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Frequency of sexual dysfunction in "normal" couples.

E Frank, C Anderson, D Rubinstein

    The New England Journal of Medicine
    |July 20, 1978
    PubMed
    Summary
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    Many couples report sexual difficulties, not just dysfunctions. These common sexual problems significantly impact overall sexual satisfaction more than diagnosed dysfunctions.

    Area of Science:

    • Sexology
    • Psychology
    • Sociology

    Background:

    • Sexual health is crucial for marital satisfaction.
    • Prevalence of sexual dysfunction and difficulties in couples is underreported.
    • Understanding the impact of various sexual issues on satisfaction is vital.

    Purpose of the Study:

    • To investigate the frequency of sexual problems in married couples.
    • To examine the relationship between sexual problems and sexual satisfaction.
    • To differentiate between sexual dysfunctions and general sexual difficulties.

    Main Methods:

    • A self-report questionnaire was administered to 100 predominantly white, well-educated, happily married couples.
    • Data collected on the frequency of sexual dysfunctions (e.g., erectile dysfunction, orgasmic dysfunction) and sexual difficulties (e.g., lack of interest).

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  • Statistical analysis to correlate reported problems with overall sexual satisfaction.

    • Main Results:

    • Over 80% of couples reported happy marital and sexual relations.
    • 40% of men reported erectile or ejaculatory dysfunction; 63% of women reported arousal or orgasmic dysfunction.
    • 50% of men and 77% of women reported non-dysfunctional sexual difficulties.
    • The number of reported difficulties was more strongly linked to sexual dissatisfaction than dysfunctions.

    Conclusions:

    • Sexual difficulties, beyond diagnosed dysfunctions, are common in seemingly satisfied couples.
    • These difficulties significantly impact overall sexual satisfaction.
    • Clinical assessment should consider a broader range of sexual issues impacting couples' satisfaction.