nonsensuality, avoidance and total GRISS score. In stepwise regression model, sexual abuse was found to predict SDs together with depression. Conclusions: CTE, SD, depression, and anxiety rates were higher in the women with OUD. Especially childhood sexual abuse was associated with SDs in this group. Sexual abuse was predicting SDs together with depression. Further investigation of different characteristics of women with SUD may give an opportunity to clinicians to have a better understanding for adaptable treatment strategies.

Efectos del consumo de drogas y de la ansiedad en la eyaculación precoz en una muestra de drogodependientes españoles

IntroductionPremature ejaculation may be due to many factors and one of them may be drug use. AimsThe main objective of this study is to show how drug abuse affects the ejaculatory response, keeping in mind the different substances consumed, the level of anxiety and the period of withdrawal. MethodTwo samples were used, one for men who were addicted to drugs (N=925) and one of non-consumers (N=82). Both samples were selected from 28 treatment centers. The Golombok Rust Inventory of Sexual Satisfaction (GRISS) questionnaire and the State Anxiety Trait Questionnaire (STAI) were used. ResultsThe results show that men with a history of consumption obtain higher percentages in premature ejaculation compared to non-users (44.3%> 15.9%) and also higher mean scores in anxiety (State Anxiety=19.83>11, 89; Trait Anxiety=25.66>12.39). These differences were statistically significant (P=.000). The results confirm that the withdrawal period does not improve ejaculatory response and having a partner does not work as a protective factor in premature ejaculation. ConclusionsMen with a history of drug use are more likely to suffer from premature ejaculation and higher levels of anxiety, which does not improve during the period of withdrawal, leading to the belief that drug users have personality traits that facilitate premature ejaculation and/or that the neurological damages caused by the drugs contribute to a decrease in the intravaginal ejaculatory latency, issues that should be studied in future investigations.

Long-Term Sexual Function After Obstetric Anal Sphincter Injuries.

Obstetric anal sphincter injuries (OASIS) are associated with severe short and long-term morbidities, although little is known about the long-term sexual function or satisfaction of women and partners of women with history of OASIS. The objective of this study was to describe the long-term sexual function and satisfaction of women who previously sustained OASIS and to assess sexual satisfaction among their male partners. This was a follow-up study of participants enrolled in the For Optimal Recovery: Care After Severe Tears (FORCAST) prospective cohort study of women with a history of OASIS after delivery of a full-term singleton infant between 2011 and 2013. A total of 47 women and 25 male partners at a mean of 45 months ± 8 months after incident delivery completed online validated questionnaires assessing current sexual functioning and satisfaction. The Female Sexual Functioning Index (FSFI) was completed by female participants, whereas the Golombok-Rust Inventory of Sexual Satisfaction (GRISS) was completed by both female participants and their male partners. Nearly half (47%) of women met the criteria for female sexual dysfunction according to the Female Sexual Functioning Index. One-third of women (34%) had an overall GRISS score of 5 or greater, indicating sexual dysfunction. Sixty-two percent of women had a subsequent delivery. Seven male partners (28%) met the criteria for sexual dysfunction according to the GRISS. The most problematic GRISS subscale reported by both men and women was that of infrequency of intercourse. Even 3 years after sustaining OASIS, up to half of women and many male partners meet the criteria for sexual dysfunction. Future studies including women without history of OASIS are needed to further investigate the role OASIS may play in the development of long-term sexual dysfunction.

Responsiveness of the Golombok Rust Inventory of Sexual Satisfaction in couples with incontinent partners

ObjectiveIn order for a measure to reliably evaluate treatment efficacy, it is important that the measure used has adequate responsiveness. However, the responsiveness of the Golombok Rust Inventory of Sexual Satisfaction (GRISS) questionnaire, a highly recommended questionnaire by the International Consultation of Incontinence to assess sexual function in patients with incontinence, has not been established. To enable the use of GRISS to measure change in sexual function following incontinence treatment, we evaluated the short- and long-term responsiveness of the GRISS in couples with female stress urinary incontinence partners. Study designForty-eight couples with female stress urinary incontinence partners were included in the study. The GRISS, a 28-item multidimensional measure, comprises two sets of questionnaires to assess sexual function in both male and female partners. Responsiveness was investigated using data from our recent randomized controlled trials evaluating efficacy of pulsed magnetic stimulation for treatment of female patients with stress urinary incontinence. Effect size index and standardized response mean were used to measure responsiveness of the English and Chinese versions of GRISS. ResultsFor short-term responsiveness, the overall female and male GRISS scores had effect sizes and standardized response means ranging from 0.60 to 0.83 and 0.44 to 0.78 respectively. For long-term responsiveness, the overall female and male GRISS scores had effect sizes and standardized response means ranging from 0.59 to 0.77 and 0.48 to 0.79 respectively. ConclusionIn conclusion, the English and Chinese versions of GRISS had adequate responsiveness for use in couples with incontinent partners. The GRISS can be a useful measure to detect change in sexual function of couples following treatment of females with stress urinary incontinence.

Prevalence of Depression and Anxiety Disorders and Their Relationship with Sexual Functions in Women Diagnosed with Lifelong Vaginismus

In patients with vaginismus, the Lack of knowledge on rates of depression and anxiety disorders is noteworthy. The aim of the present study was to investigate the prevalance of anxiety disorders and major depression and to examine the relationship of these omorbidities with sexual functions in women diagnosed with lifelong vaginismus. METHOD: One hundred and fourty-four women who were diagnosed with vaginismus were recruited for the study. Depression and anxiety disorders section of the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) and Golombok-Rust Inventory of Sexual Satisfaction (GRISS) were administered to the participants. RESULTS: At least one comorbid anxiety disorder and/or depression was found in 79.86 % of the cases. The most common comorbid disorder was specific phobia (63.9%). This was followed by major depression (35.4%), social anxiety disorder (13%), panic disorder (10%), obsessive compulsive disorder (5%) and generalized anxiety disorder (2%). On GRISS, mean avoidance score was higher in patients with comorbid depression and non-communication score was higher in patients with comorbid panic disorder when compared to patients with no comorbidity. CONCLUSION: The prevalence of depression and anxiety disorders, especially spesific phobia, was higher in patients with vaginismus than the general population. Both high comorbidity of these psychiatric disorders and disruption of functions in all domains of sexuality emphasize the importance of holistic approach in evaluation of these patients.

Determining the factors influencing the intimate relationship between sexual satisfaction and dyadic adjustment in postmenopausal women.

IntroductionIdentifying and characterizing sexual dysfunction is crucial in order to improve the quality of the marital relationship in postmenopausal women. Regarding this, the present study aimed to determine the association of menopausal characteristics with sexual satisfaction and marital adjustment.Material and methodsThis cross-sectional study was conducted on 89 postmenopausal women chosen using an improbable randomized sampling method. A questionnaire that collects demographic characteristics, the Dyadic Adjustment Scale (DAS) and The Golombok Rust Inventory of Sexual Satisfaction (GRISS) index were used to collect relevant data during the survey.ResultsThe mean age of postmenopausal women recruited to the present study was 54.6 ±6.7. The overall mean GRISS score and DAS score were 5.6 ±1.7 and 92.1 ±11.2 respectively. The mean GRISS scores were found to significantly increase as the ages of the women increased (p = 0.044). Mean DAS scores were lower in postmenopausal women that have menopause duration longer than 10 years (p = 0.035). Higher education level of the spouse is associated with lower GRISS scores (p = 0.024). No correlation was observed between marital adjustment and sexual satisfaction.ConclusionsAlthough sexual satisfaction and marital adjustment levels are decreased in the postmenopausal period, these two parameters do not seem to be related to each other. Multidimensional factors must be taken into account when evaluating sexual and marital satisfaction in postmenopausal women.

Sexual Function in Couples With or Without Female Incontinent Partners: Correlates and Predictors

To evaluate the correlation between sexual function of couples with and without stress urinary incontinence (SUI) partners, and to identify predictors of poor sexual function. A cross-sectional survey was conducted involving sexually active women with or without SUI aged at least 21 years old, and their respective partners. Both partners completed the Golombok Rust Inventory of Sexual Satisfaction (GRISS), a 28-item multidimensional measure with separate forms for male and female designed to assess sexual satisfaction of both partners. Spearman rank correlation coefficient was used to analyze bivariate association, whereas multiple regression analysis was used to identify predictors for overall sexual function as measured using GRISS score. Sixty-six couples with SUI partners and 95 couples with continent partners were recruited. Overall GRISS scores and thus sexual function of men and women were strongly correlated. The correlation coefficient was higher in couples with SUI partners (r = 0.702, P <.001) compared with couples with continent partners (r = 0.629, P <.001), indicating a stronger correlation in the sexual function of couples with SUI partners. In multivariate analysis, poorer sexual function (lower GRISS score) in women, increasing age, and less frequency of sexual intercourse were significant predictors of poorer overall GRISS score in couples (P <.001). Female sexual function is strongly correlated with male partners' sexual function, with a stronger correlation observed in couples with SUI partners. Poorer sexual function in women, increasing age, and less frequency of sexual intercourse are predictive of poorer sexual function in a couple.

The impact of anxiety on sexual satisfaction in menopausal women

Purpose:This study was carried out in order to determine the anxiety levels of menopausal women on their sexual satisfaction.Method and material:This descriptive study. The study was carried out at a menopause clinic of a state hospital between June and August 2011. Data were collected by questionnaire: the Golombok Rust Inventory of Sexual Satisfaction (GRISS) and the State Trait Anxiety Inventory. Results:The mean age of the participants was 49.2±7.6 years old and nearly half of the women 46-50 age group. Half of the women in our sample had a chronic disease, 46.4% of women had sexual intercourse twice a week and 85.1% of them were housewives. In our research it was found that the women’s sexual satisfaction was low, and their state anxiety levels were moderate level. There was a moderate positive correlation between the women’s sexual satisfaction scores and their anxiety levels. Increased levels of both state and trait anxiety in women reduces their sexual satisfaction. Conclusion:In this study, it was shown that women’s anxiety levels were middle and their sexual satisfactions were decreased during menopause. For this reason menopausal women’s should recommended give information about sexual and psychological consultancy services.

Effect of Pulsed Magnetic Stimulation on Sexual Function in Couples With Female Stress Urinary Incontinence Partners

ABSTRACTWe prospectively evaluated the effects of pulsed magnetic stimulation (PMS) on sexual function of couples with stress urinary incontinence (SUI) partners. Female SUI subjects received 16 or 32 biweekly PMS sessions, depending on treatment response. Prior to, immediately after, and at 6-months posttreatment, couples completed the Golombok Rust Inventory of Sexual Satisfaction (GRISS) questionnaire. Fifty-three (80.3%) of 66 couples completed reassessments. Based on the overall GRISS score, there were significant improvements in sexual function in both female subjects (Mdiff −5.05, SE 1.34, p = 0.001) and their partners (Mdiff −3.42, SE 1.24, p = 0.026). Our findings suggest that PMS improved sexual function of SUI patients and their partners.

Assessment of Dyadic Adjustment and Sexual Functions in Patients with Bipolar Disorder.

There are limited studies investigating the relation between dyadic adjustment, and sexual functions. The aim of this study was to compare patients with bipolar disorder (BD) in euthymic phase with healthy controls, and confirm our hypothesis which we expect to find that dyadic adjustment is negatively affected in bipolar patients with sexual dysfunctions (SDs). A total of 50 euthymic bipolar patients (32 female, 18 male), and 50 healthy individuals as a control group (27 female, 23 male) were included in the study. A data form for socio-demographic features and two other forms for clinical characteristics of bipolar disorder and sexual functions have been filled by clinician. The Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-4) Axis I was used to determine axis I psychiatric disorders. All patients completed Golombok Rust Inventory of Sexual Satisfaction (GRISS), and Dyadic Adjustment Scale (DAS). Twenty-five (50%) of bipolar patients, and 13 (48.8%) of healthy controls were found to have SDs. There was a significant difference between bipolar patients, and healthy controls in regard to the presence of SDs (p=0.013). Dissatisfaction, communication, and anorgasmia subscale scores, and total scores of GRISS was found to be higher in female patients with BD. Intercourse frequency, impotence and premature ejaculation subscale scores and total scores of GRISS were higher in male patient group than healthy controls. When bipolar patients and healthy controls were compared, there was a significant difference between dyadic cohesion and affectional expression scores as measured by DAS. As a result of the univariate and regression analyzes, it was determined that the variable affecting the dyadic adjustment in bipolar patients was affected by sexual dysfunction rather than disease presence. The results of this study have shown that the prevalence rate of SDs is higher in bipolar patients than healthy individuals. It was determined that the variable affecting the dyadic adjustment of patients with BB was affected by sexual function rather than disease presence. The presence of SDs in bipolar patients have negative effects on dyadic adjustment.

Evaluation of effects of urinary incontinence subtypes on women's sexual function using the Golombok-Rust Inventory of Sexual Satisfaction.

The aim of this study was to compare the effects of urinary incontinence (UI) and subtypes, including urinary stress incontinence (USI), urinary urge incontinence (UUI), and urinary mixed incontinence (UMI), on sexual function and quality of life (QoL) of women. Sexually active premenopausal consecutive women (n = 153) with UI were enrolled in this study. Sexual function was assessed with the Golombok-Rust Inventory of Sexual Satisfaction (GRISS), and QoL was assessed with the Urogenital Distress Inventory Short Form and the Incontinence Impact Questionnaire Short Form. The patient population (n = 153) was composed of women with USI (n = 20), UUI (n = 21), UMI (n = 40), and a control group (n = 72) assessed for only routine gynecological evaluation. Infrequency, dissatisfaction, avoidance, and anorgasmia were significantly higher in the UI group compared to the control group (P<0.05). When we compared the USI, UUI, and UMI groups in terms of the subscales of the GRISS, dissatisfaction was significantly higher in the UMI group (P = 0.001). Scores for the Urogenital Distress Inventory Short Form and the Incontinence Impact Questionnaire Short Form were significantly higher in the UMI group compared with the UUI group (P < 0.05). UI has an adverse affect on sexual function and QoL of women. UMI has the greatest impact on sexual function in terms of dissatisfaction compared with USI and UUI. We suggest routine assessment of sexually active women with UI using specific questionnaires to diagnose and treat sexual dysfunction.

The Evaluation of Self-Esteem and Sexual Satisfaction of Patients with Bowel Stoma in Turkey

This research, which is a cross sectional-descriptive study, aims to evaluate the self-esteem and sexual satisfaction of patients aged between 18 and 70 who had bowel stoma and applied to a Stoma Therapy Polyclinic of a university hospital. The study was conducted between 15 October 2015 and 15 January 2016, with 59 patients who applied to the Stoma Therapy Polyclinic and met the research criteria. The data were collected through the Patient Information Form, Rosenberg Self-esteem Scale, and Golombok Rust Inventory of Sexual Satisfaction (GRISS) Female-Male forms. Analysis of the data was performed using Pearson Chi Square test, Fisher Exact, Mann–Whitney U test and Kruskal–Wallis test. Mean score for the patients’ total self-esteem was found to be 3.27 ± 2.02, and total GRISS mean score was 58.80 ± 16.44. There was a positive, significant relationship between women’s self-esteem and frequency, communication and satisfaction sub-dimensions of GRISS (p = 0 0.05). As for the male patients, there was a positive, significant relationship between their self-esteem and frequency, communication, satisfaction, avoidance, impotence, and premature ejaculation sub-dimensions of GRISS (p = 0 < 0.05). Results of the present study show that patients with stoma had moderate levels of self-esteem, they experienced above-moderate levels of sexual problems and there were no significant differences between male and female patients in terms of self-esteem mean scores and sexual functions (except for frequency scores).

Sexual Pain Disorders in Spanish Women Drug Users

ABSTRACTBackground: The impact of pain in sexuality, couple relationships and the quality of life is very well known. Objectives: The relationship between substance abuse and the presence of sexual pain disorder is assessed, together with anxiety and sexual attitudes. Method: Two samples were selected. One sample for women with a history of substance abuse (n = 129), and another one of women nonconsumers (n = 129). The Golombok Rust Inventory of Sexual Satisfaction (GRISS), the Sexual Opinion Survey (SOS) and the State Trait Anxiety Inventory (STAI) questionnaires were used. Results: The results indicate that women consumers obtained a higher mean scores in sexual pain disorder (4.88 > 2.89, that is 65.12%), plus higher mean scores on state anxiety (23.82 > 14.56) and trait anxiety (30.93 > 16.95), and lower average figure in erotophilia (84.93 < 95.81). It was also verified that the period of abstinence does not improve sexual response. Conclusions: Substance consumption affects sexual response in women negatively. Sexual response does not improve with abstinence period.

Evaluation of sexual functions and marital adjustment of pregnant women in Turkey.

The aim of this study was to evaluate pregnant women's sexual function and marital adjustment. The sample of the study included 298 women, and it was evaluated using Golombok Rust Inventory of Sexual Satisfaction (GRISS) Scale and Marital Adjustment Scale. The most important reasons for decreasing the frequency of sexual intercourse included the fear of harming the fetus during intercourse (62.1%), fear of having miscarriage (47.8%) and decreased sexual desire (34.7%). It was found that women with sexual dysfunction had a significantly lower educational level, were living with three or more people in their home, were multiparious, had an unplanned pregnancy, reported pain during sexual intercourse and felt that their sexual life was very affected during pregnancy. The findings of the study showed that women had ⩾5 points for GRISS for the subscales as follows: infrequency (47.3%), non-communication (57.4%), dissatisfaction (15.4%), avoidance (6.4%), non-sensuality (19.1%), vaginismus (28.9%), anorgasmia (29.9%) and sexual dysfunction (17.4%). In conclusion, women who were living with three or more people at home, had lower income level, were smoking and had an unplanned pregnancy scored under 43.5 of MAS. It was found negative and there was a medium correlation between MAS score and total GRISS score.

S&T-62 EFFECT OF PULSED MAGNETIC STIMULATION ON SEXUAL FUNCTION IN COUPLES WITH INCONTINENT PARTNERS

You have accessJournal of UrologyScience & Technology Posters1 Apr 2016S&T-62 EFFECT OF PULSED MAGNETIC STIMULATION ON SEXUAL FUNCTION IN COUPLES WITH INCONTINENT PARTNERS Renly Lim, Men Long Liong, Wing Seng Leong, Nurzalina Abdul Karim Khan, and Kah Hay Yuen Renly LimRenly Lim More articles by this author , Men Long LiongMen Long Liong More articles by this author , Wing Seng LeongWing Seng Leong More articles by this author , Nurzalina Abdul Karim KhanNurzalina Abdul Karim Khan More articles by this author , and Kah Hay YuenKah Hay Yuen More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.2891AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The 5th International Consultation on Incontinence recommends that research in female stress urinary incontinence (SUI) should assess treatment impact on sexual function. Recent published studies have highlighted the interdependence between male and female sexual function. We evaluated the effect of the under-studied non-surgical treatment pulsed magnetic stimulation (PMS) on sexual function in female subjects with SUI and their partners. METHODS Couples with female SUI partners, at least 21 years old and sexually active were recruited. SUI subjects received 16 or 32 PMS sessions (twice a week) depending on treatment response. Treatment responders were defined as a 5-point reduction in the International Consultation on Incontinence Questionnaire for Urinary Incontinence-Short Form (ICIQ-UI SF) (range 0 to 21). Prior to and at 6-months post-treatment, the female subjects completed the ICIQ-UI SF, while both partners completed two key parameters; i) Golombok Rust Inventory of Sexual Satisfaction (GRISS) questionnaire (range 0 to 96) and ii) single-item question on overall sexual experience, ‘Over the past 4 weeks, how satisfied have you been with your overall sexual life?’. The GRISS questionnaire is a highly recommended questionnaire by the 5th International Consultation on Incontinence with comparable male and female subscales to assess sexual function in couples, and has been translated and validated by our research team in the Malaysian population. RESULTS 53 of 66 couples (80.3%) completed reassessments at 6-months post-treatment. Mean reduction (Mdiff) ± standard error (SE) in the ICIQ-UI SF score was -6.55 ± 0.46 (p<0.001). Based on the overall GRISS score, there were significant improvements in both female subjects (Mdiff -5.16, SE 1.31, p<0.001) and their partners (Mdiff -3.38, SE 1.21, p=0.008). Based on the single-item question on overall sexual experience, there was a significant increase in the percentage of female subjects who felt ‘moderately satisfied’ or ‘very satisfied’ (p=0.032) but no significant change in their partners (p=0.330). Subgroup analysis showed that female subjects who received 32 sessions (Mdiff -8.64, SE 2.09, p=0.015) had twice the mean reduction compared with 16 sessions (Mdiff -4.03, SE 1.57, p=0.002). In contrast, a longer treatment duration did not lead to significant improvement in sexual function of their male partners (Mdiff -2.23, SE 2.64, p=0.414). CONCLUSIONS PMS improve sexual function of both the female subjects and their partners. Increasing the number of PMS sessions may further improve female sexual function. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e334 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Renly Lim More articles by this author Men Long Liong More articles by this author Wing Seng Leong More articles by this author Nurzalina Abdul Karim Khan More articles by this author Kah Hay Yuen More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...

Comparison of the effects of voluntary termination of pregnancy and uterine evacuation for medical reasons on female sexual function

ObjectiveA wide spectrum of emotions are experienced during abortion, including anxiety, sadness and grief, guilt, pessimism about future pregnancies, disturbed self-perception and loss of confidence in intimate relationships. This study aimed to compare the short-term effects of legal voluntary termination of pregnancy with uterine evacuation for medical reasons on female sexual function. Study designThe study group was comprised of 50 patients admitted to the Family Planning Clinic for legal voluntary termination of pregnancy <10 weeks of gestation, and the control group was comprised of 50 patients who underwent manual vacuum aspiration of the products of conception for medical reasons (e.g. inevitable abortion, incomplete abortion, fetal abnormality and teratogenic drug use). Female sexual function in the two groups was evaluated using the Golombok–Rust Inventory of Sexual Satisfaction (GRISS). GRISS scores immediately before and 3 months after termination of pregnancy were compared within each group and between the two groups. ResultsMean total GRISS scores before and after termination of pregnancy were 5.33 and 8.12 in the study group, and 6.02 and 6.4 in the control group, respectively (p<0.05). The increase in GRISS scores for both groups indicated deterioration in sexual function (p=0.000 and p=0.016, respectively). Three months after termination of pregnancy, the total GRISS score was significantly higher in the study group compared with the control group (8.12 vs 6.4, p<0.05). ConclusionFemale sexual dysfunction is a complicated concept that is affected by multiple factors over a woman's lifetime. It is important to consider female sexual function as a part of reproductive health, with a close relationship with contraception. As such, patients should receive counselling about sexual function and contraception as part of comprehensive abortion care.

Effect of Stress Urinary Incontinence on the Sexual Function of Couples and the Quality of Life of Patients

Studies of the effects of stress urinary incontinence on the sexual function of couples are scarce. We prospectively evaluated couple sexual function and the relationship between sexual function and quality of life. We also compared quality of life in females with vs without stress urinary incontinence. Sexually active females at least 21 years old with or without stress urinary incontinence and their partners were recruited for study. To assess sexual function the couples completed GRISS (Golombok Rust Inventory of Sexual Satisfaction) and a 1-item question on overall sexual experience, "Over the past 4 weeks, how satisfied have you been with your overall sexual life?" Additionally, females completed ICIQ-LUTSqol (International Consultation on Incontinence Questionnaire-Lower Urinary Tract Symptoms Quality of Life) to assess quality of life. For sexual function assessment 66 of 134 couples with (49.3%) and 95 of 176 without (54.0%) stress urinary incontinence were recruited. Females with stress urinary incontinence had lower overall sexual function, lower frequency of sexual intercourse, less satisfaction (each p <0.001) and higher avoidance behavior (p = 0.026). Partners of females with stress urinary incontinence had more problems with erectile dysfunction (p = 0.027), less satisfaction (p = 0.006) and lower frequency of sexual intercourse (p = 0.001) but no difference in overall GRISS score (p = 0.093). Couples with stress urinary incontinence had poorer overall sexual experience (p <0.05). Females with stress urinary incontinence had poorer quality of life than those without stress urinary incontinence (120 of 134, response rate 89.6% vs 145 of 176, response rate 82.4%, p <0.001). Sexual function and quality of life did not significantly correlate (r = 0.001, p = 0.997). Stress urinary incontinence in females is negatively associated not only with female quality of life and sexual function but also with partner sexual function.

Effect of Cognitive Behavioral Therapy on Sexual Satisfaction, Marital Adjustment, and Levels of Depression and Anxiety Symptoms in Couples with Vaginismus

The aim of this study was to assess the effect of Cognitive Behavioral Therapy (CBT) on sexual functions of women with vaginismus and their husbands, their marital adjustment, and their levels of depression and anxiety symptoms. Twenty-six couples diagnosed as vaginismus according to DSM-IV-TR diagnostic criteria in gynecology outpatient clinics of Izmir Ege Maternity Hospital and Gynecological Diseases Training and Research Hospital were included in the study. The couples were treated with CBT through 50-minute sessions once a week. Pre- and post-treatment, all couples were assessed using a Personal Information Form, Golombok-Rust Inventory of Sexual Satisfaction, Dyadic Adjustment Scale, Beck Depression Inventory, and Beck Anxiety Inventory. There were significant differences in the total and all subscales' scores of sexual functions, significant increase in the marital adjustment, and a significant decrease in anxiety and depression symptom levels after CBT in women who completed the therapy (n = 20). In the husbands, significant recoveries were observed after the therapy in sexual functions total scores and subscales of satisfaction, avoidance, and impotence. However, there was no change in frequency, communication, sensuality, and in the premature ejaculation domains. Also, the marital adjustment scores increased, and significant decreases were observed in depression and anxiety symptom levels. It was observed that CBT is an appropriate therapy approach for vaginismus, and beneficial effects were observed in both women and their husbands in sexual functions, marital adjustment, and levels of depression and anxiety symptoms decreased.