Department of Andrology, Kasr El Aini Faculty of Medicine, Cairo University, Giza Governorate, Egypt.
Sexological Clinic, Psychiatric Center Copenhagen, Copenhagen, Denmark.
J Sex Med. 2020 Jun;17(6):1133-1143. doi: 10.1016/j.jsxm.2020.01.029. Epub 2020 Mar 20.
Few studies have investigated women's experiences with orgasm and the factors that they cite as important for their orgasmic function and sexual behavior related to foreplay and sexual stimulation.
To investigate and describe overall sexual function in a cohort of North American women, with a special focus on orgasmic function, satisfaction, triggers, risk factors, and sexual behavior.
A total of 303 women aged 18-75 years completed a 100-questionnaire survey, which included the Female Sexual Function Index (FSFI) questionnaire and questions on orgasmic function, duration of sexual activity, sexual behaviors and relationship, and the partner's sexual function. Statistical analysis was performed using SPSS to illuminate factors affecting sexual function.
The main outcome measures are FSFI score, satisfaction with sexual life, ability to reach orgasm, orgasm frequency, preferred sexual stimulation, and sexual habits.
FSFI scores, which were calculated for the 230 women who reported having had a steady male sex partner in the preceding 6 months, showed that 41% of the 230 women were at risk for female sexual dysfunction (a cutoff less than 26.55) and 21% were dissatisfied with their overall sexual life. Almost 90% of the overall cohort reported good emotional contact with their partner, that their partner was willing to have sex, satisfaction with the partner's penis size (wherever applicable), and good erectile function and ejaculatory control of their partner (wherever applicable). 81% of the overall cohort claimed to be sexually active. Around 70% (70-72) did reach orgasm frequently, but around 10% never did so. Vaginal intercourse was reported by 62% of the overall cohort as the best trigger of orgasm, followed by external stimulation from the partner (48%) or themselves (37%). External stimulation was reported to be the fastest trigger to orgasm.
The knowledge on how women reach orgasm and how it is related to the partners' willingness to have sex and other factors can be incorporated in the clinical work.
STRENGTHS & LIMITATIONS: The use of a validated questionnaire and the relative large number of participants are strengths of the study. Limitations are the cross-sectional design, the lack of a sexual distress measure, and a possible selection bias.
Most women in the overall cohort were satisfied overall with their sexual life and partner-related factors, even though 41% (of those who cited a steady sex male partner) were at risk for female sexual dysfunction. Most women did reach orgasm through different kinds of stimulation. Correlation was good between preferred and performed sexual activities and positions. Shaeer O, Skakke D, Giraldi A, et al. Female Orgasm and Overall Sexual Function and Habits: A Descriptive Study of a Cohort of U.S. Women. J Sex Med 2020;17:1133-1143.
很少有研究调查女性的性体验以及她们认为对其性器官功能和与前戏和性刺激相关的性行为重要的因素。
调查和描述北美女性的整体性功能，特别关注性器官功能、满意度、触发因素、风险因素和性行为。
共有 303 名 18-75 岁的女性完成了一份 100 个问题的调查问卷，其中包括女性性功能指数（FSFI）问卷和关于性器官功能、性活动持续时间、性行为和关系以及伴侣性功能的问题。使用 SPSS 进行统计分析，以阐明影响性功能的因素。
主要结果测量指标为 FSFI 评分、对性生活的满意度、达到性器官高潮的能力、性器官高潮的频率、喜欢的性刺激和性习惯。
大多数女性对整体性生活和伴侣相关因素感到满意，尽管 41%（有稳定男性性伴侣的女性）存在女性性功能障碍的风险。大多数女性通过不同类型的刺激达到性器官高潮。偏好和进行的性行为以及性姿势之间相关性良好。Shaeer O, Skakke D, Giraldi A, et al. 女性性器官高潮和整体性功能和习惯：美国女性队列的描述性研究。性医学杂志 2020;17:1133-1143.
