Women's sexual dysfunction: revised and expanded definitions.
ABSTRACT Acceptance of an evidence-based conceptualization of women's sexual response combining interpersonal, contextual, personal psychological and biological factors has led to recently published recommendations for revision of definitions of women's sexual disorders found in the American Psychiatric Association's Diagnostic and Statistical Manual (DSM-IV-TR). DSM-IV definitions have focused on absence of sexual fantasies and sexual desire prior to sexual activity and arousal, even though the frequency of this type of desire is known to vary greatly among women without sexual complaints. DSM-IV definitions also focus on genital swelling and lubrication, entities known to correlate poorly with subjective sexual arousal and pleasure. The revised definitions consider the many reasons women agree to or instigate sexual activity, and reflect the importance of subjective sexual arousal. The underlying conceptualization of a circular sex-response cycle of overlapping phases in a variable order may facilitate not only the assessment but also the management of dysfunction, the principles of which are briefly recounted.
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ABSTRACT: The World Health Organization emphasizes on integration of sexual health into primary health care services, educating people and health care workers about sexuality, and promoting optimal sexual health. Despite the high prevalence of sexual problems, these problems are poorly managed in primary health care services. This study was conducted to evaluate the efficacy and feasibility of the first two steps of PLISSIT (Permission, Limited Information, Specific Suggestions, Intensive Treatment) model for handling of women sexual problems in a primary health care setting. This was a quasi-experimental study that was carried out in Zanjan, northwest of Iran. Eighty women who had got married in the past 5 years and had sexual problem were randomly assigned to control and intervention groups. The intervention group received consultation based on PLISSIT model by a trained midwife and the control group received routine services. Female Sexual Function Index (FSFI) questionnaire was used for assessing and tracking any changes in sexual function. Data were collected at three points: Before consultation and 2 and 4 weeks after consultation. Paired t-test and repeated measures analysis of variance (ANOVA) test were used for comparison of scores within groups. Significant improvement was found in FSFI sub-domain scores, including sexual desire (P < 0.0001), arousal (P < 0.0001), lubrication (P < 0.0001), orgasm (P = 0.005), satisfaction (P = 0.005), pain (P < 0.0001), and FSFI total score (P < 0.0001) in the intervention group compared to the control group. This study showed that PLISSIT model can meet the sexual health needs of clients in a primary health care setting and it can be used easily by health workers in this setting for addressing sexual complaints and dysfunctions.Iranian journal of nursing and midwifery research 01/2015; 20(1):139-46.
Article: Rational-Emotional ‘Divorce’ in Iran[Show abstract] [Hide abstract]
ABSTRACT: This study investigates emotional divorce in marriage in everyday life in Iran from a female perspective. Many studies have been conducted on divorce but there is vacuum in the field of emotional divorce in regard to how it is defined and which research methodologies are most appropriate. This study aims to understand the participant’s construct of emotional divorce as well as its mechanism and causes, using grounded theory to achieve a deep and holistic understanding of the issues. Analytic induction and theoretical saturation were the criteria for selecting 22 women with severe marital dissatisfaction, as subjects for the research. One of the core ideas considered is that emotional divorce increases when formal, legal divorce is difficult to obtain, Findings cover four fields including: (1) social contexts such as patriarchy, the presence of stepfathers, and female passivity; (2) intensifying factors such as men’s sex vs. women’s love and the presence of a rival wife; (3) unequal exchange and (4) the sense of inequality, rational divorce and finally emotional divorce itself. Our research findings show the occurrence of ‘emotional divorce’ often arises from rational calculation. Unequal exchange results in the sense of inequality as the main cause of emotional divorce.Applied Research in Quality of Life 03/2014; 10(1). DOI:10.1007/s11482-014-9303-9 · 0.74 Impact Factor
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ABSTRACT: Our research has been aimed at understanding the experience, practice, and sexual life in a group of Spanish women over 50 years of age. We studied a sample of 729 women between 50 and 80 years old. Our results provide qualitative and quantitative information and important insights about the sexual life of Spanish women and identify differences in the experience and reality of sexual life after the age of 70. The status of having or lacking a partner, and a personal interest in emotional relationships and sexual practices, are elements that determine the possibility of enjoying a satisfying postmenopausal sexuality.Journal of Women & Aging 01/2015; 27(1):1-24. DOI:10.1080/08952841.2014.928566 · 0.58 Impact Factor