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Sexual objectification is one of most the common manifestations of discrimination against women in Western societies; however, few studies have examined objectification in the context of romantic relationships. The primary aim of the present research was to bring the study of objectification phenomena into the setting of heterosexual romantic relationships. The present set of studies examined the relation between sexual objectification and relationship satisfaction for both the sexual objectification recipient (Study 1) and the sexual objectification perpetrator (Study 2). The results of the first study with 206 U.S. undergraduate female students in committed romantic relationships replicated a previously identified negative association between feeling dehumanized by one’s partner and intimate relationship satisfaction. Moreover, this link was mediated by greater body dissatisfaction and decreased sexual satisfaction. The second study with 94 U.S. undergraduate male students in committed romantic relationships demonstrated a negative association between sexual objectification perpetration and relationship satisfaction. Furthermore, this negative relation was mediated by greater partner objectification and lower sexual satisfaction. Results of both studies demonstrated the effect of sexual objectification (as recipient or perpetrator) on global intimate relationship health. Additionally, the results highlight poor sexual satisfaction as a key dyadic mechanism linking objectification processes to intimate relationship outcomes.

Having a satisfying sex life is important to older adults. Thus, this study aimed to provide information about the sexual satisfaction of older adults in a relationship, using the Interpersonal Exchange Model of Sexual Satisfaction (IEMSS) as a theoretical framework. Participants were 187 sexually active individuals (98 men and 89 women) in a romantic relationship (age 65–75 years). They were recruited using Amazon's Mechanical-Turk, and completed the Interpersonal Exchange Model of Sexual Satisfaction Questionnaire and two open-ended questions asking what they enjoyed most and least about their sexual relationship. On average, participants were highly sexually satisfied. In keeping with the IEMSS, greater sexual satisfaction was predicted by a more favourable balance of sexual rewards to costs, greater equality of sexual costs and higher satisfaction with the non-sexual aspects of the relationship. Four themes emerged regarding what participants liked most and least about their sexual relationship: emotional aspects of the relationship, physical aspects of the relationship, dyadic aspects of the relationship and age-related aspects of being sexual. None of the four themes were specific to men or women, although some gender/sex differences were found. The results paint a positive picture of the sexual relationships of older adults and support the utility of the IEMSS as a framework to understand sexual satisfaction in older adults.

Background: Although sexual function (SF) and sexual satisfaction (SS) are the essential factors influenced negatively by infertility and may be associated with delaying or disrupting infertility treatment, no systematic review has assessed the results of these studies so far. Objective: The present study aimed to systematically review published interventional research regarding SF and SS among infertile individuals. Materials and Methods: In this systematic review, the databases of PubMed, MEDLINE, Web of Science, Scopus, ScienceDirect, Cochrane Library, PsycInfo, Google Scholar, and SID were searched to retrieve the relevant studies in Persian and English languages up to August 2021. Results: 23 interventional studies were included in this systematic review, of which only 2 were low quality based on the critical appraisal skills program checklist. The interventions of the included studies were classified into 2 main categories: educational and psychological interventions for increasing the SF and SS among infertile women or couples. Conclusion: There was no clear evidence to understand the most effective method for increasing SF and satisfaction among couples with infertility. Based on the results of the included studies, all of them showed the effectiveness of the various interventions performed on sexual health dimensions among couples with infertility. This systematic review showed that most SF studies were educational, whereas the SS were more psychologically interventional. Conducting standardized and high-quality randomized controlled trials focusing on SF and SS is recommended. Key words: Sexual health, Sexual satisfaction, Psychological intervention, Early intervention, Educational.

Background: Psychological consequences of infertility could have a negative effect on marital and sexual satisfaction. Numerous medical associations have strongly recommended psychological interventions, including counseling, to help infertile couples. Objective: This study reviewed the effectiveness of counseling interventions on marital and sexual satisfaction in infertile couples. Materials and Methods: This systematic review and meta-analysis was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist Databases including PubMed, Web of Science, Psych Info, Cochran Library, Scopus, and Embase were searched for relevant articles published up to March 2020. All randomized clinical trials assessing the impact of psychological interventions on marital and sexual satisfaction in infertile couples were included in the review. The outcome measures were marital and sexual satisfaction, and the pooled estimate of the effects was calculated using a random-effects model. The risk of bias was measured using the Cochrane risk of bias tool, and the summary measures were reported as 95% confidence interval and percentage of heterogeneity. Results: Out of the 309 studies found through the search, 13 randomized clinical trials including 230 infertile women and 512 infertile couples were systematically reviewed and included in the meta-analysis. It was found that counseling interventions improve marital and sexual satisfaction. Conclusion: As counseling and psychological interventions increase the marital and sexual satisfaction of infertile couples, those are highly recommended for the psychological management of infertile couples. Key words: Infertility, Psychosocial intervention, Counseling, Sexual satisfaction, Systematic review, Meta-analysis, Couples.

Sexual satisfaction is associated with a person’s intrinsic perceived sense of pleasure from sexual behaviors. People’s perception of sexual satisfaction and its related factors vary with the culture. The present study explored the husbands’ sexual and emotional relationships as predictors of sexual satisfaction Iranian women. This study is a descriptive, cross-sectional study that includes 490 married women who referred to the health centers in North of Iran, in 2016. The health centers were selected randomly as samples. The mean age was 33.63 ± 9.15 years for participants and the mean number of sexual intercourse per month was 5.38 ± 3.1. The use of methods of contraception ( p  = 0.004), feeling of dislike for the husband ( p  < 0.001), less typical sex ( p  < 0.001), fatigued within sex in early hours of night ( p  < 0.001), the permanent second marriage of the husband ( p  < 0.001), and use of injectable contraceptive methods ( p  = 0.004) were the predictors of sexual satisfaction among women participating in this study. Observed results indicated that more than half of the women participating in this study (52.2%) achieved a high level of sexual satisfaction and less than half (42.2%) scored a moderate level of satisfaction. This difference in sexual satisfaction results could be caused by women’s shame to discuss sexual matters or complain about sex, low awareness of sexual health, the effect of personal perceptions, and transient sexual satisfaction as well as mental-emotional stresses, the effect of the most recent intimate relationship states with the husband, and hormonal changes.

Background: The infertility phenomenon affects physiological and psychosocial aspects. Sexual counseling can improve sexual and marital satisfaction. Objective: This study aimed to determine the effectiveness of sexual health counseling based on the mindfulness approach on sexual satisfaction of women suffering from infertility. Materials and Methods: This randomized clinical trial study was conducted on 44 women suffering from infertility referred to the Yazd Reproductive Science Institute, Yazd, Iran. Women were randomly divided into 2 groups. The intervention group (n = 22) received 8 sessions of sexual counseling, while control group (n = 22) received routine care. The data collection tool was the sexual satisfaction questionnaire. Results: The mean age of women was 30.05 ± 4.9 yr, infertility duration was 6.83 ± 4.27 yr, and the mean duration of marriage was 8.3 ± 4.01 yr. The mean score of sexual satisfaction of women suffering from infertility in the intervention group was 62.9 ± 7.32, 71.6 ± 5.95, and 70.9 ± 6.26, before the intervention (baseline), after intervention (8th wk), and follow-up (12th wk) respectively. The mean score of sexual satisfaction of women suffering from infertility in the control group was 63.3 ± 6.82, 64.2 ± 7.93, and 62.25 ± 7.99, at baseline, 8th wk later, and after follow-up (12th wk), respectively. Sexual satisfaction scores increased before and one month after the intervention in the counseling group, and this difference was statistically significant (p < 0.001). Conclusion: Mindfulness-based sexual health counseling programs may improve sexual satisfaction in women suffering from infertility in the intervention group. Key words: Infertility, Women, Sexual satisfaction, Mindfulness, Psychology.

This study explored the role of psychological trait factors in sexual desire and sexual activity. In particular, it investigated how these factors may contribute to maintaining a balance between motivational aspects and self-control abilities, as both have been considered important in relation to adaptive sexuality. Moreover, the study explored the relationship between sexual desire, activity, and satisfaction. Participants completed questionnaires assessing sexual desire (dyadic, solitary), sexual activity (with a partner, alone), sexual satisfaction, approach and avoidance motivation, attachment, self-control, sensation seeking, and mindfulness. Cluster analyses, based on participants’ level of sexual desire and sexual activity, highlighted three distinct profiles for each gender related to different types of psychological functioning: (a) participants with high dyadic sexual desire and activity were the most sexually satisfied, showed optimal psychological functioning, and were characterized by a balance between motivational tendencies to seek positive rewards and self-control abilities (high approach motivation, secure attachment, high self-control, high mindfulness); (b) participants with high dyadic and solitary sexual desire and activity were moderately satisfied and showed a type of psychological functioning predominantly characterized by impulsivity (an overly high motivation to obtain rewards in women, and low self-control in men); (c) participants with low dyadic sexual desire and activity were the least sexually satisfied and were characterized by high motivation to avoid negative consequences and low self-control (high avoidance motivation, insecure attachment, and poor mindfulness). These results shed further light on how fundamental psychological factors contribute to explain the individual variability in sexual desire, activity, and satisfaction.

To date, there are few validated multidimensional measures of sexual satisfaction that have been translated and empirically validated among Chinese speaking women with gynecologic cancer. The study was undertaken to validate the Sexual Satisfaction Scale for Women and to examine sexual satisfaction and sexual functioning in a sample of women with gynecologic cancer. A cross-sectional survey was conducted in 209 women, of which 106 had gynecologic cancer and 103 were in the non-cancer group with no history of cancer. Self-evaluations included the Female Sexual Function Index and Sexual Satisfaction Scale for Women Traditional Chinese version. Analyses for internal consistency, test–retest reliability, and construct validity were performed. Analysis of variance was conducted for group comparison on sexual satisfaction and sexual functioning. The Sexual Satisfaction Scale for Women Traditional Chinese version showed good internal consistency reliability (Cronbach’s α=0.965) and acceptable test–retest reliability (r=0.954). The confirmatory factor analysis on the Sexual Satisfaction Scale for Women Traditional Chinese version suggested the goodness of fit indices (χ²/df, root mean square residual, goodness of fit index, normed-fit index, comparative fit index, and adjusted goodness of fit index) were good. The women with gynecologic cancer gave significantly lower ratings (mean 102.18) than those without cancer (mean 118.09) for each of the Sexual Satisfaction Scale for Women Traditional Chinese version domains and total score. Significant differences between women with cancer (mean 13.08) and without cancer (mean 22.92) were noted for each of the Female Sexual Function Index domains and total scores (all p<0.0001). This translated version of the Sexual Satisfaction Scale for Women appears to be a reliable and valid instrument for measuring multifaceted components of sexual satisfaction in the general and clinical population of women rooted in Chinese culture.

General and sexual satisfaction are interrelated dimensions that condition any type of couple relationship. This study examines both dimensions, taking gender into account, 237 couples participated in the study, completing a 13-item questionnaire whose construct validity was analyzed using exploratory and confirmatory factor analyses, obtaining two factors having excellent overall reliability (α = 0.92). Results reveal higher rates of general satisfaction in men, but lower rates regarding certain aspects of sexual satisfaction. Best general satisfaction predictors were feeling taken care of for women whereas men need to perceive that their partner is concerned when they are sad or upset. The best predictor, for both genders, is satisfaction with their couple relationship. La satisfacción general y sexual son dimensiones interrelacionadas que condicionan cualquier relación de pareja. Este trabajo busca analizar ambas dimensiones tomando en consideración el género. Participaron 237 parejas, respondiendo un cuestionario de 13 ítems, cuya validez se analizó mediante análisis factorial exploratorio y confirmatorio, obteniéndose dos factores con fiabilidad global excelente (α = 0,92). Los resultados muestran mayores índices de satisfacción general en hombres, aunque menores en ciertos aspectos de la satisfacción sexual. El mejor predictor de la satisfacción general en mujeres es sentirse atendidas, mientras en los hombres es percibir que la pareja se interesa cuando están tristes o preocupados. El principal predictor, en ambos géneros, es estar satisfechos con la propia relación.

Earlier research reports lower sexual satisfaction among people living with HIV (PLHIV) compared to HIV-negative persons. A number of psychosocial factors directly associated with sexual dissatisfaction have been identified. Little is known about sexual satisfaction and their contributors among PLHIV in Sweden. The aim of this study was to examine direct and indirect effects of variables within sociodemographic, clinical HIV-related, psychological, and sexual domains on sexual (dis)satisfaction among PLHIV in Sweden. Data for this study were derived from a nationally representative, anonymous survey among PLHIV conducted in 2014 ( n  = 1096). Statistical analysis included four steps: descriptive analyses, identification of variables associated with sexual (dis)satisfaction, identification of variables associated with those contributors of sexual (dis)satisfaction, and a path model integrating all these analyses. A total of 49% of participants reported being sexually dissatisfied, and no significant differences were observed when non-heterosexual men, heterosexual men, and women were compared. Among women, a negative change in sex life after HIV diagnosis and distress with orgasmic difficulties was directly associated with sexual dissatisfaction. For men, hopelessness, high HIV stigma, sexual inactivity in the last 6 months, and a negative change in sex life after HIV diagnosis were directly associated with sexual dissatisfaction. Path analyses showed in both men and women significant indirect associations between not being involved in an intimate relationship, lower self-reported CD4 cell counts, and perceiving obligation to disclose HIV status to sexual partners as a barrier to look for a long-term partner and sexual dissatisfaction. Our results show that despite good treatment outcomes, the HIV diagnosis has a negative bearing on sexual satisfaction. The need for gender-tailored interventions and clinical implications of these findings are discussed.