Prognostic Factors and Classification Issues in the Treatment of Secondary Orgasmic Dysfunction

The present study examined patient and problem characteristics as well as therapy process factors associated with succe.ss and failure in sex therapy for secondary orgasmic dysfunction. Ss were 23 married couples selected for emotional and marital stability; all wives were suffering from secondary orgasmic dysfunction. Sexual functioning and satisfaction were evaluated before and after 15 sessions of therapy. Ss also engaged in daily self-monitoring throughout the therapy program. Two criteria of therapeutic success were used: the couples’ global sexual harmony and the females’ frequency of orgasmic response in couple sexual activity. Higher pre-treatment masturbation rates by the female, as well as better awareness of her partner’s sexual tastes and preferences, were related to poor therapeutic outcome. Greater pre-treatment enjoyment of non-genital caressing by the female as well as higher incidence of interpersonal orgasmic response in the past were associated with therapeutic success. The theoretical and research implications of the present findings are discussed.