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Archives of Sexual Behavior

, Volume 45, Issue 1, pp 159–173 | Cite as

Men with Sexual Problems and Their Partners: Findings from the International Survey of Relationships

  • Raymond C. Rosen
  • Julia R. Heiman
  • J. Scott Long
  • William A. Fisher
  • Michael S. Sand
Original Paper

Abstract

Epidemiologic studies of sexual function problems in men have focused on the individual male and related sociodemographic characteristics, individual risk factors and lifestyle concomitants, or medical comorbidities. Insufficient attention has been given to the role of sexual and relationship satisfaction and, more particularly, to the perspective of the couple as causes or correlates of sexual problems in men or women. Previously, we reported results of the first large, multi-national study of sexual satisfaction and relationship happiness in 1,009 midlife and older couples in five countries (Brazil, Germany, Japan, Spain, U.S.). For the present study, we examined, within each problem, the association of four major sexual problems in men (loss of sexual desire, erectile problems, premature ejaculation, delayed/absent orgasm) and multiple problems, with male and female partners’ assessments of physical intimacy, sexual satisfaction, and relationship happiness, as well as associations with well-known health and psychosocial correlates of sexual problems in men. Sexual problem rates of men in our survey were generally similar to rates observed in past surveys in the general population, and similar risk factors (age, relationship duration, overall health) were associated with lack of desire, anorgasmia, or erection difficulties in our sample. As in previous surveys, there were few correlates of premature ejaculation. As predicted, men with one or more sexual problems reported decreased relationship happiness as well as decreased sexual satisfaction compared to men without sexual problems. Moreover, female partners of men with sexual problems had reduced relationship happiness and sexual satisfaction, although these latter outcomes were less affected in the women than the men. The association of men’s sexual problems with men’s and women’s satisfaction and relationship happiness were modest, as these couples in long-term, committed relationships were notable for their relatively high levels of physical affection and relationship happiness.

Keywords

Sexual dysfunction Erectile dysfunction Sexual desire Sexual distress DSM-5 

Notes

Acknowledgments

This study was supported by an independent investigator-initiated Grant from Bayer-Schering Inc. Sampling and data collection fieldwork were performed by Synovate Healthcare, Inc., The design, conceptualization, analysis, and interpretation of the results are the sole product of discussions among the co-authors, represent the consensus of the co-authors, and have not been subject to editorial revision by Bayer-Schering, Inc.

References

  1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.Google Scholar
  2. Araujo, A. B., Hall, S. A., Ganz, P., Chiu, G. R., Rosen, R. C., Kupelian, V., & McKinlay, J. B. (2010). Does erectile dysfunction contribute to cardiovascular disease risk prediction beyond the Framingham risk score? Journal of the American College of Cardiology, 26, 350–356.CrossRefGoogle Scholar
  3. Birnbaum, G. E., Reis, H. T., Mikuliner, M., Gillath, O., & Orpaz, A. (2006). When sex is more than just sex: Attachment orientation, sexual experience, and relationship quality. Journal of Personality and Social Psychology, 91, 929–943.PubMedCrossRefGoogle Scholar
  4. Butzer, B., & Campbell, L. (2008). Adult attachment, sexual satisfaction, and relationship satisfaction: A study of married couples. Personal Relationships, 15, 141–154.CrossRefGoogle Scholar
  5. Byers, E. S. (2005). Relationship satisfaction and sexual satisfaction: A longitudinal study of individuals in long term relationship. Journal of Sex Research, 42, 113–118.PubMedCrossRefGoogle Scholar
  6. Chew, K. K., Finn, J., Stuckey, B., Gibson, N., Sanfilippo, F., Bremner, A., & Jamrozik, K. (2010). Erectile dysfunction as a predictor for subsequent atherosclerotic cardiovascular events: Findings from a linked-data study. Journal of Sexual Medicine, 7, 192–202.PubMedCrossRefGoogle Scholar
  7. Eardley, I., Fischer, W., Rosen, R. C., Niederberger, C., Nadel, A., & Sand, M. (2007). The multinational men’s attitudes to life events and sexuality study: The influence of diabetes on self-reported erectile function, attitudes and treatment-seeking patterns in men with erectile dysfunction. International Journal of Clinical Practice, 61, 1446–1453.PubMedCrossRefGoogle Scholar
  8. Fisher, W. A., Donahue, K., Long, J. S., Heiman, J. R., Rosen, R. C., & Sand, M. S. (2014). Individual and partner correlates of sexual satisfaction and relationship happiness in midlife couples: Dyadic analysis of the International Survey of Relationships. Archives of Sexual Behavior,. doi: 10.1007/s10508-014-0426-8.PubMedCentralGoogle Scholar
  9. Fisher, W. A., Eardley, I., McCabe, M., & Sand, M. (2009a). Erectile dysfunction (ED) is a shared sexual concern of couples: Association of female partner characteristics with male partner ED treatment seeking and phosphodiestrerase type 5 inhibitor utilization. Journal of Sexual Medicine, 6, 3111–3124.PubMedCrossRefGoogle Scholar
  10. Fisher, W. A., Eardley, I., McCabe, M., & Sand, M. (2009b). Erectile dysfunction (ED) is a shared concern of couples: I. Couple conceptions of ED. Journal of Sexual Medicine, 6, 2746–2760.PubMedCrossRefGoogle Scholar
  11. Fisher, W., Rosen, R., Eardley, I., Niederberger, C., Nadel, A., Kaufman, J., & Sand, M. (2004a). The Multinational Men’s Attitudes to Life Events and Sexuality (MALES) Study II: Understanding PDE5 inhibitor treatment seeking patterns among men with erectile dysfunction. Journal of Sexual Medicine, 1, 146–156.CrossRefGoogle Scholar
  12. Fisher, W., Rosen, R., Eardley, I., Niederberger, C., Nadel, A., Kaufman, J., & Sand, M. (2004b). The Multinational Men’s Attitudes to Life Events and Sexuality (MALES) Study II: Understanding PDE5 inhibitor treatment seeking patterns among men with erectile dysfunction. Journal of Sexual Medicine, 1, 150–160.PubMedCrossRefGoogle Scholar
  13. Fisher, W. A., Rosen, R. C., Eardley, I., Sand, M., & Goldstein, I. (2005). Sexual experience of female partners of men with erectile dysfunction: The Female Experience of Men’s Attitudes to Life Events and Sexuality (FEMALES) study. Journal of Sexual Medicine, 2, 675–684.PubMedCrossRefGoogle Scholar
  14. Goldstein, I., Fisher, W. A., Sand, M., Rosen, R. C., Mollen, M., Brock, G., & Derogatis, L. R. (2005). Women’s sexual function improves when partners are administered Vardenafil for erectile dysfunction: A prospective, randomized, double-blind, placebo-controlled trial. Journal of Sexual Medicine, 2, 819–832.PubMedCrossRefGoogle Scholar
  15. Heiman, J. R., Long, S., Smith, S. J., Fisher, W. A., Sand, M., & Rosen, R. C. (2011). Satisfaction and relationship happiness in midlife and older couples in five countries. Archives of Sexual Behavior, 40, 741–753.PubMedCrossRefGoogle Scholar
  16. Heiman, J. R., Talley, D. R., Bailen, J. L., Rosenberg, S. J., Pace, C. R., & Bavendam, T. (2007). Sexual function and satisfaction in heterosexual couples when men are administered sildenafil citrate (Viagra) for erectile dysfunction: A multicentre, randomized, double- blind, placebo-controlled trial. British Journal of Obstetrics and Gynecology, 114, 437–447.CrossRefGoogle Scholar
  17. Inman, B. A., St. Sauver, J. L., Jacobson, D. J., McGree, M. E., Nehra, A., Lieber, M. M., … Jacobsen, S. J. (2009). A population-based longitudinal study of erectile dysfunction and future coronary artery disease. Mayo Clinic Proceedings, 84, 108–113Google Scholar
  18. Kupelian, V., Araujo, A. B., Chiu, G. R., Rosen, R. C., & McKinlay, J. B. (2010). Relative contributions of modifiable risk factors to erectile dysfunction: Results from the Boston Area Community Health (BACH) Survey. Preventive Medicine, 50, 19–25.PubMedPubMedCentralCrossRefGoogle Scholar
  19. Laumann, E. O., Paik, A., Glasser, D. B., Kang, J. H., Wang, T., Levinson, B., & Gingell, C. (2006). A cross-national study of subjective sexual well-being among older women and men: Findings from the Global Study of Sexual Attitudes and Behaviors. Archives of Sexual Behavior, 35, 145–161.PubMedCrossRefGoogle Scholar
  20. Laumann, E. O., Paik, A., & Rosen, R. C. (1999). Sexual dysfunction in the United States: Prevalence and predictors. Journal of the American Medical Association, 281, 537–544.PubMedCrossRefGoogle Scholar
  21. Lindau, S. T., Schumm, L. P., Laumann, E. O., Levinson, W., O’Muircheartaigh, C. A., & Waite, L. J. (2007). A study of sexuality and health among older adults in the United States. New England Journal of Medicine, 357, 762–767.PubMedPubMedCentralCrossRefGoogle Scholar
  22. Liu, C. (2003). Does quality of marital sex decline with duration? Archives of Sexual Behavior, 32, 55–60.PubMedCrossRefGoogle Scholar
  23. Long, J. S., & Freese, J. (2005). Regression models for categorical dependent variables using strata. College Station, TX: Stata Press.Google Scholar
  24. Nicolosi, A., Laumann, E. O., Glasser, D. B., Brock, G., King, R., & Gingell, C. (2006). Sexual activity, sexual disorders and associated help-seeking behavior among mature adults in five anglophone countries from the Global Survey of Sexual Attitudes and Behaviors (GSSAB). Journal of Sex and Marital Therapy, 32, 331–342.PubMedCrossRefGoogle Scholar
  25. Porst, H., Montorsi, F., Rosen, R. C., Gaynor, L., Grupe, S., & Alexander, J. L. (2007). The premature ejaculation prevalence and attitudes (PEPA) survey: Prevalence, comorbidities, and professional help-seeking. European Urology, 51, 816–823.PubMedCrossRefGoogle Scholar
  26. Rosen, R. C., & Althof, S. (2008). Impact of premature ejaculation: The psychological, quality of life, and sexual relationship consequences. Journal of Sexual Medicine, 5, 1296–1307.PubMedCrossRefGoogle Scholar
  27. Rosen, R., Brown, C., Heiman, J., Leiblum, S., Meston, C., Shabsigh, R., & D’Agostino, (2000). The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function. Journal of Sex and Marital Therapy, 26, 191–208.PubMedCrossRefGoogle Scholar
  28. Rosen, R. C., Fisher, W., Eardley, I., Niederberger, C., Nadel, A., & Sand, M. (2004). The Multinational Men’s Attitudes to Life Events and Sexuality (MALES) Study: I. Prevalence of erectile dysfunction and related health concerns in the general population. Current Medical Research Opinion, 20, 607–617.PubMedCrossRefGoogle Scholar
  29. Rosen, R. C., Riley, A., Wagner, G., Osterloh, I. H., Kirkpatrick, J., & Mishra, A. (1997). The International Index of Erectile Function (IIEF): A multidimensional scale for assessment of erectile dysfunction. Urology, 49, 822–830.PubMedCrossRefGoogle Scholar
  30. Rubin, H., & Campbell, L. (2012). Day-to-day changes in intimacy predict heightened relationship passion, sexual occurrence, and sexual satisfaction: A dyadic diary analysis. Social Psychological and Personality Science, 3, 224–231.CrossRefGoogle Scholar
  31. Shifren, J. L., Monz, B. U., Russo, P. A., Segreti, A., & Johannes, C. B. (2008). Sexual problems and distress in United States women: Prevalence and correlates. Obstetrics and Gynecology, 112, 970–978.PubMedCrossRefGoogle Scholar
  32. Spanier, G. (1976). Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. Journal of Marriage and Family, 38, 15–28.CrossRefGoogle Scholar
  33. Travison, T. G., Sand, M. S., Rosen, R. C., Shabsigh, R., Eardley, I., & McKinlay, J. B. (2011). The natural progression and regression of erectile dysfunction: Follow-up results from the MMAS and MALES studies. Journal of Sexual Medicine, 8, 1917–1924.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Raymond C. Rosen
    • 1
  • Julia R. Heiman
    • 2
  • J. Scott Long
    • 3
  • William A. Fisher
    • 4
  • Michael S. Sand
    • 1
  1. 1.New England Research Institutes, Inc.WatertownUSA
  2. 2.The Kinsey Institute for Research in Sex, Gender and Reproduction, and Department of Psychological and Brain SciencesIndiana UniversityBloomingtonUSA
  3. 3.Departments of Sociology and StatisticsIndiana UniversityBloomingtonUSA
  4. 4.Department of Obstetrics and GynecologyUniversity of Western OntarioLondonCanada

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