Orgasmic Dysfunction: Prevalence and Risk Factors from a Cohort of Young Females in Mexico

Abstract

Introduction Orgasmic dysfunction (OD) is defined as the inability to achieve an orgasm, markedly diminished intensity of orgasmic sensations, or marked delay of orgasm during any kind of sexual stimulation. OD definition and method of diagnosis vary widely across studies. Aim The aim of this study was to identify the prevalence and risk factors that predispose Mexican women to OD. Methods A representative sample of women from Mexico City was surveyed using an online website. Women between 18 to 40 years old were selected, and the orgasm domain from the Female Sexual Function Index was used to identify OD. A cutoff point was calculated using a construct with a histogram and calculated median. A univariate and multivariate analysis was conducted to examine the relationship between potential risk factors and sexual function. Main Outcome Measures OD prevalence; significant risk factors on multivariate analysis. Results OD prevalence was 18.3%. Univariate analysis showed younger age (P = 0.01), lower degree of education (P = 0.02), single marital status (P = 0.038), and dissatisfaction with the thickness and/or size of partner's penis (P = 0.01) as significant variables related to OD. In multivariate analysis, younger age (P = 0.01) and dissatisfaction with the thickness/size of partner's penis (hazard ratio 3.04, P = 0.01) remained significant. Conclusion OD is a prevalent alteration in young women. Marital status, education, and dissatisfaction with thickness/size of partner's penis are definitely related variables.

Prevalence and risk factors of female sexual dysfunction in low-risk women attending gynecology clinic at Kasr Alainy hospital: a cross-sectional study

“…Similar differences in the impact were discovered for parity, family income, employment, and partnership status. 23 In our study, we noted highly statistically significant association between sexual dysfunction and nulliparity, previous episiotomy, higher CS, circumcision and no contraception and vaginitis or cervicitis.…”

“…According to Villeda Sandoval et al, 23 as women in their 30s gain greater self-awareness and ease embracing and expressing their sexuality, they may exhibit fewer dysfunctional symptoms. Similar differences in the impact were discovered for parity, family income, employment, and partnership status.…”

“…Among the variables with questionable impacts were age, education, work status, parity, relationship status, frequency of intercourse, race, alcohol consumption, smoking, and masturbation. 23 Specific to Asian population research were risk variables such masturbation, a widespread acceptance of pornography, liberal sex norms, and understanding of clitoris. These women are seen as non-traditional in these civilizations, as Lou et al clarify.…”

Predictors of female sexual dysfunction: a systematic review and qualitative analysis through gender inequality paradigms

“…Other studies showed a U-shaped prevalence of sexual dysfunction, with younger and older women being most affected [ 113 ]. Women in their 30s may show fewer symptoms of dysfunction as they learn more about their preferences and become more comfortable accepting and expressing their sexuality [ 103 ]. Similar variation in the effect (whether positive or negative) was found for employment, income, partnership status, and parity.…”