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1
McCabe, Marita P., and James J. Jupp. "Intercorrelations among General Arousability, Emerging and Current Sexual Desire, and Severity of Sexual Dysfunction in Women." Psychological Reports 65, no. 1 (1989): 147–54. http://dx.doi.org/10.2466/pr0.1989.65.1.147.
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Intercorrelations among general trait arousability, emerging sexual desire, current sexual desire, lack of sexual desire perceived as a problem, and sexual dysfunction were assessed in 65 women currently involved in marital or de facto heterosexual relationships. The Stimulus Screening Test was used to measure general arousability and the Assessment of Sexual Function and Dysfunction Questionnaire was used to measure emerging sexual desire, current sexual desire, lack of sexual desire, and sexual dysfunction. Analysis showed that arousability was positively associated with current levels of sexual desire which was negatively associated with sexual dysfunction. There was a curvilinear relationship between arousability and sexual dysfunction, with women experiencing both high and low levels of arousability being more likely to score higher on measures of sexual dysfunction than those experiencing medium levels of arousal. The possible implications of these results are discussed.
2
Cahill, Ann J. "Recognition, Desire, and Unjust Sex." Hypatia 29, no. 2 (2014): 303–19. http://dx.doi.org/10.1111/hypa.12080.
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In this article I will revisit the question of what I term the continuum of heteronormative sexual interactions, that is, the idea that purportedly ethically acceptable heterosexual interactions are conceptually, ethically, and politically associated with instances of sexual violence. Spurred by recent work by psychologist Nicola 2005, I conclude that some of my earlier critiques of Catharine MacKinnon's theoretical linkages between sexual violence and normative heterosex are wanting. In addition, neither MacKinnon's theory nor my critique of it seem up to the task of providing an ethical account of the examples of “unjust sex” that Gavey has described. I come to the conclusion that an ethical analysis of sexual interactions requires a focus on sexual desire, but that desire cannot take on the by now heavily criticized role of consent. Rather than looking for the presence or absence of sexual desire prior to sexual encounters as a kind of ethical certification of them, we ought instead to focus on the efficacy of that sexual desire, that is, its ability (or lack thereof) to shape an encounter in substantial and meaningful ways.
3
Kocharyan, Garnik. "Sexual Aversion and Lack of Sexual Desire in Woman: a Case from Clinical Practice." Health of Man, no. 1(76) (March 31, 2021): 65–70. https://doi.org/10.30841/2307-5090.1.2021.232506.
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The article presents a clinical case with a 25-year-old female patient A., who has been married for 1 year, but before she was in a commonlaw marriage during 5 years with her present spouse, who is 30. They have not got any children. When she sought medical advice the patient informed that during 1.5 years she had been feeling sexual aversion to her husband (when he tried to take her in his arms, she had creeping sensations on her arms and back, a feeling of lump in her throat, and a desire to cry). She attributed it to the fact that her husband “does not pay enough attention to me”, he did not defend her against accusations from the side of his relatives and stood with his mother, faulting the patient for causing conflictual relations between the women. She did not feel any sexual desire toward her husband. Their sexual life was once a week. She let her husband loose with her only after she drank alcohol. A month before it was the end of their 8-month period, when she did not let her husband loose with her at all. Her husband put up with restrictions in their sexual life; he did not have any lover. Four months before she parted with her lover, with whom she was going 3-4 months. She did not feel any aversion to him. With time, by means of long conversations she succeeded in making her husband completely take her part in the conflict with his parents, and the spouses even severed any contacts with them. Our additional examination succeeded in revealing a number of the patient’s characterological peculiarities, particularly histrionic personality disorder, this fact confirming our clinical observations. The following diagnosis was made: sexual aversion, absence of sexual desire (selective variants) with development by the conversion (hysterical) mechanism. Treatment was provided with help of cognitive effects and hypnosuggestive therapy (its seven sessions were given). The cognitive effects were targeted at the patient’s complete acceptance of the belief that her husband fully supported her at that time and was entirely reliable. It was explained that in some cases disorders might base on the mechanism of conditioned pleasantness/desirability (conversion mechanism). But it was done in a very nuanced and kind way, since a straight-line explanation of this mechanism (“it is in your interests”) may cause a negative response and the treatment may be discontinued by patients. It was pointed out that sexual dysfunctions could result from influence of psychological factors: her bad relationships with her husband’s parents and with him. Suggestion in the hypnotic state was particularly targeted at elimination of sexual aversion, appearance of sexual desire toward her husband, generation of pleasant sensations during his caresses and kisses, presence of voluptuous (lascivious) sensations in frictions during coitus. Sexual intercourses were modeled too. It was also suggested that her husband was her defender, he stood with her and was entirely reliable. As the result of the given treatment, sexual aversion to the patient’s husband was nullified and her sexual desire toward him was completely restored.
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Kocharyan, Garnik. "Sexual Aversion and Lack of Sexual Desire in Woman: a Case from Clinical Practice." Health of Man, no. 1 (June 2, 2021): 65–70. http://dx.doi.org/10.30841/2307-5090.1.2021.232506.
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The article presents a clinical case with a 25-year-old female patient A., who has been married for 1 year, but before she was in a commonlaw marriage during 5 years with her present spouse, who is 30. They have not got any children. When she sought medical advice the patient informed that during 1.5 years she had been feeling sexual aversion to her husband (when he tried to take her in his arms, she had creeping sensations on her arms and back, a feeling of lump in her throat, and a desire to cry). She attributed it to the fact that her husband “does not pay enough attention to me”, he did not defend her against accusations from the side of his relatives and stood with his mother, faulting the patient for causing conflictual relations between the women. She did not feel any sexual desire toward her husband. Their sexual life was once a week. She let her husband loose with her only after she drank alcohol. A month before it was the end of their 8-month period, when she did not let her husband loose with her at all. Her husband put up with restrictions in their sexual life; he did not have any lover. Four months before she parted with her lover, with whom she was going 3-4 months. She did not feel any aversion to him. With time, by means of long conversations she succeeded in making her husband completely take her part in the conflict with his parents, and the spouses even severed any contacts with them.
 Our additional examination succeeded in revealing a number of the patient’s characterological peculiarities, particularly histrionic personality disorder, this fact confirming our clinical observations. The following diagnosis was made: sexual aversion, absence of sexual desire (selective variants) with development by the conversion (hysterical) mechanism. Treatment was provided with help of cognitive effects and hypnosuggestive therapy (its seven sessions were given). The cognitive effects were targeted at the patient’s complete acceptance of the belief that her husband fully supported her at that time and was entirely reliable. It was explained that in some cases disorders might base on the mechanism of conditioned pleasantness/desirability (conversion mechanism). But it was done in a very nuanced and kind way, since a straight-line explanation of this mechanism (“it is in your interests”) may cause a negative response and the treatment may be discontinued by patients.
 It was pointed out that sexual dysfunctions could result from influence of psychological factors: her bad relationships with her husband’s parents and with him. Suggestion in the hypnotic state was particularly targeted at elimination of sexual aversion, appearance of sexual desire toward her husband, generation of pleasant sensations during his caresses and kisses, presence of voluptuous (lascivious) sensations in frictions during coitus. Sexual intercourses were modeled too. It was also suggested that her husband was her defender, he stood with her and was entirely reliable. As the result of the given treatment, sexual aversion to the patient’s husband was nullified and her sexual desire toward him was completely restored.
5
Kocharyan, Garnik. "Lack of Sexual Desire, Aggravated by Hypoerection Caused by the Neurosis of Expectation of Failure. Case from Clinical Practice." Health of Man, no. 4 (December 27, 2024): 23–27. https://doi.org/10.30841/2786-7323.4.2024.322113.
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Hypoactive sexual desire is the commonest sexual complaint in women (33.4%). In men, this is revealed rather frequently too (15.8%) and takes the third place among such complaints. Anxious sexual failure expectation syndrome (ASFES) is the most universal sexopathological syndrome in men that most often manifests with erectile disorders. In order to treat absence of sexual desire and ASFES, in particular, different methods of psychotherapy are used, including hypnosuggestive one. The article describes a clinical example of the successful therapy of the patient, whose main sexual dysfunction consisted in a loss of sexual desire, aggravated by hypoerection due to failure expectation neurosis. In that case hypnosis was the main method of therapy. Male patient B., aged 47, had been in a “common law marriage” during 10 months. He sought medical treatment solely on the initiative of his “common law wife” (CLW). As far as he was personally concerned, he was absolutely satisfied with his own state and did not feel any distress related to it. On presentation he reported absence/loss of sexual desire, mild hypoerection, presence of slightly expressed anxious expectation of sexual failure, absence of morning erections, having sexual intercourses once a week without any desire and solely on the initiative of his CLW. The disorder developed in him under the influence of stress caused by a divorce with his wife, who was unfaithful to him. In that connection he developed a negative attitude towards all women by the mechanism of generalization. The diagnostic conclusion was examined from the viewpoint of 2 classifications: ICD-10 and ICD-11. The first case dealt with the following pathology: “Lack / loss of sexual desire” (F52.0), aggravated by hypoerection as result of slightly expressed failure expectation neurosis (“Social phobias” – F40.1 and “Predominantly obsessional thoughts or ruminations” – F42.0). The second case dealt with only the presence of sexual disharmony, and it is impossible to make a medical diagnosis taking into account the fact that the general characteristics of sexual dysfunctions in ICD-11 have the following criterion, which is worthy of being noted. In order to be considered as pathology sexual dysfunction should be associated with clinically significant distress that was not present in our patient. The following correction was made: (1) help in comprehension of the origin of his sexological symptoms by the patient; (2) hypnosuggestive therapy (10 sessions), aimed to increase resistance of the organism against stress-producing effects of the social and psychological character; increase of sexual desire for women in general and for his CLW in particular; elimination of anxious expectation of sexual failure and saturation with confidence in his sexual powers; programming of the normal course of coitus. Besides, (3) an apiproduct, that among other things, increases sex drive and (4) a physical exercise were administered for increasing his sexua l desire. It should be pointed out that the first session of hypnosuggestive therapy, which was the main component of treatment, for the first time produced morning erection that had been absent three years before the beginning of the treatment. The above change persisted during the whole period of therapy. After the second session of hypnosis the patient’s sexual desire increased and he had two high-quality vaginal sexual intercourses on his own initiative. After all subsequent sessions of hypnosis high-quality vaginal contacts took place, which happened both on the initiative of one of the partners or on their joint initiative. Before the beginning of treatment the above intercourses happened only on the CLW’s initiative. Also it should be pointed out that after the beginning of treatment the rate of sexual intercourses significantly increased. Anxious expectation of sexual failure was completely eliminated after a few sessions of hypnosis. The duration of intercourse also increased; this fact can be particularly explained by a significant increase in their frequency. This led to the fact that if before the start of treatment in CLW, orgasm occurred rarely, then in the course of it, it began to occur every time. The therapeutic effect came extremely rapidly that was not expected by both the Investigator and the patient. Was it possible to limit ourselves to a smaller number of hypnotic sessions? Obviously, yes, it was, but the course of treatment should not be reduced to a very small number of them in order to prevent a possible “slipping down” of the patient to the state that had existed before. Apitherapy as well as the suggested physical exercise should be considered in this case as accessory therapeutic factors. The question arises as to whether it was necessary to treat the patient who was satisfywith his own state. But we should not forget that the above state did not satisfy his partner and caused sexual disharmony. In this case the answer is absolutely obvious, because both the patient and his CLW were completely satisfied with the results of treatment. It should be noted that the information received from the patient a month after the end of his treatment indicated that the achieved results were stable.
6
Catri, Florencia. "Defining Asexuality as a Sexual Identity: Lack/Little Sexual Attraction, Desire, Interest and Fantasies." Sexuality & Culture 25, no. 4 (2021): 1529–39. http://dx.doi.org/10.1007/s12119-021-09833-w.
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Lourenço, M., L. P. Azevedo, and J. L. Gouveia. "Depression impact on the sexual desire." European Psychiatry 26, S2 (2011): 1549. http://dx.doi.org/10.1016/s0924-9338(11)73253-9.
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IntroductionDepression as a pathology and the side effects of pharmacology therapy have been pointed proven to be as responsible for the lack of sexual desire. Among the drugs used in the treatment of depression, anti-depressives are the ones mostly connected to sexual dysfunction.Aims /objectivesTo study the relationship between depression and its impact on the sexual desire in psychiatric patients.MethodsThe chosen sample is composed of 89 subjects, 73 females and 16 males, with ages ranging from 21 to 70 years, who present with depressive symptomatology (mild to moderate symptomatology (MMS) and severe symptomatology (SS).To each patient 3 instruments were applied: 1)Questionnaire used to collect demographic and clinical data from the sample;2)Instrument of estimation of the depression degree (BDI - Beck Depression Inventory);3)Instrument of valuation of the sexual desire (SDS - Sexual Desire Scale).ResultsDepression average value obtained with BDI was 25.58 (SD = 11.86). The majority was satisfied with their marital relationship (72.7% and 52.9%, respectively), and the group with most sexual damaged (actual sexual performance regarding sexual desire) being the one with severe depression (54.5% versus 82.4%, respectively). Regarding total SDS value, the group with MMD present with higher levels of sexual desire (M = 54.93; DP = 14.56) than the group with SD (M = 41.82; DP = 11.86).ConclusionsThis study presents an exploratory character and the obtained results revealed that depressive symptomatology severity is directly related with sexual desire, by saying the higher the depression's severity is the lower sexual desire will be.
8
Kocharyan, Garnik. "Lack of Sexual Desire, Aggravated by Hypoerection Caused by the Neurosis of Expectation of Failure. Case from Clinical Practice." Health of Man, no. 4 (December 27, 2024): 23–27. https://doi.org/10.30841/2786-7323.4.2024.322113.
Full textAbstract:
Hypoactive sexual desire is the commonest sexual complaint in women (33.4%). In men, this is revealed rather frequently too (15.8%) and takes the third place among such complaints. Anxious sexual failure expectation syndrome (ASFES) is the most universal sexopathological syndrome in men that most often manifests with erectile disorders. In order to treat absence of sexual desire and ASFES, in particular, different methods of psychotherapy are used, including hypnosuggestive one. The article describes a clinical example of the successful therapy of the patient, whose main sexual dysfunction consisted in a loss of sexual desire, aggravated by hypoerection due to failure expectation neurosis. In that case hypnosis was the main method of therapy. Male patient B., aged 47, had been in a “common law marriage” during 10 months. He sought medical treatment solely on the initiative of his “common law wife” (CLW). As far as he was personally concerned, he was absolutely satisfied with his own state and did not feel any distress related to it. On presentation he reported absence/loss of sexual desire, mild hypoerection, presence of slightly expressed anxious expectation of sexual failure, absence of morning erections, having sexual intercourses once a week without any desire and solely on the initiative of his CLW. The disorder developed in him under the influence of stress caused by a divorce with his wife, who was unfaithful to him. In that connection he developed a negative attitude towards all women by the mechanism of generalization. The diagnostic conclusion was examined from the viewpoint of 2 classifications: ICD-10 and ICD-11. The first case dealt with the following pathology: “Lack / loss of sexual desire” (F52.0), aggravated by hypoerection as result of slightly expressed failure expectation neurosis (“Social phobias” – F40.1 and “Predominantly obsessional thoughts or ruminations” – F42.0). The second case dealt with only the presence of sexual disharmony, and it is impossible to make a medical diagnosis taking into account the fact that the general characteristics of sexual dysfunctions in ICD-11 have the following criterion, which is worthy of being noted. In order to be considered as pathology sexual dysfunction should be associated with clinically significant distress that was not present in our patient. The following correction was made: (1) help in comprehension of the origin of his sexological symptoms by the patient; (2) hypnosuggestive therapy (10 sessions), aimed to increase resistance of the organism against stress-producing effects of the social and psychological character; increase of sexual desire for women in general and for his CLW in particular; elimination of anxious expectation of sexual failure and saturation with confidence in his sexual powers; programming of the normal course of coitus. Besides, (3) an apiproduct, that among other things, increases sex drive and (4) a physical exercise were administered for increasing his sexua l desire. It should be pointed out that the first session of hypnosuggestive therapy, which was the main component of treatment, for the first time produced morning erection that had been absent three years before the beginning of the treatment. The above change persisted during the whole period of therapy. After the second session of hypnosis the patient’s sexual desire increased and he had two high-quality vaginal sexual intercourses on his own initiative. After all subsequent sessions of hypnosis high-quality vaginal contacts took place, which happened both on the initiative of one of the partners or on their joint initiative. Before the beginning of treatment the above intercourses happened only on the CLW’s initiative. Also it should be pointed out that after the beginning of treatment the rate of sexual intercourses significantly increased. Anxious expectation of sexual failure was completely eliminated after a few sessions of hypnosis. The duration of intercourse also increased; this fact can be particularly explained by a significant increase in their frequency. This led to the fact that if before the start of treatment in CLW, orgasm occurred rarely, then in the course of it, it began to occur every time. The therapeutic effect came extremely rapidly that was not expected by both the Investigator and the patient. Was it possible to limit ourselves to a smaller number of hypnotic sessions? Obviously, yes, it was, but the course of treatment should not be reduced to a very small number of them in order to prevent a possible “slipping down” of the patient to the state that had existed before. Apitherapy as well as the suggested physical exercise should be considered in this case as accessory therapeutic factors. The question arises as to whether it was necessary to treat the patient who was satisfywith his own state. But we should not forget that the above state did not satisfy his partner and caused sexual disharmony. In this case the answer is absolutely obvious, because both the patient and his CLW were completely satisfied with the results of treatment. It should be noted that the information received from the patient a month after the end of his treatment indicated that the achieved results were stable.
9
Dürr, Elzabé. "Lack of ‘responsive’ sexual desire in women: implications for clinical practice." Sexual and Relationship Therapy 24, no. 3-4 (2009): 292–306. http://dx.doi.org/10.1080/14681990903271228.
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Regan, Pamela C., and Leah Atkins. "SEX DIFFERENCES AND SIMILARITIES IN FREQUENCY AND INTENSITY OF SEXUAL DESIRE." Social Behavior and Personality: an international journal 34, no. 1 (2006): 95–102. http://dx.doi.org/10.2224/sbp.2006.34.1.95.
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Only within the past decade have social scientists commonly recognized the phenomenon of sexual desire as a distinct and vital component of human sexual response. Of the various factors believed to be associated with sexual desire, gender (biological sex) is presumed by many theorists to be one of the most important. Limited empirical work suggests that men experience desire more frequently than do women; however, sex differences in intensity or level of desire have yet to be examined. This study explored both the self-reported frequency and intensity of sexual desire among an ethnically diverse sample of 676 men and women. As hypothesized, men reported experiencing a higher overall level of sexual desire than did women. Sex differences also were found with respect to frequency of sexual desire. Men reported experiencing sexual desire more often than did women and, when asked to estimate the actual frequency with which they experienced desire, men's estimated frequency (37 times per week) was significantly higher than women's (9 times per week). These results do not imply that men always feel desire or that women lack sexual desire. In fact, virtually every participant in this study reported feeling sexual desire on a regular basis. This suggests that desire may be the most universal sexual response experienced by both men and women.
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Balon, R. "Diagnosis and Assessment of Female sexual Dysfunction(s)." European Psychiatry 24, S1 (2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)70456-0.
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The first challenge in diagnosing female sexual dysfunction(s) originates in our diagnostic system. The traditional model of classifying sexual dysfunction is anchored in the sexual response cycle: desire - arousal - orgasm - resolution. However, as some experts have pointed out, this classification may be problematic in the area of female sexuality. Both the diagnoses of female hypoactive sexual desire disorder (FHSDD) and female arousal disorder (FSAD) probably need to be redefined and refined. Examples include adding the lack of responsive desire to the FHSDD criteria and creating categories of subjective FSAD and genital FSAD.The second challenge in diagnosis female dysfunction is the lack of solid diagnostic instruments, diagnosis-specific laboratory assays and other specific testing. Specific measures of female sexual functioning, such as Female Sexual Functioning Index, Profile of Female Sexual Functioning, Sexual Function Questionnaire, Sexual Desire and Interest Inventory, and Female Sexual Distress Scale were mostly developed as outcome measures. No solid diagnostic instrument for sexual dysfunction exists, not even a version of the Structured Clinical Interview for DSM sexual dysfunctions. The contribution of imaging techniques, such as ultrasonography, magnetic resonance imaging or thermography, to the diagnosis is unclear, and these techniques are far (if ever) from clinical use.Thus, a detailed comprehensive clinical interview combined with physical examination, possibly a gynecological examination, and in some cases laboratory hormonal testing remains the cornerstone of diagnosing and assessing female sexual dysfunctions.
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Edinoff, Amber N., Nicole M. Sanders, Kyle B. Lewis, et al. "Bremelanotide for Treatment of Female Hypoactive Sexual Desire." Neurology International 14, no. 1 (2022): 75–88. http://dx.doi.org/10.3390/neurolint14010006.
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Hypoactive sexual desire disorder (HSDD) is a persistent deficiency or absence of sexual fantasies and desire resulting in significant distress or interpersonal difficulty. Women with this disorder may display a lack of motivation for sexual activity, reduced responsiveness to erotic cues, a loss of interest during sexual activity, and avoidance of situations that could lead to sexual activity. The pathophysiology of HSDD is thought to be centered around inhibitory and excitatory hormones, neurotransmitters, and specific brain anatomy. Due to the multifactorial nature of HSDD, treatment can be complex and must attempt to target the biological and psychosocial aspects of the disorder. Bremelanotide is a melanocortin receptor agonist and has been recently approved by the FDA to treat HSDD. Bremelanotide is administered intranasally or as a subcutaneous injection. The recommended dosage of bremelanotide is 1.75 mg injected subcutaneously in the abdomen or thigh at least 45 min before sexual activity. Studies showed improvements in desire, arousal, and orgasm scores when 1.75 mg of bremelanotide was administered before sexual activity compared to a placebo. Bremelanotide is a promising way to treat HSDD.
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Zhu, Ye, Xin Yang, Xiangling Fan, et al. "Decreased Sexual Desire among Middle-Aged and Old Women in China and Factors Influencing It: A Questionnaire-Based Study." Evidence-Based Complementary and Alternative Medicine 2021 (May 25, 2021): 1–11. http://dx.doi.org/10.1155/2021/6649242.
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Objective. This survey was designed and conducted with an aim to present data on sexual desire and activity in Chinese women. Methods. Between October 2013 and December 2013, we surveyed 3000 women (aged 40–65 years) at Beijing No. 2 Hospital and the Yuetan Community Health Service Center using a questionnaire. The primary outcomes included determination of sexual desire in the past 4 weeks, reasons for stopping sexual activity, and postmenopausal syndrome. The secondary outcome was determination of factors for low sexual desire. Results. A total of 2400 women (mean age 54.33 ± 6.25 years; mean menopausal age 50.11 ± 3.31 years) returned the questionnaire, with 58% of women reporting lowered sexual desire and 39.3% reporting stoppage of sexual activity. Compared with the postmenopausal group, the incidence of anxiety, depressive, somatic, and vasomotor symptoms was higher in the perimenopausal group. Muscle and joint pain (45.8%) and vaginal pruritus (21.5%) were the most commonly reported menopausal and vulvovaginal symptoms, respectively. The odds of decrease in sexual desire were significantly higher with older age, menopause, presence of gynecological disease, menopausal depression symptoms, menopausal vasomotor symptoms, and vulvovaginal atrophy; only cesarean delivery (odds ratio = 0.887, P = 0.018 ) was associated with lesser reduction in sexual desire compared with the aforementioned factors. Conclusion. This survey showed that a high proportion of Chinese middle-aged and old women have lowered sexual desire and activity. Lack of sexual desire is associated with multiple factors and affects the quality of life of women.
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Wong-Merrick, Samantha, Lori Brotto, and Zoë Hodgson. "Registered Midwives’ Experiences and Self-Assessed Competence with Sexual Health Counselling." Canadian Journal of Midwifery Research and Practice 20, no. 1 (2024): 31–40. http://dx.doi.org/10.22374/cjmrp.v20i1.40.
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Background: Pregnancy and the postpartum period raise many sexual health concerns for women. Registered midwives (RMs) care for an increasing proportion of Canadian pregnancies. The study objective was to assess RMs’ experiences providing sexual health counselling. Methods: A 22-item questionnaire exploring RMs’ experiences, competence, and comfort, as well as barriers to discussing sexual health, was distributed electronically to British Columbian RMs. Results: Of 330 RMs, 91 (28%) responded. The majority of midwives reported discussing sexual health concerns with greater than 75% of clients (49/91 [53.8%]). Most estimated the time spent was less than 30 minutes over the pregnancy (69/91 [76%]). Common topics were sexual activity postpartum (82/91 [90.1%]), contraception (89/91 [97.8%]), and cervical cancer screening (86/91 [94.5%]). Less than half discussed sexual problems, including pain or low desire. RMs rated themselves highly competent and comfortable addressing sexual health. However, many identified lack of training, time, and cultural differences as barriers. Respondents cited desire for community resources and training in the areas of contraception, pain and, low desire. Conclusions: British Columbian RMs feel confident addressing many sexual health concerns during pregnancy but cited lack of training as a common barrier. Investment in educational resources for RMs may help to improve sexual health care for all Canadian women. This article has been peer reviewed.
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Roach, Tom. "Fascination." differences 34, no. 1 (2023): 104–12. http://dx.doi.org/10.1215/10407391-10435618.
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Bersanian fascination is not merely a fleeting affective state. It is, rather, a mode of inquiry and a form of being. If Bersani is initially fascinated with the antisocial nature of sexual desire, he later becomes enthralled with a notion of fascinated witnessing that reveals an ontological enmeshment. This essay homes in on a passage in Homos that presages an important pivot in Bersani’s intellectual trajectory: a pivot from a dialectical conception of a subjectivity forever alienated and at odds with external reality to an immanentist understanding of a subject always already connected to the world. Through an act of betrayal, Bersani leaves behind a Freudo-Proustian conception of desire as lack and embraces a concept of desire so radically exclusionary that it lacks nothing. Betrayal affords Bersani the opportunity to conceive of an ethical response to an inherently exclusionary sexual desire: an implicated, indiscriminate fascination with the world’s appearances, indifferent to the psychology of desire.
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Varfi, Nektaria, Stephane Rothen, Katarzyna Jasiowka, Thibault Lepers, Francesco Bianchi-Demicheli, and Yasser Khazaal. "Sexual Desire, Mood, Attachment Style, Impulsivity, and Self-Esteem as Predictive Factors for Addictive Cybersex." JMIR Mental Health 6, no. 1 (2019): e9978. http://dx.doi.org/10.2196/mental.9978.
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Background An increasing number of studies are concerned with various aspects of cybersex addiction, the difficulty some persons have in limiting cybersex use despite a negative impact on everyday life. Objective The aim of this study was to assess potential links between the outcome variable cybersex addiction, assessed with the Compulsive Internet Use Scale (CIUS) adapted for cybersex use, and several psychological and psychopathological factors, including sexual desire, mood, attachment style, impulsivity, and self-esteem, by taking into account the age, sex, and sexual orientation of cybersex users. Methods A Web-based survey was conducted in which participants were assessed for sociodemographic variables and with the following instruments: CIUS adapted for cybersex use, Sexual Desire Inventory, and Short Depression-Happiness Scale. Moreover, attachment style was assessed with the Experiences in Close Relationships-Revised questionnaire (Anxiety and Avoidance subscales). Impulsivity was measured by using the Urgency, Premeditation (lack of), Perseverance (lack of), Sensation Seeking, Positive Urgency Impulsive Behavior Scale. Global self-esteem was assessed with the 1-item Self-Esteem Scale. Results A sample of 145 subjects completed the study. Addictive cybersex use was associated with higher levels of sexual desire, depressive mood, avoidant attachment style, and male gender but not with impulsivity. Conclusions Addictive cybersex use is a function of sexual desire, depressive mood, and avoidant attachment.
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Abdelrahim Ibrahim Humaida, Ibrahim. "Diabetics and Sexual Disorders: Why both Men and Women with Diabetes Suffer from Impotence and Lack of Sexual Desire." Clinical Genetic Research 1, no. 2 (2022): 01–05. http://dx.doi.org/10.31579/2834-8532/006.
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The main objective of this study was to investigate the prevalence of sexual disorders in diabetics, owing todiabetes constitutes a growing public health problem, leading to a variety of dysfunctions such as cardiovascular, psychological, and sexual dysfunctions, that is why Diabetes is a well-known cause of sexual disorders, with prevalence rates approaching 50% in both type 1 and type 2 diabetes, but the determinants of sex dysfunction in diabetic men as a result of the principal cardiovascular risk factors, such as hypertension, and also overweight obesity, in addition to metabolic syndrome, smoking, and sedentary lifestyles. Moreover, sexual disorders considered as important predictors of the development of major complaints in diabetic patients, on the other hand, the debate as to whether diabetes link with sexual dysfunction or not, is an issue of controversy, moreover,diabetic women suffer from the same neurovascular complications that contribute to the pathogenesis of SD in men, however, results of sexual functioning of diabetic women are less conclusive. Conclusion: extending beyond the specific effects on sexual dysfunction in men and women with diabetes, the adoption of these measures promotes a healthier life and increased well-being, which in turn, may help to reduce the burden of sexual dysfunction.
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Montejo, Angel L. "Sexuality and Mental Health: The Need for Mutual Development and Research." Journal of Clinical Medicine 8, no. 11 (2019): 1794. http://dx.doi.org/10.3390/jcm8111794.
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Research in the field of sexuality has shown growing scientific development in recent years, although there’s a lack of well-trained professionals who could contribute to increasing its benefits. Sexuality continues to be a taboo with different interpretations and difficult delimitation of either normal or pathological behavior. More resources are needed for the understanding of new emerging pathologies, and to increase the research in new models of sexual behavior. All psychiatric diseases include symptoms affecting sexual life, such as impaired desire, arousal, or sexual satisfaction that need to be properly addressed. Health providers and prescribers must detect and prevent iatrogenic sexual dysfunction that can highly deteriorate a patient’s sexual life and satisfaction, leading to frequent drop-outs of medication. Approaching and researching aspects of sexual intimacy, life desires, frustrations, and fears undoubtedly constitutes the best mental health care.
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Van Haecke, Pieter-Jan. "Female idols in Japan: Desiring desire, fantasmatic consumption and drive satisfaction." East Asian Journal of Popular Culture 6, no. 1 (2020): 77–92. http://dx.doi.org/10.1386/eapc.00016_1.
Full textAbstract:
In this article, the author explores the idol-phenomenon in Japanese society and, more specifically, how the relation between the idol-image and the otaku should be understood. By analysing the way in which the otaku interacts with his desired idol-image, the author is able to explain how an otaku comes to desire an idol-image and how his supportive consumption of her commodities constitutes an investment in her grand-narrative of lack. He also shows how this consumption, as driven by the otaku’s desire to desire, concerns a consumption of fantasies of the supposedly writable sexual relationship as well as a consumption of images that satisfies the scopic drive. Eventually, the author concludes that the interaction of the otaku with his desired idol-image, an interaction devoid of female subjects, remains beyond any true love whatsoever.
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Kocharyan, Garnik. "Diminished Libido, Its Manifestations and Definitions of Hypoactive Sexual Desire Disorder." Health of Man, no. 4 (December 30, 2021): 90–97. http://dx.doi.org/10.30841/2307-5090.4.2021.252407.
Full textAbstract:
The article deals with clinical manifestations of diminished libido as well as definitions of hypoactive sexual desire disorder (HSDD) in the International Classification of Diseases, 10th Revision (ICD-10), Diagnostic and Statistical Manual of Mental Disorders, Fourth and Fifth Editions (DSM-4 and DSM-5) (USA). Its corresponding code in ICD-10 is F52.0 (“Lack or loss of sexual desire”), which is common for both men and women. DSM-4 has code 302.71 (“Hypoactive Sexual Desire Disorder”), which is common for persons of both sexes too. The point to note is that the above classification considers the presence of distress or difficulties in interpersonal communication, caused by hyposexuality, as one of indicators for diagnosing this disorder. DSM-5 uses diagnosis “Male Hypoactive Sexual Desire Disorder” (code 302.71), whereas for revealing this disorder in women general diagnosis “Female Sexual Interest/Arousal Disorder” (code 302.72) is used, since in compliance with the opinion, present in the above guide, women are characterized by difficulties in differentiation and a frequent comorbidity of disorders of sexual interest and sexual excitement. Also, attention is called to the fact of substitution of the term “sexual desire” with the term “sexual interest”, thereby giving some psychological tint to the first part of the diagnosis and reducing its biological background. Both DSM-5 codes (for men and for women) also provide for a diagnostic criterion, according to which hypoactive sexual manifestations cause a clinically significant distress. The author also informs about existence of an autonomous classification of female sexual dysfunctions by two international panels of experts in sexual medicine (Nomenclature Committee of the International Society for the Study of Women’s Sexual Health and the International Consultation in Sexual Medicine), who believe that preservation of the separate diagnosis “Hypoactive sexual desire disorder” for women is reasonable. It is reported that ICD-11 will use diagnosis “Hypoactive sexual desire dysfunction” not only for men, but for women too. The given data demonstrate scientific substantiation for such a decision. Attention is called to the fact that the above classification has fully absolutized the subjective perception of hyposexuality. For example, it is reported that the proposed diagnostic guide takes aim at the absence of any norms for sexual activity. It is suggested to regard as “satisfactory” the sexual activity, which satisfies the given person. If the individual is satisfied with his/her sexual activity, the possibility of diagnosing his/her sexual dysfunction is excluded at once. Validity of such an approach is discussed. Besides the described hypoactive sexual manifestations, the article also lists the clinical phenomena, which are associated with the above manifestations and accompany them.
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Kocharyan, Garnik. "Prevalence of Diminished Libido and Hypoactive Sexual Desire Disorder." Health of Man, no. 4 (December 30, 2021): 72–78. https://doi.org/10.30841/2307-5090.4.2021.252399.
Full textAbstract:
Low sexual desire (LSD) is a rather common sexological symptom, which occurs in 33.4% of women, taking the first place among other such symptoms, and in 15.8% of men. At the same time, hypoactive sexual desire disorder (HSDD) is detected much less often due to the fact that one of its diagnostic criteria consists in distress caused by LSD. Although LSD becomes more frequent with age, distress reduces with age. Therefore the prevalence of HSDD among women remains a constant. In the author’s opinion, the approach that excludes a high rank of subjectivism in the diagnostic assessment of LSD (if a person has LSD but the latter does not cause any distress in this case or even, maybe, is fine with him/her, this person is healthy; if distress is caused the person is ill) is constructive. It is pointed out that both the rate of LSD and the prevalence of HSDD vary depending upon the age, race/ethnicity, educational level, body mass index, current smoking status, current depression, taking of antidepressants by people with a previous diagnosis of depression, hormonal therapy (in women during menopause), menopausal status and country of residence. It is reported that men are more biological in their sexual manifestations versus women, in whom psychological factors play a more marked role versus men. The latter think about sex and fantasize about it more frequently than women; they want to have sex more often irrespective of their sexual orientation; they want to have a larger number of sex partners; they masturbate more frequently; they are less inclined to give up their sexual activity; their sexual desire appears at an earlier age; they use a wide variety of sexual practices, and the role of biology is reduced by social factors in women to a greater extent than in men. Data are given that indisputably indicate a larger sexual activity of men versus women. For example, it has been revealed that lesbian couples have sexual relations significantly less frequently than heterosexual and gay couples. The same study has shown that the worse the state of health and the greater the extent of misfortune, the larger the lack of sexual interest. “everyday alcohol intake”, “bad or satisfactory state of health” and “emotional problems or stress” have proved to be predictors (prognostic factors) of LSD in men. Also, data of other studies on the prevalence of LSD in men as well as information about the rate of HSDD in them are given. It is pointed out that noticeable differences exist in the levels of LSD prevalence in different cultures in the range of 12.5% in men from Northern Europe to 28% in men from Southeastern Asia at the age of 40-80 years. The feeling of guilt caused by sex can mediate this association between the Southeastern ethnicity and sexual desire in men.
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Kocharyan, Garnik. "Diminished Libido, Its Manifestations and Definitions of Hypoactive Sexual Desire Disorder." Health of Man, no. 4 (December 30, 2021): 90–97. https://doi.org/10.30841/2307-5090.4.2021.252407.
Full textAbstract:
The article deals with clinical manifestations of diminished libido as well as definitions of hypoactive sexual desire disorder (HSDD) in the International Classification of Diseases, 10th Revision (ICD-10), Diagnostic and Statistical Manual of Mental Disorders, Fourth and Fifth Editions (DSM-4 and DSM-5) (USA). Its corresponding code in ICD-10 is F52.0 (“Lack or loss of sexual desire”), which is common for both men and women. DSM-4 has code 302.71 (“Hypoactive Sexual Desire Disorder”), which is common for persons of both sexes too. The point to note is that the above classification considers the presence of distress or difficulties in interpersonal communication, caused by hyposexuality, as one of indicators for diagnosing this disorder. DSM-5 uses diagnosis “Male Hypoactive Sexual Desire Disorder” (code 302.71), whereas for revealing this disorder in women general diagnosis “Female Sexual Interest/Arousal Disorder” (code 302.72) is used, since in compliance with the opinion, present in the above guide, women are characterized by difficulties in differentiation and a frequent comorbidity of disorders of sexual interest and sexual excitement. Also, attention is called to the fact of substitution of the term “sexual desire” with the term “sexual interest”, thereby giving some psychological tint to the first part of the diagnosis and reducing its biological background. Both DSM-5 codes (for men and for women) also provide for a diagnostic criterion, according to which hypoactive sexual manifestations cause a clinically significant distress. The author also informs about existence of an autonomous classification of female sexual dysfunctions by two international panels of experts in sexual medicine (Nomenclature Committee of the International Society for the Study of Women’s Sexual Health and the International Consultation in Sexual Medicine), who believe that preservation of the separate diagnosis “Hypoactive sexual desire disorder” for women is reasonable. It is reported that ICD-11 will use diagnosis “Hypoactive sexual desire dysfunction” not only for men, but for women too. The given data demonstrate scientific substantiation for such a decision. Attention is called to the fact that the above classification has fully absolutized the subjective perception of hyposexuality. For example, it is reported that the proposed diagnostic guide takes aim at the absence of any norms for sexual activity. It is suggested to regard as “satisfactory” the sexual activity, which satisfies the given person. If the individual is satisfied with his/her sexual activity, the possibility of diagnosing his/her sexual dysfunction is excluded at once. Validity of such an approach is discussed. Besides the described hypoactive sexual manifestations, the article also lists the clinical phenomena, which are associated with the above manifestations and accompany them.
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Gelman, Faina, and Jessica Atrio. "Flibanserin for hypoactive sexual desire disorder: place in therapy." Therapeutic Advances in Chronic Disease 8, no. 1 (2017): 16–25. http://dx.doi.org/10.1177/2040622316679933.
Full textAbstract:
The pathophysiology, diagnosis and treatment of female sexual interest in pre- and post-menopausal women present a complex arena for patients and physicians to navigate. Flibanserin was the first pharmacologic treatment, approved by the United States Food and Drug Administration in August 2015, for hypoactive sexual desire disorder (HSDD) in premenopausal women. Side effects, contraindications and lack of approval in postmenopausal women are all limitations, as are issues surrounding patient and physician knowledge and access. Testosterone, buspirone, sildenafil, bupropion, bremelanotide, as well as herbal medications (Herbal vX or Tribulus terrestris) have demonstrated some clinical benefit in women with sexual dysfunction disorders however, trials have significant design, dosing or generalizability limitations. Nonpharmaceutical cognitive behavioral therapy, mindfulness meditation, pelvic floor therapy, and clitoral stimulators are also interventions women may pursue. This manuscript will explore the clinical data regarding these therapeutic modalities so as to bring attention to this issue of female HSDD, to offer an overview of current research, and to incite providers to initiate discussion among themselves and their patients.
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Stimmel, Glen L., and Mary A. Gutierrez. "Pharmacologic Treatment Strategies for Sexual Dysfunction in Patients with Epilepsy and Depression." CNS Spectrums 11, S9 (2006): 31–37. http://dx.doi.org/10.1017/s1092852900026742.
Full textAbstract:
AbstractSexual dysfunction is a frequently encountered comorbid condition in patients with many medical and psychiatric conditions, such as epilepsy and depression. Most depressed patients experience some type of sexual dysfunction, decreased sexual desire being the most common. The association of sexual dysfunction with epilepsy is less clear. Changes in sex hormone levels are common in patients with epilepsy and may be attributable to the disease or to antiepileptic drugs (AEDs). Sexual dysfunction associated with depression or epilepsy is generally treated according to standard guidelines for the management of sexual disorders, since data from special populations are not available. The most common forms of female sexual dysfunction are lack of sexual desire and difficulty achieving orgasm. There are no approved pharmacotherapies for female hypoactive sexual desire disorder or female orgasmic disorder. Female sexual arousal disorder is treated with estrogen replacement therapy when indicated or vaginal lubricants. The most common male sexual dysfunction disorders are premature ejaculation and erectile dysfunction. Phosphodiesterase type-5 inhibitor drugs are now the first-line treatment for erectile dysfunction, and selective serotonin reuptake inhibitors and topical anesthetic creams are nonapproved but effective treatments for premature ejaculation. Testosterone and aromatase inhibitors have been used investigationally to treat sexual dysfunction in men taking AEDs. Patient education and follow-up appointments are essential to ensure optimal outcomes of pharmacologic treatments for sexual dysfunction.
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Hurrahmi, Miftha, Eighty Mardiyan K, Azami Denas A, and Sulistiawati Sulistiawati. "Profile of sexual function using Female Sexual Function Index (FSFI) in post-menopausal women in Geriatric Clinic, Dr Soetomo Hospital, Surabaya." Majalah Obstetri & Ginekologi 25, no. 2 (2018): 54. http://dx.doi.org/10.20473/mog.v25i22017.54-58.
Full textAbstract:
Objectives: to describe the profile of sexual function in post-menopausal women at Geriatric Clinic, Dr. Soetomo Hospital, Surabaya in May 2016 and to determine the factors of sexual dysfunction in 6 sexual domains.Materials and Methods: a descriptive study using survey to obtain data on the examined variables. Population in this study was all post-menopausal women at Geriatric Clinic of Dr. Soetomo Hospital, Surabaya, in May 2016. Data were obtained using Female Sexual Function Index (FSFI) questionnaire.Results: Total population in this study was 160 patients. The number of samples who met inclusion criteria were 90 patients, but only 37 were willing to participate. The prevalence of samples who were still active in sexual intercourse was 29.7%. Based on 6 sexual domains, the prevalence of the lack of desire was 48.6%, lack of arousal was 75.7%, lack of lubrication was 73%, lack of orgasm was 73%, lack of satisfaction was 73% and pain was 70.3%. The assessment of sexual function found that 78.4% of the samples were sexually dysfunctional.Conclusion: The high prevalence (78.4%) of sexual dysfunction in post-menopausal woman was caused by dysfunction in sexual domain.
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Mayer, Danielle, and Sarah E. Lynch. "Bremelanotide: New Drug Approved for Treating Hypoactive Sexual Desire Disorder." Annals of Pharmacotherapy 54, no. 7 (2020): 684–90. http://dx.doi.org/10.1177/1060028019899152.
Full textAbstract:
Objective: To review data regarding bremelanotide, a recently approved therapy for hypoactive sexual desire disorder (HSDD). Data Sources: Literature search of Medline, SCOPUS, and EMBASE was performed using the search terms bremelanotide, bremelanotide injection, Vyleesi, and melanocortin 4 receptor agonist between January 1, 1996, and December 15, 2019. Reference lists from included articles were also reviewed for pertinent citations. Study Selection/Data Extraction: We included phase 2 and 3 trials of bremelanotide. There were 2 reports of phase 3 trials and 2 reports of phase 2 trials. Additional information from supplementary analyses was also referenced. Data Synthesis: Bremelanotide demonstrates significant improvement in desire and a significant decrease in distress related to lack of desire. The most common adverse effects include nausea (39.9%), facial flushing (20.4%), and headache (11%). Relevance to Patient Care and Clinical Practice: Bremelanotide is the second Food and Drug Administration–approved medication for the treatment of HSDD. Bremelanotide’s place in therapy is unknown, as the HSDD guidelines were last updated in 2017. Although the trials met statistical significance for change in sexual desire elements and distress related to sexual desire, the clinical benefit may only be modest. Conclusion: Bremelanotide is a subcutaneous injection that can be administered as needed approximately 45 minutes prior to sexual activity. Bremelanotide is safe and has limited drug-drug interactions, including no clinically significant interactions with ethanol. Prescribing guidelines recommend no more than 1 dose in 24 hours and no more than 8 doses per month. Individuals should discontinue use after 8 weeks without benefit.
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Díaz-Mesa, E. M., M. P. García-Portilla, S. Al-Halabí, P. A. Sáiz, and J. Bobes. "Sexual dysfunction in patients with schizophrenia vs bipolar disorder." European Psychiatry 26, S2 (2011): 1542. http://dx.doi.org/10.1016/s0924-9338(11)73246-1.
Full textAbstract:
IntroductionHealthy sexual functioning is an important part of the human experience, but there is a lack of studies regarding sexuality and sexual behavior in schizophrenia and bipolar disorder (García-Portilla, 2010).AimTo determine the differences on the sexual dysfunction profile between patients with schizophrenia and bipolar disorder.MethodNaturalistic, cross-sectional, multicentre, validation study. A total of 89 patients with schizophrenia (SQF) and 82 with bipolar disorder (BPD) were evaluated using the Changes in Sexual Functioning Questionnaire Short-Form (CSFQ-14).ResultsSample description (SQF vs BPD): Mean age (SD) were 39.2 (11.0) vs 46.7 (10.9) (p < 0.001), men were 58.8% vs 41.2% (χ2 = 4.0, df. = 1, p < 0.05), 61.8% vs 38.2% were single (χ2 = 12.8, df. = 1, p < 0.001). Mean (SD) scores on CSFQ-14 scales were (SQF vs BPD): Pleasure 2.2 (1.0) vs 2.6 (1.0) (t = -2.2, p < 0.05), Sexual desire/frequency 5.3 (2.0) vs 5.9 (2.0) (t = -2.0, p < 0.05), Sexual desire/interest 5.7 (2.6) vs 6.9 (3.0) (t = -2.5, p < 0.05), Arousal/excitement 8.6 (3.1) vs 8.9 (3.4), Orgasm/completion 7.9 (3.2) vs 8.8 (3.2), Desire 11.1 (3.9) vs 12.9 (4.4) (t = -2.7, p < 0.05), Arousal 8.6 (3.1) vs 8.9 (3.4), Orgasm 7.9 (3.2) vs 8.8 (3.2) and Total 39.5 (9.7) vs 42.2 (11.0).ConclusionsPatients with schizophrenia have more difficulty to get pleasure and more problems in the phase of desire (frequency and interest) than the patients with bipolar disorder.
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Kocharyan, Garnik. "Prevalence of Diminished Libido and Hypoactive Sexual Desire Disorder." Health of Man, no. 4 (December 30, 2021): 72–78. http://dx.doi.org/10.30841/2307-5090.4.2021.252399.
Full textAbstract:
Low sexual desire (LSD) is a rather common sexological symptom, which occurs in 33.4% of women, taking the first place among other such symptoms, and in 15.8% of men. At the same time, hypoactive sexual desire disorder (HSDD) is detected much less often due to the fact that one of its diagnostic criteria consists in distress caused by LSD. Although LSD becomes more frequent with age, distress reduces with age. Therefore the prevalence of HSDD among women remains a constant. In the author’s opinion, the approach that excludes a high rank of subjectivism in the diagnostic assessment of LSD (if a person has LSD but the latter does not cause any distress in this case or even, maybe, is fine with him/her, this person is healthy; if distress is caused the person is ill) is constructive. It is pointed out that both the rate of LSD and the prevalence of HSDD vary depending upon the age, race/ethnicity, educational level, body mass index, current smoking status, current depression, taking of antidepressants by people with a previous diagnosis of depression, hormonal therapy (in women during menopause), menopausal status and country of residence. It is reported that men are more biological in their sexual manifestations versus women, in whom psychological factors play a more marked role versus men. The latter think about sex and fantasize about it more frequently than women; they want to have sex more often irrespective of their sexual orientation; they want to have a larger number of sex partners; they masturbate more frequently; they are less inclined to give up their sexual activity; their sexual desire appears at an earlier age; they use a wide variety of sexual practices, and the role of biology is reduced by social factors in women to a greater extent than in men. Data are given that indisputably indicate a larger sexual activity of men versus women. For example, it has been revealed that lesbian couples have sexual relations significantly less frequently than heterosexual and gay couples. The same study has shown that the worse the state of health and the greater the extent of misfortune, the larger the lack of sexual interest. “everyday alcohol intake”, “bad or satisfactory state of health” and “emotional problems or stress” have proved to be predictors (prognostic factors) of LSD in men. Also, data of other studies on the prevalence of LSD in men as well as information about the rate of HSDD in them are given. It is pointed out that noticeable differences exist in the levels of LSD prevalence in different cultures in the range of 12.5% in men from Northern Europe to 28% in men from Southeastern Asia at the age of 40-80 years. The feeling of guilt caused by sex can mediate this association between the Southeastern ethnicity and sexual desire in men.
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Tort-Nasarre, Glòria, Paola Galbany-Estragués, María Ángeles Saz Roy, and Maria Romeu-Labayen. "Sexual and Reproductive Healthcare Provided to Women Diagnosed with Serious Mental Illness: Healthcare Professionals’ Perspectives." Nursing Reports 15, no. 4 (2025): 119. https://doi.org/10.3390/nursrep15040119.
Full textAbstract:
Background: Women diagnosed with serious mental illness (SMI) face increased vulnerability and significant risks to their sexual and reproductive health, an issue that is often overlooked in healthcare systems. Aim: This study aimed to explore the sexual and reproductive healthcare provided to women with SMI, based on the perspectives of professionals specialising in mental health and sexual and reproductive health. Methods: A descriptive qualitative design was used. Semi-structured interviews were conducted with a purposive sample of professionals from community mental health and sexual and reproductive health in Catalonia (Spain). Data were analysed using thematic analysis. Results: Two themes were identified: clinical practice and professional context. The clinical practice theme had three sub-themes: lack of a preventive framework, attention to sexual and reproductive needs, and supporting women in their desire for motherhood and in pregnancy. The professional context theme had four sub-themes: cross-disciplinary coordination, lack of protocols, lack of human resources and time, and lack of training in mental health. Conclusions: Mental health professionals and sexual and reproductive health professionals expressed different perspectives about sexual and reproductive healthcare for women with SMI, pointing to a need for greater training and coordination.
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O’Malley, Deirdre, Agnes Higgins, and Valerie Smith. "Exploring the Complexities of Postpartum Sexual Health." Current Sexual Health Reports 13, no. 4 (2021): 128–35. http://dx.doi.org/10.1007/s11930-021-00315-6.
Full textAbstract:
Abstract Purpose of Review This paper explores the complexities of postpartum sexual health. It answers the question on what should be considered normal sexual health after birth and what should be considered abnormal. Recent Findings Many women experience physical sexual health issues in the months after birth, such as dyspareunia, lack of vaginal lubrication and a loss of sexual desire. For some women, these issues can persist 12 and 18 months after birth. Mode of birth is not associated with long-term dyspareunia 6 and 12 months after birth. There is conflict seen in the literature with regard to the association between perineal trauma and short-and long-term sexual health. Breastfeeding and the existence of pre-existing sexual health issues are strongly predictive of sexual health issues at 6 and 12 months after birth. Women have described a discordance in their sexual desire to that of their partner, for some this caused distress but for couples who communicated their feelings of sexual desire, concern over baby’s well-being and adapting to parenthood distress was not experienced. Resuming sexual intercourse after birth was not spontaneous, women considered their mode of birth, the presence of perineal trauma and their physical and emotional recovery from birth. One fifth of women had not resumed sexual intercourse 12 weeks after birth. Summary A discussion is presented on the challenges associated with viewing postpartum sexual health from a physical perspective only, and why prevalence studies alone do not capture the nuances of postpartum sexual health. Future research needs to take account of the psychosocial and relational dimensions of postpartum sexual health as well as physical dimensions.
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O’Malley, Deirdre, Agnes Higgins, and Valerie Smith. "Exploring the Complexities of Postpartum Sexual Health." Current Sexual Health Reports 13, no. 4 (2021): 128–35. http://dx.doi.org/10.1007/s11930-021-00315-6.
Full textAbstract:
Abstract Purpose of Review This paper explores the complexities of postpartum sexual health. It answers the question on what should be considered normal sexual health after birth and what should be considered abnormal. Recent Findings Many women experience physical sexual health issues in the months after birth, such as dyspareunia, lack of vaginal lubrication and a loss of sexual desire. For some women, these issues can persist 12 and 18 months after birth. Mode of birth is not associated with long-term dyspareunia 6 and 12 months after birth. There is conflict seen in the literature with regard to the association between perineal trauma and short-and long-term sexual health. Breastfeeding and the existence of pre-existing sexual health issues are strongly predictive of sexual health issues at 6 and 12 months after birth. Women have described a discordance in their sexual desire to that of their partner, for some this caused distress but for couples who communicated their feelings of sexual desire, concern over baby’s well-being and adapting to parenthood distress was not experienced. Resuming sexual intercourse after birth was not spontaneous, women considered their mode of birth, the presence of perineal trauma and their physical and emotional recovery from birth. One fifth of women had not resumed sexual intercourse 12 weeks after birth. Summary A discussion is presented on the challenges associated with viewing postpartum sexual health from a physical perspective only, and why prevalence studies alone do not capture the nuances of postpartum sexual health. Future research needs to take account of the psychosocial and relational dimensions of postpartum sexual health as well as physical dimensions.
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Benatov, R., I. Reznik, and Z. Zemishlany. "Sildenafil citrate (Viagra) treatment of sexual dysfunction in a schizophrenic patient." European Psychiatry 14, no. 6 (1999): 353–55. http://dx.doi.org/10.1016/s0924-9338(99)00154-6.
Full textAbstract:
SummaryA high frequency of sexual dysfunction occurs in treated and untreated patients with schizophrenia. Unfortunately, no effective therapy for this problem is currently available. We present a case of a 26-year-old patient with paranoid schizophrenia, who suffered from lack of desire and erection, and was successfully treated with sildenafil citrate (Viagra). This case illustrates the complex character of sexual dysfunction in male schizophrenic patients.
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Majstorovic, Marko, Marta Bizic, Dejan Nikolic, et al. "Psychosexual Functioning Outcome Testing after Hypospadias Repair." Healthcare 8, no. 1 (2020): 32. http://dx.doi.org/10.3390/healthcare8010032.
Full textAbstract:
Self-confidence plays an important role in both genders’ sexual functioning. Lack of genital self-esteem may have negative effects on psychosexual development, especially in males, where deviations from a standardized normal penile appearance can lead to inhibitions in entering into sexual relationships. The aim of our study was to evaluate the informativeness of studied domains of the Global Sexual Functioning (GSF) questionnaire and sexual functioning of patients surgically treated in childhood for different types of hypospadias. We evaluated 63 males with hypospadias and 60 healthy age- and gender-matched controls. The GSF questionnaire was used to estimate psychosexual function as a long-term follow-up after the surgical correction of hypospadias in the patient and control groups. Sexual activity (p = 0.017), arousal (p = 0.033) and orgasmic abilities (p = 0.002) values were significantly increased in patients. Strong correlation was noticed between sexual activity and sexual desire (R = 0.872); arousal and sexual desire (R = 0.753), as well as orgasmic and erectile abilities (R = 0.769). Different domains of psychosexual functioning in the patient group correlated with each other to various degrees, resulting in a heterogeneous expression of psychosexual dysfunctions, implicating the necessity of a personalized treatment approach.
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Zahra, Kmira, Emna Bouselama, wided cherif, et al. "A first Tunisian pilot study investigating sexual dysfunctions in patients with hemophilia." F1000Research 12 (March 20, 2023): 305. http://dx.doi.org/10.12688/f1000research.131859.1.
Full textAbstract:
Background: Little data is actually available on sexual health problems with sexual activity, and intimacy (sexual difficulty) in patients with hemophilia (PWH). We conducted this study to determine the prevalence of sexual difficulty in PWH and to determine factors associated with erectile dysfunction (ED). Methods: Based on The International Index of Erectile Function 15 (IIEF-15) questionnaire, we evaluated ED and other sexual problems in PWH. Results: Forty-Three (43) PWH were included in our study. The mean age was 33 years. Fourteen (32.6%) respondents were identified as having severe disease. The majority (93%) suffered from erectile dysfunction. Lack of desire and orgasm was observed in 76.7% of cases each. Lack of sexual satisfaction and global satisfaction were noted in 83.7% of cases and 88.4% of cases, respectively. Among PWH, older age was associated with ED. Conclusion: Our study illustrates the need for programs to assess and improve the sexual health of PWH in comprehensive hemophilia care.
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Sönmez, Doğancan. "Lost penis syndrome treated with duloxetine." Cukurova Medical Journal 49, no. 4 (2024): 1098–100. https://doi.org/10.17826/cumj.1416014.
Full textAbstract:
Sexual dysfunction is a common condition in patients with major depression. It can negatively affect quality of life, self-confidence, and relationships with partners, especially in men. Common types of sexual dysfunction include lack of sexual desire, sexual arousal disorder, erectile dysfunction, and premature ejaculation. However, some psychopathologies are rarely reported in the literature but can cause sexual dysfunction, such as the lost penis syndrome. This study aims to contribute to the literature on these rare conditions by discussing the clinical course, diagnosis, and details of duloxetine treatment of a male patient who presented to the psychiatry outpatient clinic with the complaint of loss of sensation in the penis.
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Wykes, Jackie. "‘I saw a knock-out’: Fatness, (In)visibility, and Desire in Shallow Hal." Somatechnics 2, no. 1 (2012): 60–79. http://dx.doi.org/10.3366/soma.2012.0040.
Full textAbstract:
When the Farrelly brothers' movie Shallow Hal (2001) was released, one reviewer suggested that the film ‘might have been more honest if [it] had simply made Hal have a thing about fat women’ ( Kerr 2002 : 44). In this paper, I argue that Kerr hits the mark but misses the point. While the film's treatment of fat is undoubtedly problematic, I propose a ‘queer’ reading of the film, borrowing the idea of ‘double coding’ to show a text about desire for fat (female) bodies. I am not, however, seeking to position Shallow Hal as a fat-positive text; rather, I use it as a starting point to explore the legibility of the fat female body as a sexual body. In contemporary mainstream Western culture, fat is regarded as the antithesis of desire. This meaning is so deeply ingrained that representations of fat women as sexual are typically framed as a joke because desire for fat bodies is unimaginable; this is the logic by which Shallow Hal operates. The dominant meaning of fatness precludes recognition of the fat body as a sexual body. What is at issue is therefore not simply the lack of certain images, but a question of intelligibility: if the meaning of fat is antithetical to desire, how can the desire for – and of – fat bodies be intelligible as desire? This question goes beyond the realm of representation and into the embodied experience of fat sexuality.
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Brown, Natalie B., Diana Peragine, Doug P. VanderLaan, Alan Kingstone, and Lori A. Brotto. "Cognitive processing of sexual cues in asexual individuals and heterosexual women with desire/arousal difficulties." PLOS ONE 16, no. 5 (2021): e0251074. http://dx.doi.org/10.1371/journal.pone.0251074.
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Asexuality is defined as a unique sexual orientation characterized by a lack of sexual attraction to others. This has been challenged, with some experts positing that it is better explained as a sexual dysfunction. Sexual Interest/Arousal Disorder (SIAD) is characterized by absent/reduced sexual interest/arousal paired with personal distress, with two subtypes: acquired and lifelong. Research suggests that while asexuality and acquired SIAD are distinct entities, there may be overlap between asexuality and lifelong SIAD. Findings from studies using eye-tracking and implicit association tasks suggest that these methodologies might differentiate these groups on the basis of their neural mechanisms. However, no study has compared their cognitive processing of sexual cues, and the literature on lifelong SIAD is minimal. The current study tested differences in the cognitive processing of sexual cues between asexual individuals and women with SIAD (lifelong and acquired). Forty-two asexual individuals and 25 heterosexual women with SIAD (16: acquired; 9: lifelong) completed three study components: a visual attention task, a Single Category-Implicit Association Task, and the sex semantic differential. ANOVAs examined group differences in: 1) visual attention to erotic cues, 2) implicit appraisals of sexual words, and 3) explicit appraisals of sex. Women with SIAD displayed a controlled attention preference for erotic images and areas of sexual contact, with longer dwell times to these areas relative to asexual individuals, who did not gaze preferentially at erotic cues. For implicit appraisals, all groups demonstrated negative—neutral implicit associations with sexual words. For explicit appraisals, women with acquired SIAD reported more positive evaluations of sex relative to asexual individuals and women with lifelong SIAD. This project sheds light on key differences between asexuality and low desire, and has implications for best clinical practice guidelines for the assessment of lifelong SIAD.
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Hardianti, Suci, R. Siti Jundiah, and Rizki Muliani. "Studi Literatur: Disfungsi Seksual pada Pasien dengan Penyakit Ginjal Kronik Yang Menjalani Hemodialysis." Mando Care Jurnal 2, no. 1 (2023): 23–28. http://dx.doi.org/10.55110/mcj.v2i1.105.
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One of the effects of chronic kidney disease is a decrease in sexual function due to long hemodialysis, where patients who undergo hemodialysis for a long time will experience an inability to enjoy sexual activity so that it has an impact on fulfilling their needs. sexuality and change the patient's sexuality pattern. Sexual dysfunction in female hemodialysis patients causes increased pain in women (dyspareunia) and difficulty in vaginal mucus, whereas in men it includes disorders of sexual desire, erectile dysfunction and premature ejaculation. The aim of this study was to review the extent of sexual function in chronic kidney disease patients undergoing hemodialysis. This type of research uses a Literature Review (LR) with a population of 69 journals, with a sample of 2 national journals and 13 international journals according to the inclusion criteria of international or national journals related to sexual dysfunction in hemodialysis patients, journals published in a span of 10 years (2010 - 2020) ) and the journal must be in full text. Evaluation of the feasibility of the data using the Joanna Brigs Institute (JBI) by filling in the critical appraisal tool checklist sheet. The results showed sexual dysfunction that occurs in men is found; dissatisfaction, avoidance, loss of energy, premature ejaculation and erectile dysfunction, impotence, does not last long during sexual activity, lack of excitement, and the condition of sperm mixed with blood. Whereas in women it is found; dissatisfaction, orgasm, decreased desire, lubrication, pain during intercourse, reluctance to engage in sexual activity, decreased desire and libido. It is hoped that this research will serve as a theoretical basis in the nursing process both applied and theoretically.
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Bayat, Ramin, Hooman Shahsavari, Soghrat Faghihzadeh, Sara Amaniyan, and Mojtaba Vaismoradi. "Effect of the Nurse-Led Sexual Health Discharge Program on the Sexual Function of Older Patients Undergoing Transurethral Resection of Prostate: A Randomized Controlled Trial." Geriatrics 5, no. 1 (2020): 13. http://dx.doi.org/10.3390/geriatrics5010013.
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Background: Sexual dysfunction is a complication of transurethral resection of prostate (TURP). There is a lack of knowledge of the effect of discharge programs aiming at improving sexual function in older patients undergoing TURP. Objective: To investigate the effect of the nurse-led sexual health discharge program on the sexual function of older patients undergoing TURP. Methods: This randomized controlled clinical trial was conducted on 80 older patients undergoing TURP in an urban area of Iran. Samples were selected using a convenience method and were randomly assigned into intervention and control groups (n = 40 in each group). The sexual health discharge program was conducted by a nurse in three sessions of 30–45 min for the intervention group. Sexual function scores were measured using the International Index of Erectile Function (IIEF) Questionnaire, one and three months after the intervention. Results: The intervention significantly improved erectile function (p = 0.044), sexual desire (p = 0.01), satisfaction with sexual intercourse (p = 0.03), overall satisfaction with sexual function (p = 0.01), and the general score of sexual function (p = 0.038), three months after the program. In the first month after the intervention, except in sexual desire (p = 0.028), no statistically significant effect of the program was reported (p > 0.05). Conclusion: The nurse-led sexual health discharge program led to the improvement of the sexual function of older patients undergoing TURP over time. This program can be incorporated into routine discharge programs for the promotion of well-being in older patients.
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Sharma, Sushil. "A Review of Parental Role on Risky Sexual Behaviour of Adolescents." Journal of Health Promotion 8 (November 22, 2020): 29–38. http://dx.doi.org/10.3126/jhp.v8i0.32983.
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Adolescence is a phase in human life which is characterized as the growing desire for sexual intercourse. Furthermore, the lack of knowledge on sexual health during this phase may result in risky sexual practices. So, parental monitoring is essential for this group of people. On this basis, I have conducted a review on parental monitoring of risky sexual behaviour of adolescents. While reviewing, accessible and eligible resources are consulted from PubMed, Hinari, Research Gate, etc up to November 2018. This review primarily focuses on how the parents monitor the probable risky sexual practices of their adolescent children. On the basis of existing literature, this review attempts to explore the growing risky practices of sexual behaviour among children without parental guidance.
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Anisimov, N. V., E. V. Kulchavenya, and D. P. Kholtobin. "Restoration of erectile function in men after prostate surgery in the immediate postoperative period: the needs assessment for patients and their partners to maintain sexual relations." Vestnik Urologii 9, no. 3 (2021): 12–18. http://dx.doi.org/10.21886/2308-6424-2021-9-3-12-18.
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Introduction. Despite the advances in the modern pharmacopoeia, a significant place is given to surgical methods of treating benign prostatic hyperplasia (BPH) and prostate cancer (PCa). In the postoperative period in men, sexual function usually deteriorates.Purpose of the study. To study the needs of men after prostate surgery and their sexual partners in restoring their previous sexual life.Materials and methods. The pilot open-label prospective randomized non-comparative study included 50 patients in the age range of 53 – 74 years (average 58.3 years). All patients were consistently admitted and operated on at the “Avicenna” Medical Centre, Ltd. (Novosibirsk) from January to December 2020. Upon admission, all patients completed the International Index of Erectile Function (ICEF) questionnaire; one month later, this questionnaire was re-completed, supplemented with five questions.Results. Twenty-one patients were admitted with a diagnosis of PCa T1c – T2N0M0, all of them underwent laparoscopic prostatectomy with lymphadenectomy. Twenty-nine patients were operated on for BPH. They underwent transurethral resection with a bipolar resectoscope. Only 6 patients (12%) had no comorbidities. Surgical intervention worsened sexual function in all patients, while in men aged 50 – 59 years, the IIEF score decreased by 61.0%, at the age of 60 – 69 years by 39.0%, in patients over 70 years old by 55.2%. Eighteen (36.0%) patients showed interest in restoring sexual function. Thirty-two (64%) patients were against the continuation of sexual activity with the following motivation: 19 (59.4%) – lack of desire for a sexual partner, 8 (25.0%) – lack of desire of the patient himself, 5 (15.6%) – unwillingness to re-operated. Nineteen women out of 36 stable couples (52.8%) objected to the restoration of the sexual function of their sexual partners.Conclusion. Prostate surgery affects male sexual function more severely in younger patients. Thirty-two patients after surgery refused to restore sexual activity, in more than half of cases (59.4%) due to the unwillingness of the sexual partner to resume sexual relations.
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Anisimov, N. V., E. V. Kulchavenya, and D. P. Kholtobin. "Restoration of erectile function in men after prostate surgery in the immediate postoperative period: the needs assessment for patients and their partners to maintain sexual relations." Vestnik Urologii 9, no. 3 (2021): 12–18. http://dx.doi.org/10.21886/2308-6424-2021-9-3-12-18.
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Introduction. Despite the advances in the modern pharmacopoeia, a significant place is given to surgical methods of treating benign prostatic hyperplasia (BPH) and prostate cancer (PCa). In the postoperative period in men, sexual function usually deteriorates.Purpose of the study. To study the needs of men after prostate surgery and their sexual partners in restoring their previous sexual life.Materials and methods. The pilot open-label prospective randomized non-comparative study included 50 patients in the age range of 53 – 74 years (average 58.3 years). All patients were consistently admitted and operated on at the “Avicenna” Medical Centre, Ltd. (Novosibirsk) from January to December 2020. Upon admission, all patients completed the International Index of Erectile Function (ICEF) questionnaire; one month later, this questionnaire was re-completed, supplemented with five questions.Results. Twenty-one patients were admitted with a diagnosis of PCa T1c – T2N0M0, all of them underwent laparoscopic prostatectomy with lymphadenectomy. Twenty-nine patients were operated on for BPH. They underwent transurethral resection with a bipolar resectoscope. Only 6 patients (12%) had no comorbidities. Surgical intervention worsened sexual function in all patients, while in men aged 50 – 59 years, the IIEF score decreased by 61.0%, at the age of 60 – 69 years by 39.0%, in patients over 70 years old by 55.2%. Eighteen (36.0%) patients showed interest in restoring sexual function. Thirty-two (64%) patients were against the continuation of sexual activity with the following motivation: 19 (59.4%) – lack of desire for a sexual partner, 8 (25.0%) – lack of desire of the patient himself, 5 (15.6%) – unwillingness to re-operated. Nineteen women out of 36 stable couples (52.8%) objected to the restoration of the sexual function of their sexual partners.Conclusion. Prostate surgery affects male sexual function more severely in younger patients. Thirty-two patients after surgery refused to restore sexual activity, in more than half of cases (59.4%) due to the unwillingness of the sexual partner to resume sexual relations.
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Florez, Narjust, Lauren Kiel, Kelly Meza, et al. "Sexual dysfunction in women with lung cancer: Updates from the SHAWL study." Journal of Clinical Oncology 41, no. 16_suppl (2023): 9071. http://dx.doi.org/10.1200/jco.2023.41.16_suppl.9071.
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9071 Background: Despite its direct correlation with quality of life, sexual dysfunction is under-discussed and underreported in patients with lung cancer (LC). Sexual dysfunction is highly prevalent in patients with LC, with issues persisting over time; however, most data precede the approval of targeted therapies and immune checkpoint inhibitors. We report updated data from the SHAWL study, focusing on women’s sex life satisfaction. Methods: This cross-sectional, international survey study was administered via the GO2 Foundation Lung Cancer Registry. We utilized the Patient-Reported Outcomes Measurement Information System (PROMIS) Sexual Function and Satisfaction Measures for data collection. Participants were recruited from June 2020 to June 2021. Eligibility criteria included age > 18 years, self-identification as a woman, and an LC diagnosis within ten years. Participants were asked about sexual health pertaining to 30 days before survey completion, now referred to as “recent.” Results: The survey was administered to 249 women (median age: 61 years). Most (67%) had stage IV LC and 47% were receiving targeted therapy; 66% were undergoing active treatment. Before LC diagnosis, 49% (117) of participants reported having no sexual health issues. Most women (54%, 128) indicated having had recent sexual activity, though 77% (183) reported moderate to severe sexual dysfunction. Indeed, only 7.5% (18) reported being quite or very interested in sexual activity, and only 6.7% (16) felt as if they always or often wanted to be involved in it. Out of the 128 women indicating recent sexual activity, the vast majority (72%, 91) also reported minimal to no satisfaction with their sex life, with 17% (22), 31% (39), and 24% (30) reporting none, a little bit, and some satisfaction, respectively. The most common reasons for lack of recent sexual activity were lack of interest (68%, 76) or vaginal dryness or pain (30%, 33). Most women (69%, 88) also reported rarely becoming sufficiently lubricated during sexual activity, with 54% (68) indicating that it was difficult to impossible to do so. Patients with stage IV diagnosis had a lower interest in and desire for sexual activity than those with non-metastatic LC. Patients not receiving active treatment reported similar rates of lack of interest and desire for sexual activity as those in active cancer therapy. Patients on targeted therapy had similar rates of sexual dysfunction as those receiving other LC treatments. Conclusions: The SHAWL study is the largest study evaluating sexual dysfunction and satisfaction in women with lung cancer in our current clinical environment. Sexual dysfunction, dissatisfaction, and lack of interest in sexual activity were highly prevalent in women with LC regardless of treatment status and type of therapy, suggesting that even after treatment completion, sexual issues persist. Sexual health should be integrated into thoracic oncology care for all patients with lung cancer.
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Yakovleva, E. "Psychosexual Indicators of Sexual Violence in Children and Adolescents." European Psychiatry 24, S1 (2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)71064-8.
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Purpose:Searchof psychosexual indicators of sexual violence.Object:Infant and juvenile victims of sexual offends (51 persons).Method:Sexological.Results:Psychosexual disorders associated with sexual violence were observed in 24%.For children of 3-7 years set is significant:Sexualization of behavior:– french kissing with friends;– interest to intimate parts of body;– a frequent situating of fingers in perineum;– inserting into genitals different subjects;– seizing for a breast or genitals.Description to strangers those sexual actions which with them were realized.For children of 7-12 years set is significant:Sexualization of behavior: – tempting behavior with persons of an opposite sex with make a suggestion of sexual contact;– imitation of sexual contact;– masturbation in public place.Unusual sexual knowledge for this age.For male adolescents set is significant:Psychosexual dissociation: platonic and erotic libido is heterosexual, sexual libido is homosexual.Disorders of identity: feminine identity and hyper-role behavior only with coevals of own sex.For female adolescents set is significant:Psychosexual dissociation:– love for the concrete coeval with lack of sexual desire to him;– presence of physiological sexual reactions on without personality object (heroes of books, television movies, etc.).Illegible erotic behavior and lack of sexual desire.Sexual aversion, restrictions of verbal contacts with young men, victims terminate to use of formal female attributes.Conclusion:Results may be used for differential diagnostics of sexual development's disorders of different genesis.
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Alfina Wildatul Fitriyah. "Kebutuhan Seksual Menjadi Penyebab Utama Tingginya Angka Perceraian." Tabsyir: Jurnal Dakwah dan Sosial Humaniora 2, no. 3 (2020): 37–47. http://dx.doi.org/10.59059/tabsyir.v2i3.660.
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Sexual needs are one of the factors that often cause rifts in the household, the harmony that should be created is lost little by little because the needs of mental sustenance are not met. This can have a negative impact on the sustainability of the household so that it does not cause a little divorce. To minimize the number of divorce rates, the sexual needs of couples must be considered again. This research uses the field research method, which is research carried out directly into the field to ask and observe the people who are being researched through interactions to learn about them, their life history, their habits, their hopes, fears, and dreams. Researchers meet new people or communities, develop friendships, and discover new social worlds, often considered fun. The results of research on divorce problems caused by factors of sexual need are caused by the lack of good communication between husband and wife in conveying the desire of sexual desire that makes husband and wife no longer able to maintain their domestic relationship. According to Islamic law, sexual relations are one of the obligations of the husband and become the right of isti in his mental sustenance.
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heydarian, maryam, maryam Gholamzadehjefreh, and masoud shahbazi. "Explaining the antecedents vaginismus and dysparonia disorder in women:A qualitative study." Jundishapur Journal of Medical Sciences 20, no. 6 (2022): 1. http://dx.doi.org/10.32598/jsmj.20.6.2365.
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Background and objective: Sexual pain disorders including dyspareunia and vaginismus are important in the field of pain because this type of pain is part of emotional behaviors in marital relationships such as sexual intimacy and vaginal intercourse. Methods: This study was conducted with a qualitative approach and using inductive contractual content analysis method. 9 female participants with pain disorders were selected by purposive sampling method and data collection through semi-structured interviews until the data reached saturation. continued. After data collection, the main components were extracted. First, the semantic units were identified and then turned into psychological expressions. Finally, the general structure was determined and combined. In general, thirteen predictive categories were identified using research data analysis. Accordingly, previous categories of this experience include incorrect family sex education, incorrect religious attitude, sexual abuse, phobia, fatigue, lack or insufficiency of sexual awareness, sexual disorders of the spouse, psychological disorders of the spouse, fear of pregnancy , Lack of foreplay, suppression of sexual desire, previous failed marriage and viewing pornographic images.
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Shabani, M. "The Prevalence of Sexual Disorders in Veterans (Iran-Iraq war) and Their Spouses." European Psychiatry 24, S1 (2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)71044-2.
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Introduction:Taking the prevalence of the sexual disorders -which in some studies is reported from 18% to 79% - into account and considering the fact that only a small percentage of the sexual patients refer to the physicians in order to treat their sexual problems. With regard to several problems which the veterans encounter in their personal and social lives, it seems that sexual disorders in these patients and their spouses are widespread.Methodology:In this research performed in the descriptive-temporal method, a questionnaire including all types of sexual disorders in men and women was provided and after standardization by 398 veterans and their spouses.Results:The results of this research are reported as follows; the prevalence of decrease the sexual desire in the veterans is 65/1%, the inability in erection 64/4%, difficulty in erection 60%, disorder in the continuation of erection 85/3%, and premature ejaculation 55%. In addition, the spouses of these veterans are encountered problems like the prevalence of the disorders in sexual desire with the rate of 25/4%, aversion of the sexual intercourse 7%, painfulness within sexual intercourse 8/8%, lack of excitement and vagina drought 10/3%, the disorder in orgasm 14/6%, and the inability in enjoying the sexual intercourse 14/3%.Discussion and conclusion:The high level of prevalence of sexual disorders considered in this research clarifies the necessity and importance of the educational, consultation and the treatment programs for these groups and their spouses.
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Zubairu, Yisa Segun. "Christian education and sexual immorality in Pauline treaties." International Journal of Multidisciplinary Research and Growth Evaluation 5, no. 2 (2024): 667–74. http://dx.doi.org/10.54660/.ijmrge.2024.5.2.667-674.
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The Nation is saturated with infidelity, secularism, materialism and a general lack of respect for the sanctity of the home. Sexual pervasion is on the increase on daily basis, display of sexual contents pervades the society. Pornography defiles the mind of both adults and the youths by polluting their minds with impure and unholy thoughts; the sanctity and sacredness of sex is eroding in Africa where men desire to have sex with other men, a woman desire to lay with a fellow woman and humans even desires to copulate with animals. One of the greatest challenges is that the role of the Church as an agent of moral education and transformation in Nigeria socio-religious and political system is undermined. The aforementioned issues demonstrate the need for church intervention through Christian education. This paper looks at the role of the church through the agency of education to curb and provides lasting solutions to sexual immoral behaviours that have permeates the fabric system of the African society (especially, Nigeria). The writer adopts historical, descriptive and analytical methods of research for effective achievement of his goal. This paper discovers that, one, Nigeria is bedevilled with blatantly moral corrupt leaders who have nothing to offer in curbing the menace of immoral acts in the country; and secondly, the present situation in Nigeria with regards to fashion and the flaunting of flesh is but one more manifestation of the decay of this country. Therefore, religion plays a vital role in bringing sanity and sanctity to family moral values in the African society. From Christian education perspective, Christian institutions should design courses that will impact the society positively: spiritually, socially, economically and politically.
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Guermazi, F., F. Charfeddine, K. Mdhaffer, et al. "Sexual behavior in women with bipolar disorder." European Psychiatry 33, S1 (2016): S332—S333. http://dx.doi.org/10.1016/j.eurpsy.2016.01.1157.
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IntroductionWomen with bipolar disorder warrant special consideration with regard to sexual health. The impairment in sexual function would be frequent but underestimated and contributes to non-compliance with treatments.Aims(1) Evaluate sexuality among a population of women affected by bipolar disorder.(2) Determine the factors associated with impaired sexual function.MethodsThis is a cross-sectional and descriptive study during the period ranging from 1st September to 15 October 2015.It was conducted in 40 women suffering from bipolar disorder.The exclusion criteria were: relapse period in sick, age over 60 years or severe somatic comorbidity.The evaluation of sexual function was made using the “Sexual Behavior Questionnaire” (SBQ).ResultsThe mean age was 30 years. Bipolar disorder type I accounted for 72.5%.According to the SBQ, 37.5% of patients had a desire disorder, 57.5% had a frequency less than 3 times per week sexual intercourse, 45% had a drop in excitation and 42.5% were not satisfied with their sex life.Sexual problems are positively correlated at an early age of onset of bipolar disorder (P = 0.001).The lack of desire, the sexual excitation disorder and the decrease in the frequency of sexual intercourse are positively correlated with the depressive phase of bipolar disorder.ConclusionA better understanding of sexual behavior in women with bipolar disorder and the early screening of the sexual disorders must be integrated into the management of the disease. It can improve their quality of life and adherence to therapy.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Buvat, Jacques, Antoine Lemaire, and Michele Buvat Erbaut. "Human chorionic gonadotropin treatment of nonorganic erectile failure and lack of sexual desire: a double-blind study." Urology 30, no. 3 (1987): 216–19. http://dx.doi.org/10.1016/0090-4295(87)90237-8.
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