Appetitive inadequacy in the sex behaviour of temporal lobe epileptics.
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There is an extensive clinical literature on the erectile disorders of diabetic men but a paucity of controlled studies that have taken into account the effects of age, concurrent illnesses and medication on sexual function. This investigation was carried out on 40 diabetic men free from other illness or drugs that could affect sexual capacity and 40 age-matched healthy control subjects. Each subject and his female partner underwent semistructured interviews and the men had comprehensive medical evaluations and polygraphic assessment of sleep and nocturnal penile tumescence in the sleep laboratory during three nights. In comparison to control subjects, diabetic patients reported significant decreases in sexual desire, subjective arousal, erectile capacity, coital frequency and sexual satisfaction. The diabetic group also had significant decrements in duration of rapid eye movement sleep and in frequency, duration and degree of nocturnal penile tumescent episodes. There were no differences between Type 1 (insulin-dependent) and Type 2 (non-insulin dependent) diabetic patients in prevalence of sexual problems or in nocturnal tumescent measures. Significant relations were observed between lack of metabolic control, diabetic complications and impaired nocturnal tumescence. Sexually non-dysfunctional diabetic men had significant nocturnal penile tumescence abnormalities. Diabetic men without coital failures may have a subclinical impairment in erectile function which, although of not significant magnitude to interfere with penetration, is reflected in nocturnal penile tumescent measures. This result raises a note of caution in the interpretation of the nocturnal penile tumescence test for the differential diagnosis of diabetic erectile impotence.
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Observations of stumptail monkeys revealed frequent prolonged, intensive genital stimulation between individuals of the same sex, both males and females, adults and infants. These homosexual interactions occurred in positive emotional contexts, were accompanied by positive emotional facial expressions, and often were evidently elictied by the observation of heterosexual behavior. Infants' first copulations were performed with adults of the same or opposite sex who actively aided them. This suggests that homosexual and heterosexual encounters function as training for adult sexual roles, and that homosexual behavior is a basic primate pattern not exclusive to man.
Changes in sexual attitudes and behavior patterns that might be associated with pregnancy and childbirth were investigated. The subjects were 216 women seen by a group of obstetricians and gynecologist in office practice. While there was a wide range of individual responses, in general a decline in sexual interest, activity, and satisfaction was reported as pregnancy progressed. The desire for body contact remained at a very high level throughout. Some changes in body zones regarded as most erogenous during the course of pregnancy were indicated. Following childbirth the women's sexuality seems to have returned to a normal level. The degree of liberal vs. conservative attitudes toward sex expressed by these women was not affected by the pregnancy, nor did this dimension relate significantly to other behavioral variables.
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In a study of the effects of vaginal musculature contractions (Kegel's exercises) on both subjective and physiological measures of sexual arousal, 30 normal females were randomly assigned to one of three groups. The first group was informed about these exercises and was asked to practice them both during lab sessions and during the week intervening between sessions. The second group was informed concerning the effects of Kegel's exercises but did not practice contractions. A control group received no information regarding these exercises. Measures of vaginal vasocongestion and subjective ratings of sexual arousal were obtained during two 31-minute lab sessions. Vaginal contractions enhanced both subjective ratings and physiological measures of arousal. When combined with self-generated fantasy, tensing further augmented arousal. These effects were not further enhanced after 1 week of practice. The present study provides empirical support for the prescription of Kegel's exercises to normal women as an enhancer of sexual arousal. Further study of the effects of Kegel's exercises on a sample of dysfunctional women is necessary to determine the applicability of these results to a clinical population.
This report covers the results of an interview survey concerning sexual responses of 124 women during the perimenopause (menopause transition), and the results of 52 women's prospective coital behavior records over 3 months with concomitant steroid analysis. Results indicated that in general, the age group centering around 49 years appears not to be suffering from a particular sexual deficit in the dimensions of desire, response, or satisfaction in their sexual life, and a subset of women with especially low estradiol levels (less than 35 mg/pl) tends to have reduced coital activity.
A program of sexual rehabilitation in a cancer center evaluated 308 men and 76 women, using a structured interview. The site of the malignancy was pelvic or genital in 79% of men and 58% of women. Most patients (73%) had one or two sessions of sexual counseling, but therapy was more intensive for about a quarter of patients. Partners were included in counseling by 28% of women and 56% of men. Although cancer patients and spouses of patients reported similar rates of sexual dysfunction before cancer diagnosis, after cancer treatment husbands and wives of patients maintained stable sexual function, while dysfunctions increased dramatically in all categories except premature ejaculation for patients. Patients who were older or had pelvic/genital tumors were more likely to develop arousal-phase sexual dysfunctions. Psychological distress was correlated with rates of low sexual desire and dyspareunia in both men and women. The success of treatment in reversing sexual dysfunction was rated by the therapist in 118 cases. Patients who were younger, who were not clinically depressed, and who had less conflicted marriages had more positive outcomes. Good outcome was also associated with a longer duration of treatment.
This research compared data from two studies of women's sexual behavior--one conducted in the 1940s, the other in the 1980s. The first sample included 3952 white women, ages 18 to 36, drawn from the larger sample of women who participated in the original Kinsey study. The second comprised 122 white women, in the same age range, who had taken part in a recent study of sexual socialization and experiences among women in Los Angeles County, CA. Log-linear analyses were used to control for differences between the samples on age, education, and marital status. Comparisons were conducted in the areas of childhood family characteristics; sexual socialization and education; sexual behavior in childhood, adolescence, and adulthood; contraceptive practices; and child sexual abuse. Results tended to reflect changes that have taken place in society and in patterns of sexual behavior. Differences in sexual socialization pointed to the increased role of the media and the schools and to more relaxed attitudes about nudity in the home. Shifts in sexual behavior were particularly dramatic. As compared to women in the Kinsey sample, the newer subjects began intercourse earlier, were less likely to have a fiance or husband as their first partner, reported a higher number of sexual partners, and participated in a broader range of sexual behaviors. Contraceptive practices differed considerably, especially among never-married women. Women in the new study were also more likely to report instances of child sexual abuse. Methodological and social factors contributing to the findings are discussed.
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The sexual development of 51 female schizophrenics, their attitudes toward sex, and their sexual activity and arousability were investigated. The control group consisted of 101 gynecological patients. The sexual development of the female schizophrenics was significantly retarded, and their sexual activity and arousability significantly lowered in adult life compared with the control group. The hypothesis is advanced that the retarded development may be caused by some biological factor, while sexuality in adult life is negatively affected primarily by social isolation.
The hypothesis that premature ejaculators (PEs) are less able than non-premature ejaculators (NPEs) to evaluate accurately their level of physiologically determined sexual arousal was tested. Twenty-six men (13 PEs and 13 NPEs) viewed a variety of videotaped vignettes, some of which were excerpts from sexually explicit films. Concurrent subjective (self-report) and objective (plethysmograph) ratings of sexual arousal were taken. Data revealed that both the PEs and NPEs were equally accurate in assessing their level of physiological sexual arousal. These results and those from a sexual history questionnaire were used to evaluate several hypotheses regarding the nature and etiology of premature ejaculation.