The Effectiveness of ‘Good-Enough Sex Model’ on Sexual Satisfaction and Sexual Intimacy in Women with Multiple Sclerosis: A Randomized Trail

Jamalianfar, Fatemeh; Riazi, Hedyeh; Firoozi, Armin; Nasiri, Malihe; Montazeri, Ali

doi:10.1007/s11195-021-09691-2

Cited by 5 publications

(1 citation statement)

References 28 publications

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“…In agreement with our ndings, Firoozi et al revealed that the GES model were effective to promote attitude and sexual satisfaction of infertile women [36]. Jamalifar et al indicated GES model is an applicable educational intervention for improving the sexual satisfaction and sexual intimacy in women who suffer from multiple sclerosis [37]. In a study conducted by Yazdani et al was illustrated that counseling based on sexual self-concept trough social networks on smartphone in infertile women was effective in improving the sexual self-concept and promotion the couples 'sexual relations [13].…”

Section: Discussionsupporting

confidence: 89%

Effect of Whatsapp Based Good Enough Sex Consultation on Infertility Stress and Sexual Satisfaction in Iranian Women Who Applied for Infertility Treatment: A Randomized Control Trial

Moghaddam-tabrizi¹,

Emdadi-Babanazar²,

Haghighi³

et al. 2023

Preprint

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Background Infertility is associated with the reduction of sexual activity and always there is a relationship between infertility and sexual dysfunction. Infertility stress refers to a group of symptoms that appear following infertility diagnosis; these symptoms are similar to those of post-traumatic stress disorder and are specifically evident in the beliefs and feelings associated with infertility. The present study aimed to determine the effect of whatsapp based good enough sex consultation on infertility stress and sexual satisfaction in infertile women who applied for infertility treatment in a randomized control trial. Methods This is a double-blinded, randomized controlled trial in which a total of 100 infertile women were recruited using convenience sampling and then randomly assigned to two groups of whatsapp based GES model consultation and routine care. Data collection tools consisted of a demographic, the Larson's Sexual Satisfaction and Newton Infertility Stress questionnairs. In the pretest stage, participants in both groups completed the above questionnaires before the intervention. Participants in the intervention group were given access to the 6-week GES model consultation program. The program consisted of six consultation and assignments packages, regarding all 12 dimensions of GES model. Then participants re-completed questionnaires immediately and one month after the intervention. Data were analyzed with SPSS software version 20 using chi-squared test, independent-samples t-test, and repeated measures Analysis of Variance. The significance level (p-value) was considered to be less than 0.05. Results The results of rANOVA indicated that there was a significant difference in the mean scores of sexual satisfaction (with its all dimensions: desire to have sex, sexual adjustment, quality of sexual life, sexual attitude) and infertility stress (and it's all dimensions: social concern, sexual concern, relationship concern, need for parenthood, life without children) between the two groups from pre- to post-intervention, and then over the one month follow-up period in the intervention group, while scores of control participants did not show this pattern during the study (p ˂ 0.001). Considering the partial Eta squared, the effect of intervention had the highest interaction effect on both variables of sexual satisfaction (η2 = 0.52) and infertility stress (η2 = 0.82). Conclusions Since whatsapp based GES sex model intervention had significant effect on infertility stress and sexual satisfaction. Therefore, it is recommended to be considered as one of the practical plans in the process of treatment and counseling of infertility. Trial registration number: IRCT20210926052593N1, The date of registration: 13-10-2021.

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Section: Discussionsupporting

confidence: 89%

Effect of Whatsapp Based Good Enough Sex Consultation on Infertility Stress and Sexual Satisfaction in Iranian Women Who Applied for Infertility Treatment: A Randomized Control Trial

Moghaddam-tabrizi¹,

Emdadi-Babanazar²,

Haghighi³

et al. 2023

Preprint

View full text Add to dashboard Cite

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Group Sex Counseling Based on a Modified “Good Enough Sex” Model: A Randomized Trial on Sexual Health Variables among Breast Cancer Survivors in Iran

Barjasteh,

Lopez,

Farnam

2024

Journal of Sex & Marital Therapy

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Sexual counseling for female sexual interest/arousal disorders: a randomized controlled trial based on the “good enough sex” model

Farahi,

HashemZadeh,

Farnam

2024

The Journal of Sexual Medicine

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Background Female sexual interest/arousal disorder (FSIAD) is the most common female sexual disorder with adverse effects on women’s health and interpersonal relationships. Aim This survey evaluated the effects of sexual counseling based on the “good enough sex” (GES) model on the sexual health variables of women with FSIAD. Methods A randomized clinical trial with a 1:1 allocation ratio was conducted among 80 women with FSIAD in Iran in 2021. Eligible participants were randomly assigned to group A (women) and group B (couples). Women attended 4 weekly online group sexual counseling sessions based on the GES model, each lasting 120 minutes. In group B, husbands participated in sessions 2 and 3. Outcomes Women’s sexual health parameters—including sexual desire, sexual satisfaction, sexual function, sexual distress, sexual communication, frequency of sexual intercourse, and dysfunctional beliefs—were evaluated before and 3 months after counseling. The significance threshold considered P < .007 due to Bonferroni correction. Results After the intervention, all sexual parameters except sexual dysfunctional beliefs showed significant improvement (P < .001) in both groups. During the follow-up period, the average scores for all sexual variables were slightly higher in group B vs group A. The between-group difference was significant only for frequency of sexual intercourse (P < .01). Clinical Implications This study reaffirms the impact of the GES model as biopsychosocial therapy in managing female sexual problems. Considering men’s reluctance to accompany their wives to sex clinics, counseling for women alone can play a significant role in solving sexual problems, especially in the case of FSIAD. Online sexual consultation offers cost and time savings, provides a secure space for discussing sensitive topics, and facilitates group program coordination. It ensures universal access to counseling, thereby addressing gender incompatibility issues. It is a powerful, interactive, and acceptable alternative to in-person visits, providing convenience and confidentiality for clients seeking sexual health support. Strengths and Limitations The following were among the survey strengths: conducting a randomized controlled trial on women with FSIAD by applying an appropriate model and scales, involving spouses, and evaluating online group sexual counseling. However, the results of this study may not be generalizable to women without partners. Conclusion The GES model, emphasizing intimacy and sexual dialogue, reduces unrealistic sexual expectations and improves women’s sexual desire and overall health. Our results showed that instead of insisting on the physical presence of husbands in counseling sessions, clinicians should emphasize their emotional support and companionship during the treatment process.

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The Effectiveness of ‘Good-Enough Sex Model’ on Sexual Satisfaction and Sexual Intimacy in Women with Multiple Sclerosis: A Randomized Trail

Cited by 5 publications

References 28 publications

Effect of Whatsapp Based Good Enough Sex Consultation on Infertility Stress and Sexual Satisfaction in Iranian Women Who Applied for Infertility Treatment: A Randomized Control Trial

Effect of Whatsapp Based Good Enough Sex Consultation on Infertility Stress and Sexual Satisfaction in Iranian Women Who Applied for Infertility Treatment: A Randomized Control Trial

Group Sex Counseling Based on a Modified “Good Enough Sex” Model: A Randomized Trial on Sexual Health Variables among Breast Cancer Survivors in Iran

Sexual counseling for female sexual interest/arousal disorders: a randomized controlled trial based on the “good enough sex” model

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