Sexual activities and attitudes of women with vulvar dysesthesia

To assess the relationship between sexual activities and attitudes of women with and without vulvar dysesthesia. Women with vulvar dysesthesia, 18–60 years old, and ethnically matched women without this disorder were enrolled in this cross-sectional study, completed a 27-page questionnaire, and had a physical examination. We compared sexual activities and attitudes between patients and controls using univariate and multivariable analyses. Between January 21, 2001, and December 12, 2002, we enrolled 63 women with vulvar dysesthesia and 62 controls who reported having a current sexual partner. Women with vulvar dysesthesia were less likely than controls to have had, during the previous month, intercourse (66.7% versus 83.9%, P = .03) and orgasms (57.6% versus 78.7%, P = .02), although the association with intercourse was no longer statistically significant after controlling for age, education, and smoking status ( P = .07). Of those having had intercourse in the past month, the frequency of this activity was less among patients (3.0 ± 2.7 versus 6.2 ± 4.5 episodes, P < .001). Frequencies of orgasms, fellatio, cunnilingus, and masturbation did not significantly differ between patients and controls. Patients rated sex less important and rated themselves more negatively as sexual people than did controls ( P < .001). Women with vulvar dysesthesia are similar to those without in many sexual activities but are less likely to have had an orgasm in the past month or to have had intercourse at the same frequency as controls. Although some attitudes were similar, sexual interest and self-concept were decreased among those with this disorder.