Showing papers on "Sexual dysfunction published in 1989"
TL;DR: Women's sexual satisfaction, capacity for orgasm, and frequency of masturbation remained stable, whereas frequency of sexual activity with a partner and range of sexual practices decreased significantly by one year; cancer treatment modality was not related to marital happiness or stability, however.
Abstract: Assessment of sexual frequency, function, and behavior, as well as marital happiness and psychological distress was performed for 61 women with early stage, invasive cervical cancer at the time of diagnosis. Cancer treatment was radical hysterectomy alone for 26 women and radiotherapy with or without surgery for 37. Followups took place at 6 and 12 months after cancer therapy. Women's sexual satisfaction, capacity for orgasm, and frequency of masturbation remained stable, whereas frequency of sexual activity with a partner and range of sexual practices decreased significantly by one year. Women who received irradiation with or without surgery resembled women who underwent radical hysterectomy alone at 6 months. By one year, however, the radiotherapy group had developed dyspareunia, which was reflected in gynecologist ratings at pelvic examination. The women receiving radiotherapy also had more problems with sexual desire and arousal, and were less likely to resume several daily life activities. Cancer treatment modality was not related to marital happiness or stability, however.
221 citations
TL;DR: The nature, early timing, and maintenance of sexual functioning morbidity suggest the instrumental role that cancer and cancer treatments play in these deficits (particularly arousal problems) and suggest that preventive therapies are necessary.
Abstract: Sexual functioning morbidity occurs for up to 90% of cancer patients who have the disease at the most prevalent sites (Andersen, 1985). These data have provided an impetus for the examination of sexual and fertility outcomes by the American Cancer Society (1987) and the National Institutes of Health (1987) and have led collaborative cancer study groups to address quality of life issues in general and sexuality in particular. For women with cancer, review indicates that there have been few assessments of the sexual outcomes for those with gynecologic disease (Andersen, 1987b). The most common site for gynecologic cancer is the uterus, with disease at the cervix or in the corpus (endometrium) accounting for 70% of all gynecologic tumors. The majority of women with uterine disease are diagnosed early and have an encouraging prognosis (i.e., 50-86% 5-year survival). The next major site is the ovary, accounting for an additional 27% of all newly diagnosed patients, and if diagnosis is made when the disease is localized, the prognosis is similarly favorable.
When sexual outcomes have been reported, the estimates of disrupted sexuality for cervical cancer patients range from 10-80%; however, a longitudinal study by Vincent and colleagues (Vincent, Vincent, Greiss, & Linton, 1975) estimated disruption to be 30%. There has been no sexual study of endometrial or ovarian cancer patients, but sexual responses for women with disease at these latter sites would likely be comparable to those of women treated for cervical cancer because the treatments for localized disease are similar. Estimates of the incidence of sexual difficulties do not provide the needed clinical information to design sexual therapies. Thus, this investigation was designed to answer the following questions: What is the nature of sexual difficulties that appear unique to a gynecologic cancer diagnosis and subsequent gynecologic cancer treatment? and What is the time course for sexual problems development or resolution? It is not possible to conduct an experiment to answer these questions because random assignment to conditions is not possible.
We attempted to improve upon previous research in three major ways and to provide several bases for ruling out competing hypotheses for cancer versus noncancer effects. First, we proposed a model and developed a strategy for quantifying the outcome variable “sexual functioning” (see Andersen, 1987a). In previous investigations of cancer patients, single measures of sexuality (e.g., frequency of intercourse, frequency of orgasm) have been used. We operationalized the construct and included three dimensions: sexual behavior, the sexual response cycle, and the diagnosis of sexual dysfunction. Second, we compared sexual functioning for the women with cancer with that of matched comparison groups. The difficulty of making these selections has been discussed (Andersen & Jochimsen, 1987), and two comparison groups were deemed most appropriate. A group of healthy women with no gynecologic disease estimated sexual functioning with normal life circumstances, because the base rate of sexual concerns, difficulties, or dysfunctions among healthy women is not negligible (e.g., Frank, Anderson, & Rubenstein, 1978). A second group, women with a recently diagnosed benign gynecologic disease/condition, provided a noncancer estimate of disruption caused by gynecologic disease and treatment to the pelvis. Although cause-effect statements cannot be made, the effect of the diagnosis of malignant disease and cancer treatment can be estimated from a comparison of the three groups. Third, we used a limited prospective longitudinal design. The prospective aspect is limited in that the initial assessment of the disease groups (both malignant and benign) occurred immediately following their diagnosis but prior to treatment, and sexual functioning during the healthy period prior to the appearance of the disease signs/symptoms was estimated. The longitudinal aspect included three posttreatment assessments, providing different predictions for the three groups across time.
190 citations
TL;DR: After a review of the literature concerning sexuality in spinal cord injured women, the authors studied the female paraplegic sexual responses, dependent on the different levels of injury, above thoracic 10; between thoracics 10 and thorACic 12; and distal toThoracic 12.
Abstract: After a review of the literature concerning sexuality in spinal cord injured women, the authors studied the female paraplegic sexual responses, dependent on the different levels of injury, above thoracic 10; between thoracic 10 and thoracic 12; and distal to thoracic 12. Allowing for specific sexual differences, genito-sexual innervation appears to be analogous in males and in females. Sexual behaviour is, above all, determined by several neuro-psychological reactions. Pregnancy and delivery are also discussed according to the different levels of spinal cord injury. It is noted that the paraplegic mother and the fetus are exposed to additional risks during pregnancy. During delivery, two problems are considered, autonomous dysreflexia and caesarean section.
93 citations
TL;DR: Clinical case reports, clinical series, and a small number of controlled studies provide evidence that many commonly prescribed psychiatric drugs may have untoward effects on sexual function.
Abstract: Clinical case reports, clinical series, and a small number of controlled studies provide evidence that many commonly prescribed psychiatric drugs may have untoward effects on sexual function. Both heterocyclic antidepressants and monoamine oxidase inhibitors appear to be associated with ejaculatory impairment. Erectile dysfunction and retarded ejaculation have been associated with neuroleptics. Several benzodiazepines have been reported to interfere with ejaculation. This information has clear significance for the prescribing physician.
78 citations
TL;DR: The authors evaluated 73 cardiac transplant recipients 1 month to 6 years after transplantation to determine the prevalence of psychiatric disorders and psychosocial problems after cardiac transplantation.
73 citations
TL;DR: It is concluded that relative to Caucasians, populations of Asian ancestry are inclined to a greater frequency of inhibitory disorders such as low sexual excitement and premature ejaculation and to a lower frequency of sexually transmitted diseases including AIDS, while populations of African ancestry are inclination to agreater frequency of uninhibited disorderssuch as rape and unintended pregnancy.
63 citations
01 Jun 1989
TL;DR: Therapy interviews illustrate how the event fragmented the ego and the memory recall of the event connected a long-standing delusion that her brain was “rotten” with an early sexual trauma.
Abstract: Introduction Mrs. G., in psychiatric treatment for over 12 years, vacillated between various states of integration and hospitalization. A referral for medical evaluation and a sigmoidoscopy for rectal bleeding connected a long-standing delusion that her brain was “rotten” with an early sexual trauma. Sections of therapy interviews illustrate how the event fragmented the ego and the memory recall of the event. Memory 1 One time a long time ago – I don't even remember how long ago, when I was a lot younger, on Saturdays I used to have to take my two brothers and sister to the park. There was a man at the park and he did something to my rectum and he had to go to jail for it. I had to go to court. I was maybe about 10. … He made it bleed. Then I had to go to court and tell them. I remember what the man looked like, but I can't remember what he did.… He was an old man; he was a dirty man; he stunk; his clothes were dirty. I had on a bathing suit. It's such a bad thing. If it hadn't been bad, they wouldn't have sent him to jail and the policeman wouldn't have hit him. We were in the park. I must have told somebody. I think I was scared because I was bleeding. Memory 2 I was just thinking that I could still feel it. … I always felt so dirty. I felt bad because they put him in jail for something I let him do. […]
50 citations
TL;DR: An exploratory investigation of sexual history, attitudes and functioning of obsessive-compulsive outpatients seeking behavioral therapy revealed a severely obsessional group who were moderately depressed and introverted, and some association of early sexual experiences with current sexual dysfunction was observed.
Abstract: An exploratory investigation of sexual history, attitudes and functioning was conducted with 44 obsessive-compulsive outpatients seeking behavioral therapy. Prior to treatment, patients completed a life history questionnaire which requested information about personal and parental attitudes toward sex, current sexual functioning, sexual obsessions, and sexual history. Pretreatment measures of obsessive-compulsive symptomatology revealed a severely obsessional group who were moderately depressed and introverted. Obsessive-compulsives did not appear to differ from normative samples in sexual history or attitudinal variables. One-third of the present sample reported obsessions related to sexual themes. Symptomatology interferred with sexual satisfaction, particularly for those concerned with bodily secretions. Sexual dysfunction, however, was relatively uncommon. Categorizing patients according to the type of obsession (bodily secretion vs. other obsession) or their religious affiliation (Catholic vs...
48 citations
TL;DR: It is concluded that there is a need to explore the possibility of sexual abuse or partner-intimacy abuse for all women with a history of sexual dysfunction.
Abstract: Although the nature of the sexual dysfunctions that result from rape and abuse may vary, the study reported here suggests that the dysfunctions become chronic. Sexually violent assaults alter a woman's affective as well as her gynecologic and physiologic life. The author determined the frequency of sexual dysfunction in 100 women: 30 rape victims, 35 abuse victims, and 30 case-matched controls. The sexual inventory evaluated for sexual fears, sexual desire, sexual arousal, and orgasm. To evaluate the impact of the abuse on the gynecologic health of the victims, the gynecologic examination and interview focused on pain, dyspareunia, vaginismus, dysfunctional uterine bleeding, vaginitis, and pelvic surgery. Over a period of two to four years after the violent event, 61% of the raped and abused women had some sexual dysfunction. Almost the same percentage had gynecologic problems. Studies of this nature are difficult because the victims are reluctant to participate and resistant to cooperate. Only 45% of the victims in the rape-crisis centers were willing to cooperate, while only 25% of those in the shelter for abused women were willing to provide a sexual history and consent to an interview and pelvic examination. Such factors need to be kept in mind when interpreting the data.
45 citations
TL;DR: It is suggested that sexual dysfunction in diabetic women should be treated actively as in “normal” women, since diabetes is not the major aetiological factor.
Abstract: The aetiology and management of diabetic impotence is well-documented; the effects of diabetes on female sexuality are not so clear. In this study, 48 diabetic women were assessed clinically and answered detailed sexual questionnaires during a semistructured interview with a sexual counsellor. Twenty-four of the women reported one-or-more sexual dysfunctions: decreased libido, slow arousal, inadequate lubrication, anorgasmia or dyspareunia. There was no significant relationship between the presence of dysfunction and recent glycaemic control, the duration of diabetes, the presence of clinical complications or of neuropathy alone, or the attitude to sexuality. The sexual dysfunction(s) were present at the onset of diabetes in the majority of those so affected (17 of 24 patients), or were attributed to other causes in the remainder. It is suggested that sexual dysfunction in diabetic women should be treated actively as in "normal" women, since diabetes is not the major aetiological factor.
42 citations
Journal Article•
TL;DR: Patients who reach 5 to 6 metabolic equivalents on stress-testing without ischemia or arrhythmias can in all likelihood resume their normal sexual activities without any risk, and all other cases have to be considered individually according to the current physiologic knowledge.
TL;DR: It is concluded that sexual fears are fairly widespread among college students and are being fueled by the current AIDS crisis, and sexual aversion disorder may become a prevalent problem, especially if the AIDS epidemic continues to spread to the heterosexual population.
Abstract: This study describes a 30-item questionnaire, the Sexual Aversion Scale, that was used to assess sexual fears and avoidance in college students. The construct of sexual aversion was based on the newly listed DSM-III-R criteria for sexual aversion disorder. Results were obtained from 382 college students. The questionnaire was shown to have good internal consistency and test-retest reliability. Female students reported significantly more sexual anxiety. They expressed more fear of intercourse and the negative social consequences of their sexual behavior. They were also more inclined to avoid situations where they might become sexually involved. Conversely, males appeared to be more sexually frustrated and said they would become more sexually active were it not for fear of catching a sexually transmitted disease. It is concluded that sexual fears are fairly widespread among college students and are being fueled by the current AIDS crisis. One implication of these findings is that sexual aversion disorder may become a prevalent problem, especially if the AIDS epidemic continues to spread to the heterosexual population.
TL;DR: Intacavernous injections of vasoactive medications have proved beneficial for treating patients with erectile dysfunction and results with this treatment in SCI appear to be quite good with short term followup and long term evaluation of this methodology inSCI appears warranted.
Abstract: Sexual dysfunction due to inadequate or poorly sustained erections is a common problem among patients with spinal cord injury (SCI). While penile prostheses have provided adequate treatment for many patients, the complication rate in spinal cord injured patients remains high and they have not received widespread acceptance among SCI patients or the physicians treating them. Recently, intracavernous injections of vasoactive medications have proved beneficial for treating patients with erectile dysfunction. In the current study, we evaluated 40 SCI patients and 116 patients with vascular based impotence who had been followed for a minimum of 1 month while utilising intracavernous injections of phentolamine and papaverine. SCI patients with neurogenic based erectile dysfunction are significantly different from vascular impaired patients. SCI patients are younger and have been impotent for a longer period of time when treatment is sought. Furthermore, the dose of medication required is significantly less for SCI patients. The time of erection is longer and the quality of erection is better in neurogenic based impotence. Results with this treatment in SCI appear to be quite good with short term followup and long term evaluation of this methodology in SCI appears warranted.
TL;DR: The authors reviewed 10 studies which compare the psychological outcome of treatment for early breast cancer by either mastectomy or breast-conserving procedures and concluded that less mutilating techniques protect women from psychological and sexual dysfunction.
Abstract: This paper critically reviews 10 studies which compare the psychological outcome of treatment for early breast cancer by either mastectomy or breast-conserving procedures. There are few methodologically sound data supporting the assumption that less mutilating techniques protect women from psychological and sexual dysfunction.
TL;DR: In this article, a total of 400 women referred consecutively to a gynaecological urology clinic was questioned with regard to their sexual activity and were subsequently investigated by cystometry to establish the prevalence of urinary incontinence occurring during intercourse, and to define the urodynamic background of sufferers.
TL;DR: Achieving and maintaining erections was the most frequently affected sexual function and the only historical association with ED in this group was a history of alcohol consumption in 68.9% of parkinsonian patients.
Abstract: From the Departments of 1Neurology and 2Psychology, University of Miami School of Medicine, Miami, FL, U.S.A. ’This studywas presented in part at the 41st Annual Meeting of the American Academy of Neurology, April 1989. Address correspondence and reprint requests to Dr. C. Singer at Department of Neurology (D4-5), University of Miami School of Medicine, P.O. Box 016960, Miami, FL 33101, U.S.A. We interviewed 48 parkinsonian male patients [mean age, 65.8; age range, 42-84; mean duration of Parkinson’s disease (PD), 8 years; range, 1-25 years, Stages 1-3 only] and a matched sample of 32 elderly healthy nonparkinsonian males (mean age, 70.4; age range, 56-79) with regard to presence of sexual dysfunction (SD). We found a significantly higher prevalence of erectile dysfunction (ED) (60.4% vs. 37.5%) in the parkinsonian patients (p < 0.05). Achieving and maintaining erections was the most frequently affected sexual function. ED preceded the onset of PD in 5 of 29 patients (17.3%). Twenty-nine parkinsonian patients with erectile dysfunction (PD-ED) were compared to 12 patients with normal erectile function (PD-nonED). Although the PD-ED group had a significantly higher Hoehn and Yahr stage [2.3 vs. 1.8 (p = 0.05)], they were not significantly older and did not present with a longer duration of PD or levodopa therapy. Other autonomic symptoms were no more frequent in the PD-ED group. The only historical association with ED in this group was a history of alcohol consumption in 68.9% of
TL;DR: While working with Vietnam veterans who possessed the diagnosis of post-traumatic stress disorder during 1984 at a New York area Veteran's Administration Hospital, it became apparent that many of these men suffered from erectile difficulties.
Abstract: There recently has been a tremendous amount of literature concerning post-traumatic stress disorder in both the scientific and the lay literature. However, with all the interest, and all the material that has been generated, symptoms of sexual dysfunction, which may be present in a significant number of patients suffering from this disorder, have not been included in the diagnostic criteria or clinical descriptions. While working with Vietnam veterans who possessed the diagnosis of post-traumatic stress disorder during 1984 at a New York area Veteran's Administration Hospital, it became apparent that many of these men suffered from erectile difficulties. While these observations are by no means epidemiologically significant, they do suggest that the sexual status of this patient population deserves investigation.
TL;DR: Associated psychiatric disturbances, gender-role differences, the impact on the marital harmony of the couple, and the role of sociocultural beliefs in the etiology of the disorders are analyzed and discussed, with a particular emphasis on Indian culture.
Abstract: Disorders in sexual function constitute one of the most prevalent and least discussed problems following head injury. The disorders are often the outcome of an interaction between the neurological sequelae, the psychological makeup of the individual, and the sociocultural context of the couple. In a study of 34 head-injured patients, only 13 reached their premorbid level of sexual functioning over a period of 1 year. Deviant behavior, total loss of sexual function, and sexual dysfunction were noted in the rest. Deviant behavior was consistently associated with frontal lobe damage. Otherwise, neurological indices of head injury in the dysfunctional group were not different from those of the clinically recovered group. Associated psychiatric disturbances, gender-role differences, the impact on the marital harmony of the couple, and the role of sociocultural beliefs in the etiology of the disorders are analyzed and discussed, with a particular emphasis on Indian culture.
TL;DR: The contribution of diabetes and cirrhosis to sexual dysfunction and hypogonadism was evaluated by two-way analysis of variance in a group of 30 men with idiopathic hemochromatosis.
Abstract: The contribution of diabetes and cirrhosis to sexual dysfunction and hypogonadism was evaluated by two-way analysis of variance in a group of 30 men with idiopathic hemochromatosis. The prevalence of severe sexual dysfunction was significantly higher in men with hemochromatosis than in a control group matched for prevalence of diabetes and age (P less than 0.001). In both controls and hemochromatosis patients the presence of diabetes was significantly associated with sexual dysfunction (P less than 0.005), but the more severe symptoms in the hemochromatosis patients were related to the additive effects of hypoandrogenism (P less than 0.01). Sexual dysfunction was a common early complaint in hemochromatosis patients, but these symptoms were frequently overlooked, leading to diagnostic delay. Mean testicular volume was a useful measure of gonadal status, being significantly correlated with indices of serum free testosterone (rs = 0.83; P less than 0.01) and LH (rs = 0.71; P less than 0.001). The presence of cirrhosis did not contribute significantly to symptomatology, but had an effect independent of and additive to hypogonadotropic hypogonadism in reducing serum free testosterone (P less than 0.02) and estradiol (P less than 0.002), an effect apparently mediated through central rather than testicular mechanisms. Hypoandrogenism was associated with an increase in serum sex hormone-binding globulin (SHBG) concentrations (P less than 0.005), but cirrhosis also had an independent effect in raising SHBG (P less than 0.005), which could not be accounted for by changes in circulating sex hormone concentrations. Thus, the evaluation of sexual dysfunction or hypogonadism in men with hemochromatosis requires consideration of the effects of both diabetes and cirrhosis. Because of the greater variance in SHBG some estimate of free testosterone rather than total testosterone is preferable.
Journal Article•
TL;DR: Among the four groups on the basis of type of treatment (antianxiety drug, antidepressant, placebo, psychotherapy), the best response was seen in those receiving antianxiety or antidepressant drugs while those receiving psychotherapy showed minimal response.
Abstract: 48 consecutive male patients of potency disorders were examined and classified as 'Dhat' syndrome, impotence or premature ejaculation. The age range of these cases was found as 20-38 years (mean 23.5 +/- 3.3 years) while age of onset was 16-24 years (mean 20.6 +/- 4.5 years). Majority of cases were unmarried (54.2%) and educated 5th class or above (79.1%). 31 cases (64.6%) had Dhat syndrome with or without impotency and/or premature ejaculation while 7 cases (14.6%) had only premature ejaculation and 10 cases (20.8%) only impotence. The cases with 'Dhat' syndrome or with impotence scored maximally on neuroticism and depression scales. Neurotic depression was the commonest associated psychiatric illness (39.5%) followed by anxiety neurosis (20.8%) while 31.3% did not have any possible diagnosis. The common presenting symptoms of 'Dhat' syndrome include weakness (70.8%), fatigue (68.7%), palpitations (68.7%), sleeplessness (62.4%) etc. Among the four groups on the basis of type of treatment (antianxiety drug, antidepressant, placebo, psychotherapy), the best response was seen in those receiving antianxiety or antidepressant drugs while those receiving psychotherapy showed minimal response. 7 cases (14.6%) dropped out of treatment and the maximum dropout (40.6%) was seen in psychotherapy group.
TL;DR: Current knowledge about sexual dysfunction in MS is reviewed, the major effects on sexual response (both organic and psychogenic) are discussed, as well as associated physical problems and implications regarding fertility, pregnancy and birth control.
Abstract: Sexual dysfunction in multiple sclerosis (MS) has only recently become recognized as an early and distressing manifestation of the disease in both sexes. Sexual problems appear to be a combination of direct neurological consequences, and of individual and partner reactions. This article reviews current knowledge about sexual dysfunction in MS. The major effects on sexual response (both organic and psychogenic) are discussed, as well as associated physical problems and implications regarding fertility, pregnancy and birth control. Guidelines for intervention by neuroscience nurses who work with MS individuals and their partners are addressed.
Journal Article•
TL;DR: In a study of 40 couples with primary infertility, the "need to perform' over the fertile phase of the menstrual cycle was assessed and no correlation was found between sexual dysfunction and the identified infertile sexual partner.
Abstract: In a study of 40 couples with primary infertility, the "need to perform' over the fertile phase of the menstrual cycle was assessed. In 50% of women there was a statistically increased incidence of sexual dysfunction during this phase; loss of libido was the commonest dysfunction. In 30% of men a decrease in sexual function was experienced during the fertile phase of their partner's cycle, and 75% of men reported premature ejaculation during intercourse in greater than 10% of occasions--this was unaltered by the diagnosis of infertility. The frequency of intercourse was increased over the fertile phase. No correlation was found between sexual dysfunction and the identified infertile sexual partner.
TL;DR: The SAI, like other psychological measures, was poor in predicting a criterion concurrently or at the time of follow-up, and the factor solution was stable across groups and time and the factors were to the occurrence of important behavior changes.
Abstract: The Sexual Arousability Index (SAI) assesses self-reported sexual arousal in women and was administered on four occasions to a group of normal sexually active women (n = 57) and to another group undergoing surgical gynecologic treatment (n = 66) that resulted in a predictable and clinical level of sexual dysfunction. These data were used for a psychometric analysis of the SAI. In terms of reliability, internal consistency estimates were in the .92-.96 range, and 4-month test-retest reliabilities ranged from .74 to .90. An evaluation of validity revealed both strengths and limitations of the SAI. The content analysis indicated that at least six domains are sampled, including seduction activities, body caressing, oral-genital and genital stimulation, intercourse, masturbation, and erotic media. To examine construct validity, we conducted a factor analysis that revealed a five-factor solution accounting for 85% of the variance. Furthermore, the factor solution was stable across groups and time, and the factors were sensitive to the occurrence of important behavior changes. The SAI, like other psychological measures, was poor in predicting a criterion (i.e., the occurrence of inhibited sexual excitement) concurrently or at the time of follow-up.
TL;DR: Objectively, no significant changes were observed between the two antihypertensive agents in relation to rapid eye movement-related sleep architecture, serum testosterone levels, or penile blood flow, and subjective aspects of sexual dysfunction were greater during hydrochlorothiazide treatment than during prazosin treatment.
Journal Article•
TL;DR: Results strongly suggested that the skills oriented method was more effective than the awareness oriented method for teaching residents to take a sexual history.
Abstract: The purpose of this study was to test two distinct components of a sexual history taking training program in a controlled, randomized experiment. Twenty-four family practice residents were divided into two groups. One group received skills oriented training and the other received sexual awareness oriented training. Both groups received active listening skills training and general information about sexual dysfunction. The effects of the two treatment groups were assessed by residents' performance in videotaped simulated sexual history interviews. Results strongly suggested that the skills oriented method was more effective than the awareness oriented method for teaching residents to take a sexual history. No residents elicited information about sexual orientation. These results are discussed in terms of their implications for teaching and research in sexual history taking skills.
TL;DR: In this article, the differences in sexual functioning in abused women who perceived themselves to be adjusted to the trauma of their sexual abuse and those who did not were examined by means of cross-tabulation, chi square statistics, analysis of variance, and multiple regression.
Abstract: Women who were sexually victimized as children report problems in relating to both men and women. Studies have found that victims are less satisfied with their current sexual relationships and with the quality of their relationships with men in general. Fear of sex, arousal dysfunction and desire dysfunction were the most common sexual disturbances found in incest victims. The purpose of this paper was to examine the differences in sexual functioning in abused women who perceived themselves to be adjusted to the trauma of their sexual abuse and those who did not. A sample of 57 nonclinical adult women who had been sexually abused as children was studied. Data were analyzed by means of cross-tabulation, chi square statistics, analysis of variance, and multiple regression. Orgasm was experienced by 63% of the women. There was a significant interaction among ability to be an orgasmic, sexual esteem and adjustment to abuse. Over 56% of the women experienced physical discomfort during intercourse and 36% indicated that they needed sex therapy. The implications of these and other findings are discussed.
TL;DR: To determine the interrelationships among neuroticism, general arousability, sexual desire, and sexual dysfunction in women, two studies were conducted and found a significant positive correlation betweengeneral arousability and neuroticism and a negative correlation between levels of sexual desire andSexual dysfunction.
Abstract: To determine the interrelationships among neuroticism, general arousability, sexual desire, and sexual dysfunction in women, two studies were conducted. The first found a significant positive correlation between general arousability and neuroticism. The second found a curvilinear relationship between general arousability and sexual dysfunction, and a negative correlation between levels of sexual desire and sexual dysfunction. Implications for therapy with sexually dysfunctional women are discussed.
TL;DR: Two patients with anhedonic ejaculation (ejaculation without orgasm) associated with initiation of treatment with desipramine are reported.
Abstract: Sexual dysfunction secondary to antidepressant drugs is an under-recognized clinical problem, and likely an important factor in noncompliance with treatment. We report two patients with anhedonic ejaculation (ejaculation without orgasm) associated with initiation of treatment with desipramine.