Sexual problems among family medicine patients.
ABSTRACT A self-administered questionnaire assessing sexual satisfaction and presence of a number of common sexual problems was developed. Following assessment of reliability and validity, the questionnaire was administered to 142 patients seen in a family medicine center. While 56 percent of patients reported one or more sexual problems, such problems were noted in the medical record in 22 percent of the cases. The nature of many of the problems (ie, techniques of foreplay, fear of pregnancy, and differences in attitudes and expectations between partners) suggests an effective role in treatment for the primary care physician.
SourceAvailable from: Raffaella Michieli
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ABSTRACT: Introduction. Premature ejaculation (PE) is the most common male sexual dysfunction affecting men and their partners. Lack of community-based data describing this condition limits understanding of PE and its outcomes.Aim. To characterize PE in a large population of men with and without PE using patient-reported outcome (PRO) measures elicited from men and their partners.Methods. 4-week, multicenter, observational study of males (≥18 years) and their female partners in monogamous relationships (≥6 months). Screening, baseline, and follow-up visits scheduled at 2-week intervals. Clinicians diagnosed PE utilizing DSM-IV-TR criteria. Intravaginal ejaculatory latency time (IELT), measured by a stopwatch held by the partner, was recorded for each sexual intercourse experience. Subject and partner independently assessed PROs: control over ejaculation and satisfaction with sexual intercourse (0 = very poor to 4 = very good), personal distress and interpersonal difficulty (0 = not at all to 4 = extremely), and severity of PE (0 = none to 3 = severe).Results. Of the total study population (N = 1,587), 207 subjects were diagnosed with PE and 1,380 were assigned to the non-PE group. Median IELT (min) was 1.8 (range, 0–41) for PE and 7.3 (range, 0–53) for non-PE subjects (P < 0.0001). More PE vs. non-PE subjects gave ratings of “very poor” or “poor” for control over ejaculation (72% vs. 5%; P < 0.0001) and satisfaction with sexual intercourse (31% vs. 1%; P < 0.0001). More subjects in the PE vs. non-PE group gave ratings of “quite a bit” or “extremely” for personal distress (64% vs. 4%; P < 0.0001) and interpersonal difficulty (31% vs. 1%; P < 0.0001). Subject and partner assessments showed similar patterns and correlated moderately (0.36–0.57).Conclusions. PE subjects reported significantly shorter IELT. Overlap in IELT distributions was observed between the PE and non-PE groups, indicating the need for additional PRO measures to characterize PE. Shorter IELT was significantly associated with reduced ejaculatory control and sexual satisfaction and increased distress and interpersonal difficulty.Journal of Sexual Medicine 04/2005; 2(3):358 - 367. DOI:10.1111/j.1743-6109.2005.20353.x · 3.15 Impact Factor
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ABSTRACT: Objective To assess the prevalence of dyspareunia in perimenopausal sample of healthy Thai women. Design A cross-sectional descriptive study. Setting Department of Obstetrics and Gynecology, King Chulalongkorn Memorial Hospital. Methods 112 Women randomly selected from women between the ages of 40 and 55 presenting for gynecologic care at King Chulalongkorn Memorial Hospital. Main outcome measurement The prevalence of dyspareunia was reported as percentage with 95 % CI. Results The prevalence of dyspareunia was 44 %(95 % CI 43.2-44) for the past one year sexually active women who increased in economic problem, chemical use, duration of marital status, frequency of intercourse, dysmenorrhea, no contraception and abnormal PAP smear. Most dyspareunia occurred during intercourse (51%) in the past 3 years, located at vaginal entrance (55 %), mild degree (89%) and often affected themselves with caused by vaginal dryness (34%) according to their thought. 21 % of afflicted women had solved it by consulted physicians. Conclusions A high prevalence of dyspareunia (44 %) for perimenopausal Thai Women was observed. The implication for clinical practice was that sexual health or problem should be inquired asked for a regular part of health care service and the physicians should be encouraged to initiate discussions about dyspareunia.