Journal of Sexual Medicine最新文献

{"title":"The role of sexual fantasy on sexual desire, distress, and sexual worries: a randomized controlled study.","authors":"Pedro Campos, Isabel Leal, Rui Miguel Costa","doi":"10.1093/jsxmed/qdag097","DOIUrl":"https://doi.org/10.1093/jsxmed/qdag097","url":null,"abstract":"<p><strong>Background: </strong>Sexual fantasies may enhance sexual desire and reduce sexual distress by redirecting focus toward emotionally salient and arousing imagery. Despite promising evidence, few experimental studies have tested whether repeated engagement in sexual fantasies can improve sexual functioning, reduce sexual distress and reduce cognitive distractions during sexual activity.</p><p><strong>Objectives: </strong>This randomized controlled trial tested the preregistered hypotheses that a four-week sexual fantasy task increases sexual desire, reduces sexual distress, and reduces worries with body image and performance during sexual activity. Two exploratory objectives were also examined: (1) whether sexual pleasure would increase, and (2) whether partner-focused vividness of imagination would be enhanced.</p><p><strong>Method: </strong>Sixty heterosexual adults with an opposite-sex partner in the past four weeks were randomly assigned to either a sexual fantasy group (n = 30), instructed to write erotic narratives at least twice weekly, or a control group (n = 30), instructed to write a non-sexual positive narrative about dining with friends. Analyses followed an intention-to-treat approach.</p><p><strong>Outcomes: </strong>Sexual function, sexual pleasure, sexual distress, sexual worries, partner-focused imagination vividness.</p><p><strong>Results: </strong>Repeated-measures ANOVAs revealed significant Group × Time interactions for all (preregistered) and exploratory outcomes. Only participants in the sexual fantasy group showed increases in sexual desire, pleasure, and partner-focused imagination vividness along with reductions in sexual distress and worries.</p><p><strong>Clinical implications: </strong>Findings suggest that structured sexual fantasy engagement can enhance key aspects of sexual functioning and well-being, for example, by shifting attention from negative cognitive patterns to vivid, emotionally positive erotic imagination.</p><p><strong>Strengths and limitations: </strong>The study has the strength of being a randomized controlled trial with preregistered hypothesis; however, it was conducted with a relatively small convenience sample.</p><p><strong>Conclusion: </strong>Sexual fantasy exercises may serve as a brief, home-based intervention to improve sexual well-being. Future research should examine long-term effects and test applicability in clinical populations.</p>","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":"23 5","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postorgasmic illness syndrome: a clinical case series of 11 patients.","authors":"Nikunj S Gokani, Niva Jacob, Sandip M Deshpande","doi":"10.1093/jsxmed/qdag102","DOIUrl":"https://doi.org/10.1093/jsxmed/qdag102","url":null,"abstract":"","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":"23 5","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A survey of feasibility and acceptability: implementing cognitive-behavioral couple therapy for unconsummated marriage couples with genito-pelvic pain/penetration disorder.","authors":"Haining Zhou, Ping Meng, Xiangsheng Zhang, Xin Chen, Tong Wang, Yajuan Li, Yuan Li, Chunyan He","doi":"10.1093/jsxmed/qdag091","DOIUrl":"https://doi.org/10.1093/jsxmed/qdag091","url":null,"abstract":"","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":"23 5","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond the model minority: sexual health and reproductive empowerment in young adult Asian women.","authors":"Ashley Huynh, Kruti Patel, Amy Yan, Carolyn Chen, Alejandra Cacheiro, Helen Chang, Manroop Sandhu, Olivia H Chang","doi":"10.1093/jsxmed/qdag127","DOIUrl":"https://doi.org/10.1093/jsxmed/qdag127","url":null,"abstract":"","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":"23 5","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of mid-urethral sling surgery on sexual function in women with stress urinary incontinence: a meta-analysis of randomized controlled trials.","authors":"Giulia Almiron R Soares, Lucas Guimarães Campos Roriz de Amorim, Giovanna Veiga Gomes, Nathan J S Godinho, Thairo A Pereira, Ramzy T Burns, Helen L Bernie","doi":"10.1093/jsxmed/qdag086","DOIUrl":"https://doi.org/10.1093/jsxmed/qdag086","url":null,"abstract":"<p><strong>Introduction: </strong>Mid-urethral slings (MUS) are widely used to treat urinary incontinence. However, there is limited evidence of their long-term effects on female sexual function.</p><p><strong>Objectives: </strong>To address this gap, this meta-analysis of randomized controlled trials evaluates changes in Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire-12 scores at 6, 12, 24, and 36 months postoperatively.</p><p><strong>Methods: </strong>We systematically searched PubMed, Cochrane Central, and Embase for studies evaluating the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire-12 scores 6, 12, 24, and 36 months after MUS surgery. We performed a single-arm meta-analysis of single means along with their 95% confidence intervals (CIs) by applying a random-effects model. Subgroup analyses based on MUS types (single-incision, retropubic, and transobturator) were performed to evaluate their specific impacts on sexual function outcomes. Statistical analyses were conducted using Review Manager v5.4 and R v4.3.3.</p><p><strong>Results: </strong>We included 11 randomized controlled trials comprising a total of 2909 patients, of whom 1747 (60.1%) received a transobturator sling, 505 (17.4%) underwent retropubic sling placement, and 657 (22.6%) were treated with a single-incision sling. At 6 months, pooled analysis showed an improvement in sexual function, with a mean change from baseline of 4.49 points (95% CI 3.51 to 5.46). By 12 months, a decrease of 2.68 points (95% CI 0.67 to 4.70) was observed compared with the 6-month assessment. At 24 months, sexual function also declined slightly of -0.52 points (95% CI -2.71 to 1.68; P = 0.31), while at 36 months, there was a slight increase of 0.11 points (95% CI -1.95 to 2.17; P = 0.53). Regarding subgroup analysis, no significant differences among sling types, except at 12 months, when the transobturator group showed greater decline.</p><p><strong>Conclusions: </strong>Our findings indicate that MUS are associated with an initial improvement in sexual function, particularly at 6 months. However, this improvement is not maintained in long-term follow-up, with scores declining or stabilizing at later time points. These findings are important for patient education and for setting realistic expectations regarding postoperative sexual function.</p>","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":"23 5","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sexual distress changes and correlates among breast cancer survivors: a prospective study.","authors":"Svetlana Baziliansky, Wafaa Sowan","doi":"10.1093/jsxmed/qdag089","DOIUrl":"https://doi.org/10.1093/jsxmed/qdag089","url":null,"abstract":"","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":"23 5","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sexual function following reduction mammoplasty: a systematic review and meta-analysis.","authors":"Mahdiye Taheri, Zahra Ghorbani, Fatemeh Alavi-Arjas, Maryam Firouzabadi, Hamid Alavi Majd","doi":"10.1093/jsxmed/qdag073","DOIUrl":"https://doi.org/10.1093/jsxmed/qdag073","url":null,"abstract":"<p><strong>Introduction: </strong>Reduction mammoplasty (RM) ranks as one of the most prevalent aesthetic surgical interventions globally. Since breasts are widely associated with femininity and sexual identity, many patients pursue RM with the expectation of enhancing their sexual life.</p><p><strong>Objectives: </strong>This study aims to examine the impact of RM on postoperative sexual function.</p><p><strong>Methods: </strong>A comprehensive search was performed in electronic databases to identify articles published up to April 15, 2025. Following the removal of duplicates, 441 articles were identified to be in line with the objectives of this study. A meta-analysis was used to derive weighted pooled estimates of sexual function after RM using a random-effects model.</p><p><strong>Results: </strong>After the use of eligibility criteria and exclusion of irrelevant studies, 13 articles comprising 676 participants were included in the final analysis. Nine of the included studies demonstrated a significant improvement in sexual function following RM, while 4 reported no significant changes in that regard. A meta-analysis of 8 studies that have been utilizing standardized instruments demonstrated that RM was associated with 13.27% increase in the mean score of sexual function.</p><p><strong>Conclusion: </strong>The findings of this systematic review revealed that female sexual function improves following RM. However, given the outlined limitations, further rigorous research is needed to confirm these results.</p>","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":"23 5","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ex vivo testing of inflatable penile prosthesis in human cadaveric penis with paired in silico model offering surgical and biomechanical insights.","authors":"Majid Akbarzadeh Khorshidi, Shirsha Bose, Ivor M Cullen, John Sullivan, Robert Johnston, Kenneth Patterson, Brian Watschke, Thomas Sinnott, Evania Mareena, Caitríona Lally","doi":"10.1093/jsxmed/qdag109","DOIUrl":"https://doi.org/10.1093/jsxmed/qdag109","url":null,"abstract":"","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":"23 5","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Function over form: embracing curvature in Peyronie's disease treatment.","authors":"Haritha Pavuluri, Lawrence C Jenkins","doi":"10.1093/jsxmed/qdag105","DOIUrl":"https://doi.org/10.1093/jsxmed/qdag105","url":null,"abstract":"","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":"23 5","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anabolic androgenic steroid content on social media: reliability, engagement, and public health implications.","authors":"Andres H Guillen Lozoya, Milad Bonakdar Hashemi, Brenda Bolanos Cerda, Sevann Helo, Matthew J Ziegelmann, Tobias S Köhler","doi":"10.1093/jsxmed/qdag126","DOIUrl":"https://doi.org/10.1093/jsxmed/qdag126","url":null,"abstract":"","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":"23 5","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}