Journal of Sexual Medicine最新文献

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Sexual function in people with multiple sclerosis: a systematic review and meta-analysis. 多发性硬化症患者的性功能:系统回顾和荟萃分析。
IF 3.3 3区 医学
Journal of Sexual Medicine Pub Date : 2025-05-28 DOI: 10.1093/jsxmed/qdaf102
Mohammad Yazdan Panah, Soroush Oraee, Mehra Fekri, Parsa Saberian, Sahra Afshin, Saeed Vaheb, Vahid Shaygannejad, Omid Mirmosayyeb
{"title":"Sexual function in people with multiple sclerosis: a systematic review and meta-analysis.","authors":"Mohammad Yazdan Panah, Soroush Oraee, Mehra Fekri, Parsa Saberian, Sahra Afshin, Saeed Vaheb, Vahid Shaygannejad, Omid Mirmosayyeb","doi":"10.1093/jsxmed/qdaf102","DOIUrl":"https://doi.org/10.1093/jsxmed/qdaf102","url":null,"abstract":"<p><strong>Introduction: </strong>Sexual dysfunction is prevalent in people with multiple sclerosis (PwMS) and considerably affects their quality of life. Although sexual function (SF) is crucial in PwMS, its relationship with other characteristics remains insufficiently understood.</p><p><strong>Objective: </strong>This review aimed to consolidate the evidence comparing SF between PwMS and healthy controls (HCs) and to explore its correlation with various demographic, clinical, and psychological factors.</p><p><strong>Methods: </strong>The PubMed/MEDLINE, Embase, Scopus, and Web of Science databases were systematically searched up to July 28, 2024, to identify studies comparing SF between PwMS and HCs or assess its correlation with various demographic, clinical, and psychological characteristics. Random effects models were used in R software version 4.4.0 to estimate the pooled standardized mean difference (SMD) and pooled correlations, with their 95% CIs as the effect size metrics.</p><p><strong>Results: </strong>In this review, 61 studies comprising 16 266 PwMS were included. The meta-analysis indicated that SF was significantly reduced in PwMS compared to HCs, with females with MS (FwMS) showing lower Female Sexual Function Index scores (SMD: -0.41, 95% CI, -0.61 to -0.20, P < .0001) and males with MS (MwMS) demonstrating reduced International Index of Erectile Function scores (SMD: -0.77, 95% CI, -1.32 to -0.22, P < .01). Correlation analyses highlighted associations between reduced SF and higher Expanded Disability Status Scale (EDSS), longer disease duration, and depression in gender-aggregated analyses. Reduced SF was also found to correlate with older age, higher EDSS scores, depression, and fatigue in FwMS.</p><p><strong>Conclusion: </strong>The findings of the included studies indicated that SF is lower in PwMS compared to HCs and is influenced by age, disease duration, depression, and the EDSS. Further studies on the effects of comorbidities, medications, and MS classification on the SF of PwMS are warranted.</p>","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162431","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}
引用次数: 0
Sexual desire in women with fibromyalgia: beyond the pain? 纤维肌痛女性的性欲:超越疼痛?
IF 3.3 3区 医学
Journal of Sexual Medicine Pub Date : 2025-05-28 DOI: 10.1093/jsxmed/qdaf123
Ana M Cuevas-Toro, Carmen Díaz-Batanero, María Del Mar Sánchez-Fuentes
{"title":"Sexual desire in women with fibromyalgia: beyond the pain?","authors":"Ana M Cuevas-Toro, Carmen Díaz-Batanero, María Del Mar Sánchez-Fuentes","doi":"10.1093/jsxmed/qdaf123","DOIUrl":"https://doi.org/10.1093/jsxmed/qdaf123","url":null,"abstract":"<p><strong>Background: </strong>Women with fibromyalgia often experience sexual dysfunction, particularly reduced sexual desire, but few studies have used specific measures, such as the Sexual Desire Inventory, to assess this, and the predictors of sexual desire in these women remain unclear.</p><p><strong>Aim: </strong>This study aimed to analyze sexual desire in Spanish women diagnosed with fibromyalgia (fibromyalgia group, FG) and in a control group (CG) of healthy women and to examine the predictors (age, symptoms duration, time since diagnosis, severity of fibromyalgia, antidepressant drugs, depressive symptoms and anxiety symptoms) of sexual desire in the FG.</p><p><strong>Methods: </strong>The sample consisted of 81 women divided into 2 groups FG (n = 46) and CG (n = 35). The average age was 47.23 years (SD = 9.22) for the FG and 46.14 years (SD = 9.52) for the CG.</p><p><strong>Outcomes: </strong>The main outcome measures were sexual desire, as assessed through the Sexual Desire Inventory, severity of fibromyalgia (Fibromyalgia Impact Questionnaire) and anxiety and depression (Hospital Anxiety and Depression Scale).</p><p><strong>Results: </strong>Women in the FG had lower sexual desire than those in the CG. Age, time since diagnosis, and depression were associated with different dimensions of sexual desire. In contrast, fibromyalgia severity, anxiety, and months using SSRIs were not linked to any dimensions of sexual desire. Hierarchical multiple regression analysis revealed that age, time since of FM diagnosis, and depression predicted global sexual desire, accounting for 30% of its variance.</p><p><strong>Clinical implications: </strong>Assessing sexual desire and addressing depressive symptoms early in women with fibromyalgia is essential for improving their sexual health.</p><p><strong>Strengths and limitations: </strong>This is the first study to assess different dimensions of sexual desire, including sexual desire for an attractive person, while simultaneously examining key factors associated with sexual desire in women with fibromyalgia. However, the sample size is relatively small, and the study lacks a longitudinal design.</p><p><strong>Conclusion: </strong>Women with FG have lower sexual desire than healthy women, primarily due to age, time since diagnosis, and depressive symptoms.</p>","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163842","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}
引用次数: 0
Intimacy and sexual well-being in couples coping with sexual interest/arousal disorder: the importance of perceived partner responsiveness. 夫妻应对性兴趣/性唤起障碍的亲密关系和性幸福:感知伴侣反应的重要性。
IF 3.3 3区 医学
Journal of Sexual Medicine Pub Date : 2025-05-28 DOI: 10.1093/jsxmed/qdaf119
Delphine Perrier Léonard, Natalie O Rosen, Noémie Bigras, Maude Massé-Pfister, Sophie Bergeron
{"title":"Intimacy and sexual well-being in couples coping with sexual interest/arousal disorder: the importance of perceived partner responsiveness.","authors":"Delphine Perrier Léonard, Natalie O Rosen, Noémie Bigras, Maude Massé-Pfister, Sophie Bergeron","doi":"10.1093/jsxmed/qdaf119","DOIUrl":"https://doi.org/10.1093/jsxmed/qdaf119","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Sexual Interest/Arousal Disorder (SIAD) is one of the most common sexual issues reported by women and a leading reason for seeking sex and couple therapy-yet is rarely studied from a dyadic perspective. Intimacy is one interpersonal factor that could promote greater sexual well-being in individuals with SIAD and their partners.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;Using a dyadic cross-sectional design, this study examined the associations between the three components of intimacy (self-disclosure, perceived partner disclosure, and perceived partner responsiveness) and sexual satisfaction, sexual distress and sexual function among 263 couples coping with SIAD. The moderating role of couple type (cisgender heterosexual vs sexual/gender diverse) was also assessed.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Method: &lt;/strong&gt;263 individuals with SIAD (Mage = 34.16) and their partners (Mage = 35.71) completed validated questionnaires through the secure online survey platform Qualtrics.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Outcomes: &lt;/strong&gt;Outcomes were The Global Measure of Sexual Satisfaction; The Sexual Distress Scale and the Sexual Function Evaluation Questionnaire.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Results showed that when partners of individuals with SIAD perceived greater responsiveness from the individual with SIAD, it was associated with their own higher sexual satisfaction and sexual function, and lower sexual distress, as well as with the individual with SIAD's greater sexual satisfaction. Additionally, in sexual/gender-diverse relationships, individuals with SIAD who perceived greater partner responsiveness reported better sexual function. In cisgender heterosexual relationships, when partners perceived higher responsiveness from individuals with SIAD, this was also linked to the individual with SIAD's greater sexual function. However, self-disclosure and perceived partner disclosure were not associated with sexual well-being in the couple.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Clinical implications: &lt;/strong&gt;Enhancing feelings of closeness and connection through clinical interventions focusing on perceived partner responsiveness could help couples with SIAD better cope with the sexual challenges of SIAD.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Strengths & limitations: &lt;/strong&gt;Strengths of this study include the large and diverse clinical sample of couples coping with SIAD, the dyadic design, and the use of moderation to examine the role of couple type in the associations between intimacy and sexual well-being. However, the cross-sectional design limits our ability to establish causation, and the interpretation of results should consider the reliance on self-report questionnaires.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Findings underscore the importance of understanding interpersonal dynamics in SIAD, highlighting the potential positive impact of perceived partner responsiveness on sexual well-being for individual with SIAD and their partners. The moderating effects of couple type on the individuals with SIAD's sexual func","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175756","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}
引用次数: 0
Treatments for postorgasmic illness syndrome: a systematic review. 性高潮后疾病综合征的治疗:系统综述。
IF 3.3 3区 医学
Journal of Sexual Medicine Pub Date : 2025-05-28 DOI: 10.1093/jsxmed/qdaf112
Sarah Ponce, Meghana Chapalamadugu, Samantha Levine, Cameron Stokes, Karla Radillo, Olivia Johnson, Isaac Bronson, Rachel S Rubin
{"title":"Treatments for postorgasmic illness syndrome: a systematic review.","authors":"Sarah Ponce, Meghana Chapalamadugu, Samantha Levine, Cameron Stokes, Karla Radillo, Olivia Johnson, Isaac Bronson, Rachel S Rubin","doi":"10.1093/jsxmed/qdaf112","DOIUrl":"https://doi.org/10.1093/jsxmed/qdaf112","url":null,"abstract":"<p><strong>Introduction: </strong>Postorgasmic illness syndrome (POIS) is a rare, poorly understood condition that is characterized by feeling ill after orgasm. Despite its significant impact on quality of life, POIS remains poorly understood, and effective treatment options are limited without clear guidelines. Only 18% of sexual medicine experts report symptom improvement in more than 30% of the patients. Current treatments have been used to address the various presentations such as flu-like state, mood disturbances and/or irritability, as well as congestion and inflammation. Given the lack of standardized therapeutic approaches, there is a critical need to document and evaluate various treatments tried for POIS management.</p><p><strong>Objective: </strong>This systematic review aims to evaluate current treatment modalities for POIS and compile solutions that have been studied and tested.</p><p><strong>Methods: </strong>A search was conducted in June 2024 of 3 of the most relevant databases (PubMed, Embase, and Scopus) of clinical studies, randomized controlled trials, and case reports analyzing treatment modalities of patients with diagnosed POIS.</p><p><strong>Results: </strong>Of 58 studies found, 14 matched our inclusion criteria. Our systematic review consists of 1 cross-sectional study, 1 cohort study, and 12 case reports. Two papers included female patients, and the rest studied only male patients. Eleven papers discussed pharmacologic treatment modalities, including antihistamines, ibuprofen, NSAIDs, hormone replacement therapy, steroids, SSRIs, alpha-blockers, beta-blockers, calcium channel blockers, and triptans. Two papers mentioned immune treatment, one being the intracutaneous injection of autologous semen and the other being intralymphatic immunotherapy with the injection of allergen-specific immunotherapy. One paper mentioned surgical treatment with bilateral epididymectomy and bilateral vasoligation.</p><p><strong>Conclusion: </strong>The largest limitation to continued research is related to the rarity and low recognizability of POIS; however, POIS research is on the rise. Scientists across the world are collaborating to better understand the pathophysiology behind this condition and investigate treatment modalities to address the associated symptoms.</p>","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162703","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}
引用次数: 0
Determinants of older married women's sexual satisfaction: the mediating role of intimacy. 大龄已婚妇女性满足的决定因素:亲密关系的中介作用。
IF 3.3 3区 医学
Journal of Sexual Medicine Pub Date : 2025-05-28 DOI: 10.1093/jsxmed/qdaf104
Roghie Bagheri, Yadollah Abolfathi Momtaz, Mahshid Foroughan, Farahnaz Mohammadi Shahboulaghi
{"title":"Determinants of older married women's sexual satisfaction: the mediating role of intimacy.","authors":"Roghie Bagheri, Yadollah Abolfathi Momtaz, Mahshid Foroughan, Farahnaz Mohammadi Shahboulaghi","doi":"10.1093/jsxmed/qdaf104","DOIUrl":"https://doi.org/10.1093/jsxmed/qdaf104","url":null,"abstract":"<p><strong>Background: </strong>Sexuality is an essential dimension of health in older adults that is often overlooked. Several factors are known to affect sexual satisfaction. Studies have focused on the role of interpersonal processes, such as intimacy, in sexual satisfaction with aging. However, the mediating role of intimacy among determinants of older women's sexual satisfaction was absent in prior studies.</p><p><strong>Aim: </strong>The present study aimed to determine the factors affecting sexual satisfaction of older married women. Additionally, it investigates the mediating role of intimacy in the relationship between several determinants of sexual satisfaction of older married women.</p><p><strong>Methods: </strong>In this cross-sectional study, 418 older married women from Tehran were selected using multi-stage random sampling. Questionnaires were completed through individual interviews with the participants. IBM SPSS 25 and AMOS version 24 were employed to assess the determinants of sexual satisfaction.</p><p><strong>Outcomes: </strong>Sexual satisfaction and its indicators were assessed by using the Global Measure of Sexual Satisfaction, Female Sexual Function Index (FSFI), Short Form-8 Health Survey (SF-8), and questions made by researchers.</p><p><strong>Results: </strong>Among 418 participants aged 60-80 years old, the sexual satisfaction score was 21.78 ± 7.94. Based on the multiple linear regression model, the strongest determinants of sexual satisfaction were sexual functioning (β = .26, P < .001) and the importance of sexuality (β = .28, P < .001). The result of the structural equational model showed that intimacy mediates the link between several determinants and sexual satisfaction (CMIN = 3.49; CFI = 0.98; RMSEA = 0.07).</p><p><strong>Clinical implications: </strong>Policies and programs in the field of sexual health should acknowledge the existence of sexual needs in the post-reproductive years and support the promotion of sexual satisfaction in old age, considering the factors affecting it.</p><p><strong>Strengths and limitations: </strong>The present study attempted to clarify knowledge in the field of sexual health of older women by examining several determinants of sexual satisfaction, using valid questionnaires, and presenting a model that assessed several determinants. The sample was representative of the older married women population from different areas of Tehran. However, sampling from the community level and only from married older women does not provide a perspective concerning older adults without spouses or residents of care institutions.</p><p><strong>Conclusion: </strong>Several variables at different levels directly or through intimacy are effective on the sexual satisfaction of older married women, so interventions that can promote intimacy between couples can be associated with improvement in the sexual satisfaction of older adults.</p>","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163841","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}
引用次数: 0
Cristofari versus Foldès labiaplasty techniques in female genital mutilation repair: a retrospective, comparative study. Cristofari与fold<e:1>阴唇成形术在女性生殖器切割修复中的回顾性比较研究。
IF 3.3 3区 医学
Journal of Sexual Medicine Pub Date : 2025-05-27 DOI: 10.1093/jsxmed/qdaf127
Albane Gareton, Flavio Tonini, Simon Crequit, Pierre Foldès, Sarra Cristofari, Sarah Abramowicz
{"title":"Cristofari versus Foldès labiaplasty techniques in female genital mutilation repair: a retrospective, comparative study.","authors":"Albane Gareton, Flavio Tonini, Simon Crequit, Pierre Foldès, Sarra Cristofari, Sarah Abramowicz","doi":"10.1093/jsxmed/qdaf127","DOIUrl":"https://doi.org/10.1093/jsxmed/qdaf127","url":null,"abstract":"","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151801","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}
引用次数: 0
Antihypertensive medications and erectile dysfunction: is this association accurate? 降压药与勃起功能障碍:这种关联准确吗?
IF 3.3 3区 医学
Journal of Sexual Medicine Pub Date : 2025-05-26 DOI: 10.1093/jsxmed/qdaf108
Andrew Rosenzweig, Joseph Visingardi, Paul Feustel, Michael Pignanelli, Elise De, Brian Inouye, Charles Welliver
{"title":"Antihypertensive medications and erectile dysfunction: is this association accurate?","authors":"Andrew Rosenzweig, Joseph Visingardi, Paul Feustel, Michael Pignanelli, Elise De, Brian Inouye, Charles Welliver","doi":"10.1093/jsxmed/qdaf108","DOIUrl":"https://doi.org/10.1093/jsxmed/qdaf108","url":null,"abstract":"","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144296","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}
引用次数: 0
Promoting women's genital self-image with vulva photographs and information about genital appearance and function: an online experiment. 通过外阴照片和有关外阴外观和功能的信息来促进女性生殖器自我形象:一项在线实验。
IF 3.3 3区 医学
Journal of Sexual Medicine Pub Date : 2025-05-26 DOI: 10.1093/jsxmed/qdaf111
Stefanie Gonin-Spahni, Maria Schmuki, Lucca M Brandner, Michèle Borgmann, Clemens A Haupt, Jennifer Inauen
{"title":"Promoting women's genital self-image with vulva photographs and information about genital appearance and function: an online experiment.","authors":"Stefanie Gonin-Spahni, Maria Schmuki, Lucca M Brandner, Michèle Borgmann, Clemens A Haupt, Jennifer Inauen","doi":"10.1093/jsxmed/qdaf111","DOIUrl":"https://doi.org/10.1093/jsxmed/qdaf111","url":null,"abstract":"<p><strong>Background: </strong>Women with more negative genital self-image are more likely to experience sexual dysfunction, less likely to protect themselves from sexually transmitted infections and unwanted pregnancy, and more likely to consider labiaplasty.</p><p><strong>Aim: </strong>This study investigates whether women's genital self-image can be promoted via exposure to natural vulva diversity and information about genital appearance and function.</p><p><strong>Methods: </strong>An online experiment was conducted as a two-arm randomized controlled trial including a vulva photographs only, photographs and information, and a control condition. Participants were 563 women aged 18-68 years (M = 27.6, SD = 8.3).</p><p><strong>Outcomes: </strong>The primary outcome was the Genital Self-Image Scale; secondary outcomes included the Female Sexual Function Index, sexual health behavior, and interest in genital plastic surgery.</p><p><strong>Results: </strong>Results indicated a significant main effect of time. Genital self-image increased significantly in all conditions immediately after the intervention (all p < .01, all partial η2 ≥ .03). In the group with vulva photographs, this increase remained stable at 2-week follow-up (p < .05, partial η2 = .02). Only women in the vulva photographs and information group showed a significantly more positive genital self-image at 8-week follow-up (p < .01, partial η2 = .05). Confirming the experimental effect, we found a significant group x time interaction (p < .001, partial η2 = .015). Planned contrasts indicated a significant group difference in genital self-image in the intervention groups vs. controls immediately after the intervention (p < .01, d = .53) and at the 2-week follow-up (p = .042, d = .41). No group differences were found at the 8-week follow-up (p < .60). The combined condition of photographs with information was not superior to photographs only at any time point. There were no effects on secondary outcomes (all p > .20).</p><p><strong>Clinical translation: </strong>The results underscore that women's genital self-image can be improved rapidly and cost-effectively with education.</p><p><strong>Strengths & limitations: </strong>This study is the first to examine the changeability of genital self-image in a large convenience sample using an experimental design. The intervention effect could only be shown in the short term. However, the effect was particularly impressive given that women's genital self-image was relatively positive prior to the intervention. The results may not generalize to women with a less positive genital self-image or those considering labiaplasty.</p><p><strong>Conclusion: </strong>Exposure to photographs of natural vulvas with or without information about genital diversity and function is a useful tool for improving genital self-image in adult women, potentially benefiting sexual health and well-being.</p>","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144303","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}
引用次数: 0
Sexual dissatisfaction and associated factors among middle-aged men-data from the Bavarian Men's Health study. 中年男性的性不满及相关因素——巴伐利亚男性健康研究数据。
IF 3.3 3区 医学
Journal of Sexual Medicine Pub Date : 2025-05-25 DOI: 10.1093/jsxmed/qdaf122
Lilly Johanna Schmalbrock, Teresa Maria Patrizia Schweitzer, Valentin Henri Meissner, Christian Leiber-Caspers, Andreas Dinkel, Stefan Schiele, Matthias Jahnen, Helga Schulwitz, Jürgen Erich Gschwend, Kathleen Herkommer
{"title":"Sexual dissatisfaction and associated factors among middle-aged men-data from the Bavarian Men's Health study.","authors":"Lilly Johanna Schmalbrock, Teresa Maria Patrizia Schweitzer, Valentin Henri Meissner, Christian Leiber-Caspers, Andreas Dinkel, Stefan Schiele, Matthias Jahnen, Helga Schulwitz, Jürgen Erich Gschwend, Kathleen Herkommer","doi":"10.1093/jsxmed/qdaf122","DOIUrl":"https://doi.org/10.1093/jsxmed/qdaf122","url":null,"abstract":"<p><strong>Background: </strong>Sexual satisfaction is a key aspect of overall well-being, and various factors-including low sexual frequency, poor communication, and societal sexual norms-can contribute to sexual dissatisfaction.</p><p><strong>Aim: </strong>This study assesses the prevalence of sexual dissatisfaction in middle-aged men and explores its associations with different forms of sexual activity, perceived pressure with regard to sexuality of men, and the perceived importance of sexuality-factors that have been understudied in this population.</p><p><strong>Methods: </strong>Data were collected through the Bavarian Men's Health (BMH) Study using validated questionnaires and clinical interviews.</p><p><strong>Outcomes: </strong>Sociodemographic, sexual behavioral, and psychological factors were analyzed using chi-square tests, with multiple logistic regression identifying predictors of sexual dissatisfaction.</p><p><strong>Results: </strong>Among 5,615 men, 54.6% reported sexual dissatisfaction. At the time of the survey, 86.9% were in a partnership, and 90.1% expressed satisfaction with their partnership. In the preceding 3 months, 84.4% reported partnered sexual activities. Sexual dissatisfaction was significantly associated with the absence of a stable partnership and lower frequency of various partnered sexual interactions (eg, vaginal, oral, anal, and partnered masturbation). Additionally, higher frequencies of solo masturbation and greater perceived pressure with regard to sexuality were associated with increased sexual dissatisfaction (all P < .05).</p><p><strong>Clinical implications: </strong>Medical interviews should address factors such as diverse forms of partnered sexual activity, perceived pressure with regard to sexuality and perceived importance of sexuality to identify contributors to sexual dissatisfaction effectively.</p><p><strong>Strengths and limitations: </strong>Strengths include large sample size and robust methodology. Limitations include the cross-sectional design and lack of data on sexual partners.</p><p><strong>Conclusion: </strong>The findings highlight that over half of 50-year-old men report sexual dissatisfaction, emphasizing the importance of comprehensive sexual health assessments in clinical practice.</p>","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144323","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}
引用次数: 0
Erectile dysfunction during receptive anal intercourse: an overlooked entity? 接受性肛交中的勃起功能障碍:一个被忽视的实体?
IF 3.3 3区 医学
Journal of Sexual Medicine Pub Date : 2025-05-25 DOI: 10.1093/jsxmed/qdaf126
Thomas W Gaither, Myles Anderson, Jonathan Balcazar, Marcia Russell, Mark Litwin
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