Female Sexuality and Sexual Function

Goldfarb, Shari; Baron, Shirley R.; Lindau, Stacy Tessler

doi:10.1016/b978-0-12-384978-6.00023-6

Cited by 8 publications

(3 citation statements)

References 51 publications

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“…For example, if a man has erectile dysfunction, his partner might report decreased libido because he or she is anticipating a negative sexual experience rather than a positive one. Similarly, an endometrial cancer survivor with stenosis and dyspareunia can have a partner who experiences sexual aversion because he or she fears intimacy will cause her pain 189 . Likewise, if a man has premature ejaculation, his partner may be unable to experience orgasm, which causes distress about sexual satisfaction 190 .…”

Section: Quality Of Lifementioning

confidence: 99%

Erectile dysfunction

Yafi

Jenkins

Albersen

et al. 2016

Nat Rev Dis Primers

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511

464

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Erectile dysfunction is a multidimensional but common male sexual dysfunction that involves an alteration in any of the components of the erectile response, including organic, relational and psychological. Roles for nonendocrine (neurogenic, vasculogenic and iatrogenic) and endocrine pathways have been proposed. Owing to its strong association with metabolic syndrome and cardiovascular disease, cardiac assessment may be warranted in men with symptoms of erectile dysfunction. Minimally invasive interventions to relieve the symptoms of erectile dysfunction include lifestyle modifications, oral drugs, injected vasodilator agents and vacuum erection devices. Surgical therapies are reserved for the subset of patients who have contraindications to these nonsurgical interventions, those who experience adverse effects from (or are refractory to) medical therapy and those who also have penile fibrosis or penile vascular insufficiency. Erectile dysfunction can have deleterious effects on a man’s quality of life; most patients have symptoms of depression and anxiety related to sexual performance. These symptoms, in turn, affect his partner’s sexual experience and the couple’s quality of life. This Primer highlights numerous aspects of erectile dysfunction, summarizes new treatment targets and ongoing preclinical studies that evaluate new pharmacotherapies, and covers the topic of regenerative medicine, which represents the future of sexual medicine.

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Section: Quality Of Lifementioning

confidence: 99%

Erectile dysfunction

Yafi

Jenkins

Albersen

et al. 2016

Nat Rev Dis Primers

Self Cite

511

464

View full text Add to dashboard Cite

show abstract

“…The theoretical range is 2.0 to 36.0, with higher total FSFI-scores indicating better sexual functioning [ 37 ]. A cut off of ≤26.55 is commonly used to report a dichotomous FSFI-score indicating sexual dysfunction [ 38 ]. The FSFI has been evaluated in terms of psychometric quality, which was found to be good in women with varying parity [ 37 , 39 ].…”

Section: Methodsmentioning

confidence: 99%

The Impact of Mode of Birth, and Episiotomy, on Postpartum Sexual Function in the Medium- and Longer-Term: An Integrative Systematic Review

Fanshawe

Jonge

Ginter

et al. 2023

IJERPH

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(1) Background: Sexual function can be affected up to and beyond 18 months postpartum, with some studies suggesting that spontaneous vaginal birth results in less sexual dysfunction. This review examined the impact of mode of birth on sexual function in the medium- (≥6 months and <12 months postpartum) and longer-term (≥12 months postpartum). (2) Methods: Literature published after January 2000 were identified in PubMed, Embase and CINAHL. Studies that compared at least two modes of birth and used valid sexual function measures were included. Systematic reviews, unpublished articles, protocols and articles not written in English were excluded. Quality was assessed using the Newcastle Ottawa Scale. (3) Results: In the medium-term, assisted vaginal birth and vaginal birth with episiotomy were associated with worse sexual function, compared to caesarean section. In the longer-term, assisted vaginal birth was associated with worse sexual function, compared with spontaneous vaginal birth and caesarean section; and planned caesarean section was associated with worse sexual function in several domains, compared to spontaneous vaginal birth. (4) Conclusions: Sexual function, in the medium- and longer-term, can be affected by mode of birth. Women should be encouraged to seek support should their sexual function be affected after birth.

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“…[1][2][3][4] However, aging can bring an increase in sexual problems, or sexual dysfunctions, as well as decreases in sexual activity. 1,[5][6][7] Prevalence studies indicate that sexual dysfunction rates can be quite high in older patient populations, and that older women have higher prevalence rates for all non-gender-specific sexual dysfunctions (for example, erectile dysfunction or vaginal dryness) when compared with older men. 1,8 In this study we explored how sexual problems are associated with quality of life indicators for older women, aged 60 and above.…”

mentioning

confidence: 99%

Sexual Problems Among Older Women by Age and Race

Hughes

Rostant

Pelon

2015

Journal of Women's Health

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Background: The purpose of our study was to examine the prevalence of sexual problems by age and race among older women in the United States and to examine quality of life correlates to sexual dysfunction among non-Hispanic white and African American older women. Methods: A cross-sectional study using self-report surveys was conducted among community-dwelling U.S. women, aged 60 years and over. A total of 807 women aged 61-89 years were included. Self-administered questionnaires assessed sexual dysfunction, satisfaction with life, depressive symptomatology, and self-rated health. Analyses included multivariate logistic regression. Results: The mean age of the sample was 66 years. Two-thirds of the sample had at least one sexual dysfunction; the most common for both African American and non-Hispanic white women were lack of interest in sex and vaginal dryness. Prevalence varied by age for each of the sexual dysfunctions. The odds of experiencing sexual dysfunction varied with age and race. Compared with non-Hispanic white women, African American women had lower odds of reporting lack of interest in sex or vaginal dryness. Poor self-rated health, depressive symptomatology, and lower satisfaction with life were associated with higher odds of having some sexual dysfunction. Conclusions: Improved understanding of how sexual dysfunction affects women across multiple age ranges and racial/ethnic groups can assist providers in making recommendations for care that are patient centered. The associations that we identified with quality of life factors highlight the need to assess sexual health care in the aging female population.

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Female Sexuality and Sexual Function

Cited by 8 publications

References 51 publications

Erectile dysfunction

Erectile dysfunction

The Impact of Mode of Birth, and Episiotomy, on Postpartum Sexual Function in the Medium- and Longer-Term: An Integrative Systematic Review

Sexual Problems Among Older Women by Age and Race

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