Sexologies最新文献

Background and aim

Couples’ communication concerning sexual issues is influenced by various individual and social factors. The present study investigated the socio-demographic predictors of dyadic sexual communication among married women of reproductive age.

Methods

A cross-sectional survey study was conducted from May to October 2019 in comprehensive health centers of Qazvin City, Iran. The participants comprised 400 married women with mean age of 35.66 years recruited via a two-stage sampling method. The Dyadic Sexual Communication Scale (DSCS) and a socio-demographic questionnaire were used for data collection. Univariable and multivariable linear regression models with a significance level of 0.05 were used for statistical analysis.

Results

The mean score of sexual communication was 59.19 out of 78 (SD = 12.63). Based on multivariable linear regression model, life satisfaction (β = 0.34 high vs. moderate), frequency of sexual intercourse (β = 0.20), moderate vs. poor economic status (β = 0.12), and using contraception (β = −0.09) were predictors of good dyadic sexual communication. These variables explained 32% of the variance concerning dyadic sexual communication among married women of reproductive age.

Conclusion

Life satisfaction, frequency of sexual intercourse, moderate economic status, and using contraception were predictors of good dyadic sexual communication.

Due to the relationship between the employment of married women and some cultural and religious beliefs in Iranian society, working women were used to examine their experiences to explain the spiritual and cultural factors affecting sexuality. This qualitative research whose information was obtained through face-to-face interviews with semi-structured and open-ended questionnaires and Interviews were conducted with 26 working women to examine their experiences to explain the spiritual and cultural factors affecting sexuality. The method of sampling was purposeful and data analysis was performed using qualitative content analysis by MAXQDA software. Data analysis from interviews resulted in the formation of 223 primary inferential codes, 1 main category and 4 subcategories. The results of data analysis are presented in a main category including “the effectiveness of spirituality and culture on sexuality”. This main category consists of four subcategories “Committed behavior”, “Ideas related to paying attention to the sexual needs of the spouse”, “Excessive expectations from working women” and “Promoting beliefs”. The experiences of working women showed that Spiritual and cultural factors in Iranian society affect sexuality. This effect is in most cases a positive effect on sexuality and in a few cases has a negative effect on sexuality.

Objective

To create biomechanical models of five common coital positions, and evaluate the degree of contact and forces against the clitoris. To evaluate clitoral blood flow before and after engaging in these positions.

Methods

Biomechanical models were rendered of a male and female pelvis in the following coital positions: face-to-face/female above, sitting/face-to-face, face-to-face/male above (with and without pillow), and kneeling/rear entry. The thrusting force and gravitational force were estimated for the pelvis(es) providing the main forces. The areas of contact between the pelvises were identified and highlighted. Sonography of the clitoris was performed before and after a healthy volunteer couple engaged in each position, using a Philips Lumify™ ultrasound (Koninklijke Philips N.V., Amsterdam, Netherlands) with a L12-4 linear array transducer (4–12 MHz).

Results

The biomechanical models for each position, with the exception of kneeling/rear entry, reveal a large amount of contact with the clitoris. Clitoral blood flow increased after engaging in each position except for kneeling/rear entry. Positions in which the gravitational force of the thrusting partner was in the same direction of (and thereby augmenting) the thrusting force resulted in intense clitoral blood flow (face-to-face/female above, and face-to-face/male above). Augmenting the face-to-face/male above position with a pillow generated a component of the male pelvic gravitational force in the direction of the clitoris; this resulted in more blood flow to all components of the cavernous body.

Conclusion

From a biomechanical perspective, different coital positions vary in their potential to stimulate the clitoris. These positions lead to variable increases in clitoral blood flow, concordant with our biomechanical models.

Now, accepted treatments for Female Sexual Dysfunction (FSD) are limited to surgical, psychological, behavioral, hormonal and psychopharmacologic interventions. Because of the complex and multifactorial nature of FSD, current therapeutic options may leave a subset of women suffering with sexual dysfunction without clinical improvement and may be with side effects of the procedures. This is a study to evaluate the effect of platelet rich plasma (PRP) in treating FSD FGM/C. PRP was administered to the anterior vaginal wall (1 session), clitoris of 45 females with FGM/C and non-FGM/C with sexual dysfunction and orgasmic disorder [Female Sexual Function Index (FSFI) total score ≤ 26 orgasmic subdomain score ≤ 3.75]. The correlation between PRP sessions and FSFI domain scores was done with Pearson's correlation and linear regression analysis. Following the application of the PRP, the total FSFI score was converted significantly in both FGM/C and non-FGM/C (P < 0.05). A significant change was observed in all sub-domains of FSFI score after PRP (P < 0.05). The total FSFI score increased in all 45 females [16 non-FGM/C and 29 FGM/C] (P < 0.05). That correlations between all sub-domains of FSFI score before and after PRP injection were significantly positive (P < 0.05). Also, there were statistically significant positive correlations between total FSFI scores before and after PRP injection, and sociodemographic and obstetric characteristics of the study population in both FGM/C and non-FGM/C. As a minimally invasive method, PRP administration to the distal anterior vaginal wall may improve female sexuality with high satisfaction in FGM/C.

Objectives

Over 50% of women in the United States report using sexual devices. These devices, which are often used recreationally to increase the likelihood of arousal and orgasm, can also be used therapeutically in the setting of sexual dysfunction. Despite their widespread use and association with improved sexual wellness, their effect on the clitoris has not been investigated. We aimed to evaluate changes in clitoral blood flow and size in response to stimulation with various sexual devices.

Methods

Clitoral sonography was performed on a healthy volunteer before and after stimulation with each of the following sexual devices: wand applied externally, internal vibrator inserted vaginally, and air pulse stimulation of the glans clitoris. The scans were obtained with a Philips Lumify™ ultrasound (Koninklijke Philips N.V., Amsterdam, Netherlands) using a L12-4 linear array transducer (4–12 MHz) and a C5-2 broadband curved array transducer (2–5 MHz).

Results

We observed that stimulation with sexual devices increased blood flow to different areas of the clitoris, and led to changes in clitoral area and clitoral erectile length (CEL).

Conclusion

Our findings suggest that female orgasms are of more than one or two types (clitoral versus vaginal), and likely occupy a spectrum. This may provide insight into using sexual devices as treatment options for female sexual dysfunction.

Objectif

Plus de 50 % des femmes aux États-Unis déclarent utiliser des dispositif sexuels, souvent utilisés à des fins récréatives pour augmenter la probabilité d’excitation et d’orgasme. Ils peuvent être également utilisés à des fins thérapeutiques dans le cadre d’un dysfonctionnement sexuel. Malgré leur utilisation répandue et leur association à l’amélioration du bien-être sexuel, leur effet sur le clitoris n’a pas été étudié. Nous avons cherché à évaluer les modifications du débit sanguin et de la taille du clitoris en réponse à la stimulation par divers sex toys.

Méthodes

L’échographie clitoridienne a été réalisée sur une volontaire en bonne santé avant et après la stimulation avec chacun des dispositifs sexuels suivant : wand (masseur à baguette), vibromasseur interne inséré par voie vaginal, et stimulation par impulsion d’air du gland du clitoris. Les scans ont été obtenus avec un système à ultrasons Philips Lumify™ (Koninklijke Philips NV, Amsterdam, Pays-Bas) utilisant un transducteur à réseau linéaire L12-4 (4–12 MHz) et un transducteur à réseau incurvé à large bande C5-2 (2–5 MHz).

Résultats

Nous avons observé que la stimulation avec des jouets sexuels augmentait le flux sanguin vers différentes zones du clitoris et entraînait des modifications de la zone clitoridienne et de la longueur érectile.

Conclusions

Nos résultats suggèrent q