Sexual dysfunctions induced by stress of timed intercourse and medical treatment

Byun, Jisun; Lyu, Sang Woo; Seok, Hyun; Kim, Won Jun; Shim, Sung Han; Bak, Chong Won

doi:10.1111/j.1464-410x.2012.11577.x

Cited by 29 publications

(25 citation statements)

References 30 publications

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“…Presence of conflicts within the couple, a stable relationship without cohabitation, and the habit of engaging in intercourse to please the partner showed a detrimental effect on overall sexual function; on the other hand, frequency of intercourse, attempts to conceive and/or fertility oriented sexual activities were positively associated with FSFI. This last finding is partially in contrast with previous studies reporting that timed intercourse, besides not being proven to increase pregnancy rates (Manders et al, 2015), is associated with stress and anxiety that may exacerbate or cause sexual problems (Bodenmann et al, 2006;Byun et al, 2013). It could be speculated that, while the pressure from performing on cue easily troubles men, their partners' enthusiasm for a desired pregnancy is likely to prevail over that stress.…”

Section: Discussioncontrasting

confidence: 54%

Which are the male factors associated with female sexual dysfunction (FSD)?

et al. 2016

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SUMMARYIt has been generally assumed that partner's erectile dysfunction, premature, and delayed ejaculation play a significant role in determining female sexual dysfunction (FSD). This study aimed to evaluate the role of the male partner's sexual function, as perceived by women, in determining FSD. A consecutive series of 156 heterosexual women consulting our clinic for FSD was retrospectively studied. All patients underwent a structured interview and completed the Female Sexual Function Index (FSFI). FSFI total score decreased as a function of partner's age, conflicts within the couple, relationship without cohabitation and the habit of engaging in intercourse to please the partner; FSFI total score increased as a function of frequency of intercourse, attempts to conceive and fertility-focused intercourse. FSFI total score showed a negative, stepwise correlation with partner's perceived hypoactive sexual desire (HSD) (r = À0.327; p < 0.0001), whereas no significant correlation was found between FSFI and erectile dysfunction, premature and delayed ejaculation. In an age-adjusted model, partner's HSD was negatively related to FSFI total score (Wald = 9.196, p = 0.002), arousal (Wald = 7.893, p = 0.005), lubrication (Wald = 5.042, p = 0.025), orgasm (Wald = 9.293, p = 0.002), satisfaction (Wald = 12.764, p < 0.0001), and pain (Wald = 6.492, p = 0.011) domains. Partner's HSD was also significantly associated with somatized anxiety, low frequency of intercourse, low partner's care for the patient's sexual pleasure, and with a higher frequency of masturbation, even after adjusting for age. In patients not reporting any reduction in libido, FSFI total score was significantly lower when their partner's libido was low (p = 0.041); the correlation disappeared if the patient also experienced HSD.In conclusion, the presence of erectile dysfunction, premature, and delayed ejaculation of the partner may not act as a primary contributing factor to FSD, as determined by FSFI scores; conversely, women's sexuality seems to be mostly impaired by the perceived reduction in their partner's sexual interest.

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Section: Discussioncontrasting

confidence: 54%

Which are the male factors associated with female sexual dysfunction (FSD)?

et al. 2016

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“…This strict timing could be quite stressful for men and might lead to anxiety and frustration, potentially causing erectile and ejaculatory dysfunction. 115 Similarly, posttraumatic stress disorder (a long-standing condition that occurs after exposure to a life-threatening event) can result in sexual dysfunction (i ncluding erectile dysfunction and ejaculatory problems) amongst other numerous symptoms including intrusive memories, a state of hyperarousal, and avoidance of stimuli. 116 CP/CPPS Psychological stress has long been implicated as a possible contributory factor in the aetiology of CP/CPPS and also in its exacerbation.…”

Section: Sexual Dysfunctionmentioning

confidence: 99%

Effects of psychological stress on male fertility

2015

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Psychological stress can be defined as any uncomfortable 'emotional experience' accompanied by predictable biochemical, physiological and behavioural changes or responses. Many clinical studies looking at the effects of psychological stress on male fertility have shown that stress is associated with reduced paternity and abnormal semen parameters. Enough scientific evidence exists to suggest that psychological stress could severely affect spermatogenesis, mainly as a result of varying testosterone secretion. The hypothalamic-pituitary-adrenal axis has a direct inhibitory action on the hypothalamic-pituitary-gonadal (HPG) axis and Leydig cells in the testes. The newly discovered hormone, gonadotropin-inhibitory hormone (GnIH), also has an inhibitory effect on the HPG axis. Inhibition of the HPG axis results in a fall in testosterone levels, which causes changes in Sertoli cells and the blood-testis barrier, leading to the arrest of spermatogenesis. Germ cells also become vulnerable to gonadotoxins and oxidation. However, the extent and severity of the effects of psychological stress on human testes is difficult to study and data mostly come from animal models. Despite this limitation, stress as a causative factor in male infertility cannot be ignored and patients should be made aware of its effects on testicular function and fertility and helped to manage them.

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“…difficulties with a specific partner and not another) is more likely to be due to a psychologic etiology (36). One study looked at stress and anxiety related to timed intercourse demands for fertility treatments and found DO developed in 6% of patients related to elevated anxiety levels (37). A novel study by Kirby et al used a rat model to show how stress can suppress the hypothalamic-pituitary-gonadal (HPG) axis which is important in healthy normal sexual function (38).…”

Section: Pathophysiologymentioning

confidence: 99%

Delayed orgasm and anorgasmia

Jenkins

Mulhall

2015

Fertility and Sterility

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Delayed orgasm/anorgasmia defined as the persistent or recurrent difficulty, delay in, or absence of attaining orgasm after sufficient sexual stimulation, which causes personal distress. Delayed orgasm and anorgasmia are associated with significant sexual dissatisfaction. A focused medical history can shed light on the potential etiologies; which include: medications, penile sensation loss, endocrinopathies, penile hyperstimulation and psychological etiologies, amongst others. Unfortunately, there are no excellent pharmacotherapies for delayed orgasm/anorgasmia, and treatment revolves largely around addressing potential causative factors and psychotherapy.

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Sexual dysfunctions induced by stress of timed intercourse and medical treatment

Abstract: E 2 2 7What ' s known on the subject? and What does the study add? It is known that timed intercourse that is planned to coincide with ovulation causes stress in women. In men premature ejaculation is more common than delayed ejaculation.

Cited by 29 publications

References 30 publications

Which are the male factors associated with female sexual dysfunction (FSD)?

Which are the male factors associated with female sexual dysfunction (FSD)?

Effects of psychological stress on male fertility

Delayed orgasm and anorgasmia

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