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Articles

Cross-Cultural Analysis of Sexual Response and Relationship Satisfaction in Women With and Without Orgasmic Difficulty During Partnered Sex

, , , &
Pages 131-143 | Received 18 Aug 2020, Accepted 09 Dec 2020, Published online: 15 Jan 2021
 

Abstract

Objective

To investigate how orgasmic difficulty may impact women’s sexual/relationship quality depending upon their cultural origin. Method: We used a cross-sectional, multinational survey designed to assess orgasmic difficulty during partnered sex and other sexual/relationship factors in 88 Pakistani and 188 U.S. women. Results: Pakistani women reported less orgasmic difficulty than U.S. women, but those Pakistani women having orgasmic difficulty reported lower relationship satisfaction, less interest in sex, and greater difficulty becoming sexually aroused compared to U.S. respondents with orgasmic difficulty. Conclusions: The presence of orgasmic difficulty affected sexual and relationship factors more in Pakistani women than U.S. women.

Statement of ethics

Subjects have provided written informed consent. The study protocol was approved by the IRB of the authors’ institutions.

Disclosure statement

The authors have no conflicts of interests to declare.

Author contributions

ZZ, ZZ, and DR contributed to the conceptualization and data collection; ZZ, ZZ, JK, SM, and DR contributed to data analysis and manuscript preparation. All authors contributed to interpreting the results and final editing and approval.

Notes

1 Pakistan ranks 133/187 on the WHO Gender Inequality Index, indicating a high level of gender inequality.

2 English is one of two official languages of Pakistan, and most coursework in secondary and higher education is conducted in English. However, while most of those living in urban areas are fluent in English, many of those living in rural areas speak only Urdu or their regional/provincial language.

3 Collinear (r > .60) covariates included: Importance of sex and interest in sex; arousal difficulty and lubrication difficulty, and sexual relationship satisfaction and overall relationship satisfaction.

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