Introduction Research investigating the impact of contraceptive use on sexual desire has produced mixed results. This scholarship also has had inconsistent methodology, with some studies not separating contraceptive types and others lacking non-hormonal comparison groups. Relationship context of contraceptive use and sexual behavior also have not been well represented. Aims To investigate the impact of contraceptive type on sexual desire in women and in men who are partnered to contraceptive-using women. Methods In two separate studies we examined the impact of contraceptives on the sexual desire of women currently using contraceptives and men partnered to women using contraceptives. The first study examined the impact of contraceptive type on sexual desire in women and in men partnered to contraceptive users in relationships of different lengths. The second study examined this impact in heterosexual couples in long-term relationships. Main Outcome Measures Solitary and dyadic sexual desire as measured by the Sexual Desire Inventory and contraceptive type as categorized into three types: oral hormonal contraceptive, other hormonal contraceptive, and non-hormonal contraceptive. Results Contraceptive type significantly affected solitary and dyadic desire. Women on non-hormonal contraceptives reported higher solitary sexual desire than women on other hormonal contraceptives. Women on oral hormonal contraceptives reported significantly higher dyadic sexual desire than women on non-hormonal contraceptives. In male partners of female contraceptive users, solitary and dyadic sexual desires were not affected by partner contraceptive type. In the multivariate model, relationship length and age were stronger predictors of contraceptive type than was solitary or dyadic sexual desire. At the couple level, contraceptive type also was not related to solitary or dyadic sexual desire in men and women. Conclusion Contraceptive type can affect solitary and dyadic sexual desire in women; however, contextual factors seem to be stronger predictors of sexual desire for long-term coupled women and men than contraception type.

Introduction Sexual activity is an important aspect of most romantic relationships. However, many couples report declines in sexual activity over time and report many reasons for not engaging in sexual activity on a daily basis. Aim To investigate the reasons for not engaging in sexual activity in couples over a month and whether these reasons are associated with sexual and relationship satisfaction and sexual desire. Methods We collected 30-day daily electronic report data from 174 individuals (87 mixed-sex couples). The responses between men and women were analyzed using chi-squared tests, and we used multilevel modeling to examine the association between the reasons and satisfaction and desire. Main Outcome Measure The main outcome measure includes daily sexual satisfaction, relationship satisfaction, and sexual desire. Daily reported reasons for not engaging in sexual activity are categorized into joint reason, self-based reason, partner-based reason, and other reasons. Results Men and women were equally likely to endorse joint reasons for not engaging in sexual activity (eg, “It just didn't happen”), whereas women were more likely to endorse self-based reasons (eg “I wasn't in the mood”) and men partner–based reasons (eg “My partner was tired”). The reasons for not engaging in sexual activity were associated with daily sexual and relationship satisfaction and daily sexual desire. Higher baseline sexual desire was associated with a greater likelihood of endorsing partner-related reasons and smaller likelihood of endorsing self-related reasons. Higher baseline sexual satisfaction was associated with a decreased likelihood of reporting partner-based reasons, and higher baseline relationship satisfaction was associated with an increased likelihood of reporting joint reasons. Some of the other associations were significant only for men or women. Clinical Implications Results inform couples' therapy and other clinical interventions and highlight the importance of addressing the reasons for not engaging in sexual activity to find ways of mitigating some of these reasons. Strength & Limitations The study was the first to date to address reasons for not engaging in sexual activity in a sample of couples in an experience-sampling study. However, our scope was limited to mixed-sex couples who were primarily white and heterosexual, and we only addressed reasons for not engaging in partnered sex (not solitary sex). Conclusion The reasons for not engaging in sexual activity seem different for men and women and are associated with sexual and relationship satisfaction and sexual desire, and this link appears to be bidirectional.

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Though secondary traumatic stress has been researched extensively among professionals working with youth in diverse professions, there is limited information about judicial experiences working with trafficked youth. This qualitative study involves 82 interviews with juvenile and family court judges to understand the impact of indirect trauma exposure. Over 80% of respondents describe symptoms of secondary traumatic stress and countertransference responses. Notably, 20% with these symptoms also reported increased professional pride in their role performance with these cases. Implications for how judges can address the effects of indirect exposure are offered based on the literature and the recommendations of the respondents.

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