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Son EJ, Yaraskavitch RCM, Nguyen BP, Murray SH, van Anders SM. How Feminist Heterosexual Men Navigate Their Sexual Desire While Following Feminist Principles. ARCHIVES OF SEXUAL BEHAVIOR 2024; 53:2987-3007. [PMID: 38956001 DOI: 10.1007/s10508-024-02914-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/06/2023] [Revised: 05/15/2024] [Accepted: 05/23/2024] [Indexed: 07/04/2024]
Abstract
Feminist considerations have influenced how women and men view sex, affecting not only women's perspectives but also men's feelings about sexual desire with regard to gender equity. This might be especially the case among men who self-identify as feminist. However, how men should manage their sexual desire or communicate about it within relationships with women is not always clear in this evolving social climate. Thus, the current study aimed to explore the successes and/or struggles feminist heterosexual men experience while navigating their desires alongside feminist considerations. To explore this, we recruited feminist-identified heterosexual men in long-term relationships. We asked participants (N = 30) a series of questions regarding their sexual desire, considering the context of their long-term relationships and evolving gender norms, during a one-on-one interview via Zoom. Using thematic analysis, we identified 11 themes from the interview data. We found that, though the feminist men in this study were all aware of negative societal perceptions of heterosexual men's sexual desire, most men in this study did not feel conflicts between their feminist principles and their own sexual desires. This is because they reported already following feminist principles; those who felt ambivalent navigated this by communicating with their partners. Findings demonstrate the usefulness and positive impact men report feminism having on them, their sexuality, and their long-term relationships, by allowing them to better engage with their sexuality and partners.
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Affiliation(s)
- Eun Ju Son
- Department of Psychology, Queen's University, Humphrey Hall, 62 Arch Street, Kingston, ON, K7L 3N6, Canada
| | - Regan C M Yaraskavitch
- Department of Psychology, Queen's University, Humphrey Hall, 62 Arch Street, Kingston, ON, K7L 3N6, Canada
| | | | | | - Sari M van Anders
- Department of Psychology, Queen's University, Humphrey Hall, 62 Arch Street, Kingston, ON, K7L 3N6, Canada.
- Department of Gender Studies, Queen's University, Kingston, ON, Canada.
- Centre for Neuroscience Studies, Queen's University, Kingston, ON, Canada.
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2
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McClung E, Rosen NO, Dubé JP, Wang GA, Corsini-Munt S. Motivation When Desire Is Low: Associations Between Sexual Motivation and Sexual Intimacy, Sexual Satisfaction, and Sexual Distress for Men with Hypoactive Sexual Desire Disorder and Their Partners. ARCHIVES OF SEXUAL BEHAVIOR 2024; 53:1075-1089. [PMID: 38114871 DOI: 10.1007/s10508-023-02752-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/18/2023] [Revised: 09/23/2023] [Accepted: 11/10/2023] [Indexed: 12/21/2023]
Abstract
Hypoactive sexual desire disorder (HSDD) in men, characterized by chronically low sexual desire, is associated with poor sexual well-being, such as lower sexual satisfaction and higher sexual distress. Additionally, despite their low desire, men with HSDD often report wanting sexual intimacy and validation within their sexual lives/relationships. Studies that apply self-determination theory to sexual relationships demonstrate that adopting more autonomous (e.g., engaging in sex for its inherent pleasure) and less controlled (e.g., engaging in sex for some external reward or consequence) motives for engaging in sex is associated with greater sexual well-being for both members of the couple. Given that autonomous motivation in relationships is associated with intimacy and sexual satisfaction, and lower sexual distress, having sex for autonomous reasons may allow men with HSDD and their partners to feel more sexually intimate despite their lower sexual desire, whereas having sex for controlled reasons may hinder sexual intimacy and satisfaction and augment sexual distress. In this dyadic cross-sectional study, we examined the associations between types of sexual motivation and sexual intimacy, sexual satisfaction, and sexual distress for men with HSDD and their partners (n = 64 couples). Men with HSDD who reported having sex for more autonomous reasons reported more sexual satisfaction and both partners reported more sexual intimacy. Men with HSDD who had sex for more controlled reasons had partners who felt less sexual intimacy and satisfaction, and both partners were more sexually distressed. Promoting autonomous sexual motivation and decreasing controlled motivation may help couples navigating HSDD to feel closer in their relationship, more sexually satisfied, and less sexually distressed.
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Affiliation(s)
- Erin McClung
- Department of Social Sciences, School of Psychology, University of Ottawa, 136 Jean Jacques Lussier Private, Ottawa, ON, K1N 6N5, Canada
| | - Natalie O Rosen
- Department of Psychology and Neuroscience, Dalhousie University, Halifax, NS, Canada
- Department of Obstetrics and Gynaecology, Dalhousie University, Halifax, NS, Canada
| | - Justin P Dubé
- Department of Psychology and Neuroscience, Dalhousie University, Halifax, NS, Canada
| | - Grace A Wang
- Department of Psychology and Neuroscience, Dalhousie University, Halifax, NS, Canada
| | - Serena Corsini-Munt
- Department of Social Sciences, School of Psychology, University of Ottawa, 136 Jean Jacques Lussier Private, Ottawa, ON, K1N 6N5, Canada.
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3
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van Anders SM, Herbenick D, Brotto LA, Harris EA, Chadwick SB. The Heteronormativity Theory of Low Sexual Desire in Women Partnered with Men. ARCHIVES OF SEXUAL BEHAVIOR 2022; 51:391-415. [PMID: 34426898 PMCID: PMC8382213 DOI: 10.1007/s10508-021-02100-x] [Citation(s) in RCA: 26] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/21/2020] [Revised: 06/28/2021] [Accepted: 06/29/2021] [Indexed: 05/10/2023]
Abstract
Low sexual desire in women partnered with men is typically presumed to be a problem-one that exists in women and encourages a research agenda on causation and treatment targeting women. In this paper, we present a distinct way forward for research on low sexual desire in women partnered with men that attends to a more structural explanation: heteronormativity. A heteronormative worldview assumes that relationships and structures are heterosexual, gender (usually conflated with sex) is binary and complementary, and gender roles fit within narrow bounds including nurturant labor for women. We propose the heteronormativity theory of low sexual desire in women partnered with men, arguing that heteronormative gender inequities are contributing factors. We outline four hypotheses and their predictions related to: inequitable divisions of household labor, blurring of partner and mother roles, objectification of women, and gender norms surrounding sexual initiation. We discuss some mechanisms-social, physiological, and otherwise-for the heteronormativity theory, especially related to stress, objectification, and nurturance. We close by noting some limitations of our paper and the ways that the heteronormativity theory of low sexual desire in women partnered with men provides a rigorous, generative, and empirical way forward.
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Affiliation(s)
- Sari M van Anders
- Department of Psychology, Queen's University, 62 Arch Street, Kingston, ON, K7L 3N6, Canada.
- Department of Gender Studies, Queen's University, Kingston, ON, Canada.
- Centre for Neuroscience Studies, Queen's University, Kingston, ON, Canada.
| | - Debby Herbenick
- School of Public Health, Indiana University, Bloomington, IN, USA
| | - Lori A Brotto
- Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, BC, Canada
| | - Emily A Harris
- Department of Psychology, Queen's University, 62 Arch Street, Kingston, ON, K7L 3N6, Canada
| | - Sara B Chadwick
- Departments of Psychology and Women's and Gender Studies, University of Michigan, Ann Arbor, MI, USA
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4
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Sexual Dysfunction in Men Who Have Sex With Men. Sex Med Rev 2021; 10:130-141. [PMID: 33931381 DOI: 10.1016/j.sxmr.2021.01.002] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2020] [Revised: 01/09/2021] [Accepted: 01/10/2021] [Indexed: 01/08/2023]
Abstract
INTRODUCTION Historically, sexual health research has focused on men who have sex with women (MSW) and most research examining the sexual health of men who have sex with men (MSM) has focused on HIV transmission. Despite a high prevalence of sexual health disorders among MSM, there is limited research that has evaluated the diversity of sexual issues in these patients. OBJECTIVES The purpose of this review is to describe the unique sexual behaviors, concerns, and dysfunctions of MSM by evaluating the literature on sexual health in this specific patient population. METHODS A PubMed literature search was conducted through December 2020 to identify all relevant publications related to the sexual health, sexual practices, and sexual dysfunction of MSM. Original research, review articles, and meta-analyses were reviewed, including comparisons of sexual behavior and dysfunction between MSM and non-MSM populations and between gay/bisexual men and heterosexual men. Approximately 150 relevant articles were reviewed and 100 were included in the manuscript. RESULTS Minority stress can lead to an increase in high-risk sexual behavior, sexual dysfunction, and mental health disorders in MSM. MSM engage in a variety of sexual behaviors, which can lead to differences in sexual dysfunction, such as anodyspareunia during receptive anal intercourse. MSM have higher rates of erectile dysfunction than non-MSM counterparts. MSM have unique activators of sexual pathologies, such as insertive anal intercourse for Peyronie's disease. Prostate cancer treatment may cause MSM to change sexual roles and practices following treatment due to ED, anodyspareunia, or decrease in pleasure from receptive anal intercourse after prostatectomy. CONCLUSION MSM have been neglected from sexual medicine research, which translates to disparities in health care. Further research that focuses on the MSM population is necessary to better educate healthcare practitioners so that MSM patients can receive adequate care that is tailored to their specific needs. PJ Cheng, Sexual Dysfunction in Men Who Have Sex With Men. Sex Med Rev 2021;XX:XXX-XXX.
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Frost R, Donovan C. A qualitative exploration of the distress experienced by long-term heterosexual couples when women have low sexual desire. SEXUAL AND RELATIONSHIP THERAPY 2021. [DOI: 10.1080/14681994.2018.1549360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Rebecca Frost
- School of Applied Psychology, Griffith University, Brisbane, Australia
| | - Caroline Donovan
- School of Applied Psychology, Griffith University, Brisbane, Australia
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Pubertal timing predicts adult psychosexuality: Evidence from typically developing adults and adults with isolated GnRH deficiency. Psychoneuroendocrinology 2020; 119:104733. [PMID: 32563936 PMCID: PMC8938930 DOI: 10.1016/j.psyneuen.2020.104733] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/24/2020] [Revised: 05/22/2020] [Accepted: 05/22/2020] [Indexed: 11/24/2022]
Abstract
Evidence suggests that psychosexuality in humans is modulated by both organizational effects of prenatal and peripubertal sex steroid hormones, and by activational effects of circulating hormones in adulthood. Experimental work in male rodents indicates that sensitivity to androgen-driven organization of sexual motivation decreases across the pubertal window, such that earlier puberty leads to greater sex-typicality. We test this hypothesis in typically developing men (n = 231) and women (n = 648), and in men (n = 72) and women (n = 32) with isolated GnRH deficiency (IGD), in whom the precise timing of peripubertal hormone exposure can be ascertained via the age at which hormone replacement therapy (HRT) was initiated. Psychosexuality was measured with the Sexual Desire Inventory-2 (SDI-2) and Sociosexual Orientation Inventory-Revised (SOI-R). In both sexes, earlier recalled absolute pubertal timing predicted higher psychosexuality in adulthood, although the magnitude of these associations varied with psychosexuality type and group (i.e., typically developing and IGD). Results were robust when controlling for circulating steroid hormones in typically developing participants. Age of initiation of HRT in men with IGD negatively predicted SOI-R. We discuss the clinical implications of our findings for conditions in which pubertal timing is medically altered.
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Creating and Validating the DESEA Questionnaire for Men and Women. J Clin Med 2020; 9:jcm9072301. [PMID: 32698420 PMCID: PMC7408685 DOI: 10.3390/jcm9072301] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2020] [Revised: 07/06/2020] [Accepted: 07/17/2020] [Indexed: 11/17/2022] Open
Abstract
In clinical practice, it is essential to be able to identify hypoactive sexual desire disorder (HSDD), with its different severity levels and assess the influence the subject’s relationship has on the issue. In order to do this, questionnaires are needed that comprise appropriate psychometric properties. We analyzed the psychometric properties and factorial structure of the Sexual Desire and Aversion (DESEA) questionnaire that evaluates sexual desire and interpersonal stress (relationship problems) in male and female couples. A pilot study was conducted with a group of 1583 people. Finally, it included 20,424 Spanish speakers who answered the questionnaire via an online link. The requirements for factor analysis were verified followed by the exploratory and confirmatory factor analysis. The Cronbach’s alpha coefficient calculated the reliability of the test scores at 0.834 in the pilot group and 0.889 in the final group. A 3-factor factorial design explains the 62.08% variance. The KMO (Kaiser-Meyer-Olkin) test (p = 0.904), Bartlett’s test of sphericity (126,115.3; p = 0.000010) and the matrix determinant (0.0020770) verified the appropriateness of the factor analysis. The results show that the DESEA questionnaire is a reliable and valid instrument for evaluating desire and interpersonal stress, both in women and men, in clinical and research contexts.
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Rho-Kinase II Inhibitory Potential of Eurycoma longifolia New Isolate for the Management of Erectile Dysfunction. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE 2019; 2019:4341592. [PMID: 31223329 PMCID: PMC6541974 DOI: 10.1155/2019/4341592] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/31/2019] [Revised: 03/18/2019] [Accepted: 04/21/2019] [Indexed: 11/18/2022]
Abstract
Background. Eurycoma longifolia Jack (Fam.: Simaroubaceae), known as Tongkat Ali (TA), has been known as a symbol of virility and sexual power. The aim of the study was to screen E. longifolia aqueous extract (AE) and isolates for ROCK-II inhibition. Results. The AE (1-10 μg/ml) showed a significant inhibition for ROCK-II activity (62.8-81%) at P < 0.001 with an IC50 (651.1 ± 32.9 ng/ml) compared to Y-27632 ([(+)-(R)-trans-4-(1-aminoethyl)-N-(4-pyridyl)cyclohexanecarboxamide dihydrochloride]) (68.15-89.9 %) at same concentrations with an IC50 (192 ± 8.37 ng/ml). Chromatographic purification of the aqueous extract (AE) allowed the isolation of eight compounds; stigmasterol T1, trans-coniferyl aldehyde T2, scopoletin T3, eurycomalactone T4, 6α- hydroxyeurycomalactone T5, eurycomanone T6, eurycomanol T7, and eurycomanol-2-O-β-D-glucopyranoside T8. This is the first report for the isolation of T1 and T3 from E. longifolia and for the isolation of T2 from genus Eurycoma. The isolates (at 10 μg/ml) exhibited maximum inhibition % of ROCK-II 82.1 ± 0.63 (T2), 78.3 ± 0.38 (T6), 77.1 ± 0.11 (T3), 76.2 ± 3.53 (T4), 74.5 ± 1.27 (T5), 74.1 ± 2.97 (T7), 71.4 ± 2.54 (T8), and 60.3 ± 0.14 (T1), where the newly isolated compound trans-coniferyl aldehyde T2 showed the highest inhibitory activity among the tested isolated compounds and even higher than the total extract AE. The standard Y-27632 (10 μg/ml) showed 89.9 ± 0.42 % inhibition for ROCK-II activity when compared to control at P < 0.0001. Conclusion. The traditional use of E. longifolia as aphrodisiac and for male sexual disorders might be in part due to the ROCK-II inhibitory potential.
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Gündüz A, Sertçelik S, Gündoğmuş İ, Zengin Eroğlu M, Kumru Bayazit R, Gönül H, Yaşar AB, Sungur MZ. Turkish validity and reliability of the sexual complaints screener for men. PSYCHIAT CLIN PSYCH 2018. [DOI: 10.1080/24750573.2018.1505421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- Anıl Gündüz
- Department of Psychiatry, Haydarpaşa Numune Training and Research Hospital, Üsküdar/İstanbul, Türkiye
| | - Sencan Sertçelik
- Department of Psychiatry, Haydarpaşa Numune Training and Research Hospital, Üsküdar/İstanbul, Türkiye
| | - İbrahim Gündoğmuş
- Department of Psychiatry, Sultan Abdülhamid Han Training and Research Hospital, Üsküdar/İstanbul, Türkiye
| | - Meliha Zengin Eroğlu
- Department of Psychiatry, Haydarpaşa Numune Training and Research Hospital, Üsküdar/İstanbul, Türkiye
| | | | - Hatice Gönül
- Department of Psychiatry, Haydarpaşa Numune Training and Research Hospital, Üsküdar/İstanbul, Türkiye
| | - Alişan Burak Yaşar
- Department of Psychiatry, Marmara University Research and Educational Hospital, Pendik, İstanbul
| | - Mehmet Zihni Sungur
- Department of Psychiatry, Marmara University Research and Educational Hospital, Pendik, İstanbul
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Raisanen JC, Chadwick SB, Michalak N, van Anders SM. Average Associations Between Sexual Desire, Testosterone, and Stress in Women and Men Over Time. ARCHIVES OF SEXUAL BEHAVIOR 2018; 47:1613-1631. [PMID: 29845444 DOI: 10.1007/s10508-018-1231-6] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/01/2017] [Revised: 11/01/2017] [Accepted: 05/08/2018] [Indexed: 05/10/2023]
Abstract
Sexual desire and testosterone are widely assumed to be directly and positively linked to each other despite the lack of supporting empirical evidence. The literature that does exist is mixed, which may result from a conflation of solitary and dyadic desire, and the exclusion of contextual variables, like stress, known to be relevant. Here, we use the Steroid/Peptide Theory of Social Bonds as a framework for examining how testosterone, solitary and partnered desire, and stress are linked over time. To do so, we collected saliva samples (for testosterone and cortisol) and measured desire as well as other variables via questionnaires over nine monthly sessions in 78 women and 79 men. Linear mixed models showed that testosterone negatively predicted partnered desire in women but not men. Stress moderated associations between testosterone and solitary desire in both women and men, but differently: At lower levels of stress, higher average testosterone corresponded to higher average solitary desire for men, but lower solitary desire on average for women. Similarly, for partnered desire, higher perceived stress predicted lower desire for women, but higher desire for men. We conclude by discussing the ways that these results both counter presumptions about testosterone and desire but fit with the existing literature and theory, and highlight the empirical importance of stress and gender norms.
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Affiliation(s)
- Jessica C Raisanen
- Departments of Psychology and Women's Studies, University of Michigan, Ann Arbor, MI, USA
| | - Sara B Chadwick
- Departments of Psychology and Women's Studies, University of Michigan, Ann Arbor, MI, USA
| | - Nicholas Michalak
- Department of Psychology, University of Michigan, Ann Arbor, MI, USA
| | - Sari M van Anders
- Departments of Psychology and Women's Studies, Program in Neuroscience, Reproductive Sciences Program; Science, Technology and Society Program; Biosocial Methods Collaborative, University of Michigan, Ann Arbor, MI, USA.
- Department of Psychology, Queen's University, 62 Arch Street, Kingston, ON, K7L 3N6, Canada.
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O'Loughlin JI, Basson R, Brotto LA. Women With Hypoactive Sexual Desire Disorder Versus Sexual Interest/Arousal Disorder: An Empirical Test of Raising the Bar. JOURNAL OF SEX RESEARCH 2018; 55:734-746. [PMID: 29095039 DOI: 10.1080/00224499.2017.1386764] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
In 2013, the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) was published with a major revision to the sexual dysfunction categories, and the diagnosis of female hypoactive sexual desire disorder (HSDD) was replaced with female sexual interest/arousal disorder (SIAD). Since being introduced, concern has been expressed that SIAD inappropriately "raises the bar" for diagnosis. To address these concerns, we sought to evaluate the number of women with a diagnosis of HSDD who also met criteria for SIAD. In a sample of 151 women, we found that 73.5% of women with a diagnosis of HSDD met criteria for SIAD. The two groups were compared on the Sexual Interest/Desire Inventory, and women who met criteria for both HSDD and SIAD consistently scored lower on sexual desire frequency and satisfaction, satisfaction with sex, receptivity, positive sexual thoughts, reactions to erotica, arousal frequency, ease, continuation, and orgasm ease/achievement, and higher on distress. In addition, women meeting criteria for HSDD only tended to have mild symptoms across the six SIAD criteria compared to those meeting criteria for both HSDD and SIAD. These findings suggest that the SIAD criteria does not unduly raise the bar for diagnosis.
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Affiliation(s)
| | | | - Lori A Brotto
- c Department of Obstetrics and Gynaecology , University of British Columbia
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12
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Peixoto MM, Gomes H, Correia A, Pires I, Pereira T, Machado PPP. Translation and validation of the Portuguese version of the Sexual Desire Inventory-2: assessing gender differences. SEXUAL AND RELATIONSHIP THERAPY 2018. [DOI: 10.1080/14681994.2018.1472374] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Affiliation(s)
- Maria Manuela Peixoto
- Psychology Research Center, School of Psychology, University of Minho, Braga, Portugal
| | - Hugo Gomes
- Psychology Research Center, School of Psychology, University of Minho, Braga, Portugal
| | - Adriana Correia
- Psychology Research Center, School of Psychology, University of Minho, Braga, Portugal
| | - Inês Pires
- Psychology Research Center, School of Psychology, University of Minho, Braga, Portugal
| | - Tiago Pereira
- Psychology Research Center, School of Psychology, University of Minho, Braga, Portugal
| | - Paulo P. P. Machado
- Psychology Research Center, School of Psychology, University of Minho, Braga, Portugal
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Hackney AC, Lane AR, Register-Mihalik J, Oʼleary CB. Endurance Exercise Training and Male Sexual Libido. Med Sci Sports Exerc 2017; 49:1383-1388. [PMID: 28195945 DOI: 10.1249/mss.0000000000001235] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
PURPOSE This article aimed to study the associations between aspects of endurance exercise training and sexual libido in healthy men using a cross-sectional online survey study design. METHODS A developed online survey questionnaire was used. The questionnaire was based on preexisting validated questionnaires and was used to assess elements of physical characteristics, exercise training habits, and libido of participants (n = 1077). Three evidence-based categories were created for the primary outcome of total libido score and low, normal, and high-response category sets. The high and normal categories were combined to form a high/normal score group, and the low category formed a low score group. Odds ratio (OR) values were calculated to examine group categorization. RESULTS Age, training intensity, and training duration of participants had significant (P < 0.02) univariate relationships, with libido scores, and were thus included in the multivariate model. In the multivariate model, training intensity (P < 0.0001) and duration (P < 0.002) components were the most significantly associated with libido group designation (high/normal vs low). Participants with the lowest (OR = 6.9, 95% confidence interval [CI] = 2.6-17.9) and mid-range training intensities (OR = 2.8, 95% CI = 1.4-5.3) had greater odds of high/normal libido state than those with the highest training intensity. Participants with the shorter (OR = 4.1, 95% CI = 1.6-10.0) and mid-range training durations (OR = 2.5, 95% CI = 1.3-4.8) at their current intensity also had greater odds of high/normal libido score than those with a greatest duration. CONCLUSION Exposure to higher levels of chronic intense and greater durations of endurance training on a regular basis is significantly associated with a decreased libido scores in men. Clinicians who treat male patients for sexual disorders and/or council couples on infertility issues should consider the degree of endurance exercise training a man is performing as a potential complicating factor.
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Affiliation(s)
- Anthony C Hackney
- 1Department of Exercise and Sport Science, University of North Carolina, Chapel Hill, NC; and 2Department of Nutrition, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC
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Chadwick SB, Burke SM, Goldey KL, Bell SN, van Anders SM. Sexual Desire in Sexual Minority and Majority Women and Men: The Multifaceted Sexual Desire Questionnaire. ARCHIVES OF SEXUAL BEHAVIOR 2017; 46:2465-2484. [PMID: 28070802 DOI: 10.1007/s10508-016-0895-z] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/29/2014] [Revised: 08/16/2016] [Accepted: 10/27/2016] [Indexed: 05/10/2023]
Abstract
Sexual desire is increasingly understood to be multifaceted and not solely erotically oriented, but measures are still generally unitary and eroticism-focused. Our goals in this article were to explore the multifaceted nature of sexual desire and develop a measure to do so, and to determine how multifaceted sexual desire might be related to gender/sex and sexual orientation/identity. In the development phase, we generated items to form the 65-item Sexual Desire Questionnaire (DESQ). Next, the DESQ was administered to 609 women, 705 men, and 39 non-binary identified participants. Results showed that the DESQ demonstrated high reliability and validity, and that sexual desire was neither unitary nor entirely erotic, but instead was remarkably multifaceted. We also found that multifaceted sexual desire was in part related to social location variables such as gender/sex and sexual orientation/identity. We propose the DESQ as a measure of multifaceted sexual desire that can be used to compare factor themes, total scores, and scores across individual items in diverse groups that take social context into account. Results are discussed in light of how social location variables should be considered when making generalizations about sexual desire, and how conceptualizations of desire as multifaceted may provide important insights.
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Affiliation(s)
- Sara B Chadwick
- Departments of Psychology and Women's Studies, University of Michigan, Ann Arbor, MI, USA
| | - Shannon M Burke
- Department of Psychology, University of Michigan, Ann Arbor, MI, USA
| | | | - Sarah N Bell
- Departments of Psychology and Women's Studies, University of Michigan, Ann Arbor, MI, USA
| | - Sari M van Anders
- Departments of Psychology and Women's Studies, Program in Neuroscience, Reproductive Sciences Program, Science, Technology, and Society Program, University of Michigan, 530 Church Street, Ann Arbor, MI, 48109, USA.
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15
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DeLamater JD, Weinfurt KP, Flynn KE. Patients' Conceptions of Terms Related to Sexual Interest, Desire, and Arousal. J Sex Med 2017; 14:1327-1335. [PMID: 29017897 PMCID: PMC5675768 DOI: 10.1016/j.jsxm.2017.09.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2017] [Revised: 08/04/2017] [Accepted: 09/09/2017] [Indexed: 11/24/2022]
Abstract
BACKGROUND Measurement of sexual function typically uses self-report, which, to work as intended, must use language that is understood consistently by diverse respondents. Commonly used measures employ multiple terms, primarily (sexual) interest, desire, and arousal, that might not be understood in the same way by laypeople and professionals. AIM To inform self-reported measurement efforts for research and clinical settings by examining how US men and women recruited from a health care setting understand and interpret different terms. METHODS We conducted 10 focus groups in Durham, NC (N = 57). Discussions were audio-recorded and transcribed, and the content of the discussions was systematically analyzed in 2 phases of coding by the research team, facilitated by Nvivo qualitative analysis software (QSR International, Doncaster, VIC, Australia). OUTCOMES Patient focus group discussions about the meanings and connotations of multiple terms related to sexual function, especially interest, desire, and arousal. RESULTS 5 groups included male participants and 5 included female participants. Participants characterized (sexual) interest as a cognitive phenomenon and a situational response to a specific person. Similarly, they characterized (sexual) desire as a situational person-specific experience with some support for it as a cognitive phenomenon but more support for it as a physical phenomenon. In contrast, participants characterized sexual arousal as a physical phenomenon occurring in response to physical or visual stimulation and not related to a specific person. CLINICAL IMPLICATIONS These results can help us understand how laypeople are using and responding to these terms when they are used in clinical and research settings. STRENGTHS AND LIMITATIONS Patient participants in these groups were diverse in age, gender, sexual orientation, and health, with the potential to voice diverse perspectives on sexual functioning; however, the sample was limited to a single city in the southeastern United States. CONCLUSION The meanings of interest, desire, and arousal were defined, compared, and contrasted in the context of patient focus groups. Qualitative coding showed that interest was considered the most "cognitive," arousal the most "physical," and desire somewhere in between. DeLamater JD, Weinfurt KP, Flynn KE. Patients' Conceptions of Terms Related to Sexual Interest, Desire, and Arousal. J Sex Med 2017;14:1327-1335.
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Affiliation(s)
- John D DeLamater
- Department of Sociology, University of Wisconsin, Madison, WI, USA
| | - Kevin P Weinfurt
- Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA; Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA
| | - Kathryn E Flynn
- Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
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Graham CA, Mercer CH, Tanton C, Jones KG, Johnson AM, Wellings K, Mitchell KR. What factors are associated with reporting lacking interest in sex and how do these vary by gender? Findings from the third British national survey of sexual attitudes and lifestyles. BMJ Open 2017; 7:e016942. [PMID: 28903968 PMCID: PMC5722087 DOI: 10.1136/bmjopen-2017-016942] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/23/2023] Open
Abstract
OBJECTIVES To investigate factors associated with reporting lacking interest in sex and how these vary by gender. SETTING British general population. DESIGN Complex survey analyses of data collected for a cross-sectional probability sample survey, undertaken 2010-2012, specifically logistic regression to calculate age-adjusted OR (AOR) to identify associated factors. PARTICIPANTS 4839 men and 6669 women aged 16-74 years who reported ≥1 sexual partner (opposite-sex or same-sex) in the past year for the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3). MAIN OUTCOME MEASURE Lacking interest in sex for ≥3 months in the past year. RESULTS Overall, 15.0% (13.9-16.2) of men and 34.2% (32.8-35.5) of women reported lacking interest in sex. This was associated with age and physical and mental health for both men and women, including self-reported general health and current depression. Lacking interest in sex was more prevalent among men and women reporting sexually transmitted infection diagnoses (ever), non-volitional sex (ever) and holding sexual attitudes related to normative expectations about sex. Some gender similarities in associated relationship and family-related factors were evident, including partner having had sexual difficulties in the last year (men: AOR 1.41 (1.07-1.86); women: AOR 1.60 (1.32-1.94)), not feeling emotionally close to partner during sex (men: 3.74 (1.76-7.93); women: 4.80 (2.99-7.69) and ease of talking about sex (men: 1.53 (1.23-1.90);women: 2.06 (1.77-2.39)). Among women only, lack of interest in sex was higher among those in a relationship of >1 year in duration and those not sharing the same level of interest (4.57 (3.87-5.38)) or preferences (2.91 (2.22-3.83)) with a partner. CONCLUSIONS Both gender similarities and differences were found in factors associated with lacking interest in sex, with the most marked differences in relation to some relationship variables. Findings highlight the need to assess, and if appropriate, treat lacking interest in sex in a holistic and relationship-specific way.
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Affiliation(s)
- Cynthia A Graham
- Department of Psychology, Centre for Sexual Health Research, University of Southampton, Southampton, UK
| | - Catherine H Mercer
- Centre for Sexual Health and HIV Research, Research Department of Infection & Population Health, University College London, London, UK
| | - Clare Tanton
- Centre for Sexual Health and HIV Research, Research Department of Infection & Population Health, University College London, London, UK
| | - Kyle G Jones
- Centre for Sexual Health and HIV Research, Research Department of Infection & Population Health, University College London, London, UK
| | - Anne M Johnson
- Centre for Sexual Health and HIV Research, Research Department of Infection & Population Health, University College London, London, UK
| | - Kaye Wellings
- Centre for Sexual and Reproductive Health Research, Department of Social and Environmental Health Research, London School of Hygiene and Tropical Medicine, London, UK
| | - Kirstin R Mitchell
- MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, London, UK
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Murray SH, Milhausen RR, Graham CA, Kuczynski L. A Qualitative Exploration of Factors That Affect Sexual Desire Among Men Aged 30 to 65 in Long-Term Relationships. JOURNAL OF SEX RESEARCH 2017; 54:319-330. [PMID: 27136394 DOI: 10.1080/00224499.2016.1168352] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Few empirical studies have explored men's experiences of sexual desire, particularly in the context of long-term relationships. The objective of the current study was to investigate the factors that elicit and inhibit men's sexual desire. Semistructured interviews were conducted with 30 men between the ages of 30 and 65 (average age 42.83 years) currently in long-term heterosexual relationships (average duration 13 years 4 months). Analysis was conducted using grounded theory methodology from the interpretivist perspective. A total of 14 themes and 23 subthemes were identified to capture men's descriptions of eliciting and inhibiting factors of their sexual desire. The six most integral themes are presented in the current article, all of which reflect the perspectives of the majority of participants, regardless of age or relationship duration, specifically (a) feeling desired, (b) exciting and unexpected sexual encounters, (c) intimate communication, (d) rejection, (e) physical ailments and negative health characteristics, and (f) lack of emotional connection with partner. The findings suggest that men's sexual desire may be more complex and relational than previous research suggests. Implications for researchers and therapists are discussed.
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Affiliation(s)
- Sarah H Murray
- a Department of Family Relations and Applied Nutrition , University of Guelph
| | - Robin R Milhausen
- a Department of Family Relations and Applied Nutrition , University of Guelph
| | | | - Leon Kuczynski
- a Department of Family Relations and Applied Nutrition , University of Guelph
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Sungur MZ, Gunduz A. Critiques and Challenges to Old and Recently Proposed American Psychiatric Association's Website DSM 5 Diagnostic Criteria for Sexual Dysfunctions. ACTA ACUST UNITED AC 2016. [DOI: 10.5455/bcp.20130416063859] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Affiliation(s)
- Mehmet Z. Sungur
- Marmara University School of Medicine, Department of Psychiatry, İstanbul-Turkey
| | - Anil Gunduz
- Marmara University School of Medicine, Department of Psychiatry, İstanbul-Turkey
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19
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Dosch A, Rochat L, Ghisletta P, Favez N, Van der Linden M. Psychological Factors Involved in Sexual Desire, Sexual Activity, and Sexual Satisfaction: A Multi-factorial Perspective. ARCHIVES OF SEXUAL BEHAVIOR 2016; 45:2029-2045. [PMID: 25787208 DOI: 10.1007/s10508-014-0467-z] [Citation(s) in RCA: 52] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/20/2013] [Revised: 12/17/2014] [Accepted: 12/17/2014] [Indexed: 05/02/2023]
Abstract
This study explored the role of psychological trait factors in sexual desire and sexual activity. In particular, it investigated how these factors may contribute to maintaining a balance between motivational aspects and self-control abilities, as both have been considered important in relation to adaptive sexuality. Moreover, the study explored the relationship between sexual desire, activity, and satisfaction. Participants completed questionnaires assessing sexual desire (dyadic, solitary), sexual activity (with a partner, alone), sexual satisfaction, approach and avoidance motivation, attachment, self-control, sensation seeking, and mindfulness. Cluster analyses, based on participants' level of sexual desire and sexual activity, highlighted three distinct profiles for each gender related to different types of psychological functioning: (a) participants with high dyadic sexual desire and activity were the most sexually satisfied, showed optimal psychological functioning, and were characterized by a balance between motivational tendencies to seek positive rewards and self-control abilities (high approach motivation, secure attachment, high self-control, high mindfulness); (b) participants with high dyadic and solitary sexual desire and activity were moderately satisfied and showed a type of psychological functioning predominantly characterized by impulsivity (an overly high motivation to obtain rewards in women, and low self-control in men); (c) participants with low dyadic sexual desire and activity were the least sexually satisfied and were characterized by high motivation to avoid negative consequences and low self-control (high avoidance motivation, insecure attachment, and poor mindfulness). These results shed further light on how fundamental psychological factors contribute to explain the individual variability in sexual desire, activity, and satisfaction.
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Affiliation(s)
- Alessandra Dosch
- Cognitive Psychopathology and Neuropsychology Unit, University of Geneva, 1225, Geneva, Switzerland.
| | - Lucien Rochat
- Cognitive Psychopathology and Neuropsychology Unit, University of Geneva, 1225, Geneva, Switzerland
- Swiss Center for Affective Sciences, University of Geneva, Geneva, Switzerland
| | - Paolo Ghisletta
- Methodology and Data Analysis Unit, University of Geneva, Geneva, Switzerland
| | - Nicolas Favez
- Clinical Psychology of Interpersonal Relationships Unit, University of Geneva, Geneva, Switzerland
| | - Martial Van der Linden
- Cognitive Psychopathology and Neuropsychology Unit, University of Geneva, 1225, Geneva, Switzerland
- Swiss Center for Affective Sciences, University of Geneva, Geneva, Switzerland
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20
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Provoked Vestibulodynia and the Health Care Implications of Comorbid Pain Conditions. JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA 2015; 37:995-1005. [DOI: 10.1016/s1701-2163(16)30049-4] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
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21
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Angst J, Hengartner MP, Rössler W, Ajdacic-Gross V, Leeners B. A Swiss Longitudinal Study of the Prevalence of, and Overlap Between, Sexual Problems in Men and Women Aged 20 to 50 Years Old. JOURNAL OF SEX RESEARCH 2015; 52:949-959. [PMID: 26132602 DOI: 10.1080/00224499.2014.1002556] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
The aim of this study was to obtain data on the development and course of sexual problems and their interrelationships by investigating a representative sample of men and women over a period of 30 years. A representative sample of 299 women selected from the complete electoral register and 292 men selected from screening lists for military service in Zurich, Switzerland, answered questions about their sexuality as part of a series of seven interviews between ages 20 (1979) and 50 (2008). Of the initial sample of 591 participants, 43% (57% of them male) were lost to follow-up. Interviews were conducted using the Structured Psychopathological Interview and Rating of the Social Consequences of Psychological Disturbances for Epidemiology (SPIKE), a semistructured interview. Sexual problems were identified on the basis of the study participants' self-appraisal. One-year prevalence rates, lifetime risks, and overlap of functional, emotional, and sexual desire problems in men and women were evaluated. The findings confirmed higher lifetime risks in women than in men for any sexual problem (females 67.0%; males 46.0%) and for functional (39.3%; 22.1%), emotional (35.7%; 15.9%), and sexual desire problems (51.6%; 33.3%). While in general men's sexual problems increased with age, no such association was observed in women. The overlap of all three problems (functional, emotional, and sexual desire) was reported by 16.9% of women but only 5.0% of men. Although there are commonalities, the type but also the development and, in particular, the overlap of sexual problems in women and men are markedly different.
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Affiliation(s)
- Jules Angst
- a Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital , University of Zurich
| | - Michael P Hengartner
- a Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital , University of Zurich
- b Department of Applied Psychology , Zurich University of Applied Sciences
| | - Wulf Rössler
- a Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital , University of Zurich
- c Institute of Psychiatry, Laboratory of Neuroscience (LIM 27) , University of Sao Paulo
| | - Vladeta Ajdacic-Gross
- a Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital , University of Zurich
| | - Brigitte Leeners
- d Division of Reproductive Endocrinology , University Hospital Zurich
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22
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Impett EA, Muise A, Rosen NO. Is It Good to Be Giving in the Bedroom? A Prosocial Perspective on Sexual Health and Well-Being in Romantic Relationships. CURRENT SEXUAL HEALTH REPORTS 2015. [DOI: 10.1007/s11930-015-0055-9] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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23
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Abstract
In this review article, human asexuality, a relatively understudied phenomenon, is discussed. Specifically, definitions and conceptualizations of asexuality (e.g., is it a unique category of sexual orientation?), biological and historical contexts, identity issues, discrimination against asexual people relative to other minorities, origins, and variations, including gender differences, are reviewed. Whether asexuality should be construed as a disorder is also discussed. The study of asexuality allows for a better understanding of an underrecognized sexual minority but also affords a unique opportunity to examine and better understand human sexuality.
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Affiliation(s)
- Anthony F Bogaert
- a Department of Health Sciences, Department of Psychology , Brock University
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24
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Mark K, Herbenick D, Fortenberry D, Sanders S, Reece M. The Object of Sexual Desire: Examining the “What” in “What Do You Desire?”. J Sex Med 2014; 11:2709-19. [DOI: 10.1111/jsm.12683] [Citation(s) in RCA: 57] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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25
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Carvalheira A, Træen B, Stulhofer A. Masturbation and Pornography Use Among Coupled Heterosexual Men With Decreased Sexual Desire: How Many Roles of Masturbation? JOURNAL OF SEX & MARITAL THERAPY 2014; 41:626-35. [PMID: 25189834 DOI: 10.1080/0092623x.2014.958790] [Citation(s) in RCA: 49] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
The relation between masturbation and sexual desire has not been systematically studied. The present study assessed the association between masturbation and pornography use and the predictors and correlates of frequent masturbation (several times a week or more often) among coupled heterosexual men who reported decreased sexual desire. Analyses were carried out on a subset of 596 men with decreased sexual desire (mean age = 40.2 years) who were recruited as part of a large online study on male sexual health in 3 European countries. A majority of the participants (67%) reported masturbating at least once a week. Among men who masturbated frequently, 70% used pornography at least once a week. A multivariate assessment showed that sexual boredom, frequent pornography use, and low relationship intimacy significantly increased the odds of reporting frequent masturbation among coupled men with decreased sexual desire. These findings point to a pattern of pornography-related masturbation that can be dissociated from partnered sexual desire and can fulfill diverse purposes. Clinical implications include the importance of exploring specific patterns of masturbation and pornography use in the evaluation of coupled men with decreased sexual desire.
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Affiliation(s)
- Ana Carvalheira
- a Department of Clinical Psychology , ISPA-University Institute , Lisbon , Portugal
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26
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Dawson SJ, Chivers ML. Gender Differences and Similarities in Sexual Desire. CURRENT SEXUAL HEALTH REPORTS 2014. [DOI: 10.1007/s11930-014-0027-5] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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27
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Salonia A, Clementi MC, Ventimiglia E, Colicchia M, Capogrosso P, Castiglione F, Castagna G, Boeri L, Suardi N, Cantiello F, Damiano R, Montorsi F. Prevalence and predictors of concomitant low sexual desire/interest and new-onset erectile dysfunction - a picture from the everyday clinical practice. Andrology 2014; 2:702-8. [DOI: 10.1111/j.2047-2927.2014.00236.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2014] [Revised: 05/09/2014] [Accepted: 05/12/2014] [Indexed: 01/23/2023]
Affiliation(s)
- A. Salonia
- Division of Oncology/Unit of Urology; URI; IRCCS Ospedale San Raffaele; Milan Italy
- Research Doctorate Program in Urology; Magna Graecia University; Catanzaro Italy
| | - M. C. Clementi
- Division of Oncology/Unit of Urology; URI; IRCCS Ospedale San Raffaele; Milan Italy
- Università Vita-Salute San Raffaele; Milan Italy
| | - E. Ventimiglia
- Division of Oncology/Unit of Urology; URI; IRCCS Ospedale San Raffaele; Milan Italy
- Università Vita-Salute San Raffaele; Milan Italy
| | - M. Colicchia
- Division of Oncology/Unit of Urology; URI; IRCCS Ospedale San Raffaele; Milan Italy
- Università Vita-Salute San Raffaele; Milan Italy
| | - P. Capogrosso
- Division of Oncology/Unit of Urology; URI; IRCCS Ospedale San Raffaele; Milan Italy
- Università Vita-Salute San Raffaele; Milan Italy
| | - F. Castiglione
- Division of Oncology/Unit of Urology; URI; IRCCS Ospedale San Raffaele; Milan Italy
- Università Vita-Salute San Raffaele; Milan Italy
| | - G. Castagna
- Division of Oncology/Unit of Urology; URI; IRCCS Ospedale San Raffaele; Milan Italy
- Università Vita-Salute San Raffaele; Milan Italy
| | - L. Boeri
- Division of Oncology/Unit of Urology; URI; IRCCS Ospedale San Raffaele; Milan Italy
- Università Vita-Salute San Raffaele; Milan Italy
| | - N. Suardi
- Division of Oncology/Unit of Urology; URI; IRCCS Ospedale San Raffaele; Milan Italy
| | - F. Cantiello
- Research Doctorate Program in Urology; Magna Graecia University; Catanzaro Italy
| | - R. Damiano
- Research Doctorate Program in Urology; Magna Graecia University; Catanzaro Italy
| | - F. Montorsi
- Division of Oncology/Unit of Urology; URI; IRCCS Ospedale San Raffaele; Milan Italy
- Università Vita-Salute San Raffaele; Milan Italy
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28
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Sarin S, Amsel R, Binik YM. How hot is he? A psychophysiological and psychosocial examination of the arousal patterns of sexually functional and dysfunctional men. J Sex Med 2014; 11:1725-40. [PMID: 24820313 DOI: 10.1111/jsm.12562] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
INTRODUCTION Despite much theorizing about the interchangeability of desire and arousal, research has yet to identify whether men with desire vs. arousal disorders can be differentiated based on their psychophysiological patterns of arousal. Additionally, little research has examined the relationship between subjective (SA) and genital arousal (GA) in sexually dysfunctional men. AIMS To compare patterns of SA and GA in a community sample of men meeting DSM-IV-TR criteria for hypoactive sexual desire disorder (HSDD), erectile dysfunction (ED), both HSDD and ED (ED/HSDD), and healthy controls. METHODS Seventy-one men (19 controls, 13 HSDD, 19 ED, 20 ED/HSDD) completed self-report measures and watched two 15-minute film clips (neutral and erotic), while GA and SA were measured both continuously and discretely. MAIN OUTCOME MEASURES Groups were compared on genital temperature (as an indicator of GA), SA, and psychosocial variables (i.e., body image, emotion regulation, sexual attitudes, sexual inhibition/excitation, mood, and trauma). RESULTS Genital temperature increased for all groups during the erotic condition, yet men with ED and ED/HSDD showed less GA than men without erectile difficulties. All groups increased in SA during the erotic condition, yet ED/HSDD men reported less SA than controls or ED men. SA and GA were highly correlated for controls, and less strongly correlated for clinical groups; men with ED showed low agreement between SA and GA. Groups also differed on body image, sexual inhibition/excitation, sexual attitudes and alexithymia. CONCLUSION Low desire vs. arousal sufferers have unique patterns of response, with those with both difficulties showing greatest impairment. Results have important implications for the diagnosis and treatment of these disorders.
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Affiliation(s)
- Sabina Sarin
- Department of Psychology, McGill University, Montreal, Quebec, Canada
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Wierckx K, Elaut E, Van Hoorde B, Heylens G, De Cuypere G, Monstrey S, Weyers S, Hoebeke P, T'Sjoen G. Sexual Desire in Trans Persons: Associations with Sex Reassignment Treatment. J Sex Med 2014; 11:107-18. [DOI: 10.1111/jsm.12365] [Citation(s) in RCA: 69] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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30
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Carvalheira A, Træen B, Štulhofer A. Correlates of Men's Sexual Interest: A Cross-Cultural Study. J Sex Med 2014; 11:154-64. [DOI: 10.1111/jsm.12345] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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Rosen RC, Revicki DA, Sand M. Commentary on "Critical flaws in the FSFI and IIEF". JOURNAL OF SEX RESEARCH 2014; 51:492-7. [PMID: 24826877 DOI: 10.1080/00224499.2014.894491] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/12/2023]
Abstract
This invited commentary responds to recent criticisms of two validated and widely used sexual function questionnaires, the Female Sexual Function Index (FSFI) and the International Index of Erectile Function (IIEF) (Forbes, Baillie, & Schniering, 2014 ). We take issue with the conceptual arguments presented, selective review of published literature on both instruments, and conclusions drawn from methodologically flawed findings from an Internet-based study in a nonrepresentative group of Australian men and women. Alternative perspectives on the IIEF and FSFI are presented.
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Affiliation(s)
- Raymond C Rosen
- a New England Research Institutes, Inc. , Watertown , Massachusetts
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32
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Holtzman NS, Strube MJ. Above and beyond Short-Term Mating, Long-Term Mating is Uniquely Tied to Human Personality. EVOLUTIONARY PSYCHOLOGY 2013. [DOI: 10.1177/147470491301100514] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
To what extent are personality traits and sexual strategies linked? The literature does not provide a clear answer, as it is based on the Sociosexuality model, a one-dimensional model that fails to measure long-term mating (LTM). An improved two-dimensional model separately assesses long-term and short-term mating (STM; Jackson and Kirkpatrick, 2007 ). In this paper, we link this two-dimensional model to an array of personality traits (Big 5, Dark Triad, and Schizoid Personality). We collected data from different sources (targets and peers; Study 1), and from different nations (United States, Study 1; India, Study 2). We demonstrate for the first time that, above and beyond STM, LTM captures variation in personality.
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Affiliation(s)
| | - Michael J. Strube
- Department of Psychology, Washington University in St. Louis, St. Louis,
MO, USA
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33
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Štulhofer A, Carvalheira AA, Træen B. Is responsive sexual desire for partnered sex problematic among men? Insights from a two-country study. SEXUAL AND RELATIONSHIP THERAPY 2013. [DOI: 10.1080/14681994.2012.756137] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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34
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Sarin S, Amsel RM, Binik YM. Disentangling desire and arousal: a classificatory conundrum. ARCHIVES OF SEXUAL BEHAVIOR 2013; 42:1079-1100. [PMID: 23546888 DOI: 10.1007/s10508-013-0100-6] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/28/2011] [Revised: 09/03/2012] [Accepted: 11/08/2012] [Indexed: 06/02/2023]
Abstract
A controversial proposal to collapse sexual disorders of desire and arousal is forthcoming in the diagnostic and statistical manual of mental disorders (5th ed.) (DSM-5). Yet, no study has attempted to empirically distinguish these disorders by using explicit criteria to recruit and compare distinct groups of low desire and arousal sufferers. The goal of the current study was to test the feasibility of finding medically healthy men and women meeting clearly operationalized DSM-IV-TR criteria for disorders of desire and/or arousal and compare them to matched controls. To assess operational criteria, participants completed a comprehensive telephone screening interview assessing DSM-IV-TR and DSM-5 criteria, as well as standardized self-report measures of sexual functioning. The use of operationalized DSM-IV-TR criteria to recruit participants led to the exclusion of over 75% of those reporting sexual difficulties, with the primary reason for exclusion being failure to meet at least one central diagnostic criterion. The application of the DSM-5 criteria was even more restrictive and led to the exclusion of all but four men and one woman using the original four-symptom criteria, and four men and five women using the revised three-symptom criteria. Cluster analyses supported the distinction between desire and genital arousal difficulties, and suggest that different groups with distinct clusters of symptoms may exist, two of which are consistent with the DSM-5 criteria. Overall, results highlight the need for revisions to the diagnostic criteria, which, as they stand, do not capture the full range of many people's sexual difficulties.
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Affiliation(s)
- Sabina Sarin
- Department of Psychology, McGill University, 1205 Dr. Penfield Ave., Montreal, QC, H3A 1B1, Canada.
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van Anders SM. Beyond masculinity: testosterone, gender/sex, and human social behavior in a comparative context. Front Neuroendocrinol 2013; 34:198-210. [PMID: 23867694 DOI: 10.1016/j.yfrne.2013.07.001] [Citation(s) in RCA: 91] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/07/2013] [Revised: 07/04/2013] [Accepted: 07/06/2013] [Indexed: 12/16/2022]
Abstract
Largely based on pre-theory that ties high testosterone (T) to masculinity, and low T to femininity, high T is mainly studied in relation to aggression, mating, sexuality, and challenge, and low T with parenting. Evidence, however, fails to support this, and the social variability in T is better accounted for by a competition-nurturance trade-off as per the Steroid/Peptide Theory of Social Bonds (van Anders et al., 2011). Four key domains are discussed: adult-infant interactions, sexual desire, sexual behavior, and partnering. Empirical engagements with gender/sex are shown to lead to important insights over assumptions about masculinity-femininity. Humans are discussed within a comparative framework that attends to cross-species principles informed by human insights alongside human-specific particularities like social constructions, which are critical to evolutionary understandings of the social role of T. This paper thus integrates seemingly orthogonal perspectives to allow for transformative approaches to an empirically-supported social phenomenology of T.
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Affiliation(s)
- Sari M van Anders
- Departments of Psychology & Women's Studies, Programs in Neuroscience, Reproductive Sciences, and Science, Technology, & Society, University of Michigan, Ann Arbor, MI 48105, USA.
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Bloch M, Meiboom H, Zaig I, Schreiber S, Abramov L. The use of dehydroepiandrosterone in the treatment of hypoactive sexual desire disorder: a report of gender differences. Eur Neuropsychopharmacol 2013; 23:910-8. [PMID: 23084789 DOI: 10.1016/j.euroneuro.2012.09.004] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/07/2012] [Revised: 07/12/2012] [Accepted: 09/13/2012] [Indexed: 01/23/2023]
Abstract
Data regarding the efficacy of dehydroepiandrosterone (DHEA) in the treatment of hypoactive sexual desire disorder (HSDD) are scarce and inconsistent. We aimed to determine possible gender differences in the efficacy of DHEA as a treatment for HDSS. Postmenopausal women (n=27), and men (n=21) with HSDD, were randomized to receive either DHEA 100 mg daily or placebo for 6 weeks in a controlled, double blind study. Primary outcome measures were sexual function questionnaires. Hormone serum levels of DHEAS, total and bioavailable testosterone, estradiol, and urine levels of DHEA and androsterone were also measured. Participants on active treatment showed a significant increase in circulating serum levels of DHEAS, while bioavailable testosterone levels increased in women only. In women only, significant interaction effects were observed for sexual arousal (p<0.05), satisfaction (p<0.05), and cognition (trend; p=0.06). For arousal, a significant improvement was observed for the DHEA treated group at 6 weeks (p=0.001). Significant correlations were observed between bioavailable T and sexual cognitions, arousal and orgasm, while DHEAS was correlated with satisfaction. In the men, significant correlations were observed between testosterone and arousal (r=.45), sexual drive (r=.50) and orgasm (r=.55). In women with HSDD, DHEA treatment had a significant beneficial effect on arousal, whereas no efficacy was demonstrated in men, indicating a possible gender difference. This improvement seems to be mediated via DHEA's metabolism to testosterone. Our positive results suggest that the neurosteroid DHEA may be effective as a treatment for women with HSDD if administered at a dose of at least 100 mg per day.
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Affiliation(s)
- Miki Bloch
- Department of Psychiatry, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
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Zucker KJ. DSM-5: call for commentaries on gender dysphoria, sexual dysfunctions, and paraphilic disorders. ARCHIVES OF SEXUAL BEHAVIOR 2013; 42:669-674. [PMID: 23797860 DOI: 10.1007/s10508-013-0148-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
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Vansintejan J, Janssen J, Van De Vijver E, Vandevoorde J, Devroey D. The Gay Men Sex Studies: prevalence of sexual dysfunctions in Belgian HIV(+) gay men. HIV AIDS-RESEARCH AND PALLIATIVE CARE 2013; 5:89-96. [PMID: 23671398 PMCID: PMC3643290 DOI: 10.2147/hiv.s43962] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
The aim of this Internet-based survey was to investigate the prevalence and associated predictors of sexual dysfunctions in Belgian self-reported HIV-positive men who have sex with other men. Of the 72 participants, 56% had a mild-to-severe erectile dysfunction, and 15% reported a hypoactive sexual desire disorder. The prevalence of premature ejaculation and anodyspareunia was 18% for both. Independent predictors for erectile dysfunction were frequency of masturbation, frequency of sex with partner, use of erectile enhancement drugs, having a passive sex role, and not having a steady relationship. Independent predictors for hypoactive sexual desire disorder were frequency of masturbation and having a lower lifetime number of sexual partners. Independent predictors for premature ejaculation were not having a steady relationship, having a lower lifetime number of sexual partners, and a lower level of education. The only independent predictor for anodyspareunia was having an active sex role.
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Affiliation(s)
- Johan Vansintejan
- Department of Family Medicine, Vrije Universiteit Brussel (VUB), Brussels, Belgium
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Štulhofer A, Træen B, Carvalheira A. Job-Related Strain and Sexual Health Difficulties among Heterosexual Men from Three European Countries: The Role of Culture and Emotional Support. J Sex Med 2013; 10:747-56. [DOI: 10.1111/j.1743-6109.2012.02967.x] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Hendrickx L, Gijs L, Enzlin P. Distress, Sexual Dysfunctions, and DSM: Dialogue at Cross Purposes? J Sex Med 2013; 10:630-41. [DOI: 10.1111/j.1743-6109.2012.02971.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Sexuelle Gesundheit von Männern aus sexualmedizinischer Sicht. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2013; 56:215-22. [DOI: 10.1007/s00103-012-1609-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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Goldey KL, van Anders SM. Sexual Arousal and Desire: Interrelations and Responses to Three Modalities of Sexual Stimuli. J Sex Med 2012; 9:2315-29. [DOI: 10.1111/j.1743-6109.2012.02845.x] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Baldassarre M, Perrone AM, Giannone FA, Armillotta F, Battaglia C, Costantino A, Venturoli S, Meriggiola MC. Androgen receptor expression in the human vagina under different physiological and treatment conditions. Int J Impot Res 2012; 25:7-11. [DOI: 10.1038/ijir.2012.25] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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Salonia A, Burnett AL, Graefen M, Hatzimouratidis K, Montorsi F, Mulhall JP, Stief C. Prevention and management of postprostatectomy sexual dysfunctions part 2: recovery and preservation of erectile function, sexual desire, and orgasmic function. Eur Urol 2012; 62:273-86. [PMID: 22575910 DOI: 10.1016/j.eururo.2012.04.047] [Citation(s) in RCA: 114] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2012] [Accepted: 04/23/2012] [Indexed: 01/07/2023]
Abstract
CONTEXT Sexual dysfunction is common in patients who undergo radical prostatectomy (RP) for prostate cancer (PCa). OBJECTIVE Review the available literature concerning prevention of, and management strategies for, post-RP sexual dysfunction in terms of postoperative treatments for erectile function (EF), sexual desire (SD), and orgasmic function (OF) impairment. EVIDENCE ACQUISITION A literature search was performed using Google and PubMed databases for English language original and review articles either published or e-published up to November 2011. EVIDENCE SYNTHESIS We propose a rational description of many of the clinically available preventive and therapeutic strategies for the preservation and recovery of post-RP EF. A huge amount of preclinical data show that tissue damage ultimately leads to structural alterations, and the literature stresses that rehabilitation and treatment are undoubtedly better than leaving the erectile tissue to its unassisted fate; likewise, the timing of any rehabilitation and treatment is of major clinical importance. However, no specific recommendation emerges regarding the structure of the optimal rehabilitation or treatment regimen. The role of postoperative erectile dysfunction (ED) treatment of those patients who received a non-nerve-sparing RP was also extensively discussed. The literature almost completely lacks a systematic and comprehensive debate about SD (ie, low libido) and OF (ie, decreased intensity of orgasm, dysorgasmia, and climacturia) in patients undergoing RP. Psychological and sexual counseling is of major importance to improve any rehabilitation and treatment of postoperative EF, SD, and OF impairment. CONCLUSIONS Despite the great number of possible rehabilitation approaches proposed, these approaches should be considered only as strategies, since incontrovertible evidence of their effectiveness for improving natural EF recovery is limited. Conversely, numerous effective therapeutic options are available for treating post-RP ED. SD and OF have not yet been fully assessed in patients who underwent RP.
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Affiliation(s)
- Andrea Salonia
- Department of Urology, University Vita-Salute San Raffaele, Milan, Italy
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DeRogatis L, Rosen RC, Goldstein I, Werneburg B, Kempthorne‐Rawson J, Sand M. Characterization of Hypoactive Sexual Desire Disorder (HSDD) in Men. J Sex Med 2012; 9:812-20. [DOI: 10.1111/j.1743-6109.2011.02592.x] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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Carvalho J, Nobre P. Biopsychosocial determinants of men's sexual desire: testing an integrative model. J Sex Med 2010; 8:754-63. [PMID: 21176114 DOI: 10.1111/j.1743-6109.2010.02156.x] [Citation(s) in RCA: 58] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
INTRODUCTION There is a severe lack of studies on male sexual desire and its biopsychosocial determinants. Most of the studies are focused on female sexual interest and are based on the contribution of single dimensions instead of the interaction between them. AIM The aim of the present study was to test a conceptual model considering the interrelated role of biopsychosocial factors on male sexual desire. This model allowed us to test not only the unique impact of predictors that are traditionally related to sexual desire, but also how their interaction affects sexual desire in men. METHODS Two hundred and thirty seven men from the general population were assessed according to age (mean age = 35, standard deviation = 11), medical problems, psychopathology, dyadic adjustment, and cognitive-emotional factors. MAIN OUTCOME MEASURES Psychopathology measured by the Brief Symptom Inventory, dysfunctional sexual beliefs measured by the Sexual Dysfunctional Beliefs Questionnaire, thoughts and emotions in sexual context measured by the Sexual Modes Questionnaire, dyadic adjustment measured by the Dyadic Adjustment Scale, medical condition measured by the Medical History Formulation, and sexual desire measured by the Sexual Desire subscale of the International Index of Erectile Function. RESULTS Results showed that cognitive factors (sexual beliefs and automatic thoughts during sexual activity) were the best predictors of sexual desire in men. Specifically, beliefs related to restrictive attitudes toward sexuality, erection concerns, and lack of erotic thoughts in sexual context, had a significant direct effect on reduced sexual desire. Moreover, this set of cognitive-emotional factors also mediated the relationship between medical problems, age, and sexual desire. CONCLUSION Results from this integrative approach highlighted the role of cognitive factors related to cultural values (dysfunctional sexual beliefs) and distraction mechanisms during sexual context (automatic thoughts) in male sexual interest. Findings support the need to include cognitive dimensions in the assessment and treatment of sexual desire problems, considering their involvement as vulnerability or resiliency factors for deficient sexual desire in men. Moreover, these factors surpassed the importance of the remaining factors (particularly, of medical factors and psychopathology), showing that, despite the lack of studies, male sexuality is better conceptualized from a biopsychosocial perspective.
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Affiliation(s)
- Joana Carvalho
- Universidade de Trás-os-Montes e Alto Douro, Departamento de Educação e Psicologia, Vila Real, Portugal.
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