Introduction Few studies have looked at prevalence estimates for female sexual dysfunctions in combination with personal distress, although existing diagnostic criteria for sexual disorders include both aspects. Further, the variation in female sexual function has been shown to be largely explained by unique nongenetic factors. Such factors may include partner sexual function and perception of sexual compatibility with a partner, factors which may also be associated with sexual distress. Aim We investigated the association between female sexual dysfunction and distress as well as their association with partner compatibility. Methods In order to assess sexual function and distress, the Female Sexual Function Index and seven items from the Female Sexual Distress Scale were used in a population-based sample of 5,463 women, aged 18–49 years. The women were, based on cutoff points, classified as either having neither dysfunction nor distress, one of them, or both, separately for each dysfunction. Further, the associations between partner compatibility, distress, and sexual dysfunctions were analyzed. Sexual compatibility with partner was investigated by using several items exploring, for example, amount of foreplay, interest in sex, and communication about sexual matters. Main Outcome Measures Associations between partner compatibility and female sexual function and sexual distress. Results The proportion of women reporting both sexual dysfunction and distress ranged from 7% to 23%, depending on the dysfunction. Desire disorders followed by orgasmic disorders were most common. All compatibility variables were significantly associated with distress and with most of the sexual dysfunctions. The main complaints of the women were “too little foreplay” (42%) and “partner is more interested” (35%). The women feeling distress or having a sexual dysfunction reported more incompatibility with partner compared with functional women. Conclusions The findings highlight the importance of addressing partner compatibility for successful treatment and counseling of female sexual dysfunctions.
Introduction A number of different theoretical approaches to understanding the etiology of ejaculatory dysfunction have been proposed, but no behavior genetic study has yet, to our knowledge, been conducted to explore the genetic and environmental influences on ejaculatory dysfunction. Aim The aim of the present study was to explore the genetic and environmental effects on premature (PE) and delayed (DE) ejaculation in a population-based sample. Methods The genetic and environmental influences on PE and DE were investigated in a population-based sample of 1,196 Finnish male twins, age 33–43 years, with 91 identical and 110 complete twin pairs. Several different aspects of ejaculatory function were measured by a self-report questionnaire (e.g., latency time, subjective experience of ejaculatory control). Factor analyses distinguished two subcomponents of ejaculatory function, and subsequently, composite variables measuring PE and DE were created. Structural equation modeling was performed on the composite variables. Main Outcome Measures Measurement of genetic and environmental effects on PE and DE. Results The results suggested moderate genetic influence (28%) on PE, but not on DE (0%). There was a moderate familial effect on DE with shared environmental effects accounting for 24% of the variance. However, omission of the shared environmental component did not directly result in a significantly decreased model fit for DE, and omission of the additive genetic component did not directly result in a significantly decreased fit for the PE model. Conclusions The findings from the present study provide useful information regarding the etiology and understanding of ejaculatory dysfunction.
The existence of genetic effects on gender atypical behavior in childhood and sexual orientation in adulthood and the overlap between these effects were studied in a population-based sample of 3,261 Finnish twins aged 33-43 years. The participants completed items on recalled childhood behavior and on same-sex sexual interest and behavior, which were combined into a childhood gender atypical behavior and a sexual orientation variable, respectively. The phenotypic association between the two variables was stronger for men than for women. Quantitative genetic analyses showed that variation in both childhood gender atypical behavior and adult sexual orientation was partly due to genetics, with the rest being explained by nonshared environmental effects. Bivariate analyses suggested that substantial common genetic and modest common nonshared environmental correlations underlie the co-occurrence of the two variables. The results were discussed in light of previous research and possible implications for theories of gender role development and sexual orientation.
Associations between number of children, pregnancy, and overall relationship satisfaction were explored in a population-based sample of 2081 women, aged 33-43 years. Multiparous women had less orgasm problems compared to nulliparous women. Nulliparous women had more pain problems and were sexually less satisfied compared to women with children, regardless of the number. Women pregnant with the first child had fewer pain problems compared to a matched nonpregnant control and were sexually more satisfied. Being more satisfied with the overall relationship was related to higher sexual satisfaction and less sexual function problems.
A number of theoretical approaches to understanding the etiology of ejaculatory dysfunction have been proposed, but no study has yet found conclusive evidence that premature (PE) or delayed (DE) ejaculation is under genetic control. We conducted twin model fitting analyses on different indicator variables of ejaculatory function on a population-based sample of 3946 twins and their siblings (age 18-48; mean ¼ 29.9 years) to investigate genetic, shared environmental and unique environmental effects on PE and DE. A significant moderate genetic effect (28%) was found for PE. No clear-cut familial effect could be detected for DE. Significant associations between ejaculatory function and age were detected, but effects of age were generally very weak. The findings from the present study provide useful information regarding the etiology and understanding of ejaculatory dysfunction.
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