(082) More than 75% of Female Sexual Dysfunctions can be Prevented if The Partner is Treated, but That's The Main Problem
Authors: Dominguez-Bali A , Sharma R , Hassan Z , Baqer A , Dominguez-Bali C , Marquez L 
Published: May 2023

Abstract

Introduction
Premature Ejaculation (PE) is ejaculation that always or nearly always occurs prior to or within about one minute of vaginal penetration, together with the inability to retard ejaculation. There are multiple factors to consider and not all sexologists, psychologists, and therapists agree with the multiple definitions presently found in the sexual literature. This makes it difficult to have clear statistics of the incidence, prevalence, and frequency of this sexual disorder. On the other hand, Female Orgasmic Disorder (FOD) is defined as difficulty, delay, or inability for a woman to reach orgasm in a sexual encounter or the reduced frequency and/or intensity of orgasm. This includes anorgasmia in 50% of sexual encounters or fewer. While PE and Female Sexual Dysfunction (FSD) are usually described separately in the medical literature, we have found in both the sexological literature and in practice that women with FOD and FSD are frequently the partners of men with PE. Nationally speaking, the general frequency with which FOD secondary to PE of the partner during women’s reproductive years has been reported to run between 35-50%.

Objective
We report the very high incidence of FSD secondary to male sexual dysfunction (MSD) of their partners that is found in our area, mainly in the Latino-American population, and to analyze the possible reasons for this high incidence.

Methods
Review of more than 5,000 charts. Looking for FSD with male partners with MSD.

Results
Of the total number of women that reported FSD, around 48% reported it with Premature Ejaculation happening after one minute or less. For PE under 3 minutes, the percentage increased to 66.3%, and under 5 minutes to 79.6%. It is important to keep in mind that a woman may have FOD, with her partner ejaculating too quickly for her to achieve orgasm, while her partner does not meet the criteria for PE. If the male partner took longer than 1 minute to ejaculate, this would not be defined as PE as per the ISSM definition. This was present in more than 40% of cases. In 22 years of medical practice and sexual therapy, the number of couples that have attended to our centers for the treatment of PE has been less than 10. Curiously, while the problem affects a very large number of our couples, it is not considered a situation deserving of treatment, especially by the male partners.

Conclusions
We report a high incidence of Female Orgasmic Disorder never reported before, which is secondary to MSD of the partner. We discussed the complexity of the definition and the need to keep in account the average time that the average woman needs for arousal and orgasm and not only the time for men to ejaculate as the only indicator of PE. We want to emphasize the fact that a very large proportion of men with this condition take an attitude of denial, while their respective female partners have a passive and tolerant response, to the detriment of the relationship and secondary hypoactive sexual desire disorder.

Disclosure
No