“Standard Operating Procedures for Female Orgasmic Disorder” is not Based on Best Evidence

Brody, Stuart; Costa, Rui Miguel; Heß, Ursula

doi:10.1111/jsm.12159

Cited by 9 publications

(11 citation statements)

References 47 publications

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“…Masturbation might be a depressing activity, and not simply because of lack of other sexual activities. The automatic practice of some sex therapists is to assign masturbation for a variety of conditions, without considering either treatment alternatives or the potentially adverse effects of masturbation (Brody, Costa, & Hess, 2013).…”

Section: Discussionmentioning

confidence: 99%

Immature psychological defense mechanisms are associated with women's greater desire for and actual engaging in masturbation

Brody

Nicholson

2013

Sexual and Relationship Therapy

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Section: Discussionmentioning

confidence: 99%

Immature psychological defense mechanisms are associated with women's greater desire for and actual engaging in masturbation

Brody

Nicholson

2013

Sexual and Relationship Therapy

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“…Anxiety, depression, attentional focus on sexual cues, clarity of emotional states, effective emotion regulation strategies, body image, concerns about pregnancy, guilty about sex, sexual inexperience, history of childhood maltreatment, adult experiences of sexual abuse, and negative attitudes toward sex are some of the most important factors that constitute this area [9]. However, recent attention has been conducted toward a complete and integral study of sexual stimuli to the clitoris, vagina, and other potential sensory areas that may have independent parts in successfully acquiring an orgasm [10]. In our study, the principal psychological factor evaluated was couple's sexual dynamics; unfortunately, no significant relationship with OD was found.…”

Section: Discussionmentioning

confidence: 99%

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

Villeda-Sandoval

Calao-Pérez

González

et al. 2014

The Journal of Sexual Medicine

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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.

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“…Hurlbert and Apt (), using a nonclinical population of married women, compared the efficacy of the DM technique ( n = 17 women) against the ‘coital alignment technique (CAT) ( n = 19 women) to enhance orgasmic consistency during coitus. While CAT yielded ‘somewhat more positive outcome’ than DM in ‘instances where differences in workshop were discovered’ their conclusion, however, was that combining the two treatment modes would prove more beneficial than either alone' a conclusion not surprisingly overlooked by Brody, Costa, and Hess () in their criticism of the use of DM. In their review of women's orgasm Meston, Levin, Hull et al (2004) listed 10 studies (1976–87) that utilized DM in treating orgasmic dysfunction and all but one registered positive outcome of orgasmic frequency with their sexual partner.…”

Section: Clitoral Stimulation As a Treatment For Orgasmic Dysfunctionmentioning

confidence: 96%

“…In their review of women's orgasm Meston, Levin, Hull et al (2004) listed 10 studies (1976–87) that utilized DM in treating orgasmic dysfunction and all but one registered positive outcome of orgasmic frequency with their sexual partner. Despite all these published successes using DM, Brody et al, () especially criticize treatments using clitoral stimulation (DM) supported in the review by Laan et al, (). Brody et al () and Brody () promote CAT uncritically as the coital treatment for the condition that they claim avoids clitoral stimulation.…”

Section: Clitoral Stimulation As a Treatment For Orgasmic Dysfunctionmentioning

confidence: 99%

“…Despite all these published successes using DM, Brody et al, () especially criticize treatments using clitoral stimulation (DM) supported in the review by Laan et al, (). Brody et al () and Brody () promote CAT uncritically as the coital treatment for the condition that they claim avoids clitoral stimulation. This technique, and what it actually stimulates, is discussed critically in the next sections.…”

Section: Clitoral Stimulation As a Treatment For Orgasmic Dysfunctionmentioning

confidence: 99%

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The clitoral activation paradox — Claimed outcomes from different methods of its stimulation

Levin

2018

Clinical Anatomy

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This article reviews clitoral structures, their functions and how they are activated during the stages of female life. The paradox that occurs is that different procedures of activation are claimed by some to favor 'noxious outcomes' to the physical and psychic health of women who use it to achieve sexual arousal/orgasm with or without penile vaginal intercourse. A number of the difficulties and inconsistencies in relation to these claims are explored. The proposed justification for the 'noxious outcomes' is that 'evolution' punishes sexual arousals other than by coitus because it is the only one that leads to gene propagation. In this context, however, the new, evolutionary interpretation of clitoral function in the fertile years as a fundamental proximate mechanism for facilitating female reproductive fitness makes such a justification improbable. The role of coital alignment technique (CAT) in the treatment of female orgasmic disorder is discussed in relation to its features of introital, clitoral and periurethral glans stimulation. Attempts to control female sexuality through various 'clitoridectomies' are examined, and unanswered questions about clitoral stimulation are listed. Clin. Anat. 31:650-660, 2018. © 2018 Wiley Periodicals, Inc.

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“Standard Operating Procedures for Female Orgasmic Disorder” is not Based on Best Evidence

Cited by 9 publications

References 47 publications

Immature psychological defense mechanisms are associated with women's greater desire for and actual engaging in masturbation

Immature psychological defense mechanisms are associated with women's greater desire for and actual engaging in masturbation

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

The clitoral activation paradox — Claimed outcomes from different methods of its stimulation

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