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Introduction: Masturbation has been associated with a number of health and quality of life benefits, including improved self-esteem, sexual agency, and stress relief. While prior studies have asserted an association between solo masturbation and satisfaction with partnered sex, there is a paucity of literature that assesses specific parameters of masturbatory orgasm function and their potential association with sexual satisfaction. Objective: This study aims to explore the association between satisfaction with partnered sex and six parameters of masturbatory orgasm function/satisfaction. Methods: Respondents were recruited via Qualtrics and completed an anonymous, online questionnaire that assessed sexual satisfaction, based on the New Sexual Satisfaction Scale (NSSS)–a validated, 20-item survey. NSSS scores were calculated by summing the possible 5-point Likert scale ratings across all 20 questions, with a higher NSSS score indicating greater satisfaction with partnered sex. Respondents also completed questions that queried frequency of masturbation and partnered-sexual activity, as well as six parameters of orgasm function measured under the condition of solo-masturbation: lead time to orgasm, duration of orgasm, refractory period between orgasms, location of orgasm experience, experience of orgasm, and satisfaction with orgasm. Statistical analyses were completed using Qualtrics Stats iQ software to assess for an association between NSSS score and the aforementioned variables. Results: A sample of n=178 sexually active cisgender women (mean age = 43.6±14.9 years) completed the study survey. Cisgender women who reported higher NSSS scores were significantly more likely to endorse engaging in partnered sexual activities on a more frequent basis (p<0.05), but there was no statistically significant relationship between NSSS score and frequency of solo-masturbation (p=0.2). A statistically significant relationship existed between NSSS score and 2/6 of the masturbatory orgasm parameters assessed (Figure 1). Cisgender women with higher partnered sexual satisfaction scores reported significantly longer duration of masturbatory orgasm and higher satisfaction with orgasm during masturbation (both p<0.01). There were otherwise no significant associations between NSSS score and lead-time to orgasm, refractory period between orgasms, experience of orgasm as single vs. multiple peaks, or bodily location of orgasm experience under the condition of masturbation. Conclusions: Cisgender women who reported more frequent partnered sexual activity, as well as a longer duration of masturbatory orgasm time and higher satisfaction with orgasm from masturbation, reported significantly greater partnered sexual satisfaction. This association between satisfaction with solo masturbation and satisfaction with partnered sexual activity supports leading theories of masturbation improving body knowledge, self-confidence, and sexual agency. Findings also highlight how variability in orgasm function does not always result in differences in sexual satisfaction, which is more so associated with self-perceived orgasm satisfaction. Disclosure: No. [ABSTRACT FROM AUTHOR]

Introduction: Masturbation has been associated with a number of health and quality of life benefits, including improved self-esteem, sexual agency, and stress relief. While prior studies have asserted an association between solo masturbation and satisfaction with partnered sex, there is a paucity of literature that assesses specific parameters of masturbatory orgasm function and their potential association with sexual satisfaction. Objective: This study aims to explore the association between satisfaction with partnered sex and six parameters of masturbatory orgasm function/satisfaction. Methods: Respondents were recruited via Qualtrics and completed an anonymous, online questionnaire that assessed sexual satisfaction, based on the New Sexual Satisfaction Scale (NSSS)–a validated, 20-item survey. NSSS scores were calculated by summing the possible 5-point Likert scale ratings across all 20 questions, with a higher NSSS score indicating greater satisfaction with partnered sex. Respondents also completed questions that queried frequency of masturbation and partnered-sexual activity, as well as six parameters of orgasm function measured under the condition of solo-masturbation: lead time to orgasm, duration of orgasm, refractory period between orgasms, location of orgasm experience, experience of orgasm, and satisfaction with orgasm. Statistical analyses were completed using Qualtrics Stats iQ software to assess for an association between NSSS score and the aforementioned variables. Results: A sample of n=178 sexually active cisgender women (mean age = 43.6±14.9 years) completed the study survey. Cisgender women who reported higher NSSS scores were significantly more likely to endorse engaging in partnered sexual activities on a more frequent basis (p<0.05), but there was no statistically significant relationship between NSSS score and frequency of solo-masturbation (p=0.2). A statistically significant relationship existed between NSSS score and 2/6 of the masturbatory orgasm parameters assessed (Figure 1). Cisgender women with higher partnered sexual satisfaction scores reported significantly longer duration of masturbatory orgasm and higher satisfaction with orgasm during masturbation (both p<0.01). There were otherwise no significant associations between NSSS score and lead-time to orgasm, refractory period between orgasms, experience of orgasm as single vs. multiple peaks, or bodily location of orgasm experience under the condition of masturbation. Conclusions: Cisgender women who reported more frequent partnered sexual activity, as well as a longer duration of masturbatory orgasm time and higher satisfaction with orgasm from masturbation, reported significantly greater partnered sexual satisfaction. This association between satisfaction with solo masturbation and satisfaction with partnered sexual activity supports leading theories of masturbation improving body knowledge, self-confidence, and sexual agency. Findings also highlight how variability in orgasm function does not always result in differences in sexual satisfaction, which is more so associated with self-perceived orgasm satisfaction. Disclosure: No. [ABSTRACT FROM AUTHOR]

Introduction: Despite the prevalence, relevance, and impact of menopause on people with ovaries, there is a paucity of research on its impact on sexual function and satisfaction. While an association between menopause and sexual dysfunction has been found, no studies assessed objective parameters of orgasm function and many utilized sexual satisfaction surveys that did not include participants' perceptions of their sexual partner(s). Objective: This study aimed to assess differences between pre- versus postmenopausal cisgender women using a six-parameter inventory of orgasm function and a validated sexual satisfaction psychometric scale, using both ego-centered and partner-centered measures. Methods: Respondents were recruited and administered an anonymous, online questionnaire via Qualtrics as part of a larger study on sexual function and erogenous sensation. The questionnaire queried demographic information, menopause status, and six parameters of orgasm function under the controlled scenario of solo masturbation. Satisfaction with sexual activity with a partner was measured by the validated New Sexual Satisfaction Scale (NSSS), a 20-item psychometric survey that measures sexual satisfaction in the past six months across two subscales: the ego-centered and partner-/activity-centered subscale. The 5-point Likert scales for all 20 questions were summated, for a total possible score of 20 (minimum sexual satisfaction) to 100 (maximum sexual satisfaction). Statistical analyses were completed using Qualtrics Stats iQ, utilizing ANOVA and chi-square tests. Results: A total of 283 cisgender women completed the study questionnaire. Premenopausal women were significantly more likely to report a higher average frequency of engaging in sexual activities with a partner and solo masturbation (Table 1). Of the six orgasm parameters (Table 2), the only statistically significant difference existed in the experience of orgasm as peaks, with more postmenopausal women reporting a multi-peaked orgasm versus a single-peak orgasm. The average NSSS score amongst all cisgender women in our sample was 68±20, and there was no statistically significant difference (p<0.8) between pre- versus postmenopausal cisgender women. Of the 20 questions within the NSSS, there was no statistically significant difference in 10/10 and 9/10 of the partner-centered NSSS subscale questions between the two groups. The only statistically significant difference between groups was premenopausal women reported higher satisfaction with the partner-centered measure of "The way I sexually react to my partner" (p<0.05). Conclusions: Contrary to the medical literature, we found no significant difference in total sexual satisfaction between pre- versus postmenopausal cisgender women, as measured by the validated NSSS. Moreover, there was no significant difference in 5/6 of the orgasm parameter measurements. While sexual satisfaction is intrinsically linked to sexual function, it is important to note that self-perception of partner and activities may also play an important role in shaping an individual's pleasure during sex. These findings highlight the importance of considering these nuances when assessing sexual satisfaction and may help to better inform the sexual function/satisfaction expectations of cisgender women as they approach menopause. Disclosure: No. [ABSTRACT FROM AUTHOR]

Introduction: Erogenous sensation zones (ESZs) elicit feelings of sexual arousal in response to touch. Prior research has generated whole-body erogenous sensation maps, but they do not differentiate between individual anatomical structures or assess for erogenous sensation of internal surfaces of the body, such as the vagina and anal canal. There is an even greater paucity of literature on the ability to orgasm from vaginal and anal receptive intercourse. Objective: To describe detailed maps of erogenous sensation of the vagina and anal canal amongst cisgender women, and assess for ability to orgasm from receptive intercourse. Methods: Respondents were recruited via Qualtrics and completed an anonymous, online questionnaire. They were instructed to indicate ESZs by selecting from predefined areas that bring them pleasure when touched during sex with a partner from anatomic illustrations of the vagina and anal canal. Respondents were also queried on their ability to orgasm from receptive vaginal and anal intercourse. All statistical analyses were completed using Qualtrics Stats iQ software, with p<0.05 indicating statistical significance. ESZ maps were generated based on the proportion of respondents selecting each anatomical structure as erogenous. Results: A sample of 441 sexually active cisgender women completed the study survey (mean age 48.9±15.6y). Of the five ESZs of the vagina (Figure 1), the superficial anterior (selected by 48% respondents) and superficial posterior (33%) regions were the most frequently selected areas. The four ESZs of the anal canal further revealed greater erogeneity at the superficial anterior (18%) and superficial posterior (11%) walls (Figure 2). With respect to ability to orgasm from receptive intercourse, 35% of cisgender women reported being able to orgasm from vaginal penetration alone while 45% required simultaneous costimulation of another body part and 10% reported an inability to orgasm during receptive vaginal intercourse, regardless of costimulation (Figure 3a). Additionally, 19% of cisgender women reported an ability to orgasm from receptive anal intercourse alone, while 50% required costimulation and 31% reported an inability to orgasm during receptive anal intercourse, regardless of costimulation (Figure 3b). Conclusions: Erogenous sensation of the vagina and anal canal is primarily localized to the superficial walls of both structures, with a greater preference for the superficial anterior zones. These findings support the proposed location of the "G-spot" existing proximal to Skene's glands in the anterior portion of the vaginal canal. Results from this study further highlight the importance of costimulation in achieving orgasm during receptive vaginal and anal intercourse, with only a minority of respondents reporting an ability to orgasm from vaginal or anal penetration alone. Disclosure: No. [ABSTRACT FROM AUTHOR]

Introduction: Despite the prevalence, relevance, and impact of menopause on people with ovaries, there is a paucity of research on its impact on sexual function and satisfaction. While an association between menopause and sexual dysfunction has been found, no studies assessed objective parameters of orgasm function and many utilized sexual satisfaction surveys that did not include participants' perceptions of their sexual partner(s). Objective: This study aimed to assess differences between pre- versus postmenopausal cisgender women using a six-parameter inventory of orgasm function and a validated sexual satisfaction psychometric scale, using both ego-centered and partner-centered measures. Methods: Respondents were recruited and administered an anonymous, online questionnaire via Qualtrics as part of a larger study on sexual function and erogenous sensation. The questionnaire queried demographic information, menopause status, and six parameters of orgasm function under the controlled scenario of solo masturbation. Satisfaction with sexual activity with a partner was measured by the validated New Sexual Satisfaction Scale (NSSS), a 20-item psychometric survey that measures sexual satisfaction in the past six months across two subscales: the ego-centered and partner-/activity-centered subscale. The 5-point Likert scales for all 20 questions were summated, for a total possible score of 20 (minimum sexual satisfaction) to 100 (maximum sexual satisfaction). Statistical analyses were completed using Qualtrics Stats iQ, utilizing ANOVA and chi-square tests. Results: A total of 283 cisgender women completed the study questionnaire. Premenopausal women were significantly more likely to report a higher average frequency of engaging in sexual activities with a partner and solo masturbation (Table 1). Of the six orgasm parameters (Table 2), the only statistically significant difference existed in the experience of orgasm as peaks, with more postmenopausal women reporting a multi-peaked orgasm versus a single-peak orgasm. The average NSSS score amongst all cisgender women in our sample was 68±20, and there was no statistically significant difference (p<0.8) between pre- versus postmenopausal cisgender women. Of the 20 questions within the NSSS, there was no statistically significant difference in 10/10 and 9/10 of the partner-centered NSSS subscale questions between the two groups. The only statistically significant difference between groups was premenopausal women reported higher satisfaction with the partner-centered measure of "The way I sexually react to my partner" (p<0.05). Conclusions: Contrary to the medical literature, we found no significant difference in total sexual satisfaction between pre- versus postmenopausal cisgender women, as measured by the validated NSSS. Moreover, there was no significant difference in 5/6 of the orgasm parameter measurements. While sexual satisfaction is intrinsically linked to sexual function, it is important to note that self-perception of partner and activities may also play an important role in shaping an individual's pleasure during sex. These findings highlight the importance of considering these nuances when assessing sexual satisfaction and may help to better inform the sexual function/satisfaction expectations of cisgender women as they approach menopause. Disclosure: No. [ABSTRACT FROM AUTHOR]

Introduction: Erogenous sensation zones (ESZs) elicit feelings of sexual arousal in response to touch. Prior research has generated whole-body erogenous sensation maps, but they do not differentiate between individual anatomical structures or assess for erogenous sensation of internal surfaces of the body, such as the vagina and anal canal. There is an even greater paucity of literature on the ability to orgasm from vaginal and anal receptive intercourse. Objective: To describe detailed maps of erogenous sensation of the vagina and anal canal amongst cisgender women, and assess for ability to orgasm from receptive intercourse. Methods: Respondents were recruited via Qualtrics and completed an anonymous, online questionnaire. They were instructed to indicate ESZs by selecting from predefined areas that bring them pleasure when touched during sex with a partner from anatomic illustrations of the vagina and anal canal. Respondents were also queried on their ability to orgasm from receptive vaginal and anal intercourse. All statistical analyses were completed using Qualtrics Stats iQ software, with p<0.05 indicating statistical significance. ESZ maps were generated based on the proportion of respondents selecting each anatomical structure as erogenous. Results: A sample of 441 sexually active cisgender women completed the study survey (mean age 48.9±15.6y). Of the five ESZs of the vagina (Figure 1), the superficial anterior (selected by 48% respondents) and superficial posterior (33%) regions were the most frequently selected areas. The four ESZs of the anal canal further revealed greater erogeneity at the superficial anterior (18%) and superficial posterior (11%) walls (Figure 2). With respect to ability to orgasm from receptive intercourse, 35% of cisgender women reported being able to orgasm from vaginal penetration alone while 45% required simultaneous costimulation of another body part and 10% reported an inability to orgasm during receptive vaginal intercourse, regardless of costimulation (Figure 3a). Additionally, 19% of cisgender women reported an ability to orgasm from receptive anal intercourse alone, while 50% required costimulation and 31% reported an inability to orgasm during receptive anal intercourse, regardless of costimulation (Figure 3b). Conclusions: Erogenous sensation of the vagina and anal canal is primarily localized to the superficial walls of both structures, with a greater preference for the superficial anterior zones. These findings support the proposed location of the "G-spot" existing proximal to Skene's glands in the anterior portion of the vaginal canal. Results from this study further highlight the importance of costimulation in achieving orgasm during receptive vaginal and anal intercourse, with only a minority of respondents reporting an ability to orgasm from vaginal or anal penetration alone. Disclosure: No. [ABSTRACT FROM AUTHOR]

Introduction: Sexual satisfaction is an important contributor to quality of life. While it has been documented that cisgender men tend to experience greater sexual satisfaction than cisgender women, there is limited research into the nuanced factors that contribute to sexual satisfaction, such as self- versus partner-centered focuses, and differences that exist between sexual orientation groups. Objective: The aim of this study is to assess for differences in sexual satisfaction that exist between cisgender men (CM) versus cisgender women (CW) and between sexual orientation subgroups using a validated sexual satisfaction survey. Methods: An anonymous, online questionnaire was administered via Qualtrics as part of a larger study on sexual function and pleasure sensation. In addition to providing demographic information, respondents completed the New Sexual Satisfaction Scale (NSSS)- a validated 20-item psychometric scale that assesses sexual satisfaction in the past 6-months across two 10-item subscales: the ego-centered subscale and the partner/sexual activity-centered subscale. Each respondent's 5-point Likert scale for their NSSS was summated across all 20-items (range: 20-100), with higher sum totals indicating greater reported sexual satisfaction. Statistical analyses were completed via Qualtrics Stats iQ software utilizing ANOVA and chi-square tests, with p<0.05 indicating statistical significance. Results: A total of 305 CM and 288 CW were recruited through Qualtrics and completed the NSSS. (Table 1) CM were significantly more likely to report greater total sexual satisfaction than CW, with mean ± SD NSSS scores (out of 100) of 74.5 ± 16.7 and 68.5 ± 19.7, respectively (p<0.0001). With respect to individual measures of the NSSS, CM were significantly more likely to report satisfaction across 14/20 measures (all p<0.05): "My focus/concentration during sexual activity;" "My emotional opening up during sex;" "The frequency of my orgasms;" "The quality of my orgasms;" "My ability to let go and focus on my own pleasure during sex;" "The balance between what I give and receive in sex;" " "My mood after sexual activity;" "The intensity of my sexual arousal;" "My body's ability to perform sexually in a satisfactory way;" "The variety of my sexual activities;" "The way I sexually react to my partner;" "My partner's emotional availability during sex;" "The pleasure I provide my partner;" and "My partner's ability to satisfy my sexual needs". There was no statistically significant difference in total NSSS score between sexual orientation groups of CM and CW (p>0.05). (Figure 1). Conclusions: CM reported significantly greater sexual satisfaction than CW. Notably, CM reported greater satisfaction in 10/10 ego-centered subscale measures relating to their personal pleasure and 4/10 partner/activity-centered subscale measures relating to their perception of their partner during sex. On the otherhand, there was no significant difference in sexual satisfaction between sexual orientation groups. These findings highlight the nuanced differences that exist within the spheres of personal sexual pleasure, with CM experiencing greater ego-centered pleasure. These findings highlight how a variety of self- and partner-centered nuances ultimately contribute to differences in overall sexual pleasure between CM and CW. Disclosure: No. [ABSTRACT FROM AUTHOR]

Introduction: As the average life expectancy increases, so does the need to improve older adults' quality of life. Sexual function and satisfaction have been intimately tied to well-being, and older age has been associated with a decline in sexual activity, sexual function, and desire. However, there is limited research that focuses on the association between age and specific measurements of sexual function, such as orgasm parameters, frequency of sexual activity, and sexual satisfaction. Objective: To describe and compare measures of sexual activity, orgasm quality, and satisfaction between women of different ages. Methods: Respondents were recruited via Qualtrics and administered an anonymous online survey. Respondents were separated into groups based on age ranges: younger adults (<40 years old), middle-aged adults (40 to 59 years old), and older adults (≥60 years old). Additional demographic characteristics and sexuality measures were documented, including sexual orientation, partnership status at the time of survey, ability to orgasm, frequency of masturbation and sexual activity, and sexual satisfaction (as measured by the validated New Sexual Satisfaction Scale (NSSS)). An orgasm quality inventory queried the following six variables, under the control condition of masturbation: (1) time to orgasm; (2) duration of orgasm; (3) refractory period between orgasms; (4) experience of orgasm as a single or multi-peak event; (5) bodily location of orgasm experience; and (6) satisfaction with orgasm quality. Results: A total of 423 sexually active cisgender women (average age ± standard deviation: 48.9 ± 15.6 years old) completed our survey. Older women were significantly more likely to identify as heterosexual and deny dating or being in a current relationship (both p<0.001). Additionally, older women were significantly more likely to deny masturbation and sexual activity with a partner (p<0.001). There was no statistically significant difference in ability to achieve orgasm between age groups (p=0.5). With respect to orgasm parameters (Table 1), younger women reported a significantly lower refractory period between orgasms, as compared to middle-aged and older women. Compared to other age groups, significantly more older women reported their orgasm as a multi-peak event (p<0.04) and were more likely to report the location of orgasm sensation as occurring in their genitals, as opposed to extragenital areas (e.g., arms, thighs, face, back) or whole body (p<0.01). There were no statistically significant differences between age and lead time to orgasm, duration of orgasm, or satisfaction with orgasm. Differences in sexual satisfaction (as measured by the NSSS, with higher scores indicating greater sexual satisfaction) were found to be statistically insignificant as well. Conclusions: While older women reported a significant decrease in frequency of masturbation and sexual activity, they only differed in three out of six measures in our orgasm inventory. While these measures indicate a difference in older women's experience of orgasm, it is important to note that there were no significant differences across multiple measures of sexual satisfaction between women of different ages. Disclosure: No. [ABSTRACT FROM AUTHOR]