Sexual function in women with endometriosis and pelvic floor myofascial pain syndrome.

Objective: To evaluate and compare the sexual function and pelvic floor muscles (PFM) function of women with endometriosis and chronic pelvic pain (CPP) with and without Myofascial Pelvic Pain Syndrome (MPPS). Methods: Cross-sectional study conducted between January 2018 and December 2020. Women with deep endometriosis underwent assessments for trigger points (TP) and PFM function using the PERFECT scale. Electromyographic activity (EMG) and sexual function through Female Sexual Function Index (FSFI) were assessed. Statistical analyses included chi-square and Mann-Whitney tests. Results: There were 46 women. 47% had increased muscle tone and 67% related TP in levator ani muscle (LAM). Weakness in PFM, with P≤2 was noted in 82% and P≥3 in only 17%. Incomplete relaxation of PFM presented in 30%. EMG results were resting 6.0, maximal voluntary isometric contraction (MVIC) 61.9 and Endurance 14.2; FSFI mean total score 24.7. We observed an association between increased muscle tone (P<.001), difficulty in relaxation (P=.019), and lower Endurance on EMG (P=.04) in women with TP in LAM. Participants with TP presented lower total FSFI score (P=.02). TP in the right OIM presented increased muscle tone (P=.01). TP in the left OIM presented lower values to function of PFM by PERFECT (P=.005), and in MVIC (P=.03) on EMG. Conclusion: Trigger points (TP) in pelvic floor muscles (PFM) and obturator internus muscle (OIM) correlates with poorer PFM and sexual function, particularly in left OIM TP cases. Endometriosis and chronic pelvic pain raise muscle tone, weaken muscles, hinder relaxation, elevate resting electrical activity, lower maximum voluntary isometric contraction, and reduce PFM endurance.

The relationship between body image and sexual satisfaction in women who have undergone hysterectomy

SUMMARY OBJECTIVE: This study aims to examine the relationship between body image and the level of sexual satisfaction in women who have undergone a hysterectomy. METHODS: This descriptive study utilized a relational screening model. Conducted between June 2023 and March 2024, the study included a total of 300 sexually active women who had undergone a hysterectomy 6 months prior. Data were collected using a personal information form, the Golombok-Rust Sexual Satisfaction Scale, and the Body Image Scale through face-to-face interviews lasting approximately 20-30 min. RESULTS: The average age of the participating women was 44.4±10.55 years. Of the participants, 96.7% were married and 42.4% had entered menopause. The average score on the Body Image Scale was 81.2±3.8, and the average score on the Golombok-Rust Sexual Satisfaction Scale was 33.0±15.1. A positive significant relationship was found between body image and sexual satisfaction (p<0.05). There was also a statistically significant positive relationship between the total scores on the Body Image Scale and the Golombok-Rust Sexual Satisfaction Scale with age and frequency of sexual intercourse (p=0.049, p<0.001, p<0.001, p=0.047, and p=0.014). It was determined that as the age and frequency of sexual intercourse increased, the levels of body image and sexual satisfaction also increased. CONCLUSION: Our study found that women's self-image is negatively affected, and their level of sexual satisfaction decreases following a hysterectomy.

Autopercepción corporal y su impacto en la función sexual orgásmica en estudiantes mujeres de educación superior / Body self-perception and its impact on orgasmic sexual function in female higher education students, Chillán, 2021

Objetivo: Analizar la percepción de la imagen corporal y su impacto en la función sexual orgásmica en mujeres estudiantes de la educación superior de Chillán, 2021. Métodos: Estudio cuantitativo, analítico, de corte transversal. Se evaluaron cuatro variables: datos demográficos, imagen corporal, orgasmo y función sexual. Se utilizó un Google Formulario a mujeres estudiantes entre 18 y 44 años de edad, de la educación superior en la ciudad de Chillán. Posterior a ello, los datos obtenidos se recopilaron y tabularon en el programa estadísticos SPSS 23. Resultados: Las dimensiones del índice de función sexual femenino alteradas con mayor frecuencia fueron: satisfacción (80,6 %), excitación (73,8 %) y orgasmo (51,5 %). El 99,0 % de las encuestadas presentaron disfunción sexual. Con respecto a la relación entre la dimensión de excitación y la pobre imagen corporal producida por el propio cuerpo (p = 0,019 r = -0,223) presentó correlación estadísticamente significativa, no así entre los puntajes totales de ambos instrumentos (p = 0,34; r = 0,09). Finalmente, las correlaciones entre la dimensión de dolor al momento de tener relaciones sexuales y la autodesvalorización por la apariencia física correlacionaron positivamente (p = 0,049; r = 0,196). Conclusión: Se observó alterado el orgasmo por la percepción de cómo se sienten con su propio cuerpo las encuestadas, lo que crearía una imagen corporal negativa llevando a una insatisfacción corporal(AU)

Objective: Analyze the perception of body image and its impact on orgasmic sexual function in female higher education students in Chillán, 2021. Methods: Quantitative, analytical, cross-sectional study. Four variables were evaluated: demographic data, body image, orgasm and sexual function. A Google Form was used for female students between 18 and 44 years of age, from higher education in the city of Chillán. Subsequently, the data obtained were compiled and tabulated in the statistical program SPSS 23. Results: The most frequently altered dimensions of the female sexual function index were: satisfaction (80.6%), arousal (73.8%), and orgasm (51.5%). 99.0% of the respondents had sexual dysfunction. Regarding the relationship between the arousal dimension and the poor body image produced by one's own body (p = 0.019; r = -0.223), there was a statistically significant correlation, but not between the total scores of both instruments (p = 0.34; r = 0.09). Finally, the correlations between the dimension of pain at the time of sexual intercourse and self-depreciation due to physical appearance were positively correlated (p = 0.049; r = 0.196). Conclusion: The orgasm was observed to be altered by the perception of how the respondents felt about their own body, which would create a negative body image leading to body dissatisfaction(AU)

Masturbation, sexual function, and genital self-image of undergraduate women: a cross-sectional study.

BACKGROUND: The relationship between factors related to masturbation, sexual function, and genital self-image among women has not been fully explored in the literature. AIM: The study sought to investigate the association between masturbation frequency, feelings, and behaviors with sexual function and genital self-image in young women. METHODS: A cross-sectional survey among 110 undergraduate female students was conducted. Online self-administered questionnaires to assess sociodemographic characteristics, masturbatory frequency, feelings, and behavior were completed. Participants also answered the Brazilian version of the Female Sexual Function Index (FSFI) and the Female Genital Self-Image Scale (FGSIS). OUTCOMES: The outcome includes masturbation frequency and behaviors associated, as well as scores on the FSFI and FGSIS. RESULTS: Women showed higher scores in FSFI subdomains when masturbation was considered important for them, along with reported feelings of empowerment and satisfaction during this activity. However, those who experienced negative emotions during masturbation, such as shame or guilt, demonstrated a significant association with lower scores in both FSFI and FGSIS. Masturbation frequency was found to correlate with better sexual function specifically in the desire domain among women who engaged in daily masturbation. Additionally, an association was observed between higher scores in the FGSIS and increased scores in the domains of satisfaction, arousal, and orgasm within the FSFI. There was an association in the domain's satisfaction, arousal, and orgasm of the FSFI with greater scores in FGSIS. CLINICAL IMPLICATIONS: The clinical implications encompass the augmentation of understanding pertaining to female sexual function. STRENGTHS AND LIMITATIONS: The study provides valuable insights into the sexual behavior of undergraduate female students, and its methodology improves openness in responses, as it provides anonymity given the sensitive nature of the topic studied. Study limitations include the unsuitability of the FSFI questionnaire for sexually inactive women in the past 4 weeks; the participation bias and reporting bias in sexuality searches; and the unknown validity of the investigator-derived questionnaire about masturbation, as it has not been previously validated. CONCLUSION: Masturbation frequency has minimal to no impact on female sexual function, whereas harboring positive feelings toward it and maintaining a positive genital self-image may exert a positive influence on sexual function.

Sexual function in women with endometriosis and pelvic floor myofascial pain syndrome

Abstract Objective: To evaluate and compare the sexual function and pelvic floor muscles (PFM) function of women with endometriosis and chronic pelvic pain (CPP) with and without Myofascial Pelvic Pain Syndrome (MPPS). Methods: Cross-sectional study conducted between January 2018 and December 2020. Women with deep endometriosis underwent assessments for trigger points (TP) and PFM function using the PERFECT scale. Electromyographic activity (EMG) and sexual function through Female Sexual Function Index (FSFI) were assessed. Statistical analyses included chi-square and Mann-Whitney tests. Results: There were 46 women. 47% had increased muscle tone and 67% related TP in levator ani muscle (LAM). Weakness in PFM, with P≤2 was noted in 82% and P≥3 in only 17%. Incomplete relaxation of PFM presented in 30%. EMG results were resting 6.0, maximal voluntary isometric contraction (MVIC) 61.9 and Endurance 14.2; FSFI mean total score 24.7. We observed an association between increased muscle tone (P<.001), difficulty in relaxation (P=.019), and lower Endurance on EMG (P=.04) in women with TP in LAM. Participants with TP presented lower total FSFI score (P=.02). TP in the right OIM presented increased muscle tone (P=.01). TP in the left OIM presented lower values to function of PFM by PERFECT (P=.005), and in MVIC (P=.03) on EMG. Conclusion: Trigger points (TP) in pelvic floor muscles (PFM) and obturator internus muscle (OIM) correlates with poorer PFM and sexual function, particularly in left OIM TP cases. Endometriosis and chronic pelvic pain raise muscle tone, weaken muscles, hinder relaxation, elevate resting electrical activity, lower maximum voluntary isometric contraction, and reduce PFM endurance.

Factors Associated with Satisfaction with Male Genital Self-Image in Brazil.

Male genital self-image (GSI) refers to how men feel about their genitals. Studies suggest that GSI is influenced by several psychosocial and physical factors, such as frequency of sexual activities, anxiety, and sexual dysfunctions. In Brazil, no studies have investigated the factors associated with satisfaction with male GSI. This is a cross-sectional and online study conducted with Brazilian men over 18 years of age. The Male Genital Self-Image Scale (MGSIS), Body Appreciation Scale-2 (BAS-2), and International Index of Erectile Function (IIEF) were used. Body appreciation and frequency of sexual activity were included as confirmatory variables and other variables were explored as factors associated with GSI. Data were analyzed by binary logistic and multiple linear regression, according to the MGSIS cut-off point for satisfaction with male GSI and total score of MGSIS, respectively. A total of 1,235 men (M = 26.14, SD = 7.28 years) participated in the study. The mean of the total MGSIS score was 23.02 (SD = 4.45; absolute range, 7-28) points, with 62.11% of men being classified as satisfied with GSI. Men satisfied with GSI were more likely to have a partner, higher body appreciation, lower body mass index (BMI), and not have phimosis (excess skin covering the penis, making it difficult to expose the glans). Satisfaction with GSI of Brazilian men was associated with relationship status, body appreciation, BMI, and phimosis.

Circumcision and Sexual Medicine.

INTRODUCTION: Male circumcision is one of the most frequently performed and debated urological procedures due to its possible implications for sexual health. OBJECTIVES: The objective of this article is to review the literature on male circumcision and reconcile the scientific evidence to improve the quality of care, patient education, and clinician decision-making regarding the effects on sexual function of this procedure. METHODS: A review of the published literature regarding male circumcision was performed on PubMed. The criteria for selecting resources prioritized systematic reviews and cohort studies pertinent to sexual dysfunction, with a preference for recent publications. RESULTS: Despite the conflicting data reported in articles, the weight of the scientific evidence suggests there is not sufficient data to establish a direct association between male circumcision and sexual dysfunction. CONCLUSION: This review provides clinicians with an updated summary of the best available evidence on male circumcision and sexual dysfunction for evidenced-based quality of care and patient education.

Sexual activity and satisfaction in older adults from a Brazilian cohort study.

Objectives: Although the majority of older adults experience sexual satisfaction regardless of their sexual activity, there are few studies that address sexuality in aging, especially in Latin America. The objective of this study was to assess the prevalence of sexual activity and satisfaction among older adults in two time-points, as well as their sociodemographic and health predictors.Method: We analyze data from 1,464 older adults aged 60 years or over from the Health, Well-Being, and Aging (SABE) cohort study conducted in Brazil. Multivariable regression models were used to determinate the factors associated with sexual activity and sexual satisfaction, stratified by gender. Results: Among older adults, the prevalence of sexual activity was 48%, while the vast majority reported feeling sexually satisfied (80%). Men had more sexual activity than women, while women presented greater sexual satisfaction than men. After the follow-up, older adults that were married were more likely to have sexual activity. In women, being older than 71 years was associated with lower sexual activity. In men, those with mobility problems and depression were less likely to have sexual activity. Regarding sexual satisfaction, having depression remained a leading factor for lower sexual satisfaction in men.Conclusion: Despite beliefs, a high percentage of older adults reported being sexually active and feeling sexually satisfied. Our results highlight the gender difference in the predictors of sexual activity and sexual satisfaction. Since sexuality is important for well-being throughout life, preventing factors that decrease sexual activity and sexual satisfaction in aging could help improve the quality of life of older adults.

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 / Comparação entre o efeito do modelo Informação-Motivação-Comportamental (IMB) e o aconselhamento psicoeducacional sobre a satisfação sexual e o método contraceptivo usado sob coerção do cônjuge em mulheres iranianas: um ensaio clínico randomizado

Abstract Objective 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. Methods 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. Results 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.

Resumo Objetivo A mulher desempenha um papel essencial na manutenção da saúde da família, e o planejamento familiar faz parte da saúde da mulher e da família. A compreensão mútua do casal sobre os métodos de planejamento familiar é essencial na seleção da contracepção. A aceitação e a satisfação com os diferentes métodos contraceptivos podem afetar a satisfação sexual. O presente estudo teve como objetivo comparar o efeito do modelo informação-motivação-comportamental (IMB) e aconselhamento psicoeducacional sobre a satisfação sexual e métodos contraceptivos de mulheres encaminhadas para centros de saúde em Kerman. Métodos Este estudo foi realizado em 81 mulheres de 18 a 45 anos, nos centros de saúde de Kerman, de 2021 a 2022. As participantes foram divididas aleatoriamente em 3 grupos de 27 pessoas (controle, aconselhamento psicoeducacional e método IMB). Foram realizadas três sessões de aconselhamento online para o grupo psicoeducativo e quatro para o grupo IMB. O grupo de controle recebeu cuidados de rotina. OIBM SPSS Statistics for Windows, versão 22 (IBM Corp. Armonk, NY, EUA) foi utilizado para a análise dos dados por meio dos testes não paramétricos de Friedman e Kruskal-Wallis. Resultados A média de idade das participantes foi de 32,59 ± 7,04, sendo que a maioria delas possuía nível superior e eram donas de casa. A pontuação média de satisfação sexual aumentou significativamente imediatamente após a intervenção e 1 mês depois nos 2 grupos de intervenção (p <0,0). As mudanças nos métodos contraceptivos após a intervenção foram significativas no grupo psicoeducativo (p = 0,0) Conclusão Os resultados indicam o impacto positivo do acompanhamento psicológico na satisfação sexual das mulheres e no método contraceptivo. O método IMB também impactou a satisfação sexual dos homens, mas não levou a nenhuma mudança no método contraceptivo.

Relación de la educación, conocimiento y percepción de la satisfacción sexual de los estudiantes heterosexuales cis-género de la Universidad Andrés Bello sede Viña del Mar (Chile), año 2022 / Relationship of education, knowledge and perception of sexual satisfaction of cis-gender heterosexual students at Universidad Andrés Bello Viña del Mar (Chile) headquarters, year 2022

INTRODUCCIÓN: Los humanos son seres sexuados, gran parte de ellos mantienen una vida sexual activa y comienzan a una edad temprana; sin embargo, esto puede llegar a ser un problema si no se cuenta con una base óptima de educación sexual, ya que ésta fomenta el autoconocimiento de cada persona, permitiendo una vida sexual plena. OBJETIVO: Relacionar la educación sexual con la percepción de la satisfacción sexual y el conocimiento de los genitales externos del sexo opuesto en mujeres y hombres heterosexuales cis-género. MATERIALES Y MÉTODOS: Estudio cuantitativo observacional analítico transversal, mediante la clasificación de preguntas y respuestas estructuradas, cuantificables realizada a estudiantes cis heterosexuales entre 18 y 25 años. RESULTADOS: Los resultados de esta investigación demostraron las diversas edades de inicio de actividad sexual, cantidad de parejas sexuales y la percepción de la vida sexual actual de los encuestados, reflejando que la mayoría de los mismos comenzaron su vida sexual tempranamente y, sin embargo, mantenían una baja cantidad de parejas sexuales. Aun con estos condicionantes, los sujetos refieren mantener una buena satisfacción sexual, queriendo conservar su vida sexual actual. CONCLUSIONES: Aún se aprecia la brecha de conocimientos desde los distintos niveles de educación, asimismo, se puede evidenciar la poca investigación en relación con la satisfacción sexual que existe en Chile. Por otra parte, la importancia que posee el/la profesional matrón/a es fundamental en cada una de las variables estudiadas ya que, es el profesional más capacitado para abordar este ámbito.

INTRODUCTION: Humans are sexed beings, which many of them maintain an active sexual life and begin at an early age however, this could be a problem if there is not an optimal base of sexual education. OBJECTIVE: To relate sexual education with the perception of sexual satisfaction and knowledge of the external genitalia of the opposite sex in cis-gender heterosexual women and men. MATERIALS AND METHODS: Cross-sectional analytical observational quantitative study, through the classification of structured questions and answers, quantifiable carried out to cis heterosexual students between 18 and 25 years. RESULTS: The results of this research, demonstrated the different ages of initiation of sexual activity, number of sexual partners and the perception of the current sexual life of the respondents, reflecting that most of the respondents began their sexual life early, however they maintained a low number of sexual partners, even so these refer to maintain a good sexual satisfaction wanting to maintain their current sexual life. CONCLUSIONS: The knowledge gap between the different levels of education is still evident, as well as the lack of research on sexual satisfaction in Chile. On the other hand, the importance of the professional midwife is fundamental in each of the variables studied, since he/she is the most qualified professional to address this area.

Individual, Relational, and Sociocultural Determinants of Sexual Function and Sexual Satisfaction in Ecuador.

AIM: Various individual, relational, and sociocultural variables have been identified as determinants of sexual responding, but these have rarely been investigated in non-Western cultures that are characterized by sexual conservatism. We aimed to explore the role of socioeconomic status and religion, sexual double standards, erotophobia-erotophilia, sexual dysfunctional beliefs, and relationship satisfaction to explain sexual function and satisfaction in Ecuador. METHOD: 599 participants (431 women and 159 men) completed an online survey. MAIN OUTCOMES MEASURES: The Female sexual function was predicted by sexual satisfaction, relationship satisfaction, sexual dysfunctional beliefs, and sexual double standards, while the male sexual function was predicted solely by sexual satisfaction. Additionally, female sexual satisfaction was predicted by sexual function, relationship satisfaction, and sexual dysfunctional beliefs, while male sexual satisfaction was predicted by sexual function and relationship satisfaction. RESULTS: Female Sexual Function Index, International Index of Erectile Function, Brief Sexual Opinion Survey, Sexual Double Standards Scale, Sexual Dysfunctional Beliefs Questionnaire, New Sexual Satisfaction Scale, and Couple Satisfaction Index. CONCLUSION: This study provided novel information on the determinants of sexual function and satisfaction within a culture in which conservative religious beliefs still prevail. Results should be interpreted with caution given the unequal distribution of men and women, social desirability and volunteer biases, and the specific COVID-19 pandemic context during which the survey took place. Markers of sexual conservatism were inversely related to sexual function and satisfaction, mainly in women, and may, therefore, be important targets of treatment. Female sexuality seemed more context-dependent than male sexuality, although enhancing the general climate of the relationship may benefit feeling sexually satisfied in both men and women. DA Hidalgo, M Dewitte. Individual, Relational, and Sociocultural Determinants of Sexual Function and Sexual Satisfaction in Ecuador. Sex Med 2021;9:100307.

Validation of the Sexual Personal Well-being Index (PWI-Sex).

Objective: The purpose of this study is the validation of a proposed additional item for the PWI-7 scale for measuring sexual satisfaction as a dimension of Personal Well-being.Methodology: An adaptation of the PWI-7 questionnaire was administered to adult inhabitants of urban areas of Santiago, Chile. Analysis consisted of exposition of descriptive statistics, item-scale correlation, item-item correlation, multiple linear regression with the Overall Life Satisfaction Scale (OLS), moderation analysis and, confirmatory factor analysis. All analyses were divided by gender due to significant differences in sexual satisfaction found in literature reviewed.Results: All items were significantly and positively associated with the PWI. Internal consistency was satisfactory for Cronbach's alpha (α = 0.884 for males and α = 0.877 for females). After conducting a Confirmatory Factor Analysis using maximum likelihood (ML) as estimator, adequate levels of adjustment were obtained.Discussion: Results indicate that adding a new item on sexual satisfaction might be a contribution for the measurement of life satisfaction. The scale shows adequate internal consistency once the item is added and the new item on sexual satisfaction has a better fit than the one regarding satisfaction with spiritual life. Factor structure was invariant for males and females.

Association Among Lower Urinary Tract Symptoms, Erectile Function, and Sexual Satisfaction: Results from the Brazil LUTS Study.

INTRODUCTION: Lower urinary tract symptoms (LUTS) affect ≥60% of adult men and are associated with erectile dysfunction (ED) and sexual dissatisfaction. AIM: The aim of this study was to evaluate the relationship among male LUTS, ED, and sexual satisfaction. METHODS: This was a secondary analysis of the Brazil LUTS study, a cross-sectional, epidemiological survey conducted by telephone interview in 5 cities in Brazil. This analysis included men aged ≥40 years. MAIN OUTCOME MEASURE: LUTS were identified using International Continence Society definitions. LUTS severity was assessed using the International Prostate Symptom Score questionnaire. Erectile function was assessed using the International Index of Erectile Function-5 (IIEF-5) questionnaire and sexual satisfaction was rated on a 5-point scale. RESULTS: 2,433 men participated in the study. Of 2,183 men reporting data on LUTS, 873 (40%) had LUTS "about half the time" or more. The prevalence of ED and sexual dissatisfaction was 14.4% and 7.8%, respectively. The proportion of men reporting ED and sexual dissatisfaction was higher among men with LUTS (24.6% and 13.8%, respectively) than men without LUTS (8.7% and 4.5%, respectively; P < .001). LUTS severity was negatively correlated with IIEF-5 scores (r = -0.199; P < .001); we estimated a 0.431-point decrease in IIEF-5 score per 3-point increase in International Prostate Symptom Score. Increased age and the presence of LUTS were associated with a greater chance of ED and sexual dissatisfaction; depression/anxiety and diabetes were associated with a greater chance of sexual dissatisfaction only. Among men with LUTS, urgency with fear of leaking, urgency urinary incontinence, and nocturnal enuresis were associated with a greater chance of ED, whereas slow stream and urgency urinary incontinence were associated with a greater chance of sexual dissatisfaction. CONCLUSION: These results demonstrate that the presence of LUTS is associated with an increased chance of ED and sexual dissatisfaction in Brazilian men and reinforce the importance of a comprehensive assessment of these conditions. Gomes CM, Averbeck MA, Koyama M, et al. Association Among Lower Urinary Tract Symptoms, Erectile Function, and Sexual Satisfaction: Results from the Brazil LUTS Study. Sex Med 2019;8:45-56.

Mediating Effect of Psychological Distress and Sexual Satisfaction in Puerto Ricans with Prostate Cancer.

Prostate cancer is the most diagnosed in the male population in Puerto Rico. However, it is little studied in the field of health, specifically in the field of clinical health psychology. The present study examines whether emotional distress and sexual satisfaction mediate the relationship between erectile dysfunction and quality of life and if erectile dysfunction is related to the treatment. For this, a quantitative exploratory design was used. The sample was 44 patients between the ages of 50 to 86 years. It was compiled by availability in different urologists' offices. For its collection, several meetings were held with specialists, a data collection logistics was established, in which the administrative staff identified the participants through their ICD 10 diagnoses. The participants completed four self-administered questionnaires, which most of them showed an appropriate Cronbach's Alpha. The results indicated that exist a low moderately significant relationship between treatment and erectile dysfunction (b = -0.35, 95% BcCI [-0.82, -0.03]) and that there is an indirect effect of psychological distress (b = -0.35, 95 % BcCI [-0.82, -0.03]) and sexual satisfaction (b = -.87, 95% BcCI [-2.18, -0.24] in the relationship between erectile dysfunction and the patient's quality of life. The preliminary data from the present study allow the offering of psychotherapeutic treatments focused on this population.

El cáncer de próstata es el más diagnosticado en la población de hombres en Puerto Rico. Sin embargo, es poco estudiado en el campo de la salud, específicamente en el campo de la psicología clínica de la salud. El presente estudio pretende examinar: si la angustia psicológica y la satisfacción sexual median la relación entre disfunción eréctil y calidad de vida, y si la disfunción eréctil se relaciona con el tratamiento que esté recibiendo la persona para tratar su condición. Para esto, se realizó un diseño exploratorio de tipo cuantitativo, con una muestra compuesta por 44 pacientes, entre las edades de 50 a 86 años. La misma fue recopilada por disponibilidad en diferentes oficinas de urólogos. Para su recolección, se realizaron varias reuniones con los especialistas donde se estableció la logística de recogido de datos, en la cual el personal administrativo identificó a los participantes a través de sus diagnósticos según el ICD 10. Los participantes completaron cuatro cuestionarios autoadministrables, los cuales, en su mayoría, mostraron un Alfa de Cronbach apropiado. Los resultados del estudio indican que existe una relación significativa moderada baja entre el tratamiento y la disfunción eréctil (b = −0.35, 95%BcCI [−0.82, −0.03]) y que existe un efecto indirecto de la angustia psicológica (b = −0.35, 95%BcCI [−0.82, −0.03]) y la satisfacción sexual (b = −.87, 95% BcCI [−2.18, −0.24] en la relación entre la disfunción eréctil y la calidad de vida del paciente. Los datos preliminares del presente estudio permiten el ofrecimiento de tratamientos psicoterapéuticos centrados en esta población.

O papel mediador da autorrevelação sexual na relação entre a expressão de sentimentos e a satisfação sexual em adultos heterossexuais / The mediating role of sexual self-disclosure satisfaction in the association between expression of feelings and sexual satisfaction in heterosexual adults

Resumo O objetivo de deste estudo foi testar um modelo de mediação da expressão de sentimentos e a satisfação sexual via autorrevelação, enquanto processo, é uma variável mediadora significativa da associação entre a expressão de sentimentos e a satisfação sexual. A amostra deste estudo foi constituída por 564 participantes (370 mulheres, 65,60%), cisgénero, heterossexuais, numa relação diádica de exclusividade e compromisso. Foram testados dois modelos: um modelo de mediação simples e um modelo de mediação moderada, sendo este último usado para testa a influência do género no modelo de mediação. Os resultados demonstraram que, globalmente, homens e mulheres apresentaram valores médios idênticos na autorrevelação sexual e satisfação sexual; se contudo, na expressão de sentimentos, as mulheres apresentaram valores significativamente superiores. A expressão de sentimentos revelou-se uma variável preditora significativa da satisfação sexual e a autorrevelação sexual como uma variável parcialmente mediadora do modelo. No entanto, o género não modera a expressão de sentimentos e a autorrevelação. O presente estudo demonstra que a expressão de sentimentos e a autorrevelação sexual são importantes aspetos da satisfação sexual de ambos os géneros.

Abstract The present study had the main goal of testing a mediation model of expression of feelings and sexual satisfaction via sexual self-disclosure, trying to understand if the process of sexual self-disclosure is a significant mediator variable of the association between expression of feelings and sexual satisfaction. The sample of this study comprised by 564 cisgender, heterosexual participants (370 women, 65.60%), who were in a dyadic and exclusive relationship of commitment. Two models were tested: a simple mediation model and a moderate mediation model in which the objective is to test the influence of gender on the of mediation. Overall, results showed that men and women had similar mean values for sexual self-disclosure and sexual satisfaction, however, a significantly higher expression of feelings was found in women compared to men. The results demonstrated that expression of feelings was a significant predictor variable of sexual satisfaction and that sexual self-disclosure is partially a mediator variable of the tested model. Gender did not moderate the association between expression of feelings and sexual self-disclosure. The present study shows that expression of feelings and sexual self-disclosure are important aspects of sexual satisfaction in both genders.

Homofobia internalizada e satisfação sexual em casais homossexuais / Internalized Homophobia and sexual satisfaction on same-sex couples / Homofobia internalizada y satisfacción sexual en parejas homosexuales

Resumo Objetivo: O objetivo desta investigação foi observar a influência da religiosidade e da homofobia internalizada na satisfação sexual de casais do mesmo sexo. Method: Um estudo foi conduzido com 94 participantes, 49 homens e 45 mulheres, vivendo em um relacionamento estável com parceiro do mesmo sexo. A primeira hipótese é que altos níveis de homofobia internalizada e religiosidade influenciam negativamente na satisfação sexual de participantes em relacionamentos sexuais do mesmo sexo. Os dados foram coletados em pessoa com um instrumento auto-aplicável abordando: dados sociodemográficos, homofobia internalizada, experiência de homofobia externa, satisfação sexual e índice de religiosidade. Comparações de médias intragrupos foram realizada com análises unidirecionais ANOVA entre as variáveis estudadas. Em seguida, foi realizado o teste de correlação de Pearson entre as variáveis e, finalmente, uma análise de regressão linear tendo a Satisfação Sexual como variável de desfecho. Resultados: Os resultados indicaram níveis menores de satisfação sexual entre os grupos com maior homofobia internalizada, bem como uma diferença significante na satisfação de participantes com diferentes níveis de religiosidade, assim confirmando a hipótese prevista. Conclusão: Se discute que homofobia internalizada prevê negativamente a satisfação sexual de um sujeito, já que interfere com seu bem estar e que outras variáveis, como abertura e religiosidade, também se mostram relevantes neste contexto.

Abstract Objective: This research aimed to observe the influence of the following variables: internalized homophobia and religiosity related to sexual satisfaction on people who develop a relationship with those of the same sex. Method: 94 participants, 49 men and 45 women, living a stable relationship with a partner of the same sex, were sampled. The first hypothesis is that high levels of internalized homophobia and religiosity negatively impact on sexual satisfaction between people of same sex relationships. Data was collected by physical presence using a self-report questionaire focused on: socio-demographic, internalized homophobia, experience of external homophobia, sexual satisfaction and religiosity index. Comparisons with inter-groups mean through one-way analysis of variables ANOVA were considered. Then, Pearson's correlation test was performed between variables and, finally, an analysis of linear regression with sexual satisfaction as an outcome variable. Results: Showed lower levels of sexual satisfaction among groups with the highest internalized homophobia, as well as a significant difference in relation to satisfaction of people at different levels of religiosity, confirming in this way, the predicted hypothesis. Conclusion: It is discussed that internalized homophobia impacts negativetly on subject's sexual satisfaction as it interferes with their subjective well-being. Other variables, such as outness and religiosity, also show an impact on this context.

Resumen Objetivo: Observar la influencia de las variables homofobia internalizada y religiosidad en la satisfacción sexual de sujetos en relaciones con personas del mismo sexo. Método: Se realizó un estudio con 94 sujetos, 49 hombres y 45 mujeres, viviendo en una relación estable con pareja del mismo sexo. La hipótesis inicial es que altos niveles de homofobia internalizada y de religiosidad influencian de forma negativa la satisfacción sexual de sujetos en relaciones LGB. Los datos fueron recolectados de forma presencial con cuestionario auto-aplicable abordando aspectos sociodemográficos, homofobia internalizada, homofobia externa sufrida, satisfacción sexual e índice de religiosidad. Se realizaron comparaciones de media intergrupos con análisis unidireccional ANOVA entre variables estudiadas. Se realizó la prueba de correlaciones de Pearson entre las variables y, por fin, un análisis de regresión lineal teniendo como resultado la variable satisfacción sexual. Resultados: Estos apuntaron a menores niveles de satisfacción entre los grupos con mayor homofobia internalizada, así como para una diferencia significativa en la satisfacción de sujetos en niveles distintos de religiosidad, confirmando la hipótesis prevista. Conclusiones: Se discute que la homofobia internalizada prevé negativamente la satisfacción sexual del sujeto, a medida que interfiere en su bienestar subjetivo, y que otras variables, como apertura y religiosidad, también tienen una influencia relevante en este contexto.

Construção e evidências de validade da Escala de Satisfação Corporal e Satisfação Sexual para Lésbicas (ESCSS-Lésbicas) / Construction and validity evidence of the Bodily Satisfaction and Sexual Satisfaction for Lesbians (LESBIAN-ESCSS) / Construcción y evidencias de validez de la Escala de Satisfacción Corporal Y Satisfacción Sexual Para Lésbicas (ESCSS-Lésbicas)

Este estudo apresenta as etapas de construção de um instrumento psicométrico específico para a população lésbica e a descrição de suas evidências de validação. Os dados quantitativos foram coletados no aplicativo online Google Forms, do Google Drive, por meio da amostra de 1.231 mulheres lésbicas brasileiras (M = 27,87; DP = 9,10). Para a construção e validação do instrumento foram realizadas cinco etapas: 1) Avaliação qualitativa dos instrumentos pelo grupo focal com experts; 2) Avaliação dos instrumentos pelas informantes-chave; 3) Análise por juízes-pares; 4) Análise Fatorial Exploratória (AFE); e 5) Análise Fatorial Confirmatória (AFC). Os resultados da AFE e da AFC foram conduzidos no software Mplus versão 7.11. Os resultados descrevem a criação e as evidências de validade da ESCSSLésbicas, escala tipo Likert de 0 a 6, composta por 30 itens, e confiabilidade interna de 0,907. O instrumento mostrou-se adequado para a mensuração dos aspectos relativos à satisfação corporal e sexual de mulheres lésbicas.

The study presents the stages of a psychometric instrument construction specific to lesbian population and the description of their validation evidences. The quantitative data were collected the Google Forms app on google drive through the sample 1231 Brazilian lesbian women (M = 27,87; SD = 9,10). 5 steps were taken to the construction and validation of the psychometric instrument: 1) Qualitative evaluation of the instruments by focus group of experts; 2) Evaluation of instruments by key informants; 3) Analysis by peer judges; 4) Exploratory Factorial Analysis (EFA); 5) Confirmatory Factorial Analysis (CFA). The results of the EFA and the CFA were conducted in Mplus software version 7.11. The results describe the creation and validation evidences of the BSSSS-Lesbian, scale Likert type from 0 to 6, composed by 30 items, and the internal reliability of the whole scale is 0.907. The instrument was specific and adequate to the measurement of aspects related to the body satisfaction and sexual in lesbian women.

Este estudio presenta las etapas de construcción de un instrumento psicométrico específico para la población lésbica y la descripción de sus evidencias de validación. Los datos cuantitativos fueron recolectados en la aplicación en línea Google Forms de Google Drive utilizando una muestra de 1.231 mujeres lesbianas brasileñas (M = 27,87; DE = 9,10). Para la construcción y validación del instrumento psicométrico específico para la población lésbica se realizaron 5 etapas: 1) Evaluación cualitativa de los instrumentos por el grupo focal expertos; 2) evaluación de los instrumentos por las informantes clave; 3) Análisis por jueces pares; 4) Análisis Factorial Exploratorio (AFE) y 5) Análisis Factorial Confirmatorio (AFC). Los resultados del análisis factorial exploratorio y del análisis factorial confirmatorio fueron realizados en el software Mplus versión 7.11. Los resultados describen la creación y las evidencias de validez de la ESCSS-Lesbianas, escala compuesta por 30 ítems tipo Likert de 0 a 6, la confiabilidad interna (alfa de Cronbach) de la escala total es de 0,907. El instrumento se mostró específico y adecuado para la medición de los aspectos relativos a la satisfacción corporal y sexual de mujeres lesbianas.

Satisfacción sexual en mujeres adultas y adolescentes chilenas usuarias de dos centros de salud universitarios / Sexual satisfaction in Chilean adult and adolescent women using two university health centers

RESUMEN Introducción: La satisfacción sexual es un indicador de calidad de vida que ha ido adquiriendo mayor relevancia en la investigación científica. Objetivo: Comparar el nivel de satisfacción sexual y variables de relación de pareja y comportamiento sexual en mujeres adultas y adolescentes usuarias de dos centros de salud universitarios Métodos: Estudio observacional, transversal y analítico en dos grupos de comparación: mujeres adultas y adolescentes. La satisfacción sexual fue medida mediante la Nueva Escala de Satisfacción Sexual (NSSS). Se aplicó cuestionario sobre datos sociodemográficos, relación de pareja y comportamiento sexual. Se realizó análisis bivariado y regresión logística para evaluar la asociación entre las variables de relación de pareja, comportamiento sexual y nivel de satisfacción sexual según grupo de adultas o adolescentes. Resultados: Participaron 348 mujeres (174 adultas y 174 adolescentes). La mediana de edad de adultas fue 33 años (rango 20-50) y adolescentes de 17 años (rango 14-19). En el 89,9% la experiencia sexual más reciente se dio en contexto de una relación de pareja. El 94,6 % se siente satisfecha con su relación de pareja. Las adolescentes presentan un mayor nivel de satisfacción sexual que las adultas. Conclusiones: En las mujeres adultas cuando la iniciativa sexual es compartida y se sienten satisfechas con la relación de pareja, aumenta la satisfacción sexual. En las adolescentes, aumenta la satisfaccción sexual cuando la actividad sexual se da en un contexto de relación de pareja y tienen una mayor frecuencia de relaciones sexuales.

ABSTRACT Introduction: Sexual satisfaction is an indicator of quality of life that has become more relevant in scientific research. Objective: To compare the level of sexual satisfaction, variables of couple relationship and sexual behavior of adult women and adolescents who are users of two university health care centers. Methods: Observational, transversal and analytical study of two groups: adult and adolescents women. Sexual satisfaction was measured by the New Sexual Satisfaction Scale (NSSS). A questionnaire was applied based on sociodemographic data, couple relationship and sexual behavior. Bivariate analysis and logistic regression were performed to evaluate the variables of couple relationship, sexual behavior and level of sexual satisfaction according to the group of adults or adolescents. Results: 348 women participated (174 adults and 174 adolescents). The average age of adults was 33 years (range 20-50) and adolescents 17 years (range 14-19). In the total trial 89.9% the most recent sexual experience occurred in the context of a relationship. 94,6% feel satisfied with their relationship. Adolescents have a higher level of sexual satisfaction than adults. Conclusions: When adult women feel satisfied with their relationship and sexual initiative is shared, the sexual satisfaction increases. In adolescents, sexual satisfaction increases when sexual activity occurs in a relationship context and when they have a higher frequency of sexual relations

Determinantes de la satisfacción sexual: personalidad sexual, comunicación emocional y estrategias de seducción / Determinants of sexual satisfaction: sexual personality, emotional communication and seduction strategies

La vida sexual de la pareja es central en el entendimiento de su dinámica. Variables percibidas en la otra persona, como rasgos de personalidad sexual, conductas comunicativas y las estrategias con las que seduce a su pareja, son fundamentales en la evaluación subjetiva de la forma, frecuencia y técnicas utilizadas durante la interacción sexual. Ante esto, el presente estudio tuvo como objetivo determinar la relación entre dichas variables en una muestra no probabilística propositiva de 470 hombres y mujeres de la Ciudad de México que reportaron haber sentido pasión por alguien. Algunos de los resultados muestran que, para ambos sexos, los ingredientes esenciales en la experimentación de gozo sexual son: la percepción de personalidades involucradas emocionalmente, atractivas sexuales y dispuestas eróticamente, la ejecución de estrategias de expresión sexual, búsqueda de cercanía, expresión y desenvolvimiento y enamoramiento, la percepción de promiscuidad o restricción. Sin embargo, el uso de las mismas estrategias de seducción favorece la evasión, presión y aburrimiento

The sexual life of the couple is central in understanding their dynamics. Variables perceived in the other as: sexual personality traits, communicative behaviors and the strategies with which she seduces her partner, are fundamental in the subjective evaluation of the form, frequency and techniques used during sexual interaction. Given this, the present study aimed to determine the relationship between these variables in a non-probabilistic sample of 470 men and women from Mexico City who reported having felt passion for someone. Results show that for both sexes, the essential ingredients in the experimentation of sexual pleasure are the perception of emotionally involved, sexually attractive and erotically disposed personalities, the execution of strategies of sexual expression, search for closeness, expression and development and infatuation, the perception of promiscuity or restriction and the use of the same seduction strategies favors evasion, pressure and boredom

Invarianza por sexo y distribución del Índice de Satisfacción Sexual reducido en una muestra mexicana de rutas aleatorias / Invariance according to sex and distribution of low Sexual Satisfaction Index based on Mexican people random route sample

Resumen Objetivo: El Índice de Satisfacción Sexual de Hudson constituye una medición unidimensional de la satisfacción sexual empleada en investigación y clínica. En México, se ha propuesto una forma reducida a 10 ítems del ISS (ISS-10), que ha servido de base a este estudio para aportar nuevas evidencias de validez cruzada (entre mujeres y hombres) y convergente; describir su distribución y estudiar su relación con seis variables sociodemográficas. Método: Se realizó una investigación instrumental en la que participaron 807 personas casadas o en unión libre de Monterrey, México, a las cuales se les aplicó el ISS-10, la Escala de Valoración de la Relación (RAS), la Escala de Engrandecimiento Marital (MAS) y otras cuatro escalas entre enero y mayo de 2014, mediante un muestreo de rutas aleatorias. Se aplicó análisis factorial confirmatorio multigrupo. Resultados: El modelo de un factor con 10 indicadores mostró invarianza entre mujeres y hombres, pero las puntuaciones del ISS-10 no siguieron una distribución normal. Además, en la muestra total, la correlación del ISS-10 con la satisfacción con la relación (RAS) fue muy alta (rS = .71) y con el engrandecimiento marital (MAS), alta (rS = .56). La edad, los años de casados o en unión libre y la escolaridad presentaron correlaciones bajas con el ISS-10 (rS de .13 a .27). El sexo y el estado civil fueron independientes del ISS-10. Conclusión: El Índice de Satisfacción Sexual, como una medición unidimensional de la satisfacción sexual reducida a 10 indicadores, presenta evidencias de validez; independientemente de que se aplique a hombre o mujer, y puede ser baremado a partir de puntuaciones de percentil.

Abstract Objective: Hudson's Index of Sexual Satisfaction is a one-dimensional sexual satisfaction measure, used for research and clinical practice. In Mexico, 10 items form (ISS-10) has been proposed. This research aims to provide new evidences related to cross-validity (among women and men) and convergent validity of ISS-10 form, describing distribution, and study and also its relationship with six socio-demographic variables. Method: An instrumental research was performed. ISS-10, Relationship Rating Scale (RAS), Marital Aggrandizement Scale (MAS) and three other scales were applied; 807 married or cohabiting people were randomly sampled from Monterrey, Mexico between January and May 2014. Multi-confirmatory factorial group analysis was applied for data analysis. Results: The factor model has 10 indicators that show invariance among women and men. ISS-10 scores did not follow a normal distribution. In the overall sample, ISS-10 correlated with relationship satisfaction (RAS) was very high (rS = .71), and with the marital aggrandizement (MAS) also was high (rS = .56). Age, years of marriage or cohabitation and years of schooling have low correlation with ISS-10 form (rS from .13 to .27). Sex and marital status were independent based on ISS-10. Conclusion: The Index of Sexual Satisfaction, considered as key-factor to measure sexual satisfaction was reduced to 10 indicators, showing that the validity of evidence, is independent of being male or female, and it can be scaled using percentile scores rank.