Concordance of Sexual Dysfunction and Dissatisfaction
Concordance of Sexual Dysfunction and Dissatisfaction
Of the 282 women attending the outpatient clinics, 108 (38.3%) were accompanied by their husbands. One couple was excluded from the analyses because only one spouse completed the questionnaire. Thus 107 matched couples were enrolled for further analysis.
The mean duration of marriage was 5 years (range 1–13 years). Romantic marriage (80%) was more common than traditional arranged marriage, in which parents were involved in selecting their children's partners. Half of the couples had one live birth, while almost half of the women had not given birth. About three-fourths of couples reported using any method of contraception at the time of the study. Women's mean age was 26 (range 17–40 years), and on average, their husbands were 4 years older (range 22–44 years). Seventy-three percent of women and 62% of men were primary/secondary school graduates. Almost all of men and 17% of women reported to have a regular job. Couples overwhelmingly described their household income at middle level.
The prevalence of overall sexual dysfunction and dissatisfaction was 10.3% and 26.2% in wives and husbands, respectively. For the wives, vaginismus (81.3%) was the most common problem, followed by infrequency (42.1%), non-communication (40.2%), female nonsensuality (37.4%), female avoidance (33.6%), anorgasmia (8.4%) and female dissatisfaction (6.5%). For the husbands, premature ejaculation (49.5%) was the most common problem, followed by impotence (23.4%), non-communication (19.6%), male avoidance (15.9%), infrequency (13.1%) and male dissatisfaction (4.7%). No husband demonstrated male nonsensuality. These data can be seen in Table 1.
All of the median GRISS scores were below the clinical cutoff for wives and husbands except in vaginismus (Table 2). The correlation coefficient (r) between the self-reported overall sexual satisfaction scores and those assessed by the spouses was 0.25 (P=0.014) and 0.04 (P=0.680) for wives and husbands, respectively. For GRISS female subscales, the correlation between the scores reported by the wives themselves and those by their husbands was significant in the areas of female avoidance (r=0.45), female dissatisfaction (r=0.28), infrequency (r=0.23) and vaginismus (r=0.20), but no significant correlation was found in the areas of non-communication, female nonsensuality and anorgasmia. For GRISS male subscales, the correlation between the scores reported by the husbands themselves and those by their wives was significant only in the area of male dissatisfaction (r=0.25, P=0.012). No significant correlation was found in the areas of infrequency, non-communication, male avoidance, male nonsensuality, impotence and premature ejaculation.
The sensitivity for perception of partner's sexual problems ranged 11–47%, and the specificity was around 64–100%, except for vaginismus, which had a sensitivity of 83% and a specificity of 25% (Table 3). The PABAK value for overall sexual dissatisfaction reported by themselves and that assessed by their spouses was 0.68 and 0.16 for the wives and husbands, respectively. For specific female sexual problems, the PABAK value was the highest in female dissatisfaction (0.81), followed by anorgasmia (0.78), female avoidance (0.44), vaginismus (0.44), infrequency (0.33), non-communication (0.14) and female nonsensuality (0.14). For specific male sexual problems, the PABAK value was the highest in male nonsensuality (1.00), followed by male dissatisfaction (0.78), infrequency (0.46), non-communication (0.42), male avoidance (0.36), impotence (0.27) and premature ejaculation (-.04).
Results
Of the 282 women attending the outpatient clinics, 108 (38.3%) were accompanied by their husbands. One couple was excluded from the analyses because only one spouse completed the questionnaire. Thus 107 matched couples were enrolled for further analysis.
The mean duration of marriage was 5 years (range 1–13 years). Romantic marriage (80%) was more common than traditional arranged marriage, in which parents were involved in selecting their children's partners. Half of the couples had one live birth, while almost half of the women had not given birth. About three-fourths of couples reported using any method of contraception at the time of the study. Women's mean age was 26 (range 17–40 years), and on average, their husbands were 4 years older (range 22–44 years). Seventy-three percent of women and 62% of men were primary/secondary school graduates. Almost all of men and 17% of women reported to have a regular job. Couples overwhelmingly described their household income at middle level.
The prevalence of overall sexual dysfunction and dissatisfaction was 10.3% and 26.2% in wives and husbands, respectively. For the wives, vaginismus (81.3%) was the most common problem, followed by infrequency (42.1%), non-communication (40.2%), female nonsensuality (37.4%), female avoidance (33.6%), anorgasmia (8.4%) and female dissatisfaction (6.5%). For the husbands, premature ejaculation (49.5%) was the most common problem, followed by impotence (23.4%), non-communication (19.6%), male avoidance (15.9%), infrequency (13.1%) and male dissatisfaction (4.7%). No husband demonstrated male nonsensuality. These data can be seen in Table 1.
All of the median GRISS scores were below the clinical cutoff for wives and husbands except in vaginismus (Table 2). The correlation coefficient (r) between the self-reported overall sexual satisfaction scores and those assessed by the spouses was 0.25 (P=0.014) and 0.04 (P=0.680) for wives and husbands, respectively. For GRISS female subscales, the correlation between the scores reported by the wives themselves and those by their husbands was significant in the areas of female avoidance (r=0.45), female dissatisfaction (r=0.28), infrequency (r=0.23) and vaginismus (r=0.20), but no significant correlation was found in the areas of non-communication, female nonsensuality and anorgasmia. For GRISS male subscales, the correlation between the scores reported by the husbands themselves and those by their wives was significant only in the area of male dissatisfaction (r=0.25, P=0.012). No significant correlation was found in the areas of infrequency, non-communication, male avoidance, male nonsensuality, impotence and premature ejaculation.
The sensitivity for perception of partner's sexual problems ranged 11–47%, and the specificity was around 64–100%, except for vaginismus, which had a sensitivity of 83% and a specificity of 25% (Table 3). The PABAK value for overall sexual dissatisfaction reported by themselves and that assessed by their spouses was 0.68 and 0.16 for the wives and husbands, respectively. For specific female sexual problems, the PABAK value was the highest in female dissatisfaction (0.81), followed by anorgasmia (0.78), female avoidance (0.44), vaginismus (0.44), infrequency (0.33), non-communication (0.14) and female nonsensuality (0.14). For specific male sexual problems, the PABAK value was the highest in male nonsensuality (1.00), followed by male dissatisfaction (0.78), infrequency (0.46), non-communication (0.42), male avoidance (0.36), impotence (0.27) and premature ejaculation (-.04).
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