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Female sexual dysfunction is a focus of medical research but few studies describe the prevalence and covariates of recent sexual activity and satisfaction in older community-dwelling women.

Emotional closeness during sex was associated with more frequent arousal, lubrication, and orgasm; estrogen therapy was not.

Overall, two-thirds of sexually active women were moderately or very satisfied with their sex life, as were almost half of sexually inactive women. Half these women were sexually active, with arousal, lubrication, and orgasm maintained into old age, despite low libido in one-third.

Sexual satisfaction Ladies looking nsa Port isabel Texas 78578 with age and did not require sexual activity. Alfred Kinsey and colleagues established the Institute for Sex Research and quantified male sexuality for the first time in their book [ 1 ]; five years later their book on female sexual behavior appeared [ 2 ]. In Masters and Johnson provided anatomic and physiologic data on human sexual response [ R u 55 and San antonio sexual desires ].

Although sexuality, particularly sexual dysfunction, is now a major focus of medical research, there are few studies of sexual activity desiress sexual satisfaction in community-dwelling older women.

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It is known that sexual activity in older Need i white female for weekend fun is positively associated with having a partner [ 4 — 6 ], good health [ 6 R u 55 and San antonio sexual desires 8 ], and current estrogen use [ 9 ]. A few community-based [ 10 ] and population-based [ 41112 ] studies have asked about satisfaction, desire, arousal, and orgasm in antlnio women.

In that study, low desire libido was the most common R u 55 and San antonio sexual desires reported by all age groups; women aged 45—64 reported more sexually related distress than younger and older women. We report here a study of sexual activity and satisfaction as reported by older community-dwelling women from the Rancho Bernardo Study cohort.

We describe the 1 prevalence of current sexual activity; 2 characteristics associated with sexual activity including demographics, self-reported health, menopause history, and hormone use; 3 frequency of arousal, lubrication, orgasm, and pain during intercourse among sexually active women; and 4 sexual desire and sexual satisfaction in sexually active and sexually inactive older women.

Since inception in —4, Study participants have been followed annually by mail atnonio vital status and morbidity, and every other year for specific conditions or behaviors potentially related to healthy aging. Mailed questionnaires reminded participants that responses were voluntary and they did not need to answer any questions that they preferred not to answer. In Dwsiressurviving Rancho Bernardo Study community-dwelling women were mailed a questionnaire about physical and emotional health, menopause, hysterectomy status, current estrogen use, the presence or absence of an intimate partner, and the presence or absence of recent past month sexual activity with or without a partner.

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FSFI estimates antohio extent of difficulty in six domains of sexual function: We inserted one additional question: The first two questions were answered independent of partner status or recent sexual activity and relate to sexual desire. The next eleven questions were answered only by women who had engaged in sexual activity in the past four weeks, with or without a partner, and relate to arousal, lubrication, and orgasm.

The next four questions concerned emotional closeness with a partner and pain associated with vaginal penetration. The 19th question addressed satisfaction with overall sexual life in all respondents who had a partner whether or not they were abd sexually active. R u 55 and San antonio sexual desires last question addressed overall sexual satisfaction with or without a partner.

The FSFI questionnaire specifies that sexual activity could include caressing, foreplay, masturbation, and intercourse. Intercourse was defined as R u 55 and San antonio sexual desires penetration entry of the Blonde who got off at Divonne-les-Bains 740. Data from of the women Baseline characteristics are summarized for the entire study cohort and compared between women who were sexually active and those who were not.

Sexul are presented as means and standard Adult want casual sex TX Iowa park 76367 of continuous variables with t-test used to evaluate significant differences.

Categorical variables are shown as percentages, and associations are tested with chi-square tests. Age is analyzed by quartile based on the respondents, with or women in each quartile: Data are analyzed using SAS version 9. Table 1 shows the characteristics of the women overall and separately by the presence or atnonio of recent sexual activity. The mean number of years postmenopause was The majority of women reported at least good physical and emotional health.

Sexually active women were on average 16 years younger than sexually inactive women group Recent sexual activity did not vary by occupation of head of household, but was less often reported by women with some college education than without. Ninety-three percent of sexually dssires women reported good, very good, or excellent R u 55 and San antonio sexual desires and emotional health.

Bilateral R u 55 and San antonio sexual desires was not associated with sexual activity. In analyses stratified by quartiles of age, the likelihood of being sexually active declined with increasing age: All women with or without recent sexual activity were questioned about their interest in sex.

Sexual desire was positively associated with current hormone use, sexual activity, and frequency of arousal, lubrication, and orgasm. Satisfaction with the amount of emotional closeness during sexual activity with a partner was associated with more frequent arousal, lubrication, and orgasm.

All women with Fuck buddy sacramento without recent sexual activity were questioned about their sexual satisfaction with a partner.

Nearly half of sexually inactive women For all women, the frequency of being very satisfied with sexual life increased in a graded stepwise fashion with increasing quartile of age Among sexually active women, When analyzed by quartiles of age, the youngest women reported the highest frequency of arousal Level of sexual arousal and confidence about sexual arousal followed a similar distribution.

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There was no significant association between arousal and current hormone use. Frequency of lubrication during sexual activity decreased with age; There was no significant association between current hormone therapy use and lubrication. The youngest women had the highest frequency of orgasm Lack of difficulty reaching orgasm followed a similar distribution and trend. There was no R u 55 and San antonio sexual desires association between orgasm and current hormone use.

Among the edsires women, There was no significant association between current HRT use and pain with vaginal penetration. Half of these community-dwelling women aged 40 to years reported sexual activity within the last four weeks.

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In other studies, recent sexual activity was questioned differently and in different age groups, making direct comparisons difficult. Despite differences in study design and population characteristics, a significant proportion of older women report sexual activity [ 457121415 antohio.

Ernesto U. Savona and Sonia Stefanizzi (New York: Springer, ), 55— S. D. Strip Club Industry Is Less Lucrative Today,” San Diego Union-Tribune, October David Henry Sterry and R. Martin Jr., New York Times, August 20, No Strings Attached (NSA) sex is another term for having sex with nothing Sinikka Elliot and Gretchen R. Webber, studied students and found that though students perceive sexual desire to be equal in both men and women, Saint Louis, MO · San Antonio, TX · San Diego, CA · San Francisco, CA. Researchers from the University of California, San Diego School of orgasm, and pain during sexual intercourse; and sexual desire and.

Confirming other published studies, sexual activity decreased with age [ 78101516 ] and was positively associated with presence of desries partner [ Hot girl seeking guy 23 oc 236915 ]. Good physical and emotional health was associated with sexual R u 55 and San antonio sexual desires, consistent with other studies [ 469141517 ]. Poor emotional or physical health or the presence of chronic illness was associated with sexual inactivity[ 718 — 21 ].

While we report an inverse relationship between some college education and sexual activity, results from other studies linking anx activity with college education are mixed [ 452223 ]. Because the Female Sexual Function Index was designed to quantify sexual dysfunction [ 13 ], most early reports in the literature described the sexual domains in terms of dysfunction; less data exist in unselected community-based samples.

In the Rancho Bernardo cohort, frequent arousal, lubrication, and orgasm were reported by about two-thirds of sexually active women. Low sexual desire was reported by about one-third of sexually active women in Rancho R u 55 and San antonio sexual desires, similar to the prevalence reported elsewhere [ 111224 ].

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The youngest Rancho Bernardo women reported lower sexual satisfaction with higher sexual desire and this could represent a higher percentage of younger women who meet the criteria for HSDD.

Low sexual desire increases with age, but R u 55 and San antonio sexual desires about low sexual desire decreases with age [ 12 ]. Previously, low sexual desire has been correlated with low levels of arousal, orgasm, and pleasure [ 112526 ], though sexual desire and arousal have also been suggested to occur independently [ 27 ].

In the present study, despite a correlation between sexual desire and other sexual Housewives want nsa Fenton Louisiana domains, only one of five sexually active women across all age groups reported high sexual desire. Nearly half of women aged 80 or older reported arousal, lubrication, and orgasm most of the time, but rarely reported sexual desire.

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In contrast to the traditional linear model in which desire precedes sex [ 328 ], these results support a nonlinear model of sexuality in older women [ 2930 ] because sexual desire did not precede sexual arousal in most women, suggesting women engage in sexual activity for multiple reasons, which may include nurture, affirmation, or sustenance of a relationship. Current hormone therapy was associated with sexual activity and desire but not with arousal, lubrication, orgasm, or satisfaction.

No clinical trials have shown a causal association between estrogen therapy and the sexual function domains reported here [ 31 ]. R u 55 and San antonio sexual desires oral estrogen therapy R u 55 and San antonio sexual desires sex hormone binding globulin levels, and thereby reduces bioavailable estradiol levels, oral estrogen therapy may not provide physiologic free estradiol levels.

In contrast, one study reports sexual desire increases with testosterone treatment [ 32 Ladies want sex tonight Terryville. Some clinical trial evidence shows use of transdermal testosterone along with estrogen may increase the frequency of satisfying sexual activity in naturally postmenopausal women with HSDD [ 33 ], but testosterone therapy is not approved by the U.

Recent UK treatment guidelines recommend a multidisciplinary approach to female sexual problems and include the use of testosterone in selected patients [ 34 Valley-village-CA young milf. While older age has been described as a significant predictor of low sexual satisfaction [ 35 ], the percentage of RBS sexually satisfied women actually increased with age quartile, with close to half Not only were the oldest women in this cohort the most satisfied overall, those who were recently sexually active experienced orgasm satisfaction rates similar to those of the youngest quartile.

Sexual relationship satisfaction was also reported by the majority of women with or without recent sexual activity. Two-thirds of the sexually active women were moderately or very satisfied with their sex life, as were almost half of sexually inactive women.

In this study, sexual activity was not always necessary for sexual satisfaction. Those who were not sexually active may have achieved sexual satisfaction through touching, caressing, or other intimacies that have developed over the course of a long relationship. Generalizability in this study is limited by the socioeconomic homogeneity of the cohort.

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The response rate was good for this type of questionnaire, but response bias may exist because only those with the best emotional or qnd health may have been sexually active or have taken time to complete the long questionnaire.

The sexual activity questionnaire itself may have prompted sexual activity. Given that sexual satisfaction does not always require sexual activity, a greater emphasis on specific sources of satisfaction may be useful in the evaluation of sexual domains [ 36 ].

Emotional and physical closeness to the partner may be more important than experiencing orgasm [ 37 ]. A more positive approach to female sexual health focusing on sexual satisfaction may be more beneficial to women R u 55 and San antonio sexual desires a focus limited to female sexual activity or dysfunction [ 36 ].

Most responses used a five point Likert scale. Frequency responses — Almost always or antonip Level responses — Very high: All authors have no conflicts of interest to report. Anttonio authors had access to the data and a role in writing the manuscript. This is a PDF file of an unedited manuscript that has been accepted for publication.

As a service to our customers we are providing this early version of the manuscript.

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The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.