Mean Score Of Sexual Satisfaction Research Articles

Prevalence and Impact of Marital Sexual Relationship-Focused Premarital Counselling on Sexual Satisfaction Among Married Women

Background: Sexual satisfaction in marriage is paramount and key to marital satisfaction and happiness. Aims: This study is aimed at determining the prevalence and impact of marital sexual relationship-focused premarital counselling on sexual satisfaction among married women. Setting and Design: A total of 473 married women participated in this cross-sectional survey design; data was generated online utilizing Google form. Method and Material: Sexual satisfaction sub scale of Female Sexual Function Index was used in collecting data. Statistical analysis used: Chi-square and Univariate Analysis of Variance were used in testing the hypotheses in this study at 0.05 significance level. Results: Findings revealed high prevalence of marital sexual relationship focused premarital counselling among married women, with 73.6% of the married women in the study counselled on marital sexual relationship prior to their marriage, χ2 = 105.135, p = 0.0001 ( p < 0.05). Similarly, outcome of hypothesis two revealed significant difference in terms of prevalence of people that render marital sexual relationship focused premarital counselling, with 29.6%, 26.6%, 8.0%, 4.9%, 3.0%, 0.6%, 3.0%, 0.4% and 0.4% respectively, that were educated by pastors, mother, female friend, aunt, grandmother, mothers’ friend, step mother and Imam, χ2 = 540.918, p = 0.0001 ( p < 0.05). Finally, result of hypothesis three revealed that marital sexual relationship focused premarital counselling have significant impact on sexual satisfaction, means; 1.57, 1.44, F (1,471) = 5.923, p = 0.015 ( p < 0.05). Participants that were counselled on marital sexual relationship had mean sexual satisfaction score of 1.57, while those that were not counselled had mean sexual satisfaction score of 1.44. Conclusions: Findings of the study is an implication for marriage counsellors and other professionals that handle marriage related issues to be intentional in addressing marital sexual relationship issues during premarital counselling and there is need to develop marital sexual relationship premarital counselling guide which can help in addressing issues concerning marital sexual relationship during premarital counselling.

Comparison Between the Effect of the Information-Motivation-Behavioral (IMB) Model and Psychoeducational Counseling on Sexual Satisfaction and Contraception Method Used Under the Coercion of the Spouse in Iranian Women: A Randomized, Clinical Trial.

Women play an essential role in maintaining the family's health, and family planning is part of women's and families' health. The couple's mutual understanding of family planning methods is essential in selecting contraception. Acceptance of and satisfaction with different contraception methods can impact sexual satisfaction. The present study aimed to compare the effect of the information-motivation-behavioral (IMB) model and psychoeducational counseling on sexual satisfaction and contraception methods of women referring to health centers in Kerman. This trial was conducted on 81 women aged 18 to 45, in Kerman health centers, from 2021 to 2022. Participants were randomly divided into 3 groups of 27 people (control, psychoeducational counseling, and IMB method). Three online counseling sessions were held for the psychoeducational group, and four were held for the IMB group. The control group received routine care. The IBM SPSS Statistics for Windows, version 22 (IBM Corp. Armonk, NY, USA) was used for data analysis using nonparametric Friedman and Kruskal-Wallis tests. The mean age of participants was 32.59 ± 7.04, and the majority of them had university degrees and were homemakers. The mean sexual satisfaction score significantly increased immediately after the intervention and 1 month later in the 2 interventional groups (p < 0.0). Changes in contraception methods after intervention were significant in the psychoeducational group (p = 0.0) CONCLUSION:  The results indicate the positive impact of psychological counseling on women's sexual satisfaction and contraception method. The IMB method also impacted men's sexual satisfaction but did not lead to any changes in the contraceptive method.

Sexual health among cancer patients on active chemotherapy: A cross-sectional study from tertiary care cancer center in India.

e24224 Background: Cancer and its treatment lead to the deterioration of the sexual health of patients which has been highlighted in many studies. Sexual dysfunction has a great impact on the overall quality of life of patients. In this study, we aimed to evaluate the overall sexual health of patients on active chemotherapy and their knowledge and attitude toward sexual health. Methods: A cross-sectional survey was carried out at a tertiary care center in India, patients were eligible if they had received at least two cycles of cytotoxic chemotherapy, were aged 18 to 65 years, had ECOG PS of &lt; = 2, and were able to read either English or Hindi. The sexual health of patients was assessed using the EORTC SHQ C22 questionnaire. We used a self-designed questionnaire to assess the knowledge and attitude of patients. Results: A total of 211 patients were enrolled, the median age was 44 years (22-65), and male to female ratio was 1:1. Breast cancer patients represented around 35% of all the patients followed by carcinoma lung (15.6%) and gastrointestinal malignancies (14.2%). Around 52% patients had metastatic disease. Close to 46 % of patients received more than 4 cycles of planned chemotherapy. Overall the mean sexual satisfaction score was 40.2 ± 22.35 (on a scale of 0-100). The mean score for the importance given to sexual activity was 48.49 ± 32.55. Among the symptom scale fatigue was the most bothersome to patients undergoing chemotherapy with a mean score of 52.92 ± 38.56 and they were least concerned about pain during intercourse with a mean score of 23.22 ± 26.83. There was poor communication between patients and healthcare workers on this issue with the mean satisfaction score of communication with professionals being 9.79 ± 26.4. Male patients gave more importance to sexual activity compared to females (55.97 ± 33.66 versus 40.95 ± 29.69, p = 0.0004) and females experienced more pain during sexual intercourse (27.93 ± 28.41 versus 18.55 ± 24.42, p = 0.0059). Younger patients (age &lt; = 40 years) were more satisfied with their sexual life (45.16 ± 23.95 versus 37.24 ± 20.85, p = 0.0274) and gave more importance to sexual activity (56.66 ± 32.43 versus s 43.51 ± 31.72, p = 0.0023) Patient with ECOG PS 2 felt more insecure regarding their ability to satisfy their partner sexually compared to ECOG PS1 patients (61.33 ± 40.6 versus 76.19 ± 32.15, p = 0.0040). Only 73 % of the patients thought that cancer patients can have sexual intercourse. 27 % of participants were of the belief that their partners can get cancer if they have intercourse with them. Overall 88% of patients had a positive attitude toward a discussion on sexual health. Conclusions: To the best of our knowledge this is the first Indian study that has evaluated the sexual health of patients who are on active chemotherapy. There is a great impact chemotherapy has on the sexual health of cancer patients despite this there is barely a discussion between patients and healthcare workers.

(440) Quality of Life, Including Sexual Life of Orthodontic Appliance Users

Abstract Introduction Orthodontic treatment is closely related to the quality of life, including sexual life. Oral health obliges us to take a holistic approach to sexual health. Regarding the sexuality of orthodontic appliance users, no such studies have been conducted so far. Objective The main goal of the study was to analyze the quality of life, including sexual life of orthodontic appliance users. Methods 922 people over 18 years old who were undergoing orthodontic treatment with fixed appliances or aligners were selected for the study. Data for the study were obtained using two standardized questionnaires: The Satisfaction With Life Scale and The Sexual Satisfaction Questionnaire, a metric and an author’s questionnaire. Results The study group consisted of 922 people, including 718 women and 204 men, aged 20 to 56 years. All subjects were undergoing orthodontic treatment. Among the respondents, both men and women, the treatment process with the use of classic fixed appliances with metal brackets (n = 544) was dominating. Another group of orthodontic appliance users were patients with fixed appliances with aesthetic brackets (ceramic, porcelain, crystal) (n = 194). The patients treated with aligners were found only in the women's group (n = 145). The average orthodontic treatment time ranged from 1 to 1.5 years, however, there were individuals treated for more than 2 years. The mean score of satisfaction with life in the study group was 20.85. The study showed that men achieve statistically significantly higher results than women on the Satisfaction With Life Scale (p &amp;lt;0.00). The mean score of sexual satisfaction in the study group was 31.10. Regarding the selfassessment of sexual satisfaction, a statistically significant difference was noticed between women and men (p &amp;lt;0.001) – men assessed their sexual life higher than women. The relationship between sexual satisfaction and self-esteem in sexual life proved to be closely related. The self-esteem of the respondents was consistent with the results obtained in a standardized questionnaire and the high self-esteem rate was accompanied by high, objectively assessed sexual satisfaction scores. Sexual satisfaction was also strongly correlated with the respondents' attitude to the orthodontic appliances, the level of satisfaction with the relationship, and the frequency of sexual intercourse. The study demonstrated positive correlations of the sexual satisfaction score with the overall quality of life. Conclusions The attitude of the respondents to the orthodontic appliances has an impact on their quality of life, including sexual life. The orthodontic appliances may generate difficulties (the reduction of frequency or discontinuation) in subjects' sexual behavior, such as kissing and oral sex. Orthodontic appliances may also cause injury during sexual intercourse. The lack of reliable information on the relationship between orthodontic treatment and sexuality forces a need to raise awareness among dentists and orthodontic appliance users about the topics related to orthodontic treatment and sexual health. Disclosure No

Association between endometriosis and sexual satisfaction among a sample of lebanese women

BackgroundEndometriosis is a complex disease that affects approximately 10% of women of childbearing age. It is characterized by the presence of endometrial-like tissue outside the uterus and often results in symptoms such as pelvic pain and infertility. This condition may disturb mental health and decrease both the mental and physical health related quality of life of women. The aim of this study was to assess the emotional state and the intimate relational aspect of life in Lebanese women living with endometriosis.MethodsThis is a case-control study that included 317 women (65 participants with endometriosis and 252 controls (1:3 ratio)). Participants completed an online survey that included questions related to endometriosis, Sexual Satisfaction Scale for Women, Couple Satisfaction Index, Perceived Partner Responsiveness Scale and the Depression, Anxiety and Stress Scale.ResultsA significantly higher mean sexual satisfaction score was found in women without endometriosis compared to those with endometriosis (90.83 vs. 83.42; p = 0.006). No significant difference was found in terms of couple satisfaction, depression, anxiety, stress, and perceived partner responsiveness between the two groups. Higher couple satisfaction (Beta = 1.30) and perceived partner responsiveness (Beta = 0.16) were significantly associated with higher sexual satisfaction, whereas higher depression (Beta=-1.70) and having endometriosis compared to not (Beta=-6.51) were significantly associated with lower sexual satisfaction.ConclusionThis study validated the link between endometriosis and sexual satisfaction and invalidated the association between endometriosis and emotional state, as well as couple satisfaction and perceived partner responsiveness. Greater sexual satisfaction was, however, linked to greater perceived partner responsiveness and greater couple satisfaction, as well as decreased signs of depression, anxiety, and stress. More research is warranted to better understand how Lebanese women are coping with the disease and how clinicians may help them further.

How does multiple sclerosis affect sexual satisfaction in patients' spouses?

Sexual dysfunction (SD) is a common complaint among multiple sclerosis (MS) patients with a significant impact on the quality of life (QoL) of afflicted couples. The purpose of this study was to determine sexual satisfaction (SS) in the spouses of MS patients and its impact on the QoL. A total of 214 spouses of MS patients were enrolled in this cross-sectional study. They completed the Larson Sexual Satisfaction Questionnaire and SF-8 Health Survey. The mean ± SD age of the spouses was 39.8 ± 9.7 years, and the duration of MS was 5 years or less in most of their partners. The mean ± SD score of QoL was 71.0 ± 20.3 (out of 100), and the mean SS score was 89.2 ± 18.6 (out of 125), showing moderate satisfaction. The highest score was among male spouses younger than 40 years old. The SS scores were also lower among female spouses. In the final model, it was found that SD, psychiatric symptoms, cognitive impairment, and the level of disability of patients were independent explanatory factors for the SS of their spouses. The findings supported the role of SS in the QoL of spouses of MS patients. Therefore, the attention of physicians to this hidden aspect of the life of MS patients is crucial.

Effectiveness of sexual health counseling based on mindfulness approach on sexual satisfaction in women suffering from infertility: An RCT.

The infertility phenomenon affects physiological and psychosocial aspects. Sexual counseling can improve sexual and marital satisfaction. This study aimed to determine the effectiveness of sexual health counseling based on the mindfulness approach on sexual satisfaction of women suffering from infertility. This randomized clinical trial study was conducted on 44 women suffering from infertility referred to the Yazd Reproductive Science Institute, Yazd, Iran. Women were randomly divided into 2 groups. The intervention group (n = 22) received 8 sessions of sexual counseling, while control group (n = 22) received routine care. The data collection tool was the sexual satisfaction questionnaire. The mean age of women was 30.05 4.9 yr, infertility duration was 6.83 4.27 yr, and the mean duration of marriage was 8.3 4.01 yr. The mean score of sexual satisfaction of women suffering from infertility in the intervention group was 62.9 7.32, 71.6 5.95, and 70.9 6.26, before the intervention (baseline), after intervention (8 wk), and follow-up (12 wk) respectively. The mean score of sexual satisfaction of women suffering from infertility in the control group was 63.3 6.82, 64.2 7.93, and 62.25 7.99, at baseline, 8 wk later, and after follow-up (12 wk), respectively. Sexual satisfaction scores increased before and one month after the intervention in the counseling group, and this difference was statistically significant (p 0.001). Mindfulness-based sexual health counseling programs may improve sexual satisfaction in women suffering from infertility in the intervention group.

Comparison of Aromatherapy with Citrus aurantium and Lavender on Sexual Satisfaction in Breastfeeding Women: A Randomized Controlled Trial.

Objective: The aim of this study was to investigate the effects of aroma of Citrus aurantium and Lavender essence on sexual satisfaction in breastfeeding women. Materials and Methods: This was a double-blind randomized controlled trial that was conducted on 180 breastfeeding women from January to May 2019. The participants were allocated to three groups of Citrus aurantium (n = 60), Lavender (n = 60), and control (n = 60) groups. Two groups of intervention used 2 drops of essential oil, twice a day, for 40 days as inhalation. The control group received almond oil in the same. The sexual satisfaction was evaluated using the Linda Berg's Sexual Satisfaction Questionnaire before the intervention and 40 days after the intervention started. The data were analyzed using the SPSS statistical software, version 21, and p < 0.05 was considered statistically significant. Results: After the 40 days of intervention, the mean score of sexual satisfaction was significantly higher in the Citrus aurantium and Lavender groups compared with the control group (59.3 ± 11.7, 59.3 ± 11.6 vs. 52.02 ± 11.5, p < 0.001). There was no significant difference between Lavender and Citrus aurantium groups. Conclusions: The results of this study showed that the aroma of Citrus aurantium and Lavender essence could significantly improve the sexual satisfaction of breastfeeding women. Therefore, it is recommended that health care providers should inform the breastfeeding women and advise them to use these interventions for increase of the sexual satisfaction. Trial Registration Number: IRCT20160427027633N3.

Role of the First Childbirth and its Associated Factors on Sexual Satisfaction and the Quality of Sexual Life of Married Women

Background and aims: Sexual satisfaction (SS) and a desirable quality of sex life are known as prerequisites for the physical and mental health of individuals. This study was designed to evaluate the role of the first childbirth and its associated factors in life satisfaction and the quality of life of married women in Shahrekord. Methods: This self-control cohort study was conducted on 124 married women who were planning to have their first pregnancy from January 2018 to February 2019. The convenience sampling method was used to select the samples. The questionnaires utilized in this research included the Demographic Information Questionnaire, the Married Women’s Sexual Satisfaction Questionnaire, and the Sexual Quality of Life-Female Questionnaire. The data were analyzed by independent t test, chi-square, and Pearson correlation coefficient using SPSS, version 22. Results: The mean scores of SS and the quality of sexual life before pregnancy and one year after delivery were 63.45±13.62 and 52.38±13.59, as well as, 88.40±14.19 and 71.08±13.29, respectively. In this study, there was a significant relationship (P±0.041) between changing the quality of sexual life and good economic status of individuals, as well as irregular menstrual status and contraceptive methods (natural birth control). Further, the relationship between residence and change in SS was significant so that people living in cities had the most change in SS compared to those living in rural areas (P±0.046). Conclusion: SS and its dimensions, including physical and psychological barriers, dominant cultural values, and husband-related factors, as well as the mean score of the quality of sex life one year after delivery, were lower than before pregnancy.

The effectiveness of group problem-solving therapy on women's sexual function and satisfaction after mastectomy surgery

BackgroundBreast cancer is the second cause of death and the most common cancer in women worldwide, threatening different aspects of individual and mental health, quality of life, sexual function, and sexual satisfaction. This study aimed to determine the effectiveness of group counseling based on a problem-solving solution on women's sexual function and satisfaction after mastectomy surgery.MethodsThe present research was an open pilot study, with a pretest, a post-test, and a follow-up period. Of women referred to the Tehran Breast Cancer Institute, 32 were selected using convenience sampling. The group received eight 90-min sessions of problem-solving solution counseling. This approach is based on cognitive-behavioral therapy and can improve an individual's ability to cope with stressful life experiences. The data collection tool was FSFI and sexual satisfaction questionnaires, which were filled before the intervention (baseline), immediately after the intervention, and one month later (follow up). Data analysis was performed using SPSS 21 statistical software application at the certainty level of 95% (P < 0.05).ResultsThe mean FSFI score increased from 18.37 ± 8.35 before the intervention to 20.88 ± 7.67 immediately after the intervention and 22.95 ± 5.79 one month later (P < 0.0001). Also, the mean sexual satisfaction score was 65.27 ± 5.98, 68.08 ± 5.61, and 70.46 ± 5.35 before the intervention, immediately after the intervention, and one month later, respectively (P < 0.05). The results also showed that although the two components of sexual function and satisfaction were statistically significant after sexual counseling, this improvement was not clinically progressive. The mean sexual function and satisfaction score was still low after sexual counseling.ConclusionsIt was observed that sexual function and satisfaction were improving among the patients after the intervention. Thus, sexual health counseling sessions are recommended for breast cancer patients.

The effectiveness of sexual health counseling based on cognitive-behavioral therapy on sexual satisfaction and inefficient sexual beliefs of primigravida women.

BACKGROUND:Pregnancy may change sex life, this period may be associated with decreased sex, and this is due to fear of miscarriage, nausea and vomiting, fear of harm to the fetus, fatigue, and fear of ruptured membranes. Midwives could help them to improve their sexual life during this period. One of the important approaches to improving sexual life during pregnancy is cognitive-behavioral therapy (CBT). This nonmedical approach could improve misconceptions about sex during pregnancy. The aim of this study was the effect of sexual health counseling based on CBT on sexual satisfaction and inefficient sexual beliefs of primigravida women.MATERIALS AND METHODS:This was a randomized clinical trial study, the research population being 52 pregnant women who were randomly divided into groups, the experimental (26) and the control (26). Before the sexual health counseling based on CBT, the Sexual Satisfaction Questionnaire and the Inefficient Sexual Beliefs Questionnaire were filled by both the groups. These standard questionnaires were completed three times (before, immediately, and 4 weeks after intervention). After pretest, eight sexual health counseling sessions (90 min) were performed for the experimental group. The control group received routine care. Data analysis was performed by using descriptive statistics tests, ANOVA, and post hoc tests by Bonferroni method in SPSS version 22. P < 0.05 was considered statistically significant.RESULTS:The mean score of inefficient sexual beliefs in the interventional group before intervention, immediately after the intervention, and 1 month later was obtained 22.85 ± 9.57, 12.92 ± 7.25, and 7.86 ± 13.88, respectively (P < 0.001). The mean score of sexual satisfaction before the study, immediately after the intervention, and 1 month later was 88.77 ± 11.89, 95.62 ± 9.27, and 94.65 ± 8.28, respectively, in the experimental group (P < 0.001).CONCLUSION:Sexual health counseling based on CBT could reduce inefficient sexual beliefs and increase the sexual satisfaction of the primigravida women during pregnancy, but most participants preferred fewer sessions.

Investigation of the effect of mindfulness on sexual desire and sexual satisfaction in primigravida pregnant women.

BACKGROUND:Pregnancy causes a set of complex physiological and psychological changes that affect marital relationships. Mindfulness is a form of meditation that can promote person's performance and perception of sexual relationships. The present study aimed to determine the effect of mindfulness on sexual desire and sexual satisfaction in primigravida pregnant women.MATERIALS AND METHODS:The present study is a quasi-experimental that has investigated on 72 primigravida pregnant women. The samples were selected randomly and assigned to experimental and control groups. The experimental group received six 90-min sessions of mindfulness intervention, and the control group received the educational pamphlet. The female sexual function index (FSFI) was filled by the subjects of the two groups in three stages of before the intervention, a week, and a month after the intervention. Data analysis was done by SPSS20 (Statistics 20 software; SPSS Inc., Chicago, IL, USA) at the significance level of 0.05.RESULTS:According to the statistical tests, there was no significant difference between the two groups in terms of demographic characteristics and pregnancy information. The findings suggest no significant difference between the mean pretest and posttest score of sexual desire in the two groups (P > 0.05). However, the two groups were significantly different in terms of the mean score of sexual satisfaction before and after the intervention (P<0.05).CONCLUSION:By increasing the concentration on the present moment and avoiding judgment, mindfulness can increase sexual satisfaction. However, sexual desire can be affected by various factors such as the cultural context, the quality of marital relationships, and the pregnancy hormonal changes that can influence the sexual response.

The Influence of Self Esteem and Sexual Communication on Sexual Satisfaction of Colorectal Cancer Women with Ostomy

Purpose: The purpose of this study was to identify the influence of self-esteem and sexual communication on sexual satisfaction among female colorectal cancer patients with ostomy.Methods: A cross-sectional descriptive study was conducted using self-reported online questionnaires. The participants were 85 women with colorectal cancer who had undergone ostomy formation surgery. Data were analyzed using descriptive statistics, the t-test, analysis of variance, the Scheffé test, correlation coefficients, and hierarchical multiple regression with SPSS version 26.0.Results: The mean sexual satisfaction score was 2.79±0.73 (range, 0~5). There was no significant relationship between self-esteem and sexual satisfaction. Sexual communication had a significant correlation with sexual satisfaction (r=.83, p&lt;.001) and was a strong predictor of sexual satisfaction (β=.83, p&lt;.001).Conclusion: The findings of this study indicate that colorectal cancer patients with ostomy experience low sexual satisfaction and that sexual communication is a meaningful factor for sexual satisfaction. Accordingly, nurses need to factor in sexual issues when caring for patients, and should encourage both patients and their partners to participate in education related to sexual health. It will also be helpful to inform patients about the importance of sexual communication with their partners as a sustainable intervention.

Sexual Satisfaction and Cognitive Schemas Activated in a Sexual Context among Iranian Married Women of Reproductive Age

The present study examined the relationship between sexual satisfaction (SS) and cognitive schemas activated in sexual context. In a cross-sectional study, the participants comprised 313 Iranian married women (mean age of 36.7 years and mean marriage duration of 12.4 years). Data were collected utilizing an online survey comprising the Index of Sexual Satisfaction, the Cognitive Schema Activated in Sexual Context Questionnaire, and a number of sociodemographic questions. A linear regression model utilizing the stepwise method was performed. The mean score of cognitive schemas relating to sexual problems was 35.56 (out of 140; SD = 14.68) with the highest mean in the Difference/Loneliness subscale (higher scores indicating greater negative schema activation). The mean score of sexual satisfaction on the ISS was 96.80 (out of 125; SD = 16.77). The highest scores of cognitive schemas relating to sexual problems were observed among individuals with low sexual satisfaction. Based on a multivariable linear regression model, age (β = 0.33), spouse social support (β = 0.23), and spouse job (β = 0.21) had the highest regression coefficients in relation to sexual satisfaction among Iranian married women. Cognitive schemas activated in a sexual context were strongly and significantly associated with sexual satisfaction among Iranian married women of reproductive age. The findings suggest that schema therapy techniques be used alongside initiatives to promote spouse social support to help prevent problematic sexual cognitive schemas.

The effect of Elaeagnus angustifolia flower essence inhalation on dyspareunia and sexual satisfaction of women at reproductive age: A randomized clinical trial

Introduction: Sexual satisfaction is a key factor in quality of life that depends on several factors including healthy, pleasant and painless sexual relations. Treatment of sexual dysfunction should be given special attention due to the impact on the relationship between couples and family stability. This study was performed with aim to determine the effect of inhalation of Elaeagnus angustifolia flower essence on dyspareunia and sexual satisfaction of women at reproductive age. Methods: This three-group randomized clinical trial study was performed on 99 women referring to health centers in Mashhad in 2019-2020. The study's units were assigned into three groups. The first group used the essence for 4 weeks, 3 times a day for 20 minutes each time and the second group once only 20 minutes before intercourse as inhalation and the third group did not receive any intervention. The Sexual Function Index (FSFI) was completed before the intervention and at the end of the 4th week after the intervention in all three groups. Data were analyzed by SPSS software (version 21) and one-way analysis of variance, Chi-square and Kruskal-Wallis tests. P<0.05 was considered statistically significant. Results: The mean score of sexual pain after the intervention in the first intervention group was 4.3±0.8, in the second intervention group was 4.7±0.7 and in the control group was 4.0±0.8. Based on the results of the intra-group test, the intervention was significantly increased only in the second intervention group (p<0.05). The mean score of sexual satisfaction after the intervention in the first intervention group was 4.2±0.7, in the second intervention group was 4.7±0.9 and in the control group was 3.8±0.5. Based on the results of intra-group test, the intervention was significantly increased only in the second intervention group (p<0.001). Conclusion: Inhalation of Elaeagnus angustifolia essence 20 minutes before intercourse can effectively increase sexual satisfaction by reducing pain and discomfort during sexual intercourse. Therefore, it can be used as an affordable herbal supplement with minimal side effects.

Sexual Quality of Life in Men

To explore the effect of undergoing coronary artery bypass grafting on sexual quality of life as an integral part of patients' health-related quality of life. This cross-sectional study included 265 men ages 18 to 60 years (median age, 55) who underwent coronary artery bypass grafting 1 to 5 years before the study. Standardized questionnaires were implemented to evaluate participant pre- and postoperative sexual quality of life and the quality of counseling provided to patients. Among the patients, 77% were in a steady relationship. The general health score was 5.5 ± 2.8 (mean ± standard deviation) preoperatively and 6 ± 2.2 at follow-up (P = .01). No sexual counseling was given to 83% and 77% of the patients pre- and postoperatively, respectively. The mean sexual satisfaction score dropped from 6.5 ± 2.6 preoperatively to 4.7 ± 3 postoperatively (P < .001). The decline in sexual intercourse frequency and masturbation frequency was significant (P < .001 and P = .006, respectively). Linear regression analysis showed that general health status (P = .008), higher-quality counseling (P = .027), and preoperative sexual quality of life (P < .001) correlated positively with sexual quality of life, whereas sternal pain (P < .001), erectile dysfunction (P < .001), and fear of excessive cardiac burden (P < .001) correlated negatively. Middle-aged men experience decreased sexual quality of life after coronary artery bypass grafting. Preoperative sexual quality of life, general health, and higher-quality counseling positively affect postoperative sexual quality of life, whereas sternal pain, fear, and erectile dysfunction play a negative role. Pre- and postoperative care guidelines should be improved. Further prospective large cohort studies for males and females are required.

Effectiveness of Group Counseling with a Client-Centered Approach Based on the GATHER Principles on Sexual Satisfaction in Women with Multiple Sclerosis: A Randomized Clinical Trial.

Background: Multiple sclerosis (MS) is the most prevalent progressive sensory/neurological disability in young adults, with important psychological consequences. The present study was designed to assess the effectiveness of group counseling with a client-centered approach based on the GATHER principles on sexual satisfaction in women with MS.Methods:In this clinical trial, conducted from January 2018 to May 2019, in the MS Referral Center of Tehran (Iran), 72 eligible participants were assigned to intervention and control groups (36 in each group) via simple randomization. The intervention group received group counseling based on the client-centered approach, while the control group received routine counseling. Data were collected using the Larson Sexual Satisfaction Questionnaire (LSSQ) at three different time points: before the intervention, after the final session, and one month after the intervention. The collected data were analyzed in SPSS software (version 19). In order to analyze the obtained data, independent t test, Mann–Whitney U test, paired t test, Wilcoxon test, Chi-square test, Fisher exact test, and Friedman test were used. Results: The mean score of sexual satisfaction before the intervention showed no statistically significant difference between the two groups. Based on the Friedman test in the intervention group, the trend of changes in the mean score of sexual satisfaction had a significant difference before the intervention, after the final session, and one month after the intervention (P=0.001); however, no significant difference was observed in the control group.Conclusion: Our results showed the effectiveness of group counseling with a client-centered approach based on the GATHER principles on sexual satisfaction and intimacy among women with MS. Trial Registration Number IRCT20180110038302N3.

Sexual Health and Interpersonal Relationships After Chemoradiation Therapy for Human Papillomavirus-Associated Oropharyngeal Cancer: A Cross-sectional Study

To examine sexual health, including sexual satisfaction, and perceived changes in relationships and sexual relationships of human papillomavirus (HPV) oropharyngeal cancer (OPC) survivors ≥12 months after (chemo)radiation therapy. We undertook a cross-sectional study of HPV-OPC survivors who had completed treatment ≥12 months prior. Eligible patients completed the EORTC QLQ-SHQ22, a customized relationship questionnaire, the EORTC QLQ-C30, MDASI-HN, and PROMIS Anxiety and Depression scales. We enrolled 136 survivors (median age, 61 years [range, 42-87 years]; male, 84%; currently partnered, 72%). The median time from (chemo)radiation therapy completion was 2.8 years (range, 1.0-5.5 years). Most patients (71/131; 60%) reported an active sex life as important; however, only 20% (26/133) reported significant recent sexual activity ("quite a bit"/"very much"). The mean sexual satisfaction score was 47/100 (interquartile range, 27-67; standard deviation 28). On univariable analysis, greater sexual satisfaction was positively associated with greater importance of sexual activity, stronger libido, greater relationship security, and more erection confidence (males). Lower sexual satisfaction was significantly associated with female sex (P = .04), more medical comorbidities (P = .008), and more time since treatment completion (P = .006). Only a few patients reported a change in their marital status (10/136; 7%). The majority (62/109; 57%) of patients partnered at diagnosis reported no change in their precancer relationship. Among those reporting a change, it was more frequently perceived as positive (29/109; 27%) than negative (16/109; 15%). Regarding their sexual relationship, 54 of 107 (50%) reported no change, 40 of 107 (37%) reported a negative change, and 8 of 107 (7%) reported a positive change. Although an active sex life is important to many HPV-OPC survivors, fewer reported significant recent sexual activity. Sexual satisfaction scores were moderate in this cohort. Although recall bias was possible, most patients reported either no change or a positive change in their interpersonal relationship. Prospective studies evaluating sexual health outcomes and addressing informational needs in HPV-OPC survivors are needed.

Comparing App-based and Lecture-based Methods of Sexual Satisfaction Education: A Randomized Controlled Trial

Background: Sexual dysfunction is one of the most common complications of spinal cord injury with potentially negative impacts on sexual satisfaction. Objectives: This study aimed to compare the effects of app-based and lecture-based sexual education on the sexual satisfaction of disabled men with spinal cord injury. Methods: A randomized clinical trial was conducted on disabled men with spinal cord injury in 2019. The participants were selected using a convenience sampling method from the Welfare Organization of Birjand city. A demographic form and Larson’s Sexual Satisfaction Questionnaire were completed before the intervention. Then, the participants were randomly assigned to two groups (app-based and lecture-based groups). In the app-based group, the sexual education content was prepared as an Android app that was accessible for the group participants for two months. Similar content was communicated to the lecture-based group in the form of lectures during ten 60- to 90-min sessions over two months. Six weeks after the end of the intervention, Larson’s Questionnaire was completed again for both groups. Data were analyzed using the Fisher’s exact test, Kolmogorov-Smirnov test, paired t-test, and independent t-test. The significance level was set at P &lt; 0.05. Results: In both groups, the mean scores of sexual satisfaction significantly increased after the intervention (P &lt; 0.05). Nevertheless, the mean change in the sexual satisfaction score was significantly more in the app-based group (18.16 ± 3.31) than in the lecture-based group (7.52 ± 4.59) (P &lt; 0.05). Conclusions: App-based sexual education can be more effective than lecture-based sexual education in improving the sexual satisfaction of disabled men with spinal cord injury.

The link between sexual satisfaction and subjective well-being: a longitudinal perspective based on the German Ageing Survey.

The objective of this study was to examine whether sexual satisfaction is associated with subjective well-being longitudinally. Data from 2002, 2008 and 2011 were drawn from a nationally representative study among individuals residing in private households aged 40 and over (n = 12,105 in regression analysis). The established Satisfaction with Life Scale was used to assess life satisfaction. The well-recognized Positive and Negative Affect Schedule was used to quantify positive and negative affect, respectively. A single-item measure was used to quantify sexual satisfaction, ranging from 1 to 5 (higher values correspond to higher sexual satisfaction). The analysis was stratified by sex and age group (40-59years, 60years and over). The mean sexual satisfaction score was 3.4 (± 1.0) in men and 3.5 (± 0.9) in women. Fixed-effects regressions revealed that sexual satisfaction was positively associated with life satisfaction (total sample: β = .08, p < .001; men: β = .08, p < .001; women: β = .07, p < .001) and positive affect (total sample: β = .04, p < .001; men: β = .04, p < .001; women: β = .03, p < .01) as well as was negatively associated with negative affect (total sample: β = - .05, p < .001; men: β = - .05, p < .001; women: β = - .04, p < .001). This study emphasizes the longitudinal association between sexual satisfaction and subjective well-being both in men and women.Life satisfaction is associated with satisfaction with sex life in both age groups. We conclude that sexual satisfaction is a life domain related to life satisfaction among older men and women. Thus, maintaining or improvement of sexual satisfaction could have an impact on successful ageing. Research is required to further elucidate the underlying mechanisms.