Literature DB >> 24286545

Hormonal contraception and female pain, orgasm and sexual pleasure.

Nicole K Smith1, Kristen N Jozkowski, Stephanie A Sanders.   

Abstract

INTRODUCTION: Almost half of all pregnancies in the United States are unintentional, unplanned, or mistimed. Most unplanned pregnancies result from inconsistent, incorrect, or nonuse of a contraceptive method. Diminished sexual function and pleasure may be a barrier to using hormonal contraception. AIM: This study explores sexual function and behaviors of women in relation to the use of hormonal vs. nonhormonal methods of contraception.
METHODS: Data were collected as part of an online health and sexuality study of women. MAIN OUTCOME MEASURES: Main outcomes variables assess frequencies in two domains: (i) sexual function (proportion of sexual events with experiences of pain or discomfort, arousal, contentment and satisfaction, pleasure and enjoyment, lubrication difficulty, and orgasm) and (ii) sexual behavior (number of times engaged in sexual activity, proportion of sexual events initiated by the woman, and proportion of sexual events for which a lubricant was used). Sociodemographic variables and contraceptive use were used as sample descriptors and correlates. The recall period was the past 4 weeks.
RESULTS: The sample included 1,101 women with approximately half (n = 535) using a hormonal contraceptive method exclusively or a combination of a hormonal and nonhormonal method, and about half (n = 566) using a nonhormonal method of contraception exclusively. Hierarchical regression analyses were conducted to examine the relation of hormonal contraceptive use to each of the dependent variables. Women using a hormonal contraceptive method experienced less frequent sexual activity, arousal, pleasure, and orgasm and more difficulty with lubrication even when controlling for sociodemographic variables.
CONCLUSIONS: This study adds to the literature on the potential negative sexual side effects experienced by many women using hormonal contraception. Prospective research with diverse women is needed to enhance the understanding of potential negative sexual side effects of hormonal contraceptives, their prevalence, and possible mechanisms. Clinical and counseling implications are discussed.
© 2013 International Society for Sexual Medicine.

Entities:  

Keywords:  Contraception; Female Sexual Pleasure; Orgasm; Sexual Behavior; Sexual Function; Vaginal Lubrication; Vaginal Pain

Mesh:

Substances:

Year:  2013        PMID: 24286545     DOI: 10.1111/jsm.12409

Source DB:  PubMed          Journal:  J Sex Med        ISSN: 1743-6095            Impact factor:   3.802


  15 in total

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2.  The Impact of Sexual Satisfaction, Functioning, and Perceived Contraceptive Effects on Sex Life on IUD and Implant Continuation at 1 Year.

Authors:  Jessica N Sanders; Jenny A Higgins; Daniel E Adkins; Greggory J Stoddard; Lori M Gawron; David K Turok
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Review 4.  The Sexual Acceptability of Contraception: Reviewing the Literature and Building a New Concept.

Authors:  Jenny A Higgins; Nicole K Smith
Journal:  J Sex Res       Date:  2016-03-08

5.  A Qualitative Study of the Contraceptive Effect on Women's Sexual Experiences: Beyond Hormonal Effects.

Authors:  Connie F Lu; Sara E Vargas; Melissa Guillen; Jaime J Ramirez; Sofia L Carbone; Melissa L Getz; Yaa Frimpong; Kelley Alison Smith; Julia G Shaw; Iris Tong; Melanie Hill; Robert E Berry; Kate M Guthrie
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6.  Contraceptive sex acceptability: a commentary, synopsis and agenda for future research.

Authors:  Jenny A Higgins; Anne R Davis
Journal:  Contraception       Date:  2014-03-11       Impact factor: 3.375

7.  Nomegestrol acetate/17beta-estradiol does not negatively alter the vascular resistance of clitoral arteries: a prospective, exploratory study.

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Journal:  Int J Impot Res       Date:  2019-07-01       Impact factor: 2.896

8.  Hormonal Contraception Use and Sexual Frequency across Young Women's Intimate Relationships.

Authors:  Shari M Blumenstock; Jennifer S Barber
Journal:  J Sex Res       Date:  2022-04-18

9.  The Sexual Acceptability of Intrauterine Contraception: A Qualitative Study of Young Adult Women.

Authors:  Jenny A Higgins; Kristin Ryder; Grace Skarda; Erica Koepsel; Eliza A Bennett
Journal:  Perspect Sex Reprod Health       Date:  2015-08-17

10.  Sexual Functioning in Adolescents With Major Depressive Disorder.

Authors:  Emira Deumic; Brandon D Butcher; Anita D Clayton; Lilian N Dindo; Trudy L Burns; Chadi A Calarge
Journal:  J Clin Psychiatry       Date:  2016-07       Impact factor: 4.384

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