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Banaei M, Mehrnoush V, Roozbeh N, Kariman N. Coping Strategies with Genito-Pelvic Pain/Penetration Disorder: A Qualitative Study. Pain Res Manag 2023; 2023:5791751. [PMID: 38144227 PMCID: PMC10748719 DOI: 10.1155/2023/5791751] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2023] [Revised: 11/24/2023] [Accepted: 12/03/2023] [Indexed: 12/26/2023]
Abstract
Background Genital/pelvic pain penetration disorder (GPPPD) decreased mental and physical functioning, reduced quality of life, and reduced feelings of inadequacy and worthlessness, all of which impair the ability of women with GPPPD to enjoy sex. This qualitative study was conducted to identify which factors can reduce sexual stress and help Iranian women cope with GPPPD. Methods This qualitative study was conducted through the participation of 18 women with GPPPD diagnosed by a sexologist and using DSM-IV diagnostic criteria from March to July 2022, Iran. The samples were selected using the purposive sampling method and considering the maximum variation. The semistructured question guide was used as a data collection tool and data collection continued until data saturation was reached. The collected data were analyzed using conventional content analysis approach. Results Data analysis led to the emergence of three main themes: "problem-focused coping" which included the three categories of received social support, problem self-control, and penetration replacement; "emotion-focused coping" which included three categories: a couple's negative reaction to the problem, attachment disorder, and surrendering the problem; and "treatment-seeking" which consisted of searching and choosing a therapist to solve the problem, ineffective medical approaches, and ineffective nonmedical approaches. Conclusion Coping strategies in women with GPPPD were classified as "problem-focused coping," "emotion-focused coping," and "treatment-seeking." These findings indicate a need for GPPPD information and education, as well as a need for healthcare professionals to actively inquire about sexual problems and commit to serious treatment efforts. Cultural interventions that promote sexual pleasure can aid in the management of GPPPD.
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Affiliation(s)
- Mojdeh Banaei
- Mother and Child Welfare Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
| | - Vahid Mehrnoush
- Mother and Child Welfare Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
| | - Nasibeh Roozbeh
- Mother and Child Welfare Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
| | - Nourossadat Kariman
- Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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2
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Leavitt CE, Leonhardt ND, Eldredge JG, Busby DM, Clarke RW. A trifecta: patterns in orgasm consistency, relational satisfaction, and sexual satisfaction. J Sex Med 2023; 20:525-535. [PMID: 36779553 DOI: 10.1093/jsxmed/qdad001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Revised: 12/28/2022] [Accepted: 12/31/2022] [Indexed: 02/14/2023]
Abstract
BACKGROUND We based this study on the sexual wholeness model, which considers emotional, physical, and meaning elements of sexuality, and previous research that indicates variability in the associations among orgasm consistency, relational satisfaction, and sexual satisfaction. AIM We performed a person-based latent class approach to examine variables linked with the trifecta of orgasm consistency, relational satisfaction, and sexual satisfaction. METHODS We used a Mechanical Turk sample that consisted of 1645 sexually active participants (1032 women) to evaluate classes and related variables. OUTCOMES Women divided into 5 classes and men into 3 classes. High orgasm consistency alone did not ensure sexual or relational satisfaction. RESULTS We found that 5 groups emerged for women: high orgasm/low satisfaction (6%), low trifecta (8%), low orgasm/high satisfaction (16%), moderate orgasm/high satisfaction (15%), and high trifecta (55%). For men, 3 groups emerged: lower orgasm/high satisfaction (12%), moderate trifecta (14%), and high trifecta (74%). We also found that high orgasm consistency for women did not guarantee relational and sexual satisfaction, nor did lower orgasm consistency for men or women guarantee problematic relational and sexual satisfaction. CLINICAL IMPLICATIONS Communication, attachment, and sexual harmony were key elements associated with positive trifecta outcomes. Clinicians and educators may emphasize the importance of these variables when individuals encounter sexual or relational distress. STRENGTHS AND LIMITATIONS Data analytic techniques revealed a variety of groups for men and women and associations between a host of physical, psychological, and meaning variables and the trifecta of orgasm consistency, relational satisfaction, and sexual satisfaction. However, this study is cross-sectional and correlational, which limits the conclusions that we can draw from it. CONCLUSION While the variables of orgasm consistency, relational satisfaction, and sexual satisfaction are each informative, together they help clinicians, educators, and researchers better understand the complexity of sex.
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Affiliation(s)
- Chelom E Leavitt
- School of Family Life, Brigham Young University, Provo, Utah 84603, United States
| | - Nathan D Leonhardt
- School of Family Life, Brigham Young University, Provo, Utah 84603, United States
| | - Joanna Gurr Eldredge
- School of Family Life, Brigham Young University, Provo, Utah 84603, United States
| | - Dean M Busby
- School of Family Life, Brigham Young University, Provo, Utah 84603, United States
| | - Rebecca W Clarke
- School of Family Life, Brigham Young University, Provo, Utah 84603, United States
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3
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Ipolyi D, Csányi E, Láng A, Meskó N. Attachment Avoidance Moderates the Relationship Among Acceptance of Sugar Relationships, Motivation, and Self-Esteem. Front Psychol 2021; 12:711199. [PMID: 34484068 PMCID: PMC8415413 DOI: 10.3389/fpsyg.2021.711199] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2021] [Accepted: 07/05/2021] [Indexed: 11/25/2022] Open
Abstract
A sugar relationship is a monetary-based liaison between a wealthier older and an attractive younger person, the latter receiving expensive gifts or financial compensation in exchange for her or his sexual companionship. Attachment, motivation, and self-esteem are all integrative parts of adult romantic and sexual relationships. There is relatively little empirical research on the psychological correlates of accepting attitudes toward sugar relationships. The research aimed to explore the relationship among the acceptance of sugar relationship, attachment (avoidance and anxiety), motivation (extrinsic and intrinsic), and self-esteem. A total of 2,409 Hungarian adults including 1,980 younger participants (1,804 women, 175 men, mean age = 21.17) and 429 older participants (290 men, 138 women, mean age = 48.86) completed an online test battery comprising four self-report measures. In the younger subsample, the only significant association obtained for the acceptance of sugar relationships was its positive correlation with extrinsic motivation. In the older subsample, the acceptance of sugar relationships was positively correlated with all tested variables except self-esteem. Subsequent analysis revealed that attachment avoidance but not anxiety moderated the associations between the variables. Among younger participants, the negative effect of self-esteem and intrinsic motivation on accepting sugar relationships decreased with increasing attachment avoidance. Among older participants, the positive effect of extrinsic motivation on accepting sugar relationships decreased with increasing attachment avoidance. The results are discussed with regard to relational and sexual goals associated with adult attachment orientations.
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Affiliation(s)
- Dóra Ipolyi
- Institute of Psychology, University of Pécs, Pécs, Hungary
| | - Edit Csányi
- Institute of Psychology, University of Pécs, Pécs, Hungary
| | - András Láng
- Institute of Psychology, University of Pécs, Pécs, Hungary
| | - Norbert Meskó
- Institute of Psychology, University of Pécs, Pécs, Hungary
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Fagundes Ferreira F, La Rosa VL, Nepomuceno Benites M, Marques Cerentini T, Machado de Souza C, Caruso S, da Silva Klahr P, Telles da Rosa LH, Della Corte L, Viana da Rosa P. Sexual function evaluation in Brazilian women accessing a public health service: an observational cross-sectional study. SEXUAL AND RELATIONSHIP THERAPY 2020. [DOI: 10.1080/14681994.2020.1817365] [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: 10/23/2022]
Affiliation(s)
| | | | | | | | | | - Salvatore Caruso
- Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy
- Research Group for Sexology, University of Catania, Catania, Italy
| | | | | | - Luigi Della Corte
- Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples "Federico II", Naples, Italy
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Gewirtz-Meydan A, Ofir-Lavee S. Addressing Sexual Dysfunction After Childhood Sexual Abuse: A Clinical Approach from an Attachment Perspective. JOURNAL OF SEX & MARITAL THERAPY 2020; 47:43-59. [PMID: 32783606 DOI: 10.1080/0092623x.2020.1801543] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Sexual dysfunctions are very prevalent among survivors of childhood sexual abuse. While the relationship between sexual abuse and sexual dysfunction is well-established, understanding of the mechanisms explaining this relationship is still limited and has not been studied thoroughly. The current article presents a preliminary, theoretical model of the association between childhood sexual abuse, and sexual dysfunctions in adulthood from an attachment-trauma perspective. This model is based on previous literature and hours of clinical work in sex therapy and attachment theory-based therapy, and identifies important factors that have not been adequately accounted for in the literature.
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Affiliation(s)
- Ateret Gewirtz-Meydan
- School of Social Work, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
- The Sex and Couple Therapy Unit, Meir Medical Hospital, Kfar-Saba, Israel
| | - Sari Ofir-Lavee
- Certified Sex and Couple Therapist, and Certified EFT Therapist, Tel-Aviv, Israel
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6
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Láng A, Cooper EB, Meskó N. The Relationship Between Dimensions of Adult Attachment and Motivation for Faking Orgasm in Women. JOURNAL OF SEX RESEARCH 2020; 57:278-284. [PMID: 30299982 DOI: 10.1080/00224499.2018.1525333] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Attachment and sexual behavior are both integral parts of adult romantic relationships. Attachment avoidance is linked to impersonal, egocentric sexual activities, whereas the sexuality of anxiously attached individuals revolves around relationship maintenance and the needs of the partner. In this attachment context, faking orgasm might serve as a means for relational regulation. The aim of our study was to investigate the links between dimensions of adult attachment and motives for faking orgasm in women. Young women completed measures of adult attachment and motivations for faking orgasm. Both attachment avoidance and attachment anxiety were related to the use of faked orgasm as a means to avoid negative, shameful feelings. Attachment avoidance was significantly associated with the intention to quickly end sexual intercourse through faking orgasm. Attachment anxiety was associated with the use of faked orgasm to increase sexual arousal and to elevate partners' self-esteem. Results are discussed with regard to relational and sexual goals associated with adult attachment orientations.
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7
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Levin RJ. The Clitoris—An Appraisal of its Reproductive Function During the Fertile Years: Why Was It, and Still Is, Overlooked in Accounts of Female Sexual Arousal. Clin Anat 2019; 33:136-145. [DOI: 10.1002/ca.23498] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2019] [Accepted: 09/19/2019] [Indexed: 12/17/2022]
Affiliation(s)
- Roy J. Levin
- Independent Research Investigator Sheffield United Kingdom
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8
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Jiao T, Chen J, Niu Y. Masturbation is associated with psychopathological and reproduction health conditions: an online survey among campus male students. SEXUAL AND RELATIONSHIP THERAPY 2019. [DOI: 10.1080/14681994.2019.1677883] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Timei Jiao
- Tongde Hospital of Zhejiang Province, Hangzhou, China
| | - Juelei Chen
- School of Biosystems Engineering and Food Science, Zhejiang University, Hangzhou, China
| | - Yubai Niu
- Department of Psychology, Zhejiang Sci-tech University, Hangzhou, China
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9
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Levin RJ. The clitoral activation paradox - Claimed outcomes from different methods of its stimulation. Clin Anat 2018; 31:650-660. [DOI: 10.1002/ca.23192] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2018] [Accepted: 04/19/2018] [Indexed: 11/06/2022]
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10
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[Systematic review of the subjective experience of orgasm]. Rev Int Androl 2018; 16:75-81. [PMID: 30300128 DOI: 10.1016/j.androl.2017.09.003] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2017] [Revised: 08/10/2017] [Accepted: 09/19/2017] [Indexed: 12/11/2022]
Abstract
Orgasm is an essential component of the sexual response. Its study has generated results that point out its importance in human sexuality. The aim of the present study was to review the subjective orgasm experience, its evaluation and its association with personal, interpersonal and psychosocial variables. After conducting a literature search in major databases, we provide a total of 121 scientific articles published between 2000 and 2016, in which the subjective orgasm experience was the main variable. The analysis of the related variables shows that personal variables (for example, health and demographic factors) and interpersonal variables (for example, sexual functioning) are the most considered. To conclude, we observe the need to develop standardized instruments to evaluate specifically the subjective orgasm experience and the need to study jointly the associated variables in order to propose explanatory models of orgasm that are useful for clinical practice.
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11
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Gewirtz-Meydan A, Finzi-Dottan R. Sexual Satisfaction Among Couples: The Role of Attachment Orientation and Sexual Motives. JOURNAL OF SEX RESEARCH 2018; 55:178-190. [PMID: 28166423 DOI: 10.1080/00224499.2016.1276880] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
The mediating effect of sexual motives between attachment orientation and sexual satisfaction and functioning was investigated among 128 couples (N = 256) using the actor-partner interdependence model (Campbell & Kashy, 2002). Actor effects between attachment orientation and sexual satisfaction and functioning, mediated by sexual motives, were found regarding men's sexual satisfaction, sexual intimacy, and orgasmic responsivity. Partner effect revealed two significant paths in which the greater the women's attachment avoidance, the lower the partners' intimacy motivation, which in turn was linked with lower partners' sexual satisfaction and increased lack of sexual intimacy. The analyses did not reveal significant mediation paths affecting women's sexual satisfaction and functioning. These findings emphasize the importance of implementing a dyadic perspective on sexuality within practice. Recommendations for further research and additional clinical implications are discussed.
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Affiliation(s)
- Ateret Gewirtz-Meydan
- a School of Social Work , Bar Ilan University
- b Sex and Couples Therapy Unit , Meir Medical Center
| | - Ricky Finzi-Dottan
- a School of Social Work , Bar Ilan University
- c School of Social Work , Sapir Academic College
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12
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Abstract
Masturbation is the stimulation of sexual organs usually to the point of orgasm with an essential autoerotic component. Due to the high prevalence of this sexual behavior, it was and still is a matter of debate if masturbation is a normal action without any side effects and even if it is advantageous or it is associated with side effects necessitating public education how to avoid it. In addition, it is a common question if masturbation is religiously lawful or not. In this study, I assess the results of scientific studies about this sexual behavior and also shed some light on the Islam's view about it.
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13
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Thibodeau ME, Lavoie F, Hébert M, Blais M. Pathways Linking Childhood Maltreatment and Adolescent Sexual Risk Behaviors: The Role of Attachment Security. JOURNAL OF SEX RESEARCH 2017; 54:994-1005. [PMID: 28467103 PMCID: PMC5800881 DOI: 10.1080/00224499.2017.1316816] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Previous research has shown an association between child maltreatment (sexual abuse, physical abuse, neglect, or witnessing interparental violence) and adolescent sexual risk behaviors (SRBs). The mechanisms explaining this association are not well understood, but attachment theory could provide further insight into them. This study examined the relationships between child maltreatment and SRBs and investigated anxious and avoidant attachment as mediators. The sample comprised 1,900 sexually active adolescents (13 to 17 years old; 60.8% girls) attending Quebec high schools. The results of path analyses indicated that neglect was associated with a higher number of sexual partners, casual sexual behavior, and being younger at first intercourse. Anxious attachment mediated the relation between neglect and number of sexual partners, whereas avoidant attachment explained the relation between neglect and number of sexual partners, casual sexual behavior, and age at first intercourse (for boys only). Sexual abuse was directly associated with all three SRBs. Neither anxious attachment nor avoidant attachment mediated these associations. Youth with a history of neglect and sexual abuse represent a vulnerable population that is likely to engage in SRBs. Interventions designed to induce a positive change in attachment security may reduce SRBs among victims of neglect.
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Affiliation(s)
| | | | - Martine Hébert
- b Département de sexologie , Université du Québec à Montréal
| | - Martin Blais
- b Département de sexologie , Université du Québec à Montréal
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14
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Brody S, Costa RM. Vaginal orgasm is associated with indices of women's better psychological, intimate relationship, and psychophysiological function. THE CANADIAN JOURNAL OF HUMAN SEXUALITY 2017. [DOI: 10.3138/cjhs.261-a3] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
A recent study by Therrien and Brotto (2016) examined the associations of orgasm during intercourse, concordance of laboratory genital and subjective arousal, and demographic variables in a group of sexually dysfunctional women. The authors claimed that their results cast doubt on the large body of multi-method multi-national research demonstrating that women's orgasm from penile-vaginal intercourse, and specifically vaginal orgasm are associated with a broad range of indices of women's better psychological, intimate relationship, and psychophysiological health. The problems with Therrien and Brotto's (2016) conclusions are discussed, and include that they did not even measure vaginal orgasm (they measured orgasm during intercourse, which can in some cases consist of orgasm elicited by clitoral masturbation during intercourse), and the non-generalisability of their findings from a sexually dysfunctional sample to the general population of women. Evidence is also presented against their claims that findings regarding orgasm during intercourse have not been investigated by other researchers, and their denial of differences between vaginal orgasm and clitoral orgasm. Denial of the myriad benefits of vaginal orgasm undermines women's sexual and general health potential, and serves only the demands of political correctness.
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Affiliation(s)
- Stuart Brody
- Department of General Anthropology, Charles University, Prague, Czech Republic
| | - Rui M. Costa
- William James Center for Research, ISPA–Instituto Universitario, Lisbon, Portugal
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15
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Sultan AH, Monga A, Lee J, Emmanuel A, Norton C, Santoro G, Hull T, Berghmans B, Brody S, Haylen BT. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female anorectal dysfunction. Int Urogynecol J 2016; 28:5-31. [DOI: 10.1007/s00192-016-3140-3] [Citation(s) in RCA: 61] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2016] [Accepted: 06/07/2016] [Indexed: 12/12/2022]
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16
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Sultan AH, Monga A, Lee J, Emmanuel A, Norton C, Santoro G, Hull T, Berghmans B, Brody S, Haylen BT. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female anorectal dysfunction. Neurourol Urodyn 2016; 36:10-34. [DOI: 10.1002/nau.23055] [Citation(s) in RCA: 43] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2016] [Accepted: 05/23/2016] [Indexed: 01/19/2023]
Affiliation(s)
- Abdul H. Sultan
- Urogynaecologist and Obstetrician; Croydon University Hospital; Croydon United Kingdom
| | - Ash Monga
- Urogynaecologist; Princess Anne Hospital; Southampton United Kingdom
| | - Joseph Lee
- University of Melbourne; Mercy Hospital for Women, Monash Health; Melbourne Victoria Australia
| | - Anton Emmanuel
- Gastroenterologist; University College Hospital; London United Kingdom
| | | | | | - Tracy Hull
- Cleveland Clinic Foundation; Cleveland Ohio
| | - Bary Berghmans
- Clinical epidemiologist Pelvic physiotherapist, Health Scientist; Maastricht University Medical Center, Maastricht University; Maastricht The Netherlands
| | - Stuart Brody
- Department of General Anthropology; Charles University; Prague Czech Republic
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17
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Dunkley CR, Dang SS, Chang SCH, Gorzalka BB. Sexual Functioning in Young Women and Men: Role of Attachment Orientation. JOURNAL OF SEX & MARITAL THERAPY 2016; 42:413-430. [PMID: 26148210 DOI: 10.1080/0092623x.2015.1061075] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Prior research has documented various ways in which adult attachment styles are characteristic of differential behavioral and cognitive patterns within romantic relationships and sexuality. However, few studies have examined the direct influence of anxious or avoidant attachment orientation on sexual function. The aim of the present study was to assess the impact of insecure attachment on sexual function. Undergraduate students completed questionnaires measuring attachment style and sexual functioning. Among women, attachment avoidance tended to be associated with impairments in all aspects of sexual function, whereas anxious attachment tended to be associated with declines in arousal, satisfaction, and ability to achieve orgasm. A different trend was seen in men: Anxious attachment tended to be associated with multiple facets of sexual dysfunction, while avoidant attachment did not correlate with any sexual function deficits and was associated with superior physiological competence. These results suggest that both anxious and avoidant attachment styles are important yet differential predictors of sexual function in men and women.
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Affiliation(s)
- Cara R Dunkley
- a Department of Psychology , University of British Columbia , Vancouver , BC , Canada
| | - Silvain S Dang
- a Department of Psychology , University of British Columbia , Vancouver , BC , Canada
| | - Sabrina C H Chang
- a Department of Psychology , University of British Columbia , Vancouver , BC , Canada
| | - Boris B Gorzalka
- a Department of Psychology , University of British Columbia , Vancouver , BC , Canada
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18
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van den Brink F, Smeets MAM, Hessen DJ, Woertman L. Positive Body Image and Sexual Functioning in Dutch Female University Students: The Role of Adult Romantic Attachment. ARCHIVES OF SEXUAL BEHAVIOR 2016; 45:1217-1226. [PMID: 25778405 PMCID: PMC4863903 DOI: 10.1007/s10508-015-0511-7] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/18/2014] [Revised: 01/27/2015] [Accepted: 02/15/2015] [Indexed: 06/04/2023]
Abstract
This study focused on links between romantic attachment, positive body image, and sexual functioning. Dutch female university students (N = 399) completed an online survey that included self-report items about body appreciation, sexual functioning, and romantic attachment. A proposed conceptual model was tested using structural equation modeling and a good fit to the data was found. Results revealed that attachment avoidance in a romantic context was negatively related to sexual arousal, vaginal lubrication, the ability to reach orgasm, and sexual satisfaction. Attachment anxiety was negatively related to body appreciation which, in turn, was positively related to sexual desire and arousal. Findings indicated that romantic attachment is meaningfully linked to body appreciation and sexual functioning. Therefore, the concept of adult attachment may be a useful tool for the treatment of sexual problems of young women.
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Affiliation(s)
- Femke van den Brink
- Division of Clinical and Health Psychology, Department of Behavioral Sciences, Utrecht University, Heidelberglaan 1, 3508 TC, Utrecht, The Netherlands.
| | - Monique A M Smeets
- Division of Clinical and Health Psychology, Department of Behavioral Sciences, Utrecht University, Heidelberglaan 1, 3508 TC, Utrecht, The Netherlands
| | - David J Hessen
- Division of Methodology and Statistics, Department of Social Sciences, Utrecht University, Utrecht, The Netherlands
| | - Liesbeth Woertman
- Division of Clinical and Health Psychology, Department of Behavioral Sciences, Utrecht University, Heidelberglaan 1, 3508 TC, Utrecht, The Netherlands
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Costa RM, Oliveira TF, Pestana J, Costa D. Self-transcendence is related to higher female sexual desire. PERSONALITY AND INDIVIDUAL DIFFERENCES 2016. [DOI: 10.1016/j.paid.2016.02.078] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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20
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Costa RM, Oliveira RF. Maladaptive defense mechanisms are associated with decoupling of testosterone from sexual desire in women of reproductive age. ACTA ACUST UNITED AC 2015. [DOI: 10.1080/15294145.2015.1089184] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
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21
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Leclerc B, Bergeron S, Brassard A, Bélanger C, Steben M, Lambert B. Attachment, Sexual Assertiveness, and Sexual Outcomes in Women with Provoked Vestibulodynia and Their Partners: A Mediation Model. ARCHIVES OF SEXUAL BEHAVIOR 2015; 44:1561-1572. [PMID: 24777439 DOI: 10.1007/s10508-014-0295-1] [Citation(s) in RCA: 42] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/24/2013] [Revised: 11/29/2013] [Accepted: 12/12/2013] [Indexed: 06/03/2023]
Abstract
Provoked vestibulodynia (PVD) is a prevalent women's sexual pain disorder, which is associated with sexual function difficulties. Attachment theory has been used to understand adult sexual outcomes, providing a useful framework for examining sexual adaptation in couples confronted with PVD. Research to date indicates that anxious and avoidant attachment dimensions correlate with worse sexual outcomes in community and clinical samples. The present study examined the association between attachment, pain, sexual function, and sexual satisfaction in a sample of 101 couples in which the women presented with PVD. The actor-partner interdependence model was used in order to investigate both actor and partner effects. This study also examined the role of sexual assertiveness as a mediator of these associations via structural equation modeling. Women completed measures of pain intensity and both members of the couple completed measures of romantic attachment, sexual assertiveness, sexual function, and satisfaction. Results indicated that attachment dimensions did not predict pain intensity. Both anxious and avoidant attachment were associated with lower sexual satisfaction. Only attachment avoidance predicted lower sexual function in women. Partner effects indicated that higher sexual assertiveness in women predicted higher sexual satisfaction in men. Finally, women's sexual assertiveness was found to be a significant mediator of the relationship between their attachment dimensions, sexual function, and satisfaction. Findings highlight the importance of examining how anxious and avoidant attachment may lead to difficulties in sexual assertiveness and to less satisfying sexual interactions in couples where women suffer from PVD.
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Affiliation(s)
- Bianca Leclerc
- Department of Psychology, Université de Montréal, C.P. 6128, succursale Centre-ville, Montréal, QC, H3C 3J7, Canada,
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22
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O’Sullivan LF. Sexual Function and Problems with Adolescents and Young Adults. CURRENT SEXUAL HEALTH REPORTS 2014. [DOI: 10.1007/s11930-014-0035-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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Recreation and procreation: A critical view of sex in the human female. Clin Anat 2014; 28:339-54. [DOI: 10.1002/ca.22495] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2014] [Accepted: 11/19/2014] [Indexed: 01/25/2023]
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Klapilová K, Brody S, Krejčová L, Husárová B, Binter J. Sexual satisfaction, sexual compatibility, and relationship adjustment in couples: the role of sexual behaviors, orgasm, and men's discernment of women's intercourse orgasm. J Sex Med 2014; 12:667-75. [PMID: 25402432 DOI: 10.1111/jsm.12766] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
INTRODUCTION Research indicated that (i) vaginal orgasm consistency is associated with indices of psychological, intimate relationship, and physiological functioning, and (ii) masturbation is adversely associated with some such measures. AIM The aim of this study was to examine the association of various dyadic and masturbation behavior frequencies and percentage of female orgasms during these activities with: (i) measures of dyadic adjustment; (ii) sexual satisfaction; and (iii) compatibility perceived by both partners. METHODS In a sample of 85 Czech long-term couples (aged 20-40; mean relationship length 5.4 years), both partners provided details of recent sexual behaviors and completed sexual satisfaction, Spanier dyadic adjustment, and Hurlbert sexual compatibility measures. Multiple regression analyses were used. MAIN OUTCOME MEASURE The association of sexual behaviors with dyadic adjustment, sexual compatibility, and satisfaction was analyzed. RESULTS In multivariate analyses, women's dyadic adjustment is independently predicted by greater vaginal orgasm consistency and lower frequency of women's masturbation. For both sexes, sexual compatibility was independently predicted by higher frequency of penile-vaginal intercourse and greater vaginal orgasm consistency. Women's sexual satisfaction score was significantly predicted by greater vaginal orgasm consistency, frequency of partner genital stimulation, and negatively with masturbation. Men's sexual satisfaction score was significantly predicted by greater intercourse frequency and any vaginal orgasm of their female partners. Concordance of partner vaginal orgasm consistency estimates was associated with greater dyadic adjustment. CONCLUSIONS The findings suggest that specifically penile-vaginal intercourse frequency and vaginal orgasm consistency are associated with indices of greater intimate relationship adjustment, satisfaction, and compatibility of both partners, and that women's masturbation is independently inversely associated with measures of dyadic and personal function. Results are discussed in light of previous research and an evolutionary theory of vaginal orgasm.
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Affiliation(s)
- Kateřina Klapilová
- Department of General Anthropology, Faculty of Humanities, Charles University, Prague, Czech Republic
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Costa RM, Brody S. Orgasm and women's waist circumference. Eur J Obstet Gynecol Reprod Biol 2014; 182:118-22. [PMID: 25268779 DOI: 10.1016/j.ejogrb.2014.09.007] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2014] [Revised: 08/23/2014] [Accepted: 09/03/2014] [Indexed: 11/15/2022]
Abstract
OBJECTIVE Given that adiposity is related to poorer female sexual function, among many other health problems, the present study aimed at testing the hypothesis that larger waist circumference, an index of subcutaneous and abdominal fat mass, is associated with lack of specifically vaginal orgasm. Study design One hundred and twenty Portuguese women of reproductive age had their waist measured and reported their past month frequency of penile-vaginal intercourse (PVI), vaginal orgasm, orgasm from clitoral masturbation during PVI, non-coital partnered sex (in the absence of same-day PVI), non-coital partnered sex orgasm (regardless of same-day PVI), masturbation, and masturbation orgasm. RESULTS In both simple and partial correlations (controlling for age, social desirability responding, relationship status, and cohabitation status), larger waist circumference was associated with lack of any vaginal orgasm and with having masturbated in the past month. In a multiple regression, larger waist circumference was independently predicted by lesser frequency of vaginal orgasm, greater frequency of masturbation, and older age. CONCLUSION Abdominal fat mass appears to be adversely associated with lesser capacity for vaginal orgasm, but not for orgasms from other sexual activities. Results are discussed in the context of vaginal orgasm being relatively more contingent on situations of increased fitness in both partners.
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Affiliation(s)
- Rui Miguel Costa
- ISPA-Instituto Universitário, Unidade de Investigação em Eco-Etologia (Eco-Ethology Research Unit), Lisbon, Portugal
| | - Stuart Brody
- Charles University, Department of General Anthropology, Faculty of Humanities, Prague, Czech Republic.
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Ciocca G, Limoncin E, Di Tommaso S, Mollaioli D, Gravina GL, Marcozzi A, Tullii A, Carosa E, Di Sante S, Gianfrilli D, Lenzi A, Jannini EA. Attachment styles and sexual dysfunctions: a case–control study of female and male sexuality. Int J Impot Res 2014; 27:81-5. [DOI: 10.1038/ijir.2014.33] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2013] [Revised: 07/07/2014] [Accepted: 07/12/2014] [Indexed: 11/09/2022]
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Brody S, Costa RM. Associations of immature defense mechanisms with personal importance of junk food, television and alcohol are independent of age. Psychiatry Res 2013; 210:1327-8. [PMID: 24074536 DOI: 10.1016/j.psychres.2013.08.042] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/19/2013] [Accepted: 08/20/2013] [Indexed: 10/26/2022]
Affiliation(s)
- Stuart Brody
- School of Social Sciences, University of the West of Scotland, Paisley PA1 2BE, United Kingdom.
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28
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Costa RM, Brody S. Immature psychological defense mechanisms are associated with greater personal importance of junk food, alcohol, and television. Psychiatry Res 2013; 209:535-9. [PMID: 23866675 DOI: 10.1016/j.psychres.2013.06.035] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/15/2013] [Revised: 05/07/2013] [Accepted: 06/22/2013] [Indexed: 11/27/2022]
Abstract
Immature psychological defense mechanisms are psychological processes that play an important role in suppressing emotional awareness and contribute to psychopathology. In addition, unhealthy food, television viewing, and alcohol consumption can be among the means to escape self-awareness. In contrast, engaging in, and responding fully to specifically penile-vaginal intercourse (PVI) is associated with indices of better emotional regulation, including less use of immature defense mechanisms. There was a lack of research on the association of immature defense mechanisms with personal importance of junk food, alcohol, television, PVI, and noncoital sex. In an online survey, 334 primarily Scottish women completed the Defense Style Questionnaire (DSQ-40), and rated the personal importance of junk food, alcohol, television, PVI, and noncoital sex. Immature defense mechanisms correlated with importance of junk food, alcohol, and television. Importance of PVI correlated with mature defenses, and less use of some component immature defenses. Importance of alcohol correlated with importance of junk food, television, and noncoital sex. Importance of junk food was correlated with importance of television and noncoital sex. The findings are discussed in terms of persons with poorer self-regulatory abilities having more interest in junk food, television, and alcohol, and less interest in PVI.
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Affiliation(s)
- Rui Miguel Costa
- School of Social Sciences, University of the West of Scotland, Paisley PA1 2BE, United Kingdom
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Brody S, Costa RM, Hess U. “Standard Operating Procedures for Female Orgasmic Disorder” is not Based on Best Evidence. J Sex Med 2013; 10:2606-9. [DOI: 10.1111/jsm.12159] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Brody S, Klapilova K, Krejčová L. More Frequent Vaginal Orgasm Is Associated with Experiencing Greater Excitement from Deep Vaginal Stimulation. J Sex Med 2013; 10:1730-6. [DOI: 10.1111/jsm.12153] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Brody S, Costa RM. Insecure Attachment is Related to More Anal Sex and Vibrator Orgasm but Less Vaginal Orgasm. J Sex Med 2013; 10:614-5. [DOI: 10.1111/j.1743-6109.2012.02985.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Costa RM, Miller GF, Brody S. Women Who Prefer Longer Penises Are More Likely to Have Vaginal Orgasms (but Not Clitoral Orgasms): Implications for an Evolutionary Theory of Vaginal Orgasm. J Sex Med 2012; 9:3079-88. [DOI: 10.1111/j.1743-6109.2012.02917.x] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Jannini EA, Limoncin E, Ciocca G, Buehler S, Krychman M. Ethical Aspects of Sexual Medicine. Internet, Vibrators, and Other Sex Aids: Toys or Therapeutic Instruments? J Sex Med 2012. [DOI: 10.1111/jsm.12018] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Brody S. Vaginal intercourse orgasm consistency accounts for concordance of vaginal and subjective sexual arousal. ARCHIVES OF SEXUAL BEHAVIOR 2012; 41:1073-1075. [PMID: 22810999 DOI: 10.1007/s10508-012-9999-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
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Levin RJ. The deadly pleasures of the clitoris and the condom – a rebuttal of Brody, Costa and Hess (2012)1. SEXUAL AND RELATIONSHIP THERAPY 2012. [DOI: 10.1080/14681994.2012.732261] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Brody S, Costa RM, Hess U. Immature psychological defense mechanisms and the misrepresentations of some sex researchers. SEXUAL AND RELATIONSHIP THERAPY 2012. [DOI: 10.1080/14681994.2012.697144] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Brody S, Costa RM, Hess U. Sometimes a Bear is Just a Bear: No Evidence of Nonclinical Adult Toy Animal Ownership Indicating Emotion Dysregulation. JOURNAL OF ADULT DEVELOPMENT 2012. [DOI: 10.1007/s10804-012-9149-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Costa RM. Masturbation is related to psychopathology and prostate dysfunction: comment on Quinsey (2012). ARCHIVES OF SEXUAL BEHAVIOR 2012; 41:539-540. [PMID: 22528038 DOI: 10.1007/s10508-012-9956-0] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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Jannini EA, Rubio‐Casillas A, Whipple B, Buisson O, Komisaruk BR, Brody S. Female Orgasm(s): One, Two, Several. J Sex Med 2012; 9:956-65. [DOI: 10.1111/j.1743-6109.2012.02694.x] [Citation(s) in RCA: 74] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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41
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Costa RM, Brody S. Sexual satisfaction, relationship satisfaction, and health are associated with greater frequency of penile-vaginal intercourse. ARCHIVES OF SEXUAL BEHAVIOR 2012; 41:9-10. [PMID: 21879428 DOI: 10.1007/s10508-011-9847-9] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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Costa RM, Brody S. Greater Resting Heart Rate Variability Is Associated with Orgasms Through Penile–Vaginal Intercourse, But Not with Orgasms from Other Sources. J Sex Med 2012; 9:188-97. [DOI: 10.1111/j.1743-6109.2011.02541.x] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
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Brody S, Costa RM, Hess U, Weiss P. Vaginal Orgasm Is Related to Better Mental Health and Is Relevant to Evolutionary Psychology: A Response to Zietsch et al. J Sex Med 2011; 8:3523-5. [DOI: 10.1111/j.1743-6109.2011.02444.x] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Brody S, Costa RM. Sexual satisfaction and health are positively associated with penile-vaginal intercourse but not other sexual activities. Am J Public Health 2011; 102:6-7. [PMID: 22095337 DOI: 10.2105/ajph.2011.300428] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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