Much debate and controversy has ensued regarding the contentious and subjective definition, diagnosis, measurement and treatment of desire problems for both men and women as various editions of the Diagnostic Statistical Manual (DSM) have been published (DSM V edition). Despite the recent changes for women, the fact that the criteria for men remains the same, reflects a huge paucity in understanding how male sexual desire varies; how ‘lower’ desire manifests, how it is diagnosed and subsequently managed (Bitzer, Giraldi, Pfauss 2013).
Much uncertainty still prevails because of the lack of significant field studies (Carvalheira 2014), and the presence or lack of distress remains questionable. Moreover, the focus has predominantly been on female sexual desire, not in men (Brottio 2009). The aim of the initial quantitative research was to explore how the level of sexual desire varies in men, what factors influence their sexual desire and their help seeking behaviour over the past 6 months.
Methods: The initial study was based on quantitative research. The study questionnaire was developed incorporating other validated questionnaires used in women with proven reliability. The questionnaire comprised of 21 questions and was implemented online within Australia. It targeted a convenience sample of 300 heterosexual men over the age of 18, in the same relationship for at least 12 months.
Results: The average age of the study participants (N=300) is 52 and average relationship duration 18 years. The results are congruent with other findings (Brottio 2010 and Rubio-Aurioles, and Bivalacqua, 2013) which highlight the range in male sexual desire. The findings identify stress or fatigue as significant factors inhibiting desire that have not been previously identified in the literature; and also highlight other variables such as medications, conflict and dissatisfaction that affect male sexual desire. Finally the results confirmed that there is concern present, despite complacency and tendency to ignore the issue. Importantly the initial quantitative analysis highlights a number of issues that warrant further investigation. Indeed the results confirmed that there is an intricate and complex interplay of multiple biopsychosocial variables that can inhibit or augment desire which are also subject to contextual factors, yet there were a number of limitations. The quantitative research did not allow for elaboration in the response, and consequently lacked insight and detail. Qualitative research data collation is nearly complete: 33 qualitative interviews have been conducted and key thematic findings are discussed.
Conclusions: Qualitative research findings will provide understanding on how men define, perceive and interpret desire. The objective is to generate an in-depth, more detailed insight regarding their perception of desire and what constitutes male sexual desire. It is also critical to identify the barriers that men experience so that individuals and couples can seek appropriate assistance. Women have also participated to ascertain how men experience and respond to sexual desire through their lens.
Offering clients an interdisciplinary and approach in dealing with sexual dysfunctions has been shown to positively impact on client and relational outcomes. Viewing a sexual concern from one lens or perspective i.e. medical or psychological can fail to achieve the best outcome for clients. Ejaculatory disorders are the most common presenting problems for men.
This is the first community based empirical study to explore Australian women's genital image perceptions and their views towards female genital cosmetic surgery (FGCS). There has been a significant increase in the requests for female genital cosmetic surgery over the last 20 years. Labiaplasty is the most requested type of FGCS requested and has caused concerns amongst health professionals.
Premature ejaculation (PE) is a common male sexual disorder which is associated with substantial personal and interpersonal negative psychological consequences and reduced quality of life for both sufferer and partner. Reliable information on the prevalence of PE in the general male population is lacking. There is a substantial disparity between the incidence of PE in epidemiological studies which rely upon either patient self-report of PE and/or inconsistent and poorly validated definitions of PE and that suggested by community based stopwatch studies of the intravaginal ejaculation latency time (IELT).
Problems of sexual desire are often cited as the most prevalent of the female sexual dysfunctions. Despite this finding, considerable variability exists when comparing prevalence figures across studies, highlighting the inconsistency in how these problems are defined and therefore measured. The current study was designed to determine how the prevalence estimates of women's sexual desire problems vary according to the diagnostic criteria adopted to define such problems.