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1.
Arch Sex Behav ; 49(5): 1533-1543, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32246223

RESUMO

Trauma survivors who suffer from posttraumatic stress symptoms (PTSS) are known to experience impairments in sexual satisfaction. However, the negative effects of PTSS are not limited to the primary survivors, as they can lead to secondary PTSS in their spouses as well. The implications of secondary PTSS in the sexuality of couples remain unknown. This study aimed to investigate whether specific symptom clusters of PTSS (i.e., intrusions, hyperarousal, and avoidance) are implicated in the sexual satisfaction of couples. We assessed a sample of primarily exposed Israeli veterans from the Yom Kippur War and their wives who had been secondarily exposed (N = 191). The dyadic data were analyzed in an Actor-Partner Independence Model. When scrutinizing specific PTSS clusters, the husbands' avoidance related to their own sexual satisfaction. The wives' hyperarousal related to their own and their spouses' sexual satisfaction, whereas their intrusions were associated only with their husbands' sexual satisfaction. In conclusion, PTSS in one spouse is related to both spouses' sexual satisfaction; it is therefore recommended that clinicians adopt a dyadic approach when delivering interventions.


Assuntos
Orgasmo/fisiologia , Parceiros Sexuais/psicologia , Cônjuges/psicologia , Transtornos de Estresse Pós-Traumáticos/psicologia , Estudos de Coortes , Estudos Transversais , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade
2.
Arch Sex Behav ; 49(5): 1575-1588, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32072396

RESUMO

Erectile difficulties are common after prostate cancer (PCa) treatment and are associated with sexual distress. However, the relationship between erectile function and sexual distress has yet to be carefully examined. This study had three goals: (1) examine the relationship between erectile function and sexual distress; (2) determine groups of men based on erectile function and sexual distress; and (3) examine the psychosexual characteristics of these groups. A cross section of 233 sexually active men after PCa treatment (age M = 64.90 years, SD = 7.50) completed an online survey containing demographic, health, and sexuality and relationship questionnaires. The relationship between erectile function and sexual distress was curvilinear. Four groups of men were found: good erectile function and low sexual distress, poor erectile function and high sexual distress, but also good erectile function yet high sexual distress, and poor erectile function and low sexual distress. Regardless of erectile function, men with greater sexual distress were more depressed, reported additional sexual concerns, placed less value on sex, were less sexually satisfied, and used protective buffering communication more frequently. They were also less likely to be satisfied with their adaptation to sexual changes and less likely to have found a solution to those changes. The relationship between erectile function and sexual distress is complex, characterized by a wide array of responses to erectile function (high and low distress) and multiple correlates of sexual distress. These results broaden the concept of sexual recovery after PCa treatment, which may assist clinicians and researchers to better address sexual problems after PCa treatment.


Assuntos
Disfunção Erétil/psicologia , Orgasmo/fisiologia , Neoplasias da Próstata/complicações , Comportamento Sexual/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias da Próstata/psicologia , Inquéritos e Questionários
3.
J Sex Med ; 17(4): 749-760, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-32044258

RESUMO

BACKGROUND: Orgasm in women is a complex phenomenon, and the sparse data about time to orgasm (TitOr) in women are an impediment to the research on this complex phenomenon. AIM: To evaluate the stopwatch measured TitOr in women in a monogamous stable heterosexual relationship. METHODS: The study was conducted through web-based and personal interview using a questionnaire, which addressed the issues related to TitOr. Sexually active women older than 18 years and women in a monogamous stable heterosexual relationship were included in the study. Those with comorbidities such as diabetes, hypertension, asthma, psychiatric illness, sexual dysfunction and those with partners with sexual dysfunction were excluded. The participants reported stopwatch measured TitOr after adequate sexual arousal over an 8-week period. The data analysis was performed using GraphPad software (©2018 GraphPad Software, Inc, USA). OUTCOMES: The outcomes included stopwatch measured average TitOr in women. RESULTS: The study period was from October 2017 to September 2018 with a sample size of 645. The mean age of the participants was 30.56 ± 9.36 years. The sample was drawn from 20 countries, with most participants from India, the United Kingdom, the Netherlands, and the United States of America. The mean reported TitOr was 13.41 ± 7.67 minutes (95% confidence interval: 12.76 minutes-14.06 minutes). 17% of the participants had never experienced the orgasm. Penovaginal intercourse was insufficient to reach orgasm in the majority, in whom it was facilitated by certain positions and maneuvers. CLINICAL IMPLICATIONS: The knowledge of stopwatch measured TitOr in women in real-life setting helps to define, treat, and understand female sexual function/dysfunction better and it also helps to plan treatment of male ejaculatory dysfunction, as reported ejaculatory latency in healthy men is much less than the reported TitOr here. STRENGTHS & LIMITATIONS: Use of stopwatch to measure TitOr and a large multinational sample are the strength of the study. The absence of a crosscheck mechanism to check the accuracy of the stopwatch measurement is the limitation of the study. CONCLUSION: Stopwatch measured average TitOr in the sample of women in our study, who were in a monogamous stable heterosexual relationship, is 13.41 minutes (95% confidence interval: 12.76 minutes-14.06 minutes) and certain maneuvers as well as positions during penovaginal intercourse help achieving orgasm, more often than not. Bhat GS, Shastry A. Time to Orgasm in Women in a Monogamous Stable Heterosexual Relationship. J Sex Med 2020;17:749-760.


Assuntos
Heterossexualidade , Orgasmo/fisiologia , Comportamento Sexual/estatística & dados numéricos , Adulto , Emoções , Feminino , Humanos , Parceiros Sexuais , Inquéritos e Questionários , Adulto Jovem
4.
Fertil Steril ; 113(1): 13-15, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-32033716

RESUMO

Post-orgasmic illness syndrome is a rare disorder causing a debilitating cluster of flu-like and allergic type symptoms that occur within seconds, minutes or hours after ejaculation. Symptoms occur after intercourse, masturbation or spontaneous ejaculation and last from 2 to 7 days. The condition is chronic and follows a primary pattern occurring in adolescence and a secondary acquired pattern with onset later in life. The true incidence is unknown as the condition is likely under-reported and under-diagnosed. The pattern of symptoms suggests an allergic or auto-immune etiology; however, the exact pathophysiology is unknown and there is no effective treatment. Men suffering from post-orgasmic illness syndrome describe emotional trauma and significant impairment of their quality of life.


Assuntos
Orgasmo/fisiologia , Disfunções Sexuais Fisiológicas/diagnóstico , Disfunções Sexuais Fisiológicas/imunologia , Antialérgicos/uso terapêutico , Humanos , Masculino , Disfunções Sexuais Fisiológicas/fisiopatologia , Disfunções Sexuais Fisiológicas/terapia , Síndrome
5.
Med Sci Monit ; 26: e921811, 2020 Jan 07.
Artigo em Inglês | MEDLINE | ID: mdl-31907344

RESUMO

BACKGROUND The aim of this study was to investigate factors affecting the sex lives of middle-aged women, and whether surgical menopause affects sexual function differently from natural menopause, by comparing effects on sexual performance of women with similar demographic features. MATERIAL AND METHODS The study included 151 women with surgical menopause (SM), 357 women with natural menopause (NM), and 186 perimenopausal women (PM). The women were asked to complete a 6-question survey of sexual performance parameters. The relationship between the demographic and clinical features and hormone levels of the groups and sexual function parameters were evaluated. We also compared these parameters between the 3 study groups, and paired comparisons were made between the SM group and the NM group. RESULTS Demographic features, serum DHEA-S, total testosterone, and FSH levels were found to have statistically significant effects on sexual performance of women (p<0.05). The sexual function scores for the frequency of sexual desire, coitus, and orgasm were significantly higher in the PM group, whereas vaginal lubrication scores were lower compared to the NM and SM group (p<0.05). In paired comparison of NM and SM, the scores for the frequency of coitus, orgasm, and vaginal lubrication were significantly higher in the SM group, while sexual desire frequency scores were higher in the NM group (p<0.05). CONCLUSIONS Our study approached to this topic in an extended manner and found significant relationships between several demographic-clinical and hormonal factors. SM was found to not affect female sexual performance, except for sexual desire, more than NM.


Assuntos
Menopausa Precoce/fisiologia , Menopausa/fisiologia , Orgasmo/fisiologia , Adulto , Coito/fisiologia , Coito/psicologia , Desidroepiandrosterona/análise , Desidroepiandrosterona/sangue , Feminino , Hormônio Foliculoestimulante/análise , Hormônio Foliculoestimulante/sangue , Humanos , Libido/fisiologia , Pessoa de Meia-Idade , Perimenopausa , Comportamento Sexual/fisiologia , Comportamento Sexual/psicologia , Inquéritos e Questionários , Testosterona/análise , Testosterona/sangue
6.
Arch Sex Behav ; 49(3): 1029-1038, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-31897825

RESUMO

Young women's understanding of their own sexuality has increasingly been acknowledged as an important component of their sexual health. The Female Sexual Subjectivity Inventory (FSSI) was developed to measure five distinct factors of young women's experiences of sexual pleasure and empowerment. No studies have explicitly evaluated the association between FSSI scores and clinical sexual health outcomes. We conducted a cross-sectional survey of women to assess the association between FSSI factors and the occurrence of three clinical sexual health outcomes in the prior 12 months: acquisition of an STI, unwanted pregnancy, or taking emergency contraception (Plan B). We also assessed the association between FSSI scores and self-reported orgasm frequency during partnered sexual activity. We used multivariate logistic regression models to estimate associations. Finally, we used the FSSI scale in a novel way to identify a population of women who are discordant on their levels of entitlement to pleasure from a partner and self-efficacy in achieving sexual pleasure. We did not find any statistically significant associations between mean score on any of the FSSI factors and clinical sexual health outcomes of interest in the prior year. We found that all FSSI factors except Sexual Self-Reflection were positively associated with increased orgasm frequency. Our study underscores the validity of the FSSI as a measure to assess psychosocial constructs relevant to young women's ability to experience sexual pleasure with a partner and introduces a novel way to use the scale to assess the development of women's sexual subjectivity.


Assuntos
Orgasmo/fisiologia , Prazer/fisiologia , Comportamento Sexual/psicologia , Parceiros Sexuais/psicologia , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Assunção de Riscos , Autoeficácia , Autorrelato , Adulto Jovem
7.
J Sex Med ; 17(4): 731-736, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-31973900

RESUMO

INTRODUCTION: Orgasm-associated incontinence, climacturia, is one of the lesser studied radical prostatectomy (RP) complications. Little is known about patient bother related to this condition, specifically, its prevalence and predictors. AIM: To ascertain the prevalence and predictors of patient bother associated with climacturia. METHODS: Patients presenting for the evaluation of sexual dysfunction after RP at a single center were queried on various domains of sexual dysfunction. This included orgasmic dysfunction and sexual incontinence (including climacturia and arousal incontinence). Patients were specifically asked about the frequency and amount of climacturia. In addition, questions addressed patient bother and the perceived bother of their partners. Descriptive statistics were used for patient characteristics. A t-test was used for comparing the frequency of patient and partner bother, and the Pearson correlation test compared relationships between bother and predictors. Multivariable analysis was conducted to define predictors of climacturia-associated bother. MAIN OUTCOME MEASURE: The main outcome measures was the prevalence and predictors of climacturia-associated patient bother and perceived partner bother. RESULTS: Climacturia was reported by 23% of 3,207 consecutive men analyzed. Bother of any degree was experienced by 45% of these patients, and 14% reported partner bother related to this condition. Patient bother was associated with perceived partner bother (P < .001) and inversely correlated with relationship duration (P < .001). The overall frequency and quantity of climacturia were also predictive (P < .001 for both). In the adjusted model, all of these factors remained significant. CLINICAL IMPLICATIONS: Given the prevalence of this condition and the bother associated with it, this complication should be discussed with patients preoperatively. STRENGTH & LIMITATIONS: Strengths include a large study population and specific questions on climacturia-associated bother. Limitations include the fact that it is a single-center study and no direct partner questioning occurred. CONCLUSION: Climacturia and its associated bother are common after RP. The predictors of patient bother include perceived partner bother, shorter relationship duration, and increasing frequency and quantity of climacturia. Salter CA, Bach PV, Miranda E, et al. Bother Associated With Climacturia After Radical Prostatectomy: Prevalence and Predictors. J Sex Med 2020;17:731-736.


Assuntos
Orgasmo/fisiologia , Prostatectomia/efeitos adversos , Disfunções Sexuais Fisiológicas/etiologia , Incontinência Urinária/etiologia , Idoso , Nível de Alerta , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Neoplasias da Próstata/cirurgia , Estudos Retrospectivos , Comportamento Sexual
8.
J Sex Med ; 17(3): 431-441, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-31926900

RESUMO

INTRODUCTION: Sexual activity is an important aspect of most romantic relationships. However, many couples report declines in sexual activity over time and report many reasons for not engaging in sexual activity on a daily basis. AIM: To investigate the reasons for not engaging in sexual activity in couples over a month and whether these reasons are associated with sexual and relationship satisfaction and sexual desire. METHODS: We collected 30-day daily electronic report data from 174 individuals (87 mixed-sex couples). The responses between men and women were analyzed using chi-squared tests, and we used multilevel modeling to examine the association between the reasons and satisfaction and desire. MAIN OUTCOME MEASURE: The main outcome measure includes daily sexual satisfaction, relationship satisfaction, and sexual desire. Daily reported reasons for not engaging in sexual activity are categorized into joint reason, self-based reason, partner-based reason, and other reasons. RESULTS: Men and women were equally likely to endorse joint reasons for not engaging in sexual activity (eg, "It just didn't happen"), whereas women were more likely to endorse self-based reasons (eg "I wasn't in the mood") and men partner-based reasons (eg "My partner was tired"). The reasons for not engaging in sexual activity were associated with daily sexual and relationship satisfaction and daily sexual desire. Higher baseline sexual desire was associated with a greater likelihood of endorsing partner-related reasons and smaller likelihood of endorsing self-related reasons. Higher baseline sexual satisfaction was associated with a decreased likelihood of reporting partner-based reasons, and higher baseline relationship satisfaction was associated with an increased likelihood of reporting joint reasons. Some of the other associations were significant only for men or women. CLINICAL IMPLICATIONS: Results inform couples' therapy and other clinical interventions and highlight the importance of addressing the reasons for not engaging in sexual activity to find ways of mitigating some of these reasons. STRENGTH & LIMITATIONS: The study was the first to date to address reasons for not engaging in sexual activity in a sample of couples in an experience-sampling study. However, our scope was limited to mixed-sex couples who were primarily white and heterosexual, and we only addressed reasons for not engaging in partnered sex (not solitary sex). CONCLUSION: The reasons for not engaging in sexual activity seem different for men and women and are associated with sexual and relationship satisfaction and sexual desire, and this link appears to be bidirectional. Mark KP, Vowels LM, Leistner CE. "Not Tonight, Honey:" Reasons Couples Do Not Engage in Sex and Their Impact on Satisfaction and Desire. J Sex Med 2020;17:431-441.


Assuntos
Orgasmo/fisiologia , Comportamento Sexual/estatística & dados numéricos , Parceiros Sexuais , Adulto , Feminino , Heterossexualidade/estatística & dados numéricos , Humanos , Libido/fisiologia , Masculino , Satisfação Pessoal , Comportamento Sexual/fisiologia , Adulto Jovem
9.
Support Care Cancer ; 28(8): 3847-3854, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31836939

RESUMO

INTRODUCTION: Breast cancer (BC) and its treatment is associated with several physical and psychosocial changes that may influence sexuality for years after treatment. Women with BC show significantly greater rates of sexual dysfunction than do healthy women. The purpose of the study was to evaluate how a BC diagnosis associates with women's perceived sexuality and sexual satisfaction. MATERIAL AND METHODS: The data of the ongoing prospective Health and Social Support (HeSSup) survey was linked with national health registries. Respondents with registry data confirmed BC (n = 66), mental depression (n = 612), arterial hypertension (n = 873), and healthy women (n = 9731) formed the study population. The importance of and satisfaction with sex life were measured by a self-report questionnaire modified from the Schover's and colleagues' Sexual History Form. RESULTS: Women with BC considered sex life less important than did healthy women (p < 0.001). They were significantly less satisfied with their sex life than healthy women (p = 0.01) and women with arterial hypertension (p = 0.04). Living single or educational level did not explain the differences between the groups. CONCLUSIONS: BC survivors depreciate their sex life and experience dissatisfaction with it. Sexuality can be a critical issue for the quality of life of women surviving from BC, and hence, the area deserves major attention in BC survivorship care. Health care professionals should regularly include sexual functions in the assessment of BC survivors' wellbeing.


Assuntos
Neoplasias da Mama/psicologia , Sobreviventes de Câncer/psicologia , Depressão/psicologia , Hipertensão/psicologia , Qualidade de Vida/psicologia , Saúde da Mulher/normas , Idoso , Estudos de Casos e Controles , Estudos de Coortes , Estudos Transversais , Feminino , Finlândia , Humanos , Orgasmo/fisiologia , Satisfação Pessoal , Estudos Prospectivos , Autorrelato
10.
J Cosmet Dermatol ; 19(2): 404-406, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31846189

RESUMO

BACKGROUND: The nipple-areola complex (NAC) is an often overlooked but important erogenous zone in the female sexual response and sexual functional repertoire. Research suggests that nipple stimulation is significant to female sexual satisfaction in as many as 80% of women. Previously, we have reported that stimulation of the arrector pili muscle in the NAC increases nipple sensitivity and has a positive impact on female sexual function. AIMS: To study the effect of RJ-101 on female orgasm. METHODS: A randomized double-blinded placebo-controlled study of RJ101, a novel topical formulation that stimulates the arrector pili muscle of the NAC, in 59 women. Each subject completed a survey composed of Likert scale questions in order to identify changes in orgasm after topical application of RJ101 or placebo. RESULTS: We demonstrated a positive increase in the perceived intensity of orgasm and orgasmic satisfaction/pleasure in women using RJ101 vs those in the placebo group. After 4 weeks of treatment, 76% of the women in the RJ101 arm reported a positive improvement in satisfaction with orgasm versus 47% in the placebo cohort. The mean change in score for overall satisfaction with orgasm in the RJ101 group was statistically significant (P = .007) compared to placebo. CONCLUSION: The application of RJ101 to the NAC 30 minutes prior to sexual activity can improve orgasmic strength, pleasure, and satisfaction.


Assuntos
Agonistas de Receptores Adrenérgicos alfa 1/administração & dosagem , Mamilos/fisiologia , Norepinefrina/administração & dosagem , Orgasmo/efeitos dos fármacos , Administração Tópica , Adulto , Feminino , Humanos , Pessoa de Meia-Idade , Mamilos/efeitos dos fármacos , Mamilos/inervação , Orgasmo/fisiologia , Satisfação Pessoal , Placebos/administração & dosagem
11.
J Sex Med ; 17(2): 273-278, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31859236

RESUMO

INTRODUCTION: Most studies on female sexual dysfunction (FSD), and female sexual orgasmic disorder (FSOD) in particular, have qualitatively examined cultural and educational factors; only few have quantitatively examined physiological factors. AIM: The aim of this study was to compare quantitative sensory testing (QST) between women for whom FSOD was their primary complaint and other women with FSD. METHODS: In this retrospective study of women who visited a sexual dysfunction clinic, the study group comprised women for whom FSOD was their primary complaint, and the control group comprised other women with FSD. Sexual dysfunction was assessed by the Female Sexual Function Index (FSFI). QST was performed with a thermal and vibration Genito-Sensory Analyzer (GSA; Medoc Ltd, Israel) aimed at the clitoral and vaginal areas. MAIN OUTCOME MEASURE: The main outcome was clitoral and vibratory sensory thresholds in accordance with the presence of FSOD. RESULTS: The study group comprised 89 (45%) women, with a mean age of 37.6 ± 1.9 years; and the control group comprised 110 (55%) women, with a mean age of 37.5 ± 11.3 years. Both mean FSFI-FSOD and total FSFI scores were significantly lower in the study group than in the control group (0.97 ± 0.94 vs 1.91 ± 1.3, P < 0.001) and (11.9 ± 3.2 vs 15.6 ± 3.6, P < 0.001), respectively. Mean clitoral vibratory sensory thresholds were higher in the study group than in the control group: 2.02 confidence interval (CI) 1.12-2.64 vs 1.55 CI 1.12-2.41, P < 0.001. No statistically significant difference was found between the groups in vaginal vibratory thresholds: 3.7 CI 2.6-6.6 vs 3.4 CI 1.9-5.4, P = 0.14. CLINICAL IMPLICATIONS: The findings support the role of the clitoris in obtaining sexual orgasm, thus inferring a possible physiologic cause of FSOD in otherwise healthy women, beyond established psychological causes. STRENGTH & LIMITATIONS: Assessments using an objective quantitative measure (QST) and a subjective tool (FSFI) in both the FSOD and control groups are strengths of this study. The retrospective design is a limitation. CONCLUSION: QST showed a direct correlation between vibratory clitoral stimulation and FSOD; Compared with the control group, women with FSOD are relatively insensitive to clitoral stimulation, but not to vaginal stimulation. Gruenwald I, Lauterbach R, Gartman I, et al. Female Sexual Orgasmic Dysfunction and Genital Sensation Deficiency. J Sex Med 2020; 17:273-278.


Assuntos
Orgasmo/fisiologia , Disfunções Sexuais Fisiológicas/fisiopatologia , Adulto , Estudos de Casos e Controles , Clitóris/fisiopatologia , Feminino , Humanos , Israel , Pessoa de Meia-Idade , Estudos Retrospectivos , Sensação , Limiar Sensorial , Disfunções Sexuais Fisiológicas/etiologia , Vagina/fisiopatologia
12.
J Sex Med ; 17(1): 37-47, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31759932

RESUMO

INTRODUCTION: The relationship between masturbation activities and their effect on partnered sex is understudied. AIM: The aim of this study was to assess the alignment of activities between masturbation and partnered sex, and to determine whether different levels of alignment affect orgasmic parameters during partnered sex. METHODS: 2,215 women completed an online survey about activities during masturbation and reasons for orgasmic difficulty during masturbation, and these were compared with activities and reasons for orgasmic difficulty during partnered sex. MAIN OUTCOME MEASURE: Degree of alignment between masturbation activities and partnered sex activities was used to predict sexual arousal difficulty, orgasmic probability, orgasmic pleasure, orgasmic latency, and orgasmic difficulty during partnered sex. RESULTS: Women showed only moderate alignment regarding masturbation and partnered sex activities, as well as reasons for masturbation orgasmic difficulty and reasons for partnered sex orgasmic difficulty. However, those that showed greater alignment of activities showed better orgasmic response during partnered sex and were more likely to prefer partnered sex over masturbation. CLINICAL IMPLICATIONS: Women tend to use less conventional techniques for arousal during masturbation compared with partnered sex. Increasing alignment between masturbation and partnered sexual activities may lead to better arousal and orgasmic response, and lower orgasmic difficulty. STRENGTH & LIMITATIONS: The study was well-powered and drew from a multinational population, providing perspective on a long-standing unanswered question. Major limitations were the younger age and self-selection of the sample. CONCLUSION: Women that align masturbation stimulation activities with partnered sex activities are more likely to experience orgasm and enhanced orgasmic pleasure, with sexual relationship satisfaction playing an important role in this process. Rowland DL, Hevesi K, Conway GR, et al. Relationship Between Masturbation and Partnered Sex in Women: Does the Former Facilitate, Inhibit, or Not Affect the Latter? J Sex Med 2020;17:37-47.


Assuntos
Masturbação/epidemiologia , Orgasmo/fisiologia , Comportamento Sexual/estatística & dados numéricos , Parceiros Sexuais , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Nível de Alerta/fisiologia , Feminino , Humanos , Pessoa de Meia-Idade , Prazer , Inquéritos e Questionários , Adulto Jovem
13.
Arch Sex Behav ; 49(5): 1545-1557, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-31713094

RESUMO

Mindfulness-based therapy has shown promise as a treatment for female sexual dysfunction and has the potential to be an efficacious treatment for male sexual dysfunction. However, there has been little empirical evidence regarding the mechanisms through which mindfulness may improve sexual experiences, especially for men. Recent theoretical reviews have suggested potential mediators that may explain the beneficial effects of mindfulness on symptoms of male sexual dysfunction, including reduced avoidance of sex, reduced distraction during sex, and/or reduced activation of negative sexual schemas. We attempted an initial statistical test of these factors as potential mediators of the association between trait mindfulness and multiple sexual outcomes (sexual function, sexual satisfaction, and sexual distress) using a cross-sectional correlational design. A total of 163 men with self-reported current impairments in one or more aspects of sexual function completed self-report scales using a secure online survey. Bivariate correlations indicated that mindfulness was significantly associated with sexual satisfaction, sexual distress, and premature ejaculation, but not other aspects of sexual function. Sexual avoidance statistically mediated the link between mindfulness and sexual satisfaction, both distraction and activation of negative schemas statistically mediated the link between mindfulness and premature ejaculation, and all three factors statistically mediated the link between mindfulness and sexual distress. These results generally supported previous theoretical work and have implications for future treatment outcome research.


Assuntos
Atenção Plena/métodos , Orgasmo/fisiologia , Comportamento Sexual/fisiologia , Adulto , Estudos Transversais , Humanos , Masculino , Autorrelato , Inquéritos e Questionários
14.
Arch Sex Behav ; 49(2): 693-710, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31407194

RESUMO

While there is a sizeable literature on sexual satisfaction among male-female mixed-sex couples, research examining other types of relationships (e.g., same-sex) is limited. The current study aimed to broaden our understanding of sexual satisfaction across the diverse relationships of sexual and gender minority individuals assigned female at birth (SGM-AFAB) and inform models of sexual satisfaction for this population. We examined: (1) differences in sexual satisfaction and characteristics of sexual activity (frequency of sex, frequency of orgasm, duration of sex) by relationship type (same-sex, mixed-sex, gender-diverse) among SGM-AFAB; (2) a model of sexual satisfaction and its correlates; and (3) differences in this model by relationship type. Results indicated cisgender women in relationships with cisgender women (same-sex) reported higher duration of sex, frequency of orgasm, and sexual satisfaction compared to cisgender women in relationships with cisgender men (mixed-sex). There were few differences in characteristics of sexual activity between SGM-AFAB in gender-diverse relationships (involving one or more gender minority partners) and those in same- or mixed-sex relationships. Results indicated similarities across relationship types in a model of sexual satisfaction and its correlates. For all relationship types, more frequent and longer duration of sexual activity predicted higher orgasm frequency, more frequent orgasm predicted higher sexual satisfaction, and higher sexual satisfaction predicted better relationship functioning. Only the association between orgasm frequency and sexual satisfaction varied by relationship type. As one of the first studies examining sexual satisfaction among SGM-AFAB in mixed-sex and gender-diverse relationships, findings substantially further our understanding of sexual satisfaction in this population.


Assuntos
Orgasmo/fisiologia , Comportamento Sexual/psicologia , Minorias Sexuais e de Gênero/psicologia , Adulto , Estudos de Coortes , Feminino , Humanos , Estudos Longitudinais , Projetos de Pesquisa , Adulto Jovem
15.
Anthropol Med ; 27(1): 110-123, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31373224

RESUMO

As described in ethnographies, the 'floating signifiers' of social anthropology appear akin to similar categories in contemporary Western societies such as energy. Both may be embodied in actual experience. The practice of ritual orgasm, Pra-Na, and its relation to the group's cosmology, are intrinsic to a religio-therapeutic community in San Francisco whose ideas derive from reified Western notions of 'vital energy' along with popular Chinese medicine, and in which the second author conducted fieldwork involving participant observation between 2008 and 2009. The article examines closely the formulations of 'energy' in the Western world, and similarities to non-Western concepts such as Melanesian mana, and asks whether the experience of ritualised orgasm by members of the group leads to their notion of cosmic energy, or whether the understanding of embodied energy is purely arbitrary from a somatic perspective. With reference to Durkheim's ([1912]1976. The Elementary Forms of the Religious Life. London: Allen & Unwin) -effervescence, we suggest the former is most likely.


Assuntos
Antropologia Médica , Medicina Tradicional Chinesa , Relações Metafísicas Mente-Corpo , Orgasmo/fisiologia , Feminino , Humanos , Masculino , Melanesia , São Francisco
16.
Int J Impot Res ; 32(2): 221-225, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31164728

RESUMO

The impact of abnormalities in the vascular bed of the external genitalia and vagina on female sexuality is not well defined because of some methodological difficulties in correctly assessing vascular changes of genitalia in women. Transmucosal oxygen tension (TmPO2) represents a precise measure of oxygen partial pressure at the clitoris surface and is expression of clitoral tissue perfusion. Aim of the study was to correlate TmPO2 with female sexual dysfunction (FSD) in healthy women in order to evaluate the impact of clitoral vascularization on female sexual health. Twenty-seven healthy, heterosexual, and sexually active women of reproductive age (mean age: 31.18 ± 4.71) were enrolled in the study. TmPO2 was assessed in every woman. In addition, all the women filled out the Female sexual function index (FSFI). After adjustment for some covariates (age, BMI, and smoking), TmPO2 significantly correlated with FSFI total score (r = 0.4261; p = 0.0379) and with arousal (r = 0.3239; p = 0.0390), lubrication (r = 0.4345; p = 0.0339), orgasm (r = 0.4092; p = 0.0471), and satisfaction (r = 0.4456; p = 0.0291) scores. In addition, TmPO2 was significantly lower in the FSD than in the NO FSD group (28.4 ± 14.5 versus 48.1 ± 25.1 mmHg; p = 0.0416). This study first shows that in healthy women of reproductive age clitoral tissue perfusion, as assessed by TmPO2, correlates very well with FSD and in particular with arousal, lubrication, orgasm, and satisfaction. Further studies should confirm our data and test TmPO2 as potential predictor for cardiovascular disease and metabolic conditions in women.


Assuntos
Clitóris/irrigação sanguínea , Orgasmo/fisiologia , Disfunções Sexuais Fisiológicas/fisiopatologia , Disfunções Sexuais Psicogênicas/fisiopatologia , Adulto , Monitorização Transcutânea dos Gases Sanguíneos , Clitóris/fisiopatologia , Feminino , Heterossexualidade , Humanos , Membrana Mucosa/química , Satisfação Pessoal , Projetos Piloto , Comportamento Sexual , Inquéritos e Questionários , Vagina/fisiopatologia
17.
J Sex Med ; 16(12): 2000-2010, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31708485

RESUMO

INTRODUCTION: Over the past 3 decades, our understanding of physiological synchrony (PS) has increased substantially. Research has shown that interpersonal PS is stronger in relationships characterized by emotional closeness and intimacy and that the magnitude of PS is moderated by relational satisfaction. Despite growing momentum for this area of study, no research to date has examined the relationship between PS and sexual satisfaction. AIM: The current study seeks to elucidate the relationship between PS and sexual satisfaction using study tasks that have been used in previous research to assess PS. METHODS: Heterosexual couples completed several survey measures in a laboratory setting. They were then connected to an electrocardiogram and instructed to complete baseline, gazing, and mirroring tasks. Subsequently, heart rate (HR) data for each dyad were analyzed for PS using a moderated multilevel modeling approach. MAIN OUTCOME MEASURE: Scores on the Sexual Satisfaction Scale were used to moderate dyadic coherence between male and female partner HRs over time. RESULTS: PS was detected in our sample, with both men reliably predicting the HR of their female partners, and women reliably predicting the HR of their male partners. Akaike information criterion values indicate the better fitting model for each task was for men predicting the women's HRs. A significant interaction effect was found between observed PS during the mirroring task (with male HR predicting female HR) and overall sexual satisfaction scores. There was no relationship between PS during baseline or gazing and overall sexual satisfaction. CLINICAL IMPLICATIONS: Results provide initial evidence for the relevance of PS in sexual dyanmics. STRENGTHS & LIMITATIONS: The current analysis used a dyadic psychophysiological approach to extend the growing body of literature on PS into the theoretically linked field of sexuality. Because of the small sample size and nondirectional nature of the study design, future research is needed to replicate and extend findings. CONCLUSION: The ability of couples to co-regulate while attempting actively to synchronize (as in the mirroring task) may be connected to how they perceive and experience their sexual relationship. Conversely, more sexually satisfied couples may be more likely to synchronize physiologically. Taken together, these findings reflect the first evidence that PS and sexual satisfaction may be associated at the couple-level. Freihart BK, Meston CM. Preliminary Evidence for a Relationship Between Physiological Synchrony and Sexual Satisfaction in Opposite-Sex Couples. J Sex Med 2019;16:2000-2010.


Assuntos
Coito/psicologia , Heterossexualidade/psicologia , Orgasmo/fisiologia , Satisfação Pessoal , Comportamento Sexual/psicologia , Parceiros Sexuais/psicologia , Adulto , Coito/fisiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Comportamento Sexual/fisiologia , Inquéritos e Questionários , Adulto Jovem
18.
J Sex Med ; 16(10): 1581-1596, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31570137

RESUMO

INTRODUCTION: Mindfulness-based therapies (MBT) are more and more frequently used in the treatment of sexual dysfunctions; therefore, it seems very important to assess evidence-based data on the clinical efficacy of these interventions. AIM: To provide a systematic review of published studies into the efficacy of MBT in the treatment of sexual dysfunctions. METHODS: The material for the analysis was obtained by searching 3 internet databases: EBSCO, PubMed, and ResearchGate. Articles describing therapeutic interventions on the basis of mindfulness and their efficiency in reducing sexual dysfunction symptoms in men and women were sought. MAIN OUTCOME MEASURES: 15 original research articles were included to the review: 4 articles were devoted to the analysis of the efficiency of the mindfulness-based therapy in the reduction of sexual dysfunction related to pain in the genital-pelvic area, 10 to desire or sexual arousal disorders or both in women, and 1 to erectile dysfunction in men. RESULTS: Studies indicate that MBT led to improvement in subjectively evaluated arousal and desire, sexual satisfaction, and a reduction of fear linked with sexual activity, as well as improving the consistency between the subjectively perceived arousal and genital response in women. The research indicated that MBT did not make a significant change in a reduction of pain during sexual activities. Evidence-based data were found on the efficacy of MBT in the treatment of male erectile dysfunction in 1 study. CLINICAL IMPLICATIONS: MBT could be effectively used in the treatment of female sexual dysfunction, specifically to improve sexual arousal/desire and satisfaction and to reduce sexual dysfunction associated with anxiety and negative cognitive schemas. STRENGTHS & LIMITATIONS: The few studies available are affected by several methodologic limitations, including small numbers of participants, patient selection, application of complex therapeutic interventions, and a lack of homework assessment, which makes definite conclusions difficult to draw. CONCLUSION: The effects of MBT in female sexual dysfunctions are promising. In future studies, the mindfulness-based monotherapies should be implemented to verify their potential in reducing symptoms of sexual dysfunction. More research is needed to explore the potential of MBT in the treatment of male sexual dysfunction. Jaderek I, Lew-Starowicz M. A Systematic Review on Mindfulness Meditation-Based Interventions for Sexual Dysfunctions. J Sex Med 2019;16:1581-1596.


Assuntos
Meditação/métodos , Atenção Plena/métodos , Disfunções Sexuais Fisiológicas/terapia , Disfunções Sexuais Psicogênicas/terapia , Adulto , Idoso , Nível de Alerta , Disfunção Erétil/terapia , Feminino , Humanos , Libido/fisiologia , Masculino , Pessoa de Meia-Idade , Orgasmo/fisiologia , Comportamento Sexual/psicologia , Disfunções Sexuais Fisiológicas/psicologia , Disfunções Sexuais Psicogênicas/psicologia , Resultado do Tratamento
19.
Proc Natl Acad Sci U S A ; 116(41): 20250-20251, 2019 10 08.
Artigo em Inglês | MEDLINE | ID: mdl-31570607
20.
Brain Behav ; 9(12): e01389, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31568703

RESUMO

INTRODUCTION: Sexual desire, arousal, and orgasm are mediated by complex, yet still not fully understood, interactions of the somatic and autonomic nervous systems operating at the central and peripheral levels. Disruption of endocrine, neural, or vascular response, caused by aging, medical illness, neurological diseases, surgery, or drugs, can lead to sexual dysfunctions, thus significantly affecting patients' quality of life. PURPOSE: This narrative review aims at characterizing the involvement of the central nervous system in human sexual behavior. METHODS: A literature search was conducted using PubMed in its entirety up to June 2018, analyzing the studies dealing with the neurobiological and neurophysiological basis of human sexuality. RESULTS: Sexual behavior is regulated by both subcortical structures, such as the hypothalamus, brainstem, and spinal cord, and several cortical brain areas acting as an orchestra to finely adjust this primitive, complex, and versatile behavior. At the central level, dopaminergic and serotonergic systems appear to play a significant role in various factors of sexual response, although adrenergic, cholinergic, and other neuropeptide transmitter systems may contribute as well. CONCLUSIONS: Providing healthcare professionals with information concerning sexual behavior may overcome useless and sometimes dangerous barriers and improve patient management, since sexual well-being is considered one of the most important aspects of one's quality of life.


Assuntos
Nível de Alerta/fisiologia , Orgasmo/fisiologia , Comportamento Sexual/fisiologia , Adulto , Sistema Nervoso Autônomo/fisiopatologia , Doenças do Sistema Nervoso Autônomo/fisiopatologia , Encéfalo/fisiologia , Neurônios Dopaminérgicos/fisiologia , Feminino , Humanos , Masculino , Neuroanatomia , Qualidade de Vida/psicologia , Disfunções Sexuais Fisiológicas/etiologia , Disfunções Sexuais Fisiológicas/fisiopatologia , Sexualidade/fisiologia , Medula Espinal/fisiopatologia
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