Achievement of and Failure to Achieve Orgasm in Sexual Relationship: Exploring Iranian Women’s Experiences

Nekoolaltak, Maryam; Keshavarz, Zohreh; Simbar, Masoumeh; Nazari, Ali Mohammad; Baghestani, Ahmadreza

Authors

¹ Assisstant Professor, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran

² Associate Professor, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran

³ Professor, School of Nursing and Midwifery, Reproductive Endocrinology Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

⁴ - Associate Professor, Department of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahrood, Iran

⁵ Assistant Professor, Department of Biostatistics, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract

Introduction: Female orgasm is a subjective phenomenon that has been wrongly introduced to people and therapists in the halo of exaggeration and perfectionism made by sexual films. This study was conducted to explore the Iranian women's experience of achievement of or failure to achieve orgasm and its consequences in sexual relationship < span dir="RTL">.
Method: This qualitative study was conducted using content analysis method. Individual in-depth interviews with 20 married women were continued until data saturation. Sampling was performed using purposive sampling in the environment of two public clinics in Tehran. Data were analyzed using conventional content analysis method. Trustworthiness of data was achieved through Lincoln and Guba criteria.
Results: The results of data analysis were categorized into 3 categories, 8 subcategories, and 46 codes. The main categories include feeling of success to achieve orgasm, feeling of failure to achieve orgasm, and husband companionship. Successful orgasm in Iranian women led to the feeling of successfulness with pleasant emotions such as relief, excitement, or love and positive outcomes such as relaxation, intimacy, freshness, and vitality. Women's descriptions of orgasm were mainly psychological and emotional. Failure to achieve orgasm led to the feeling of failure with physical and psychological symptoms such as pain, nervousness, aggressiveness, and negative consequences such as being jealous of husband’s orgasm and regret for getting married.
Conclusion: To prevent and treat orgasm disorders in women, it should be noted that successful female orgasm can mainly be accompanied with pleasant emotional states and physical changes may beunclear or intangible, while failure to achieve orgasm in women can lead to vague physical or psychological symptoms. Couples training for sexual talk with spouse, as well as more interaction and companionship between wife and husband have effective roles in achieving female orgasm.

Keywords

References

1. Rabinerson D, From A, Gabbay-Ben-Ziv R. The riddle of female orgasm. Harefuah 2018; 157(8): 534-7. [In Hebrew]. 2. Frith H. What Is an Orgasm and Why Does it Matter? In: Frith H. Orgasmic Bodies. London: Palgrave Macmillan; 2015. p. 1-21. 3. Balon R, Segraves RT. Handbook of Sexual Dysfunction. Boca Ratont: Taylor & Francis; 2005. 4. Gałecki P, Depko A, Jedrzejewska S, Talarowska M. Human orgasm from the physiological perspective - part II. Pol Merkur Lekarski 2012; 33(194): 120-3. [In Polish]. 5. Rossi AS. Eros and Caritas: A biopsychosocial approach to human sexuality and reproduction. In: Rossi AS, John D, Catherine T. MacArthur Foundation Series on Mental Health and Development: Studies on Successful Midlife Development. Sexuality across the Life Course. Chicago: University of Chicago Press; 1994. p. 3-36. 6. Emhardt E, Siegel J, Hoffman L. Anatomic variation and orgasm: Could variations in anatomy explain differences in orgasmic success? Clin Anat 2016; 26(5): 665-72. 7. Gravina GL, Brandetti F, Martini P, Carosa E, Di Stasi SM, Morano S, et al. Measurement of the thickness of the urethrovaginal space in women with or without vaginal orgasm. J Sex Med 2008; 5(3): 610-8. 8. Wallen K, Lloyd EA. Female sexual arousal: Genital anatomy and orgasm in intercourse. Horm Behav 2011; 59(5): 780-92. 9. Bradford A. Female orgasmic disorder: Epidemiology, pathogenesis, clinical manifestations, course, assessment, and diagnosis. [cited. 2019 Jun 11] Available from: https://www.uptodate.com/contents/female-orgasmic-disorder-epidemiology-pathogenesis-clinical-manifestations-course-assessment-and-diagnosis. 10. Harris JM, Cherkas LF, Kato BS, Heiman JR, Spector TD. Normal variations in personality are associated with coital orgasmic infrequency in heterosexual women: A population‐based study. J Sex Med 2008; 5(5): 1177-83. 11. Kelly MP, Strassberg DS, Kircher JR. Attitudinal and experiential correlates of anorgasmia. Arch Sex Behav 1990; 19(2): 165-77. 12. Dunn KM, Croft PR, Hackett GI. Association of sexual problems with social, psychological, and physical problems in men and women: a cross sectional population survey. J Epidemiol Community Health 1999; 53(3): 144-8. 13. Tadayon Najafabady M, Salmani Z, Abedi P. Prevalence and related factors for anorgasmia among reproductive aged women in Hesarak, Iran. Clinic Science 2011; 66(1): 83-6. 14. Tavares IM, Laan ET, Nobre PJ. Cognitive-affective dimensions of female orgasm: The role of automatic thoughts and affect during sexual activity. J Sex Med 2017; 14(6): 818-28. 15. Kelly MP, Strassberg DS, Turner CM. Communication and associated relationship issues in female anorgasmia. J Sex Marital Ther 2004; 30(4): 263-76. 16. Nekoolaltak M, Keshavarz Z, Simbar M, Nazari AM. Sexual talk with the spouse: Sarcastic or Soothing? International Journal of Humanities and Cultural Studies 2016; 3(2): 1331-49. 17. Kelly MP, Strassberg DS, Turner CM. Behavioral assessment of couples' communication in female orgasmic disorder. J Sex Marital Ther 2006; 32(2): 81-95. 18. Frederick DA, Lever J, Gillespie BJ, Garcia JR. What keeps passion alive? Sexual satisfaction is associated with sexual communication, mood setting, sexual variety, oral sex, orgasm, and sex frequency in a national U.S study. J Sex Res 2017; 54(2): 186-201. 19. Frith H. Sexercising to orgasm: Embodied pedagogy and sexual labour in women’s magazines. Sexualities 2015; 18(3): 310-28. 20. Mark KP, Milhausen RR, Maitland SB. The impact of sexual compatibility on sexual and relationship satisfaction in a sample of young adult heterosexual couples. Sex Relation Ther 2013; 28(3): 201-14. 21. Klapilová K, Brody S, Krejčová L, Husárová B, Binter J. Sexual satisfaction, sexual compatibility, and relationship adjustment in couples: The role of sexual behaviors, orgasm, and men's discernment of women's intercourse orgasm. J Sex Med 2015; 12(3): 667-75. 22. Hurlbert DF, White LC, Powell RD, Apt C. Orgasm consistency training in the treatment of women reporting hypoactive sexual desire: An outcome comparison of women-only groups and couples-only groups. J Behav Ther Exp Psychiatry 1993; 24(1): 3-13. 23. Rahmani A, Merghati Khoei E, Alah Gholi L. Sexual satisfaction and its relation to marital happiness in Iranians. Iranian Journal of Public Health 2009; 38(4): 77-82. 24. Merghati-Khoei E, Zargham-Boroujeni A, Salehi M, Killeen TK, Momeni G, Pasha Y, et al. Saturated love leading to sexual pleasure: Iranian women's narratives. Caspian Journal of Applied Sciences Research 2015; 4(10): 20-9. 25. Darvish Mofrad Kashani Z, Emaratkar E, Hashem-Dabaghian F, Emadi F, Raisi F, Aliasl J, et al. Effect of melissa officinalis (lemon balm) on sexual dysfunction in women: a double-blind, randomized, placebo-controlled study. Iran J Pharm Res 2018; 17: 89-100. 26. Taavoni S, Nazem Ekbatani N, Haghani H. The effect of aphrodite on orgasm and sexual desire in menopausal women: A randomized clinical trial. Hayat 2016; 22(1): 1-12. [In Persian]. 27. Akbarzadeh M, Zeinalzadeh S, Zolghadri J, Mohagheghzadeh A, Faridi P, Sayadi M. Comparison of Elaeagnus angustifolia extract and sildenafil citrate on female orgasmic disorders: A randomized clinical trial. J Reprod Infertil 2014; 15(4): 190-8. 28. Nemati P, Nazariy A. Orgasmic disorders subset of sexual dysfunction in women and improve it. Journal of Safety Promotion and Injury Prevention 2014; 1(4): 228-35. [In Persian]. 29. Salmani Z, Zargham-Boroujeni A, Salehi M, Killeen TK, Merghati-Khoei E. The existing therapeutic interventions for orgasmic disorders: Recommendations for culturally competent services, narrative review. Iran J Reprod Med 2015; 13(7): 403-12. 30. Samani l, Fattahi SM, Shakeri S. Comparative study of childbearing command in common and imamiyah jurisprudence based on objectives of shari’a. Journal of Islamic Denominations 2018; 5(9): 181-200 .[In Persian]. 31. Rahmani A, Merghati Khoei E, Sadeghi N, Allahgholi L. Relationship between sexual pleasure and marital satisfaction. Iran Journal of Nursing 2011; 24(70): 82-90 .[In Persian]. 32. Mazinani R, Akbari Mehr M, Kaskian A, Kashanian M. Evaluation of prevalence of sexual dysfunctions and its related factors in women. Razi Journal of Medical Sciences 2013; 19(105): 59-66. [In Persian]. 33. Frith H. Visualising the ‘real’and the ‘fake’: Emotion work and the representation of orgasm in pornography and everyday sexual interactions. J Gend Stud 2015; 24(4): 386-98. 34. Parker R. Sexuality, culture and society: Shifting paradigms in sexuality research. Cult Health Sex 2009; 11(3): 251-66. 35. Nekoolaltak M. Sexual compatibility with spouse: exploring the concept and constructing the questionnaire [dissertation]. Tehran: Shahid Beheshti Univercity of Medical Science 2017. 36. Guarte JM, Barrios EB. Estimation under purposive sampling. Commun Stat Simul Comput 2006; 35(2): 277-84. 37. Wiles R, Crow G, Heath S, Charles V. Anonymity and Confidentiality. UK: ESRC National Centre for Research Methods; 2006. 38. Rashidian M, Hussain R, Minichiello V. ‘My culture haunts me no matter where I go’: Iranian-American women discussing sexual and acculturation experiences. Cult Health Sex 2013; 15(7): 866-77. 39. Darvill R, Skirton H, Farrand P. Psychological factors that impact on women's experiences of first-time motherhood: a qualitative study of the transition. Midwifery 2010; 26(3): 357-66. 40. Allen KR, Goldberg AE. Sexual activity during menstruation: A qualitative study. J Sex Res 2009; 46(6): 535-45. 41. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res 2005; 15(9): 1277-88. 42. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today 2004; 24(2): 105-12. 43. Guba EG. Criteria for assessing the trustworthiness of naturalistic inquiries. Educational Communication and Technology 1981; 29(2): 75-91. 44. Guba EG, Lincoln YS. Fourth Generation Evaluation. US: SAGE; 1989. 45. Uribe Arcila JF, Quintero Tobón MT, Gómez Gómez M. Orgasmo femenino: Definición y fingimiento. Urologia Colombiana 2015; 24(1): 19-27. 46. Mah K, Binik YM. Are orgasms in the mind or the body? Psychosocial versus physiological correlates of orgasmic pleasure and satisfaction. J Sex Marital Ther 2005; 31(3): 187-200. 47. Costa RM, Brody S. Women's relationship quality is associated with specifically penile-vaginal intercourse orgasm and frequency. J Sex Marital Ther 2007; 33(4): 319-27. 48. Gałecki P, Depko A, Jedrzejewska S, Talarowska M. Human orgasm from the physiological perspective--part II. Pol Merkur Lekarski 2012; 33(194): 120-3. [In Polish]. 49. Nicholas A, Brody S, de Sutter P, de Carufel F. A woman's history of vaginal orgasm is discernible from her walk. J Sex Med 2008; 5(9): 2119-24. 50. Wallace DH, Barbach LG. Preorgasmic group treatment. J Sex Marital Ther 1974; 1(2): 146-54. 51. Magon N, Kalra S. The orgasmic history of oxytocin: Love, lust, and labor. Indian J Endocrinol Metab 2011; 15(Suppl 3): S156-61. 52. Zik JB, Roberts DL. The many faces of oxytocin: implications for psychiatry. Psychiatry Res 2015; 226(1): 31-7. 53. Hevesi K, Gergely Hevesi B, Kolba TN, Rowland DL. Self-reported reasons for having difficulty reaching orgasm during partnered sex: Relation to orgasmic pleasure. J Psychosom Obstet Gynaecol 2019; 29: 1-10. 54. Nekoolaltak M, Keshavarz Z, Simbar M, Nazari AM, Baghestani AR. Sexual compatibility among Iranian couples: A qualitative study. Sexual and Relationship Therapy 2019; 34(1): 23-39. 55. Bostani Khalesi Z, Simbar M, Azin SA. Explaining sexual health education needs of pre-marriage couples: A Qualitative Study. Journal of Qualitative Research in Health Sciences 2015; 4(3): 290-303. [In Persian]. 56. Leonhardt ND, Willoughby BJ, Busby DM, Yorgason JB, Holmes EK. The significance of the female orgasm: A nationally representative, dyadic study of newlyweds' orgasm experience. J Sex Med 2018; 15(8): 1140-8. 57. Nekoolaltak M, Keshavarz Z, Simbar M, Nazari AM, Baghestani AR. Women’s orgasm obstacles: A qualitative study. Int J Reprod Biomed (Yazd) 2017; 15(8): 479-90. 58. Frith H. Accounting for orgasmic absence: Exploring heterosex using the story completion method. Psychology & Sexuality 2013; 4(3): 310-22. 59. Lamyian M, Zarei F, Montazeri A, Hajizadeh E, Maasoumi R. Exploring the factors affecting Iranian women’s quality of sexual life. Hayat 2016; 22(2): 185-200. [In Persian].

Achievement of and Failure to Achieve Orgasm in Sexual Relationship: Exploring Iranian Women’s Experiences

References

References

Volume 8, Issue 2October 2019Pages 1-13

Volume 8, Issue 2
October 2019
Pages 1-13