Adult searching orgasm South Carolina

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Try out PMC Labs and tell us what you think. Learn More. In recent years, a growing of interventions for treatment of female orgasmic problems FODs have emerged.

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Whereas orgasm is a extra biologically and learnable experience, there is a need for practitioners that to be able to select which therapy is the most appropriate to their context. In this critical literature review, we aimed to assess areas of controversy in the existing therapeutic interventions in FOD with taking into ed the Iranian cultural models. For the present study, we conducted an extensive search of electronic databases using a comprehensive search strategy from till Selection criteria in order to be included in this review, studies were required to: 1 employ clinical-based interventions, 2 focus on FOD.

Self-direct masturbation is suggested as the most privilege treatment in FOD. Reviewing all therapies indicates couple therapy, sexual skill training and sex therapy seem to be more appropriate to be applied in Iranian clinical settings.

Since many therapeutic interventions are introduced to inform sexually-related practices, it is important to select an intervention that will be culturally appropriate and sensitive to norms and values. Professionals working in the fields of health and sexuality need to be sensitive and apply culturally appropriate therapies for Iranian population.

The notion that culturally competent services should be available to people who are seeking help in sensitive topics such as sexuality has been debated for many decades. Cultural safety and cultural competency are currently important topics for sexual health professionals 12. Culturally competent services will be warranted if therapeutic interventions adapted to the given culture 3. In management of sexual problems, considerable variation exists in the therapeutic interventions. The range of different therapeutic interventions for women's orgasmic problems has been growing over the recent years, alongside an increasing interest in orgasm related therapies to inform sexual and reproductive health related practices 4 - 6.

While the term "sex therapy" is frequently used to describe how women's orgasmic problems are treated, far more terms are used to describe the therapy of orgasmic problems. The profusion of interventions can mask some of the basic decisive factors in therapy that the different therapeutic interventions share, and also lead to some confusion regarding which therapy is most appropriate in a given culture or context. No question, there are of interventions introduced worldwide to treat women's orgasmic problems 7.

The psychological and cultural valuation and 'meaning' of orgasm are complex and considerably different in various societies 8. Sometimes the interventions are not efficient because they are not culturally sensitive or appropriate 9 There is a need for researchers and practitioners to be able to identify areas of controversy in the existing therapeutic interventions.

Orgasmic problem is the second most common sexual complaint reported by women. The high prevalence of orgasmic problems and its consequences in one's life lead researchers and professionals to study about etiology and find effective therapies for these problems 11 - Prevalence of orgasm problem in US and Australia have estimated between 21 to 29 percent 17 Data from a study of year-old adults in 29 countries found even higher prevalence of problems with orgasm among women in Asian countries Iranian sexual studies have been restricted to prevalence and related factors of orgasmic disorders.

FOD a multidimensional problem that influenced by affected personal, sociocultural, religious and political contexts factors It is necessary to pay attention to those factors at the time of assessment or implementing an intervention This paper does not argue that the various orgasm-related therapies are unnecessary, but rather seeks to draw together and review the full range of therapeutic interventions available to assist future professionals in selecting therapeutic intervention and adopt them into their cultures. Since the existing evidence-based therapies are fused with Western norms, scholars and investigators need to determine whether such treatments are equally effective for other cultures or whether new culturally sensitive therapies are necessary The primary purpose of this paper is to critically review the existing literature regarding domains of therapies such as pharmacological and non-pharmacological for FODs and to explore areas of cultural controversy in the contexts such as Iran.

The secondary purpose of this paper is to suggest implications for clinical practice to be culturally sensitive and competent in Iranian settings. In order to reach out the benefit of this review, we need to Adult searching orgasm South Carolina the following important questions:. What possible recommendations for culturally competent services can be made for Iran or other similar contexts? This is a narrative review of literature related to interventions for FODs. This review was approved by the ethic committee of Isfahan University of Medical Sciences in Relevant papers were screened and details of the interventions extracted.

All interventions were classified based on their theoretical framework. At first, we found articles based on the key words in the title or abstract. Of articles, were selected for full review. From these articles 98 were selected for the final review if they had introduced at least one therapeutic intervention. After omitting duplicated interventions only 25 distinct interventions were identified.

A level of evidence is given to each individual study based on guideline in sexual medicine Overall, the narrative review of available research suggests that interventional therapy of FOD are restricted and often looked controversial. Compared to pharmacological treatment options, non-pharmacological interventions have two main advantages; that is, they do not have negative physical side effects, and they aim at the re-establishment of sexual functioning and the increase of sexual satisfaction beyond the reduction of aim manifestation.

showed that psychological interventions are superior to wait-list in improving symptom severity and sexual satisfaction with a ificant effect size if conducted in a couple setting sex therapy and sexual skills training were the most frequently studied interventions over the years. Compared to of this review are not completely consistent, and this discrepancy may be linked to several factors that differed between studies, such as the meanings were used to define and operationalize the term "orgasm".

The do suggest that direct masturbation can be empirically valid and Adult searching orgasm South Carolina technique for lifelong FOD. Findings from this review put emphasis on meaningful effects of psychological interventions such as marital therapy, sexual skill training and sex therapy on severity and sexual satisfaction in FODs. This does not allow one to reach a certain conclusion. Researcher had used several therapy techniques in FOD by various outcomes implemented Many of the interventions introduced were implemented in the western cultures which make broad generalizability difficult for practice in FOD.

Limited sexual knowledge related to sexuality was found as an important influencing factor in sexual dysfunction among Iranian patients 2029 Sexual health model was more efficient than others in motivating women to take action toward solving their own problems by using group members' sexual experiences A semi-experimental research was shown on 30 Iranian females aged between years old.

The females received interventional trainings in 10 sessions within two months. The obtained revealed that sex therapy with cognitive-behavioral approach would be helpful in treatment of orgasmic disorder have been shown the nature of most therapy necessitate that patients completing ased and exercises, maintaining motivation and resolving sociocultural barriers between clinician visits contributes to positive outcomes of therapy.

Techniques that used frequently with other in combination treatment approaches methods were behavioral therapy, asserration training, behavioral analysis, behavioral rehearsal, behavioral sex therapy, history taking, treatment cognitive therapy, anterior fornix erogenous AFE zone stimulation, new functional-sexological treatment, sex history, group therapy, sexological examination, sexological interview, mindfulness and yoga practices 434 - Having outlined the range of therapeutic interventions identified to address women's disorgasmia, we contrasted these interventions with Iranian clinical culture.

Clearly, many of them Adult searching orgasm South Carolina from diverse contexts with different cultures and have different approaches to managing orgasmic disorders. Examining these interventions indicates the need for different and culturally sensitive intervention and appropriate approaches to treatment of Iranian women's disorgasmia too. Recent studies and reviews have argued on the effectiveness of the culturally adapted sexually-related interventions comparing traditional un-adapted therapies.

A culturally sensitive intervention would change a specific feature of standard treatment practice e. We identified 98 studies those had introduced at least one of the therapeutic interventions for FOD. The studies varied in the description and assessment of this problem. Few studies have indicated strong impact of context and culture on sexual attitude and behavior and definition of what is considered sexual norms 2585 The majority of the interventions were behavioral and cognitive-behavior basically. This finding is not surprising because orgasm is subject to Adult searching orgasm South Carolina and erotic behaviors must be learnt 7187 Many of those therapeutic interventions for FODs were in practical and exercise format.

The practices may be advantageous because they are more cost-effective, provide effective care for more women, and promote self-efficacy of clients throughout their sexual lives. However, these interventions may be troublesome for women whose cultural values related to sexuality is traditionally scripted and may be especially unacceptable in conservative communities. The Iranian traditional culture of sexuality is constructed in a typical patriarchal society, and this underpins the issues around women and sexuality. In such contexts, women do not talk about sex freely or never touch their own sexual organs; and women mainly perceive and experience sexual behaviors in the context of marriage and with their potential husbands Alternatively, a few studies used interventions in couple therapy format 46 It may be easier to make cultural adaptations in the process of couple therapy.

More likely some of culturally competent therapists do some adaptations already. Therefore, it may be difficult to assess their cultural sensitivity. For example masturbation method was a substantial method supported by scholars. This exercise is believed to benefit women with orgasmic problems for a of reasons Inversely some of research showed masturbation has a broad range of effects on the human psyche and psychological defense mechanisms, for example passive aggression, denial, and autistic fantasy 92 Those of culturally competent therapists would suggest mutual masturbation without explicitly naming it "masturbation".

The techniques that found culturally problematic showed with their challenges in Table II. We argue that changes in existing interventions for FODs may happen by seriously consideration of cultural values and incorporating spirituality and religion codes. We must consider community members' involvement in development, taking into their acculturation level, address race, prejudice, and discrimination, and offer strategies to empower the clients.

The inclusion of community members in the process of adapting or developing a therapy is seminal to make sexually-related interventions efficient. However, none of the reviewed studies had declared community members' involvement in the process of intervention development. Our recommendations for therapeutic interventions from this review can be inspired by the Cultural Accommodation Model CAM of counseling The key component of CAM is to identify current culturally specific concepts and models from the community to fill in the cultural gaps and accommodate the models to therapists' working approaches.

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It sounds important to consider the practitioners' cultures and assumptions toward women and sexuality. A range of assumptions can be organized into a spectrum as follows:. Social dignity of a female patient is much more important than speaking out and intervening her sexual concerns.

The ways Iranian couples negotiate their sexual encounters and the process of consent are unknown and sexual life keeps its secrecy. Difficulty and undesirable in questioning Iranian women about their sexual needs and interests. Iranian women scarify their sexual pleasure to satisfy their sexual duty through the marital interactions. Thus, in this spectrum we have highly conservative or solely medical views.

Before the s, many women were abashed and anxious about seeking sexual pleasure because of the current social view that a 'good' woman simply tolerated her husband's sexual advances 11 Sexual dysfunction in women may commonly be experienced in the context of psychosocial issue, politics, economics, social class, cultural background, relationship conflicts, and shame or embarrassment about sexuality due to religious beliefs or familial inhibitions 4112635 A study comparing multiple ethnic groups revealed that Asian women report more sexual complaints and higher instances of anorgasmia 4.

In this paper, we described a range of therapeutic interventions implemented to address women's disorgasmia. We have examined whether the existing interventions are culturally sensitive or applicable in the Iranian contexts.

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We found that, while the interventions are profoundly effective in various contexts, there can be clear differences in effectiveness and appropriateness of them in the given contexts such as Iran, where women's sexuality is socially constructed and culturally regulated. Since many therapeutic interventions are introduced to inform sexually-related practices, it is important to select an intervention that will be culturally appropriate and sensitive to religion. Professionals working in the fields of health and sexuality need to be sensitive and apply culturally appropriate therapies for Iranian women.

We thank the Isfahan university of Uedical Sciences for the Approval of this Research with the Ethical code of This review extracted from Ph. Zahra Salmani. National Center for Biotechnology InformationU. Iran J Reprod Med. Zahra SalmaniPh. KilleenPh. Find articles by Zahra Salmani.

Find articles by Ali Zargham-Boroujeni. Find articles by Mehrdad Salehi. Therese K. Find articles by Therese K. Find articles by Effat Merghati-Khoei. Author information Article notes Copyright and information Disclaimer. Copyright notice. This article has been cited by other articles in PMC. Abstract Background: In recent years, a growing of interventions for treatment of female orgasmic problems FODs have emerged. Objective: In this critical literature review, we aimed to assess areas of controversy in the existing therapeutic interventions in FOD with taking into ed the Iranian cultural models.

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Materials and Methods: For the present study, we conducted an extensive search of electronic databases using a comprehensive search strategy from till Conclusion: Since many therapeutic interventions are introduced to inform sexually-related practices, it is important to select an intervention that will be culturally appropriate and sensitive to norms and values.

Adult searching orgasm South Carolina

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