(008) Psychosexual, Relational and Clinical Correlates of Orgasmic Function and Female Orgasm Disorder in Women Consulting for Sexual Symptoms

Abstract Introduction Female Orgasm Disorder and its risk factors are still under-investigated. Objective To describe the psychological, relational clinical correlates of orgasmic function during partnered sexual activity in women consulting for symptoms. Methods In an observational retrospective study, we collected data from a consecutive sample 430 heterosexual, sexually active (mean age 46±12.9 years) All patients underwent structured interview physical, gynecologic laboratory examination; they completed series validated questionnaires, including Sexual Function Index (FSFI), Distress Scale-Revised (FSDS-R), Middlesex Hospital Questionnaire (MHQ), Body Uneasiness Test (BUT-A BUT-B), Inhibition/Excitation Scale (SIS/SES), Dyadic Adjustment (DAS). Results 268 subjects (62%) reported persistent distressing decrease frequency orgasm at least six months. Among them, 93 (22% whole sample) mild decrease, 91 (21%) severe 19% anorgasmia. Nine described Anorgasmia as lifelong. The was associated with inability to reach masturbation (p=0.009). After adjusting menopausal status, FSFI (FSFI-O) domain negatively MHQ total score (p=0.001), index general psychopathology, body image concerns, explored through both BUT-A BUT-B global measures. stronger correlation emerged Avoidance subscale (p=0.005). other psychological parameters, significant, negative correlations were observed between FSFI-O diagnosis psychiatric disease, mood disorders use antidepressants chronic stress (p=0.002), familiar conflicts (p=0.008). Noteworthy, no When exploring found that displaying higher scores more likely be engaged stable relationship (p=0.003), report three encounters per month (p<0.001) lack marital conflict (p=0.004). dysfunctions male partner, perceived by woman, only low desire showed clear (p=0.002). also positively correlated Satisfaction Cohesion subscales (p=0.032). Finally, when considering history endometriosis (p=0.008), genitourinary (i.e., recurrent vulvovaginitis or urinary tract infections; p=0.027), incontinence (0.017) pelvic surgery (i.e. hysterectomy; p=0.017) significantly lower scores. not metabolic hormonal estradiol, prolactin testosterone levels. FOD, main diseases (OR 1.566, CI 1.034;2.370), past Unwanted experiences 1.679, 1.109;2.541), 1.644, 1.132;1.387) 1.710, 1.129;2.591). Conclusions Orgasmic anxiety depressive symptoms, antidepressants, partner’s desire, independently status. Risk FOD diseases, abuse history, surgery. Disclosure No