We subsequently decided to collapse two very similar compatibility items into one item, and made minor wording changes to a few other items to improve their readability. Although compatibility has not previously been proposed as an umbrella construct, we believe that global appraisal of compatibility is an important, distinct, and measurable facet of sexual satisfaction. Consent forms were stored separately from the questionnaires to ensure confidentiality. The literature suggests two main facets of relational sexual satisfaction: Numerous studies have found that sexual satisfaction is positively associated with indicators of relationship quality such as love [ 6 — 8 ], commitment [ 9 ], and stability [ 9 ], and is inversely related to likelihood of divorce [ 3 , 10 ]. Based on a review of the sexual satisfaction literature [ 1 — 26 ], we propose a primary distinction between personal and relational components of sexual satisfaction, both of which, we believe, are necessary to fully understand what constitutes sexual satisfaction in women. These scores fall within the range of that reported for sexually functional women [ 29 ]. Female sexual arousal involves a complex interplay of these very actions - the relaxation of smooth muscle tissue and the inflow of blood to the genital region. Hence, pharmacologically, it is feasible that GBE may be effective in enhancing female sexual arousal.
To date, there are no effective pharmacological antidotes for treating these sexual side effects. We subsequently decided to collapse two very similar compatibility items into one item, and made minor wording changes to a few other items to improve their readability. Sexual functioning will be assessed through a daily patient diary recordings, b patient-rating scales completed each week, and c blind independent evaluator ratings. The 12 distress items were generated based on their responses. With regard to personal components of sexual satisfaction, these would include both global judgements of overall sexual satisfaction such as that assessed by most current assessment instruments e. Adequate space was provided for each participant to maximize privacy. Methods Phase I involved the initial selection of items based on past literature and on interviews of women diagnosed with sexual dysfunction and an exploratory factor analysis. Female sexual arousal involves a complex interplay of these very actions - the relaxation of smooth muscle tissue and the inflow of blood to the genital region. Because the fourth factor was weakly defined and difficult to interpret, we opted for a three-factor solution. Phase III involved administration of the final questionnaire to a sample of women with clinically diagnosed sexual dysfunction and controls. Participants who registered for these testing sessions were aware of the sexual nature of the research. Conclusion The SSS-W is a brief, item measure of sexual satisfaction and sexual distress, composed of five domains supported by factor analyses: Mean FSFI domain scores were: Subjects ranged in age from 18 to 40 years. The publisher's final edited version of this article is available at J Sex Med See other articles in PMC that cite the published article. While end point criteria for treatment effectiveness such as increased frequency of sexual thoughts and behaviors, enhanced genital and subjective arousal, and enhanced orgasm frequency and intensity are undeniably important considerations, the clinical relevance of such changes may be questionable if not accompanied by clinically meaningful improvements in overall sexual satisfaction. Frank and colleagues [ 24 ] found that sexual dysfunction was also related to dissatisfaction among married couples, and the relation was particularly strong in women with arousal problems. We therefore conducted a principle components analysis on the intercorrelations among the 30 Phase II items, extracting four factors and rotating the factors to oblique simple structure via the direct oblimin method. Phase II involved an additional administration of the questionnaire, factor analyses, and refinement of the questionnaire items. To ensure confidentiality, each participant was randomly assigned a number associated with their data. Female researchers obtained informed consent, gave instructions, and answered any questions during the testing sessions. The final SSS-W scale represents the first multifaceted sexual satisfaction and distress scale that has been validated on a clinically diagnosed sample of women with sexual dysfunction. The ability of the SSS-W to discriminate between sexually functional and dysfunctional women was demonstrated for each of the SSS-W domain scores and total score. National Health and Social Life Survey [ 23 ] indicated that low desire and arousal concerns were the categories most strongly associated with dissatisfaction in women. Analyses of the U. Effective communication between partners could contribute to sexual satisfaction by facilitating closeness and intimacy, and by informing partners about sexual desires and preferences that, in turn, could lead to enhanced arousal and orgasm. Limited, uncontrolled studies lend support to this hypothesis.
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