Early Maladaptive Schemas, Sexual Self-esteem, and Anxiety in Women with Orgasmic Disorders

Background: Individual factors that can lead to psychological disorders, including early maladaptive schemas, sexual self-esteem, and anxiety, and their impact on the female orgasmic disorder (FOD), has not yet been thoroughly examined. Objectives: The purpose of this study was to compare these factors in women with FOD to those without the condition. Methods: This descriptive research was causal-comparative or ex post facto study, and the statistical population was two groups of married women aged 18 to 40 years. Out of 152 women who participated, 66 cases had FOD, and 86 cases had no FOD according to the cut-off scores of the Female Sexual Function Index questionnaire and based on the DSM5 criteria. The Young Early Maladaptive Schema questionnaire (YEMSQ) (1995), Zeanah and Schwarz’s Sexual Self-esteem Inventory for Women (SSEI-W) (1996), and the Beck Anxiety inventory (BAI) (1988) were filled out by all the participants. An independent t-test at a significance level of P < 0.05 was applied to analyze the data using SPSS 24. Results: The results indicated that the mean scores of women with FOD were significantly higher in all schema areas than the mean scores of women without FOD (P < 0.001), and the mean scores of women without FOD were significantly higher on the sexual self-esteem scale and all its sub-scales than those with FOD (P < 0.001). Also, the mean anxiety scores of women with FOD were significantly higher than the mean scores of women without FOD (P < 0.001). Conclusions: These results support the differences in individual psychological factors among women with FOD and those without and can be used for education, prevention, evaluation, and treatment of orgasmic disorders.

VAGINAL PLATELET-RICH PLASMA ADMINISTRATION TO IMPROVE FEMALE SEXUAL SATISFACTION

Objective:To investigate the effect of platelet-rich plasma (PRP) injection to the lower one-third of the anterior vaginal wall on sexual function, orgasm, in women with sexual dysfunction by scoring with FSFI. Materials and Methods:Three sessions of PRP (platelet rich human autologous plasma) were administered to the anterior vaginal wall of fiftyfemale patients with sexual dysfunctiondiagnosed by FSFI scoring card obtained in JAM clinic in Benha city Egypt and orgasmic disorder. Female Sexual Function Index (FSFI) total score ≤26 orgasmic subdomain score ≤3.75 were considered having sexual dysfunction and recruited in the study. Results:Following the application of the PRP, the total FSFI score was observed as 27.7±4.5 and the total score was 26 and above in patients having sexual dysfunction (p<0.001). Orgasm subdomain scores were found as 2.2±1.2 before the PRP treatment and 4.4±1.06 at the third dose after (p<0.001). Conclusion:PRP administration to the distal anterior vaginal wall improved female sexuality with high satisfaction by using multiple sessions (three month).

Orgasmic disorder in women

Significant delay or absence of orgasm or reduced frequency during sexual intercourse with or without penetration / stimulation and / or after penetration. Markedly reduced intensity of orgasmic sensations and individual psychological discomfort. Women with orgasm disorder have never had a clitoral or vaginal orgasm (penetration) regardless situation or stimulation. Worldwide prevalence of orgasmic disorder in women is 42% and can be maintained depending on partner, stimulation, situation or regardless partner, stimulation, situation etc. The disorder may emerge from the beginning of the sexual life or begin after a period of relatively normal sexual function. Keywords: orgasmic disorder in women, s-on, therapy, testing, evaluation, sexual disorders.