Typologies of Women With Orgasmic Difficulty and Their Relationship to Sexual Distress |
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| Affiliation: | 1. Department of Pedagogy and Psychology, Eotvos Lorand University, Budapest, Hungary;2. Department of Psychology, Valparaiso University, Valparaiso, IN USA;1. Département de Psychologie, Université de Montréal, Montréal, Canada;2. Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary;3. Département de Psychologie, Université du Québec à Trois-Rivières, Montréal, Canada;4. Department of Sociology, Faculty of Humanities and Social Sciences, University of Zagreb, Zagreb, Croatia;5. Intersectoral Center for Sustainable Health, Université du Québec à Chicoutimi, Chicoutimi, Canada;1. Department of Urology, Mayo Clinic, Rochester, MN, USA;2. Department of Urology, University of Colorado School of Medicine, Aurora, CO, USA;3. Department of Urology, Rush Medical College, Chicago, IL, USA;4. Department of Urology, University of Missouri-Kansas City School of Medicine, Kansas City, MO, USA;1. Department of Obstetrics and Gynecology, Rambam Health Care Campus, and Ruth and Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel;2. Department of Neuro-Urology, Rambam Health Care Campus, and Ruth and Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel;1. Service de gynécologie-obstétrique, centre hospitalier de Thiers, route du Fau, 63300 Thiers, France;2. Service de gynécologie-obstétrique et biologie de la reproduction, CHU Estaing, 1, place Lucie-Aubrac, 63001 Clermont-Ferrand, France;1. Departments of Psychiatry and Medicine, Weill Cornell Medical College, New York, NY, USA;2. Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland;3. University of Basel, Basel, Switzerland;4. Department of Psychiatry and Neurobehavioral Sciences, University of Virginia, Charlottesville, VA, USA;5. Health and Ageing Research Group, Swinburne University, Melbourne, VIC, Australia;6. Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN, USA;7. Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA;8. Department of Mental Health and Substance Abuse, World Health Organization, Geneva, Switzerland |
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| Abstract: | BackgroundAbout 50% of women who report orgasmic difficulty (OD) during partnered sex are distressed by their condition, yet why some women are distressed and others are not is unclear.AimTo determine whether sexual distress is related to women's perceived causes of their OD during partnered sex.MethodsWe established homogenous subgroups of women based on their attributions for OD during partnered sex, and these groups were validated by comparing them on variables relevant to sexual response. We then predicted OD-related distress from subgroup memberships as well as from a number of sociodemographic, control, and empirically supported sexual response variables.Results3 distinct OD subgroups emerged: type 1—high psychological–high somatic reasons; type 2—partner-related reasons; and type 3—moderate psychological–low somatic reasons. These groups also differed on independent parameters related to sexual frequency and arousal. Subgroup membership, along with age, sexual relationship satisfaction, and frequency of partnered sex predicted sexual distress related to OD.Clinical ImplicationParticular perceptions regarding the causes for OD help predict women's sexual distress, and such factors might be considered in identifying sexual issues and managing them within the context of a sexual relationship.Strengths & LimitationsA large sample size drawn from a multinational population powered the study, while the cross-sectional nature of the sample could not rule out bidirectional associations between predictor covariates (including OD subgroup) and the outcome measure (sexual distress).ConclusionType 1 membership (high levels of psychological and somatic attributions) predicted greater levels of OD-related distress than type 2 (partner-related attributions) or type 3 (moderate psychological and low somatic attributions) membership, with type 1 women having a greater likelihood of internalizing (accepting responsibility/blame for) OD attributions.Hevesi K, Miklós E, Horváth Z, et al. Typologies of Women With Orgasmic Difficulty and Their Relationship to Sexual Distress. J Sex Med 2020;17:1144–1155. |
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| Keywords: | Orgasmic Difficulty Women Sexual Distress Partnered Sex Sexual Satisfaction |
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