Volume 15, Issue 8 (9-2017)                   IJRM 2017, 15(8): 479-490 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Nekoolaltak M, Keshavarz Z, Simbar M, Nazari A M, Baghestani A R. Women’s orgasm obstacles: A qualitative study. IJRM. 2017; 15 (8) :479-490
URL: http://journals.ssu.ac.ir/ijrmnew/article-1-844-en.html
1- Student Research Office, Depatment of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran, Iran
2- Depatment of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran, Iran , keshavarzzohre57@gmail.com
3- Midwifery and Reproductive Health Research Center, Shahid Beheshti University of Medical Science, Tehran, Iran, Iran
4- Department of Nursing and Midwifery, Shahrood University of Medical Science, Shahrood, Iran, Iran
5- Department of Biostatistics, School of Allied Medical Science, Shahid Beheshti University of Medical Sciences, Tehran, Iran, Iran
Abstract:   (346 Views)
Background: Woman’s orgasm plays a vital role in sexual compatibility and marital satisfaction. Orgasm in women is a learnable phenomenon that is influenced by several factors.
Objective: The aim of this study is exploring obstacles to orgasm in Iranian married women.
Materials and Methods: This qualitative study with directed content analysis approach was conducted in 2015-2016, on 20 Iranian married women who were individually interviewed at two medical clinics in Tehran, Iran.
Results: Orgasm obstacles were explored in one category, 4 subcategories, and 25 codes. The main category was “Multidimensionality of women’s orgasm obstacles”. Subcategories and some codes included: Physical obstacles (wife’s or husband’s boredom, vaginal infection, insufficient vaginal lubrication), psychological obstacles (lack of sexual knowledge, shame, lack of concentration on sex due to household and children problems), relational obstacles (husband’s hurry, having a dispute and annoyance with spouse) and contextual obstacles (Irregular sleep hours, lack of privacy and inability to separate children’s bedroom from their parents, lack of peace at home).
Conclusion: For prevention or treatment of female orgasm disorders, attention to physical factors is not enough. Obtaining a comprehensive history about physical, psychological, relational and contextual dimensions of woman’s life is necessary.
Full-Text [PDF 883 kb]   (115 Downloads) |   |   Full-Text (HTML)  (19 Views)  
Type of Study: Original Article |
Received: 2017/10/1 | Accepted: 2017/10/14 | Published: 2017/10/14

References
1. Balon R, Segraves RT. Handbook of sexual dysfunction. Taylor & Francis US, London; 2005.
2. Rossi AS. Eros and Caritas: A biopsychosocial approach to human sexuality and reproduction. Sexuality across the life course; 1994: 3-36.
3. Emhardt E, Siegel J, Hoffman L. Anatomic variation and orgasm: Could variations in anatomy explain differences in orgasmic success? Clin Anat 2016; 29: 665-672. [DOI:10.1002/ca.22703]
4. Gravina GL, Brandetti F, Martini P, Carosa E, Di Stasi SM, Morano S, et al. Measurement of the thickness of the urethrovaginal space in women with or without vaginal orgasm. J Sex Med 2008; 5: 610-618. [DOI:10.1111/j.1743-6109.2007.00739.x]
5. Wallen K, Lloyd EA. Female sexual arousal: Genital anatomy and orgasm in intercourse. Horm Behav 2011; 59: 780-792. [DOI:10.1016/j.yhbeh.2010.12.004]
6. Treatment of female orgasmic disorder. Available at: http://www.uptodate.com/ contents/treatment-of-female-orgasmic disorder?source=search_result& search=orgasm&selectedTitle=2~79.
7. Harris JM, Cherkas LF, Kato BS, Heiman JR, Spector TD. Normal variations in personality are associated with coital orgasmic infrequency in heterosexual women: A population‐based study. J Sex Med 2008; 5: 1177-1183. [DOI:10.1111/j.1743-6109.2008.00800.x]
8. Kelly MP, Strassberg DS, Kircher JR. Attitudinal and experiential correlates of anorgasmia. Arch Sex Behav 1990; 19: 165-177. [DOI:10.1007/BF01542230]
9. Dunn KM, Croft PR, Hackett GI. Association of sexual problems with social, psychological, and physical problems in men and women: a cross sectional population survey. J Epidemiol Community Health 1999; 53: 144-148. [DOI:10.1136/jech.53.3.144]
10. Najafabady MT, Salmani Z, Abedi P. Prevalence and related factors for anorgasmia among reproductive aged women in Hesarak, Iran. Clinics 2011; 66: 83-86. [DOI:10.1590/S1807-59322011000100015]
11. Kelly MP, Strassberg DS, Turner CM. Communication and associated relationship issues in female anorgasmia. J Sex Marital Ther 2004; 30: 263-276. [DOI:10.1080/00926230490422403]
12. Nekoolaltak M, Keshavarz Z, Simbar M, Nazari AM. Sexual talk with the spouse: Sarcastic or Soothing? Int J Hum Cultur Stud 2016; 3: 1331-1349.
13. Kelly MP, Strassberg DS, Turner CM. Behavioral assessment of couples' communication in female orgasmic disorder. J Sex Marital Ther 2006; 32: 81-95. [DOI:10.1080/00926230500442243]
14. Frederick DA, Lever J, Gillespie BJ, Garcia JR. What Keeps Passion Alive? Sexual Satisfaction Is Associated With Sexual Communication, Mood Setting, Sexual Variety, Oral Sex, Orgasm, and Sex Frequency in a National US Study. J Sex Res 2017: 54: 186-201. [DOI:10.1080/00224499.2015.1137854]
15. Frith H. Sexercising to orgasm: Embodied pedagogy and sexual labour in women's magazines. Sexualities 2015; 18: 310-328. [DOI:10.1177/1363460714550912]
16. Frith H. Labouring on orgasms: embodiment, efficiency, entitlement and obligations in heterosex. Cult Health Sex 2013; 15: 494-510. [DOI:10.1080/13691058.2013.767940]
17. Klapilová K, Brody S, Krejčová L, Husárová B, Binter J. Sexual satisfaction, sexual compatibility, and relationship adjustment in couples: the role of sexual behaviors, orgasm, and men's discernment of women's intercourse orgasm. J Sex Med 2015; 12: 667-675. [DOI:10.1111/jsm.12766]
18. Hurlbert DF, White LC, Powell RD, Apt C. Orgasm consistency training in the treatment of women reporting hypoactive sexual desire: An outcome comparison of women-only groups and couples-only groups. J Behav Ther Exp Psychiatr 1993; 24: 3-13. [DOI:10.1016/0005-7916(93)90003-F]
19. Mark KP, Milhausen RR, Maitland SB. The impact of sexual compatibility on sexual and relationship satisfaction in a sample of young adult heterosexual couples. Sex Relat Ther 2013; 28: 201-214. [DOI:10.1080/14681994.2013.807336]
20. Rahmani A, Merghati Khoei E, Alahgholi L. Sexual satisfaction and its relation to marital happiness in Iranians. Iran J Public Health 2009; 38: 77-82.
21. Merghati-Khoei E, Zargham-Boroujeni A, Salehi M, Killeen TK, Momeni G, Pasha Y, et al. Saturated love leading to sexual pleasure: Iranian women's narratives. Caspian J Appli Sci Res 2015; 4: 20-29.
22. Gałecki P, Depko A, Jȩejewska D, Talarowska M. Human orgasm from the physiological perspective - Part I. Pol Merkur Lekarski 2012; 33: 48-50.
23. Parker R. Sexuality, culture and society: shifting paradigms in sexuality research. Cult Health Sex 2009; 11: 251-266. [DOI:10.1080/13691050701606941]
24. Guarte JM, Barrios EB. Estimation under purposive sampling. Commun Stat Simulat Comput 2006; 35: 277-284. [DOI:10.1080/03610910600591610]
25. Miles J, Gilbert P. A handbook of research methods for clinical and health psychology. Uk; Oxford University Press, Semi structured interviewing; 2005: 65-78. [DOI:10.1093/med:psych/9780198527565.001.0001]
26. Wiles R, Crow G, Heath S, Charles V. Anonymity and confidentiality. Uk; NCRM Publications, 2006.
27. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res 2005; 15: 1277-1288. [DOI:10.1177/1049732305276687]
28. Guba EG. Criteria for assessing the trustworthiness of naturalistic inquiries. ECTJ 1981; 29: 75-91.
29. Guba EG, Lincoln YS. Fourth generation evaluation: Sage Publications, London; 1989.
30. Blazquez A, Ruiz E, Aliste L, García-Quintana A, Alegre J. The effect of fatigue and fibromyalgia on sexual dysfunction in women with chronic fatigue syndrome. J Sex Marital Ther 2015; 41: 1-10. [DOI:10.1080/0092623X.2013.864370]
31. Yeniel AO, Petri E. Pregnancy, childbirth, and sexual function: perceptions and facts. Int Urogynecol J 2014; 25: 5-14. [DOI:10.1007/s00192-013-2118-7]
32. López-Olmos J. Infecciones vaginales y lesiones celulares cervicales (III). Características de la sexualidad. Clin Invest Ginecol Obstet 2012; 39: 90-101. [DOI:10.1016/j.gine.2011.03.003]
33. Palmer AR, Likis FE. Lactational atrophic vaginitis. J Midwifery Womens Health 2003; 48: 282-284. [DOI:10.1016/S1526-9523(03)00143-0]
34. Domoney C. Treatment of vaginal atrophy. Womens Health (Lond) 2014; 10: 191-200. [DOI:10.2217/WHE.14.9]
35. McDonald E, Woolhouse H, Brown SJ. Consultation about Sexual Health Issues in the Year after Childbirth: A Cohort Study. Birth 2015; 42: 354-361. [DOI:10.1111/birt.12193]
36. Shaeer O, Shaeer K, Shaeer E. The Global Online Sexuality Survey (GOSS): Female sexual dysfunction among Internet users in the reproductive age group in the Middle East. J Sex Med 2012; 9: 411-424. [DOI:10.1111/j.1743-6109.2011.02552.x]
37. Ben-Sheetrit J, Aizenberg D, Csoka AB, Weizman A, Hermesh H. Post-SSRI sexual dysfunction: Clinical characterization and preliminary assessment of contributory factors and Dose-Response relationship. J Clin Psychopharmacol 2015; 35: 273-278. [DOI:10.1097/JCP.0000000000000300]
38. Waldinger MD. Psychiatric disorders and sexual dysfunction. Handb Clin Neurol 2015; 130: 469-489. [DOI:10.1016/B978-0-444-63247-0.00027-4]
39. Nappi RE, Cucinella L. Advances in pharmacotherapy for treating female sexual dysfunction. Exp Opin Pharmacother 2015; 16: 875-887. [DOI:10.1517/14656566.2015.1020791]
40. Salmani Z, Zargham-Boroujeni A, Salehi M, Killeen TK, Merghati-Khoei E. The existing therapeutic interventions for orgasmic disorders: recommendations for culturally competent services, narrative review. Iran J Reprod Med 2015; 13: 403-412.
41. Ibrahimipure H, Jalambadani Z, Najjar AV, Dehnavieh R. The first experience of intercourse in married women of Sabzevar city: a phenomenological study. Health Med 2012; 6: 453-461.
42. El-Hadidy MA, Eissa A, Zayed A. Female circumcision as a cause of genophobia. Middle East Curr Psychiatr 2016; 23: 35-38. [DOI:10.1097/01.XME.0000475316.59342.bc]
43. Bokaie M, Simbar M, Yassini Ardekani SM. Sexual behavior of infertile women: A qualitative study. Iran J Reprod Med 2015; 13: 645-656.
44. Wallwiener CW, Wallwiener LM, Seeger H, Muck AO, Bitzer J, Wallwiener M. Prevalence of sexual dysfunction and impact of contraception in female German medical students. J Sex Med 2010; 7: 2139-2148. [DOI:10.1111/j.1743-6109.2010.01742.x]
45. Du J, Ruan X, Gu M, Bitzer J, Mueck AO. Prevalence of and risk factors for sexual dysfunction in young Chinese women according to the Female Sexual Function Index: an internet-based survey. Eur J Contracept Reprod Health Care 2016; 21: 259-263. [DOI:10.3109/13625187.2016.1165198]
46. De Lucena BB, Abdo CHN. Personal factors that contribute to or impair women's ability to achieve orgasm. Int J Impot Res 2014; 26: 177-181. [DOI:10.1038/ijir.2014.8]
47. Meston CM, Hull E, Levin RJ, Sipski M. Disorders of orgasm in women. J Sex Med 2004; 1: 66-68. [DOI:10.1111/j.1743-6109.2004.10110.x]
48. Nurmila N. Indonesian Muslims' Discourse of Husband-Wife Relationship. Al-Jami'ah: J Islam Stud 2013; 51: 61-79. [DOI:10.14421/ajis.2013.511.61-79]
49. Basson R. The female sexual response: A different model. J Sex Marital Ther 2000; 26: 51-65. [DOI:10.1080/009262300278641]
50. Faubion SS, Rullo JE. Sexual Dysfunction in Women: A Practical Approach. Am Fam Physician 2015; 92: 281-288.
51. Thomas HN, Thurston RC. A biopsychosocial approach to women's sexual function and dysfunction at midlife: A narrative review. Maturitas 2016; 87: 49-60. [DOI:10.1016/j.maturitas.2016.02.009]
52. Rao TS, Nagaraj AK. Female sexuality. Indian J Psychiatry 2015; 57: S296-302. [DOI:10.4103/0019-5545.161496]
53. Goh VH, Tain CF, Tong YY, Mok PP, Ng SC. Sex and aging in the city: Singapore. Aging Male 2004; 7: 219-226. [DOI:10.1080/13685530412331284704]
54. Nappi RE, Albani F, Valentino V, Polatti F, Chiovato L, Genazzani AR. Aging and sexuality in women. Minerva Ginecol 2007; 59: 287-298.
55. Kalmbach DA, Arnedt JT, Pillai V, Ciesla JA. The impact of sleep on female sexual response and behavior: A pilot study. J Sex Med 2015;12: 1221-1232. [DOI:10.1111/jsm.12858]
56. Khalesi ZB, Simbar M, Azin SA, Zayeri F. Public sexual health promotion interventions and strategies: A qualitative study. Electron Physician 2016; 8: 2489. [DOI:10.19082/2489]

Add your comments about this article : Your username or Email:
CAPTCHA code

Send email to the article author


© 2018 All Rights Reserved | International Journal of Reproductive BioMedicine

Designed & Developed by : Yektaweb