(298) PRACTICE PATTERNS FOR THE ASSESSMENT OF PATIENTS’ ORGASM CONCERNS BY MEDICAL SPECIALTY
Authors: Burr E , Messafi A , Agrawal J , Perlmuter S , Forer R , Poirier E , Rubin R 
Published: December 2024

Abstract

Introduction
Physicians and advanced practice providers are increasingly seeing patients with orgasm dysfunction conditions that impact its multiple domains. Due to the multifactorial nature of orgasm dysfunction, multiple medical specialties are often consulted for conditions such as post-orgasmic illness syndrome (POIS) and persistent genital arousal disorder/genitopelvic dysesthesia (PGAD/GPD). However, little is known about how different medical specialties identify and treat these conditions.

Objective
This study aims to identify trends in orgasm assessment by medical doctors (MDs) osteopathic doctors (DOs), physician associates (PAs) and nurse practitioners (NPs) in different medical specialties. In particular, we seek to identify and compare the method of orgasm assessment utilized by physicians and advanced practice providers in various medical specialties and to explore provider satisfaction with their practice pattern by medical specialty.

Methods
Data were collected via an anonymous 33-question survey distributed from January 7, 2024 to April 14, 2024. The survey asked participants about their practice patterns for assessing orgasm via multiple choice. Qualtrics software was used to create, distribute, and analyze the survey, and Fisher’s exact tests were performed at the p &lt; 0.05 significance level.

Results
Of the 87 survey responses analyzed, 50 (57%) were physicians or advanced practice providers, with 36 (41%) MDs or DOs, 3 (3%) PAs and 11 (13%) NPs. The majority of these respondents worked in obstetrics and gynecology (Ob/Gyn) (20, 40%) followed by urology/urogynecology (11, 22%), and sexual medicine (8, 16%). The rest of the respondents worked in primary care/family medicine, internal medicine, psychiatry, and infectious disease. Sexual medicine specialists were significantly more likely to use interviews when compared to the other top two specialties (87.5% vs. 44.8%, p &lt; 0.05). Urologists/urogynecologists, with practice patterns split between Patient Reported Outcome Measures (PROMs) plus interviews (45.5%) and interviews alone (54.5%), were significantly more likely to disagree that they are satisfied with the care they provide pertaining to orgasm than all other specialties (45.5% vs 12.5%, p &lt; 0.05).

Conclusions
This study’s findings identify differences in practice patterns for assessing patients’ orgasm concerns between medical specialties, with sexual medicine specialists relying heavily on interviews over PROMs and providers within other specialties more frequently including PROMs in addition to interviews. Urogynecologists and urologists were the most evenly split with respect to whether their practice patterns including PROMs, and they were also the least likely to be satisfied with their orgasm care. Further studies should investigate reasons for provider dissatisfaction with their orgasm practice patterns and should look into creating standardized guidelines for the workup of orgasm dysfunction across specialties.

Disclosure
No.