Levels Of Sexual Satisfaction Research Articles

The impact of intensive trauma-focused treatment on sexual functioning in individuals with PTSD.

Individuals with posttraumatic stress disorder (PTSD) often experience sexual disturbances. To determine whether intensive trauma-focused treatment is associated with an improvement in sexual functioning (i.e., sexual satisfaction and sexual desire) in individuals with PTSD. In total, 227 patients with PTSD (68.7% women, mean age = 40.97) participated in an intensive eight-day trauma-focused treatment program consisting of prolonged exposure, eye movement and desensitization and reprocessing (EMDR) therapy, physical activity, and psychoeducation. Patients were assessed (i.e., Clinician Administered PTSD Scale and Sexual Functioning Questionnaire) pre- and post-treatment and at 6-months follow-up. Sexual satisfaction and sexual desire increased significantly associated with trauma-focused treatment from pre-treatment to 6-months follow-up, albeit the effect sizes were small (Cohen's d = 0.39 and 0.17, respectively). Although men reported greater overall sexual desire than women, sexual functioning improved after treatment in both men and women. Furthermore, those with remission of PTSD reported greater sexual functioning post-treatment and at 6-months follow-up, than those without remission. However, changes in PTSD symptoms associated with treatment were not predictive of the level of sexual satisfaction or sexual desire 6 months after treatment. The results of this uncontrolled study suggest that intensive treatment for PTSD can have beneficial effects on sexual satisfaction and desire in both men and women; however, this may not necessarily be due to a decrease in PTSD symptoms.

Pengaruh Tindakan Histerektomi terhadap Kualitas Kepuasan Seksual pada Pasien Plasenta Akreta di Indonesia (Literature review)

Placenta accreta is a complication in pregnancy that can increase the risk of maternal morbidity and mortality. Placenta accreta is a condition in which the implanted placental villi go too deep into the uterine wall. In the past few decades, the prevalence of placental cases in Indonesia has increased along with the increase in cesarean deliveries. Patients with post-hysterectomy can have changes in self-image acceptance that can affect psychological conditions and sexual satisfaction to post-traumatic stress disorder (PTSD). This study aims to determine how the effect of hysterectomy on the level of sexual satisfaction in placenta accreta patients in Indonesia. This study used a literature review study design. Research article searches were sourced from the PubMed, Google Scholar, and SCOPUS electronic databases. Search articles using keywords, namely hysterectomy, placenta accreta, sexual satisfaction. The results of a review of three journals that have been carried out show that the incidence of placenta accreta in placenta previa is quite worrying, namely as much as 25-50% and is a priority for cesarean section. The treatment that is often the choice is hysterectomy. The results showed that the effects of hysterectomy on women included orgasm problems, decreased libido, accelerated menopause, and nerve damage. This causes 10-20% of women to experience a decline in sexual function. The data that we reviewed can be concluded that although there are sexual dysfunction disorders in placenta accreta patients with hysterectomy therapy, there is no significant difference in the level of sexual desire between patients with hysterectomy and without hysterectomy in cases of placenta accreta.

Chemsex and Sexual Well-Being in Young Polish Men.

Chemsex refers to the use of psychoactive drugs for sexual purposes-before or during sex. This phenomenon mainly affects men, in particular those belonging to the LGBTQIA+ (lesbian, gay, bisexual, transgender, intersex, queer/questioning, asexual, and more diverse individuals) community. From the perspective of the transactional theory of stress, chemsex can be considered a strategy for coping with stress, which is why it is also extremely important to verify its role in functioning outside the sexual sphere. For this reason, this study verified the relationship between the use of chemsex, perceived stress, sexual well-being, and life satisfaction in young Polish men. The study involved 175 men (67 people using chemsex and 108 people in the control group) between 18 and 33 years of age. The Perceived Stress Scale, the Short Scale of Sexual Well-being, the Satisfaction with Life Scale, and the authors' questionnaire about the use of chemsex were used. It was observed that individuals using chemsex showed a significantly lower level of sexual well-being and satisfaction with life (moderate effects) and a higher level of perceived stress (strong effect) when compared to the control group not using psychoactive substances. Additionally, a positive and moderate relationship was observed between the number of psychoactive substances used and perceived stress in the group of individuals using chemsex. Moreover, the number of substances used and the level of perceived stress were negatively and moderately related to the level of well-being in these individuals. It was also shown that perceived stress was a significant predictor of the number of psychoactive substances used before and during sex and that perceived stress and the number of psychoactive substances used were significant and negative predictors of life satisfaction and sexual well-being, explaining a large portion of their variance.

Breast Conserving Surgery is Better for Sexual Satisfaction Compared to a Modified Radical Mastectomy for Breast Cancer.

This study aimed to determine the difference between the level of sexual satisfaction in breast cancer patients with Modified Radical Mastectomy (MRM) and Breast Conserving Surgery (BCS). This study used a cross-sectional study using a validated Female Sexual Function Index questionnaire. This study was conducted from 2020 until 2021. Data were collected and analyzed using the chi-square test for bivariate variables and logistic regression for multivariate variables. Patients with BCS were more satisfied with their sexual activity than patients undergoing modified radical mastectomy (p = 0.0001, OR 6.25, CI = 2.78 - 14.01). Other factors having effect on sexual satisfactions were: age that showed a statistically effect on sexual satisfaction (patients <55 years were more satisfied than patients ≥55 years ( p = 0.004, OR = 3.23, CI 1.44 - 7.22), the period after operation (<5 years vs >5 years) showed a statistically significant difference in sexual satisfaction ( p = 0.087, OR=0.53, CI = 0.25-1.10), Having chemotherapy treatment showed statistically significant risk for sexual satisfaction (p = 0.003, OR=7.39, CI= 1.62-33.83). Factors having no statistically significant effect on sexual satisfactions were: Radiotherapy treatment (p = 0.133, OR=1.75 and CI = 0.84 -3.64), length of marriage as defined with <10 years and > 10 years (p = 0.616, OR=1.39 and CI = 0.38-5.09), marital status (p = 0.082, OR =0.39, CI=0,13 - 1.16), educational status (p = 0.778, OR = 1.18, CI = 0.37 - 3.75), and work at home vs outside home (p = 0.117, OR=1.8, and CI = 0.86 - 3.78). BCS as surgical therapy option is the most dominant factor related to sexual satisfaction followed by age group, and chemotherapy group.

(077) Physiological Synchrony and Sexual Satisfaction: A Replication and Extension

Abstract Introduction Physiological synchrony (PS) refers to a pattern of psychophysiological covariation in the context of close relationships that is thought to develop as a function of dynamic, reciprocal exchanges across biological systems over time (for a review, see Palumbo et al., 2017). There is strong evidence to suggest that PS is a marker of well-being in romantic relationships, with research illuminating close associations between PS and domains of relational functioning including overall relationship satisfaction and feelings of closeness, connection, and empathy for one’s romantic partner (e.g., Helm et al., 2014; Palumbo et al., 2017; Timmons et al., 2015; Countinho, 2019). More recent research has extended these findings to sexual relationships, finding that PS predicts attraction to a potential sexual partner (Prozachkova et al., 2022) and, in a laboratory setting, global evaluations of sexual satisfaction (Freihart &amp; Meston, 2019). Objective Taken together, there is theoretical and empirical evidence to suggest that psychophysiological attunement between partners may be relevant for their sexual relationship. Building upon these data, the current project seeks to examine PS in a more ecologically valid context: at-home, during sexual activity. The primary aims of the current project include: (1) replicating previous research suggesting that PS observed during non-sexual interactions predicts sexual satisfaction, (2) illuminating whether physiological synchrony manifests between partners during sexual activity, and finally, (3) examining whether the magnitude of the observed synchrony is stronger during sexual activity than during non-sexual interactions. Methods Heterosexual couples in monogamous, romantic relationships were recruited from the community surrounding (University name redacted for review). Participants’ autonomic physiological response were measured in an ambulatory fashion across a baseline task, three non-sexual interpersonal tasks (i.e. looking into each other’s eyes, actively attempting to mirror one another, and holding hands), and sexual activity as measured in three phases (i.e., foreplay, penetrative sex in a prescribed position, and penetrative sex in any position selected by the couple) using chest straps with impedance cardiography technology. Levels of sexual satisfaction were measured via self-report measures that assessed global sexual satisfaction and satisfaction with a specific sexual encounter. Results Data analyses are ongoing with an anticipated completion date of January 2023. Results will be updated with an addendum upon data analysis. Conclusions This is the first dyadic psychophysiological study to examine autonomic linkages between partners during sex. Results may illuminate a candidate mechanism for variation in couple-level sexual satisfaction and, to that end, may provide rationale for future treatment development research utilizing psychophysiological attunement to optimize dyadic sexual outcomes. Disclosure Any of the authors act as a consultant, employee or shareholder of an industry for: SST

(003) The Impact of Gender Affirming Mastectomy on the Sexual Health and Satisfaction of Trans Patients

Abstract Introduction Gender-affirming mastectomy (GAM) is the most commonly performed gender-affirming surgery. Unfortunately, many areas of sexual health for transmasculine people are understudied. In particular, there are few studies that assess how chest and nipple stimulation, or lack of sensation, affect the sexual health and satisfaction of trans patients after GAM. Objective This study aims to 1) assess the importance of chest and nipple stimulation for trans patients before any chest surgery, 2) evaluate how GAM affects patients’ sexual health postoperatively, and 3) investigate how chest and nipple sensation change after GAM. Methods This is a prospective study performed at one institution. All participants are patients recruited at their GAM consultation or follow-up appointment. Pre-operative and post-operative surveys were developed based on previous validated Patient Reported Quality of Life Survey with multiple rounds of editing by two gender affirming surgeons. Surveys were distributed through Qualtrics (Qualtrics XM, Seattle, Washington). Results Since July 2021, 144 unique surveys (45 unique pre-operative and 99 unique post-operative) have been completed. The three most common gender identities are man (43%), non-binary (25%), and transgender man (9%). Eighty-four to 89% of pre-operative patients reported being able to sense normal pressure, light touch, and temperature on their chests. Sixty-two percent of preoperative patients were not concerned about potential loss of nipple sensation after surgery. Compared to their sensation before top surgery, 43 – 65% of post-operative patients reported they had decreased sensation of normal pressure, light touch, and temperature on their chests and nipples. Regarding sexual satisfaction levels, 76% of pre-operative patients reported that nipple stimulation is sometimes, rarely, or never involved in their sexual activities. Seventy-six percent of preoperative patients also stated that nipple and chest stimulation is slightly important or not at all important to their sexual activity. Compared to their sexual health pre-operatively, 59% of post-operative patients reported that the importance of their nipple and chest stimulation stayed the same, is little less, or much less important to their sexual life after the operation. After surgery, 40% of patients thought their sexual satisfaction was much or a little better. Less than 1% of patients reported that their sexual satisfaction was much worse. One hundred percent of post-operative patients were satisfied having undergone GAM and agreed that top surgery had changed their life for the better. Conclusions Sexual health of patients undergoing GAM has rarely been studied before. This study shows that nipple stimulation for the majority of top surgery patients is not heavily involved in their sexual activities and may actually decrease after surgery. Although most patients report decreased sensation postoperatively, patients’ overall sexual satisfaction does not change and for some may even improve after surgery. GAM can immensely improve quality of life while preserving or even improving patients’ sexual health. Disclosure No

(358) Responder Analysis from a Multicentered Survey of Men’s Perception who underwent Low Intensity Extracorpeal Shock Wave Therapy (LIESWT), as a Novel and Experimental Intervention for the Treatment of Erectile Dysfunction (ED)

Abstract Introduction Low-intensity extracorporeal shock wave therapy (LI-ESWT) is an experimental, non-FDA approved yet novel treatment modality that has recently been developed for treating erectile dysfunction (ED). The basic science hypothesis concerning the mechanism of action is that LI-ESWT causes microtrauma at the cellular level which may stimulate the release of angiogenic factors, and cause neovascularization of the treated tissue. Completed research report improvement in erectile functioning, decreased reliance on phosphodiesterase inhibitor medication as well as the regained ability to attain and maintain natural or spontaneous erections. We report here a preliminary responder analysis of men who had LIESWT as part of their erectile dysfunction treatment paradigm. Objective We report here the preliminary responder analysis results of an internet based, random retrospective survey on past users of this novel technology for the treatment of ED. Methods A random survey was sent to a convenience sample from 10 national centers (Hawaii, Washington (2), Portland, Utah, Oklahoma (2), Arizona, California, Oregon) to men who had completed 6 sessions of LIESWT for the treatment of ED. The internet-based survey examined patient perception and experience of this intervention. We present the responders analysis ( n=47). All procedures were performed by sexual medicine health care professionals after a detailed and comprehensive history, physical examination, and laboratory/hormonal assessment. Results Surveys were completed anonymously over the course of a 2-week period by men who had undergone 6 sessions of LIESWT. 28% of participants were aged 50-59; whereas 63 percent were over the age of 60. Other adjunctive treatments included erectile dysfunction (ED) medication, testosterone replacement therapy (TRT), previous plasma rich protein injections and Intracavernosal injections. 83% of those who got the procedure noticed an improvement within the first 5 weeks. 89% of responders noticed an improvement in erection firmness whereas 81% noticed an improvement in quality of erections. 77% of responders noticed an improvement in their level of sexual satisfaction and 72% noticed an improvement in sexual pleasure. 60% noticed an improvement in the overall quality of the orgasm. Overall, the procedure was well tolerated with &amp;lt;0.5% (3/670 procedures) adverse events reported (1 pain in penis, 1 “knot in penis” and 1 pain in the head) reported. Overall, 65% of LIESWT users would recommend this procedure to a friend. Conclusions LIESWT is a novel and experimental intervention for the treatment of ED. While it shows excellent promise, most data contain some shortcomings, including: small numbers, limited follow-p, and various non-standardized protocols. Results from a double-blind, randomized, control trial confirm that LI-ESWT may result in significant clinical improvement of erectile function and a shift towards improvement in penile hemodynamics without any adverse effects. Our participant responder analysis demonstrates that LIESWT improves erectile function and other sexuality parameters. Further larger, randomized sham-controlled, and comparative clinical trials are warranted before LI-ESWT may be considered new standard of care for men with vasculogenic ED. Disclosure No

The Effect of Post-Operative Sexual Counseling Carried out with PLISSIT Model on Sexual Function and Sexual Satisfaction in Gynecologic Cancers

Objective: This study aims to determine the effect of sexual counseling on the sexual functions and sexual satisfaction of women who underwent surgical treatment due to gynecologic cancer. &#x0D; Methods: The study sample consisted of 60 women (experimental group n = 30, control group n = 30) with ovarian, endometrial, and cervical cancer. The women in the experimental group received sexual counseling according to PLISSIT, while the women in the control group were not given sexual counseling but were monitored through routine follow-up. The Female Sexual Function Index (FSFI) and the Sexual Satisfaction Scale for Women (SSS-W) were used for the first and last evaluations of the groups.&#x0D; Results: The mean age of the women in the experimental group was 51.87 ± 8.89, while it was 50.47 ± 9.43 in the control group. There was no significant difference between the two groups in terms of sexual function and sexual satisfaction levels in the first evaluation (p&gt;.05), whereas there was a significant difference between the two groups in the final evaluation after the sexual counseling provided to the experimental group (p &lt; .001). When the first and final evaluations of the women were considered, it was observed that 33.3% of the women in the experimental group had adequate sexual functioning in the final evaluation.&#x0D; Conclusion: The sexual counseling carried out using the PLISSIT model for women who were treated for gynecologic cancer positively affected their sexual function and sexual satisfaction levels.

MP45-04 SATISFACTION AND SEXUAL DYSFUNCTION OF MEN WITH TESTICULAR PROSTHESES AFTER RADICAL ORCHIECTOMY

You have accessJournal of UrologyCME1 Apr 2023MP45-04 SATISFACTION AND SEXUAL DYSFUNCTION OF MEN WITH TESTICULAR PROSTHESES AFTER RADICAL ORCHIECTOMY Francisco Armillas-Canseco, Jorge Alcacio-Mendoza, Edson García-Castillo, Carlos González-Martínez, Renata Duarte-Valdez, and Ricardo Castillejos-Molina Francisco Armillas-CansecoFrancisco Armillas-Canseco More articles by this author , Jorge Alcacio-MendozaJorge Alcacio-Mendoza More articles by this author , Edson García-CastilloEdson García-Castillo More articles by this author , Carlos González-MartínezCarlos González-Martínez More articles by this author , Renata Duarte-ValdezRenata Duarte-Valdez More articles by this author , and Ricardo Castillejos-MolinaRicardo Castillejos-Molina More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003291.04AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Radical orchiectomy is the standard of care in patients with testicular cancer (TC). The placement of testicular prosthesis (TP) can reduce the psychosocial burden, restore self-image and improve the quality of life of patients who require orchiectomy. There is limited data on patient attitudes and counseling about TP. The objective of this study was to characterize the experiences of patients in the presence or absence of TP, the justification for seeking/refusing TP, and the related levels of sexual satisfaction or dysfunction. This information can support urologists in advising patients in their decision to receive or decline a TP placement. METHODS: Fifty-six patients undergoing radical orchiectomy for TC were evaluated, 26 of them underwent TP placement in a period between 2004 and 2020. A survey was carried out applying the IIEF-5 score (International Index of Erectile Function) and MSH (Male Sexual Health) questionnaires evaluating Domains Assessors of Sexual Response (DERS) and Descriptives of Sexual Activity (DDAS), then the variables associated with placement and the items of the questionnaires were compared between both groups RESULTS: Median age at TP placement was 33 years (20-45). Two patients reported complications and underwent explantation (7.7%). 54 (94.6%) patients mentioned that they had been offered a TP prior to orchiectomy and all of them felt that being offered an implant was important. Overall, 24 (92%) patients would have the TP implanted again and found the TP to be comfortable. Of the patients without TP, the most common reason for rejection was related to cost in 19 (63.3%) cases.Subsequently, prosthesis users were compared with non- users. A higher rate of patients with a stable sexual partner was found in the group of patients without TP (80 vs 46.2%, p=0.008). No differences were found in the score on the IIEF-5 score between both groups (23.1 vs 23, p=0.843). In terms of the global score of the MSH DERS not significant differences were found (97.5 vs 69.7, p=0.3), while in the global MSH DAS score a significantly higher score was found in patients without TP (9.7 vs. 8.6, p<0.001). CONCLUSIONS: When comparing patients with testicular prostheses against patients without testicular prostheses, there are no differences in the rate of sexual dysfunction (IIEF5 and MSH DERS score), however patients without TP reported higher scores regarding interest in sexual activity (MSH DAS), interestingly this difference persists when selecting cases with a stable sexual partner. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e622 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Francisco Armillas-Canseco More articles by this author Jorge Alcacio-Mendoza More articles by this author Edson García-Castillo More articles by this author Carlos González-Martínez More articles by this author Renata Duarte-Valdez More articles by this author Ricardo Castillejos-Molina More articles by this author Expand All Advertisement PDF downloadLoading ...

The level of sexual satisfaction and life satisfaction during second the wave of the COVID-19 pandemic in Poland.

The COVID-19 pandemic has unquestionably changed the lives of Polish people, creating anxiety and uncertainty. Life satisfaction and sexual satisfaction are subjective evaluations of life and the sexual sphere. Previous research indicates a relationship between sexual satisfaction and life satisfaction. The purpose of this study is to demonstrate what level of sexual satisfaction was present during the second wave of the COVID-19 pandemic, taking into account gender, sexual orientation, and relational status, and to examine the relationship between sexual satisfaction and life satisfaction. There were 440 participants, aged between 18 and 40 (M = 24.31, SD = 4.90). The study was conducted online. The Sexual Satisfaction Questionnaire developed by Dolińskia-Zygmunt and Nomejko was used to measure sexual satisfaction, while the Satisfaction with Life Scale developed by Diner et al. was used to measure subjective aspect of life satisfaction. Most of the respondents are satisfied with their life (33%) and sexual sphere (42%). Relationship status is important for the sense of both sexual and life satisfaction, while gender and sexual identity were not associated with any other variable. There is a positive correlation between life satisfaction and sexual satisfaction (r = 0.438, p <0.001). Regression analysis showed that significant predictors of life satisfaction are: sexual satisfaction (p <0.001) and relationship status. (p <0.001). During the COVID-19 pandemic, respondents self-rated their life satisfaction and sexual satisfaction highly, although being single can lower both types of satisfaction.

Who seeks sex therapy? Sexual dysfunction prevalence and correlates, and help-seeking among clinical and community samples.

Sexual dysfunctions (SD; e.g., female sexual interest/arousal disorder, erectile disorder, female orgasmic disorder, delayed ejaculation, genito-pelvic pain/penetration disorder, etc.) affect up to a third of individuals, impairing sexuality, intimate relationships, and mental health. This study aimed to compare the prevalence of SDs and their sexual, relational, and psychological correlates between a sample of adults consulting in sex therapy (n = 963) and a community-based sample (n = 1,891), as well as examine barriers to sexual health services for SD and the characteristics of individuals seeking such services. Participants completed an online survey. Analyses showed that participants in the clinical sample reported lower levels of sexual functioning and sexual satisfaction and higher levels of psychological distress than participants in the community-based sample. Moreover, higher SD rates were related to lower relational satisfaction and higher psychological distress in the community sample, and to lower sexual satisfaction in both samples. Among participants in the community sample who sought professional services for SD, 39.6% reported that they were unable to access services, and 58.7% reported at least one barrier to receiving help. This study provides important data regarding the prevalence of SD and the link between SD and psychosexual health in clinical and nonclinical samples, as well as barriers to treatment access.

Assessment of female sexuality in the post-pregnancy

Objective: To analyze female sexuality in the post-pregnancy period. Methods: Field study, descriptive, with a quantitative approach. The application of a sociodemographic questionnaire and a sex quotient questionnaire, which evaluated female sexual performance/satisfaction, with a sample of 24 mothers of children up to 24 months old. The data were tabulated in the Statical Package for Social Sciences. Results: It was found that most mothers were aged between 31 and 35 years (41.6%), were married, had completed higher education, had vaginal deliveries, breastfed their children, but not anymore, they had already restarted their sexual life and restarted between the 3rd and 8th week postpartum. Regarding the classification of sexual performance/satisfaction, most obtained a result from fair to good with a percentage of 54.2%, but it is worth mentioning that 20.8% were below fair to good, indicating sexual dysfunction. Regarding the statistical correlation between the performance of the level of Sexual Satisfaction in relation to breastfeeding and mode of delivery, there was no statistical significance (p&gt;0.05). Conclusion: It was found that female sexuality did not undergo major changes in the post-pregnancy period.

Female Circumcision and Sexual Satisfaction among Iranian Kurdish Women

Background: There is contradictory evidence about the relationship between female circumcision and sexual function and satisfaction, which may be rooted in cultural and social beliefs and the different types of genital mutilation/circumcision (GM/C). Objective: The present study aimed to compare the sexual satisfaction among Iranian Kurdish women with and without GM/C. Method: This cross-sectional study was conducted on 310 women with and without GM/C aged 18-45 years, referred to the health centers of Mahabad, Iran, in 2020, using the convenience sampling method. After completing the informed consent form by the participants, the demographic and obstetric characteristics and Larson sexual satisfaction questionnaires were completed. The collected data were analyzed using SPSS21 software, and Chi-square and ANCOVA tests were used. Results: The mean (SD) score of sexual satisfaction was 87.10 (6.15) and 86.99 (4.44) among women with and without GM/C, respectively. After controlling the effect of confounding variables, no significant difference was observed between the two groups. The majority of women in both groups (91.6% in women with type I genital mutilation and 92.9% in women without GM/C) had moderate sexual satisfaction and there was no significant difference between the two groups in terms of sexual satisfaction levels. Conclusion: The results indicated no correlation between sexual satisfaction and type I female genital mutilation, which may be due to the limited area of genital injury, and the individual and social acceptance of this practice. A similar study design in other populations with different types of female genital mutilation is recommended.

Perceived Stress, Sexual and Marital Satisfaction among Married Healthcare Workers in Nigeria

Background: Marital and sexual satisfaction are essential for conjugal bliss and harmony. However, stress in the workplace can influence sexual and marital satisfaction of couples. There is dearth of information about level of sexual and marital satisfaction among healthcare workers in Nigeria, as well as the connections between stress, sexual and marital satisfaction among healthcare workers. Purpose: This study assessed inter-relationship between perceived stress, sexual and marital satisfaction among married healthcare workers.Methods: This descriptive cross-sectional study adopted a quantitative approach among 150 consented healthcare workers recruited using a simple random sampling technique. Instruments for data collection included the Perceived Stress Scale, Enrich Marital Satisfaction questionnaire and Pinney Sexual Satisfaction Inventory. The Pearson correlation was used to ascertain relationships and linear regression was done to predict influence of one variable on the other.Results: Perceived level of stress of the healthcare workers was low [16.9(0.001)] and mean sexual satisfaction (SS) was poor [78.93(23.68)]. Also, 49.3% were found to be the dissatisfied maritally. Perceived stress showed a positive correlation with marital satisfaction (MS) (r=0.48, p&lt;0.01). However, stress negatively correlated with participants’ SS with partners (r=-0.51, p&lt;0.01). Similarly, general SS positively correlated with MS (r=0.32, p&lt;0.01). Predictors of MS included perceived stress (β=0.614, p=0.01), age differences with spouse (β=0.30, p=0.01), number of children (β=-0.24, p=0.01), and family type (β=-0.21, p=0.05).Conclusion: Only half of the participants in this study are maritally satisfied. Marital satisfaction increases with sexual satisfaction. Stress is correlated with reduced sexual satisfaction of the participant, and as number of children increases, marital satisfaction reduces. Couples should be encouraged to give birth to moderate number of children to improve marital satisfaction.

SEXUAL MOTIVES, SEXUAL FREQUENCY, AND SEXUAL SATISFACTION AMONG MIDDLE-AGED DIFFERENT-SEX AND SAME-SEX COUPLES

Abstract Reasons for having sex and frequency of sex are significant correlates of sexual satisfaction. However, the possible interplay between sexual motives and sexual frequency remains unexplored. Also, prior studies on sexual satisfaction largely focused on heterosexual couples and less is known about the experiences of same-sex couples. Using dyadic survey data collected from 838 middle-aged spouses in 419 gay, lesbian, and heterosexual marriages, this study examined whether the associations between sexual motives and sexual satisfaction differed by sexual frequency and whether these dynamics varied across gay, lesbian, and heterosexual couples. Results showed that intrinsic sexual motives (e.g., for enjoyment and pleasure) were associated with higher sexual satisfaction only in the context of more frequent sex, and this association did not differ for same- and different-sex couples. On the other hand, extrinsic sexual motives (e.g., to please spouse) were associated with lower levels of sexual satisfaction in the context of high-frequency sex only among men married to men and women married to men, wherein the association was stronger for heterosexual couples compared to same-sex couples. These associations were not significant with less frequent sex. Results suggest that while frequent engagement in sex with intrinsic sexual motives benefits middle-aged adults’ sexual satisfaction regardless of relationship type, the sexual satisfaction of individuals married to men is vulnerable to the negative consequences of engaging in sex due to external pressure. These findings highlight the importance of considering how sexual experiences of men and women in midlife same-sex marriages compare to those of different-sex marriages.

SEXUAL AND MARITAL SATISFACTION IN OLDER ADULTHOOD: EFFECTS OF CHILDHOOD AND ADULTHOOD VIOLENCE EXPOSURE

Abstract Objectives Guided by Finkelhor and Browne’s traumagenic dynamics model, the current study examines: 1) the long-term effects of childhood sexual abuse (CSA) and other adverse childhood experiences (ACEs) on older adults’ sexual and marital satisfaction, 2) the mediating role of intimate partner violence (IPV) victimization in the association between childhood adversities and sexual and marital satisfaction, and 3) whether gender moderates the mediational association. Research Design and Methods Using the Wisconsin Longitudinal Study, we analyzed data from 4,239 older adults between the 2004/2005 (Wave 1, Mean age = 65 years) and 2011 (Wave 2, Mean age = 72 years) data collections. The structural modeling approach was employed where the independent variables were CSA and ACEs, the dependent variables were sexual and marital satisfaction in Wave 2, and the mediators were IPV victimization and sexual and marital satisfaction in Wave 1. Results Both CSA and ACEs were associated with lower levels of sexual satisfaction and marital satisfaction in late adulthood. IPV victimization mediated the association between ACEs and marital satisfaction. The hypothesized moderated mediation by gender was not supported. Discussion and Implications: Using a population-based sample, this is one of the first studies demonstrating that distal life events such as CSA and ACEs can undermine older adults’ sexual and marital health, and revictimization in adulthood may serve as a mechanism for the association. Timely intervention is needed to prevent persistent negative effects of childhood violence.

Psychosexual Impact on a Sample of Hispanic Women With Human Papillomavirus.

Our study investigates the psychosexual impact of human papillomavirus (HPV) diagnosis and its associated conditions on Hispanic women living in Puerto Rico. A cross-sectional quantitative study was conducted on 205 women between 21 and 65 years old who received services at the Gynecology Clinics of the Medical Sciences Campus from April 2019 to December 2019. After obtaining approval from the institutional review board (March 27, 2019) and the informed consent of participants, participants completed a sociodemographic questionnaire and 4 psychological symptomatology-based questionnaires that measured levels of anxiety, depression, sexual satisfaction, and self-esteem. Of the participants, 48.8% had a known diagnosis of HPV ( n = 100) compared with 51.2% without a known HPV diagnosis ( n = 105). A Mann-Whitney U test analysis for independent samples was used, which showed that patients with known HPV diagnoses had higher reported levels of anxiety in the Generalized Anxiety Disorder Scale with a statistical significance of 0.03, as compared with patients without a known HPV diagnosis. There was no significant difference in reported levels of depressive symptoms, self-esteem, or sexual satisfaction between the groups. Our findings show that in this group of Hispanic women living in Puerto Rico, being diagnosed with HPV and its associated conditions can be associated with higher anxiety symptoms. Further studies are warranted in this population to help improve their health outcomes and access to proper primary and preventive care.

Sexual passion in couple relationships: Emerging patterns from dyadic response surface analysis

AbstractObjectiveThe objective of this study was to explore the interrelationship between one partner's inhibited sexual passion (ISP) and the other partner's obsessive sexual passion (OSP) and how these two types of extrinsically motivated passion were associated with sexual satisfaction.BackgroundPrevious research has shown that ISP and OSP are common in many couple relationships and are associated with lower levels of sexual outcomes than harmonious sexual passion, a balanced intrinsically motivated passion. However, it is not known how these two types of passion interact and are associated with sexual satisfaction.MethodsBy combining two convenience dyadic samples, we were able to evaluate the interrelationship between these passion styles with 713 mixed‐sex couples. Sexual passion and satisfaction were measured using established instruments and the data were analyzed using dyadic response surface analysis.ResultsResults indicated that when men considered their sexual passion style to be OSP and their partner's to be ISP this was associated with significantly lower levels of sexual satisfaction for both partners. In contrast, higher levels of OSP in women, as rated by either partner, were associated with higher levels of sexual satisfaction, especially when coupled with lower levels of ISP in men.ConclusionOverall, ISP had a strong negative effect on sexual satisfaction for both partners, while the influence of OSP was most clear when considered simultaneously with levels of ISP as it was different for males and females. The results illustrate the benefit of evaluating couple sexual passions simultaneously and interactively for both partners to understand their associations with sexual outcomes.

Temperament and early maladaptive schemas as correlates of sexual satisfaction

Introduction: This paper presents the correlates of sexual satisfaction, i.e. early maladaptive schemas and personality factors. Aim: The aim of the present study was to identify which early maladaptive schemas are associated with sexual satisfaction, and to clarify the role of temperamental dimensions in determining its level. In other words, the study analyses the significance of early human experience and personality determinants for the level of sexual satisfaction. Methods: The study group consisted of 104 people aged 18 to 40 years who were recruited from the general non-clinical population. Sexual Satisfaction Questionnaire (Kwestionariusz Satysfakcji Seksualnej, KSS), Temperament and Character Inventory (TCI) Young’s Schema Questionnaire 3, Short Form (YSQ-S3-PL), were used in the analysis. Results: Of all the personality variables, only Harm Avoidance was found to have a predictive value (β = −0.246; p = 0.036): all temperamental and characterological variables that entered the regression model were found to account for only about 12% of the variability. Among the maladaptive schema domains analysed, Over-vigilance and Inhibition and Other Directedness have predictive values, together explaining about 26% of the variability of the results (β = −0.311, p = 0.006; β = −0.247, p = 0.029). Conclusion: The most significant determinants of sexual satisfaction are cognitive schemas, i.e. early childhood experiences based on the long-term satisfaction of one or several core needs, or failure to do so. In contrast, personality factors, including temperamental and character factors, play a slightly lesser role.

The Association Between Relationship Orientation, Relationship Quality and Sexual Satisfaction

Although, uncommitted dating via online apps is widespread, most people find value in long-term, trusting relationships. From a social and evolutionary point of view, it has been theorized that mating strategies, and, in particular, short-term strategies make some relationships more vulnerable than others. In our study, we examined short- and long-term relationship orientation and their association with relationship quality. We analysed data from 395 heterosexual couples using the actor-partner-interdependence model in order to explore effects on individuals and couples. Results demonstrated that short-term orientation was associated with lower levels of relationship quality and an increased likelihood of complaints about the partner and the relationship. Long-term relationship orientation, on the other hand, was associated with higher levels of relationship quality. In addition, higher levels of sexual satisfaction mediate the association between short-term orientation and relationship quality. In-depth analyses revealed gender- and couple effects.