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Treatment of secondary orgasmic dysfunction: an outcome study
Archives of Sexual Behavior
|June 1, 1986
Summary
This study found that while sexual therapy initially reduced dissatisfaction and improved sexual harmony for women with secondary orgasmic dysfunction, these benefits did not last. Gains were more significant for couples with lower relationship adjustment.
Area of Science:
- Sexology
- Clinical Psychology
- Reproductive Health
Background:
- Secondary orgasmic dysfunction affects women's sexual satisfaction.
- Effective treatment formats for this condition require further investigation.
Purpose of the Study:
- To compare the effectiveness of different sexual therapy formats for secondary orgasmic dysfunction.
- To evaluate treatment outcomes at posttest and 6-month follow-up.
Main Methods:
- 55 couples with female secondary orgasmic dysfunction participated.
- Treatments included sexual reeducation, communication skills, sexual skills, or combination formats.
- Control groups received attention-comparison or were on a waiting list.
Main Results:
- No significant differences were found between specific treatment formats.
- Combined treatments initially improved sexual harmony and reduced dissatisfaction compared to controls.
- Initially, more women in treatment groups achieved coital orgasms, but this effect diminished over time.
- Couples with lower relationship adjustment showed greater improvements in coital orgasmic frequency.
Conclusions:
- Sexual therapy formats showed limited long-term effectiveness for secondary orgasmic dysfunction.
- Initial improvements in sexual satisfaction and function were not sustained at follow-up.
- Relationship adjustment may influence treatment outcomes for coital orgasmic frequency.