{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T07:07:36Z","timestamp":1793084856398,"version":"4.5.0"},"reference-count":28,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2018,6,27]],"date-time":"2018-06-27T00:00:00Z","timestamp":1530057600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"},{"start":{"date-parts":[[2018,6,27]],"date-time":"2018-06-27T00:00:00Z","timestamp":1530057600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"funder":[{"name":"School of Family Life at Brigham Young University","id":[{"id":"https:\/\/ror.org\/047rhhm47","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["jsm.jsexmed.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Self-reported orgasm, perception of partner's orgasm, and misperception of partner's orgasm have each been correlated with individual sexual and relationship satisfaction, but these associations have rarely included dyadic data, have not fully accounted for potentially confounding variables such as sexual communication, and have never been simultaneously studied with a nationally representative sample.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To provide a more complete picture of how the orgasmic experience within the heterosexual couple influences individual and partner sexual and relationship satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using a nationally representative dyadic sample of 1,683 newlywed heterosexual couples, a structural equation model was estimated to test associations between husband and wife self-reported orgasm frequency, husband and wife report of the other partner's orgasm frequency, and husband and wife misperception of their partner's orgasm frequency, as correlates of relationship and sexual satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes<\/jats:title>\n                    <jats:p>Both husband and wife completed the Couples Satisfaction Index to assess their own relationship satisfaction, and completed a sexual satisfaction instrument designed for the CREATE study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>87% of husbands and 49% of wives reported consistently experiencing orgasm. 43% of husbands misperceived how often their wives experienced orgasm. The final structural equation model, including sexual communication, explained moderate amounts of variance in wives' and husbands' relationship satisfaction, and a high level of variance for wives' and husbands' sexual satisfaction. Wives' relationship satisfaction was positively associated with wives' and husbands' sexual communication. Wives' sexual satisfaction was positively associated with self-reported orgasm frequency, and both wives' and husbands' sexual communication. Husbands' relationship satisfaction was positively associated with husbands' and wives' sexual communication. Husbands' sexual satisfaction was positively associated with husbands' perception of wives' orgasm frequency, and both husbands' and wives' sexual communication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Translation<\/jats:title>\n                    <jats:p>When counseling couples, clinicians should give particular attention to the wife's orgasm experiences, to potentially help both husbands and wives have higher sexual satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Strengths &amp; Limitations<\/jats:title>\n                    <jats:p>Strengths of this study include the use of a nationally representative sample and dyadic data. Limitations include cross-sectional data, and the assessment of sexual experiences only in newlywed couples.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Wives' orgasm (wives' self-report of frequency and husbands' perception of frequency) has a unique positive association with sexual satisfaction, even after taking into account other aspects of the orgasm experience and sexual communication.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.jsxm.2018.05.018","type":"journal-article","created":{"date-parts":[[2018,6,28]],"date-time":"2018-06-28T02:08:25Z","timestamp":1530151705000},"page":"1140-1148","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":62,"title":["The Significance of the Female Orgasm: A Nationally Representative, Dyadic Study of Newlyweds' Orgasm Experience"],"prefix":"10.1093","volume":"15","author":[{"given":"Nathan D.","family":"Leonhardt","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian J.","family":"Willoughby","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dean M.","family":"Busby","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy B.","family":"Yorgason","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin K.","family":"Holmes","sequence":"additional","affiliation":[{"name":"Brigham Young University, School of Family Life , Provo, UT , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2018,6,27]]},"reference":[{"key":"2023012309402439700_bib1","first-page":"503","article-title":"\u201cIt feels so good it almost hurts.\u201d Young adults' experience of orgasm and sexual pleasure","volume":"51","author":"Opperman","year":"2014","journal-title":"J\u00a0Sex Res"},{"key":"2023012309402439700_bib2","doi-asserted-by":"crossref","first-page":"974","DOI":"10.1080\/13691058.2014.924557","article-title":"Coming to power: women's fake orgasms and best orgasm experiences illuminate the failures of (hetero)sex and\u00a0the pleasures of connection","volume":"16","author":"Fahs","year":"2014","journal-title":"Cult Health Sex"},{"key":"2023012309402439700_bib3","first-page":"616","article-title":"\u201cDid you come?\u201d A qualitative exploration of gender differences in beliefs, experiences, and concerns regarding female orgasm occurrence during\u00a0heterosexual sexual interactions","volume":"51","author":"Salibury","year":"2014","journal-title":"J\u00a0Sex Res"},{"key":"2023012309402439700_bib4","first-page":"56","article-title":"On orgasm, sexual techniques, and erotic perceptions in 18- to 74-year old Swedish women","volume":"3","author":"Fugl-Meyer","year":"2006","journal-title":"J\u00a0Sex Med"},{"key":"2023012309402439700_bib5","first-page":"667","article-title":"Sexual satisfaction, sexual compatibility, and relationship adjustment in couples: the role of sexual behaviors, orgasm, and men's discernment of women's intercourse orgasm","volume":"12","author":"Klapilova","year":"2015","journal-title":"J\u00a0Sex Med"},{"key":"2023012309402439700_bib6","doi-asserted-by":"crossref","first-page":"31624","DOI":"10.3402\/snp.v6.31624","article-title":"Determinants of female sexual orgasms","volume":"6","author":"Kontula","year":"2016","journal-title":"Socioaffect Neurosci Psychol"},{"key":"2023012309402439700_bib7","first-page":"1141","article-title":"Do women's orgasms function as a masculinity achievement for men?","volume":"54","author":"Chadwick","year":"2017","journal-title":"J\u00a0Sex Res"},{"key":"2023012309402439700_bib8","article-title":"The social organization of sexuality: sexual practices in the United States","author":"Laumann","year":"2006"},{"key":"2023012309402439700_bib9","first-page":"523","article-title":"Faking it: the story of \u201cOhh!\u201d","volume":"18","author":"Roberts","year":"1995","journal-title":"Womens Studies Int Forum"},{"key":"2023012309402439700_bib10","first-page":"2709","article-title":"The object of sexual desire: examining the \u201cwhat\u201d in \u201cwhat do you desire?\u201d","volume":"11","author":"Mark","year":"2014","journal-title":"J\u00a0Sex Med"},{"key":"2023012309402439700_bib11","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1007\/s10508-011-9766-9","article-title":"Sexual desire discrepancy: the effect\u00a0of individual differences in desired and actual sexual\u00a0frequency on dating couples","volume":"41","author":"Willoughby","year":"2012","journal-title":"Arch Sex Behav"},{"key":"2023012309402439700_bib12","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1300\/J013v42n01_07","article-title":"The incidental orgasm: the presence of clitoral knowledge and the absence of orgasm for women","volume":"42","author":"Wade","year":"2005","journal-title":"Women Health"},{"key":"2023012309402439700_bib13","article-title":"The science fiction of sex","author":"Potts","year":"2002"},{"key":"2023012309402439700_bib14","first-page":"552","article-title":"Men's and women's reports of pretending orgasm","volume":"47","author":"Muehlenhard","year":"2010","journal-title":"J\u00a0Sex Res"},{"key":"2023012309402439700_bib15","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1080\/14681810600578750","article-title":"\u201cWhen you come to it you feel like a dork\u00a0asking a guy to put a condom on\u201d: is sex education addressing young people's understanding of risk?","volume":"6","author":"Abel","year":"2006","journal-title":"Sex Edu"},{"key":"2023012309402439700_bib16","first-page":"443","article-title":"Adolescents' self-efficacy to communicate about sex: its role in condom attitudes, commitment, and use","volume":"39","author":"Halpern-Felsher","year":"2004","journal-title":"Adolescence"},{"key":"2023012309402439700_bib17","first-page":"180","article-title":"Sexual satisfaction and sexual self-disclosure within dating relationships","volume":"36","author":"Byers","year":"1999","journal-title":"J\u00a0Sex Res"},{"key":"2023012309402439700_bib18","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1177\/0265407505050942","article-title":"Dyadic assessment of sexual self-disclosure and sexual satisfaction in heterosexual dating couples","volume":"22","author":"MacNeil","year":"2005","journal-title":"J\u00a0Soc Pers Rel"},{"key":"2023012309402439700_bib19","author":"Yorgason JB, James SL, Holmes EK, et\u00a0al. Couple relationships and transition experiences (CREATE) codebook (wave 1). Provo, UT: School of Family Life, Brigham Young University; 2018."},{"key":"2023012309402439700_bib20","doi-asserted-by":"crossref","DOI":"10.1002\/9781394260645","article-title":"Internet, phone, mail, and mixed-mode surveys: the tailored design method","author":"Dillman","year":"2014"},{"key":"2023012309402439700_bib21","first-page":"22","article-title":"Dyadic sexual communication scale","author":"Catania","year":"2011","journal-title":"Handbook of sexuality-related measures"},{"key":"2023012309402439700_bib22","first-page":"572","article-title":"Testing the ruler with item response theory: increasing precision of measurement for relationship satisfaction with the couples satisfaction index","volume":"21","author":"Funk","year":"2007","journal-title":"J\u00a0Fam Psychol"},{"key":"2023012309402439700_bib23","first-page":"997","article-title":"Enhancing relationship quality measurement: the development of the relationship flourishing scale","volume":"30","author":"Fowers","year":"2016","journal-title":"J\u00a0Fam Psychol"},{"key":"2023012309402439700_bib24","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1111\/j.2044-8260.1985.tb01314.x","article-title":"The Golombok-Rust Inventory of Sexual Satisfaction (GRISS)","volume":"24","author":"Rust","year":"1985","journal-title":"Br J Clin Psychol"},{"key":"2023012309402439700_bib25","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1080\/00926239908403977","article-title":"The Golombok Rust Inventory of Sexual Satisfaction (GRISS): psychometric properties within a Dutch population","volume":"25","author":"Ter Kuile","year":"1999","journal-title":"J\u00a0Sex Marital Ther"},{"key":"2023012309402439700_bib26","article-title":"Mplus user's guide","author":"Muthen","year":"1998"},{"key":"2023012309402439700_bib27","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1080\/00926230490422403","article-title":"Communication and associated relationship issues in female anorgasmia","volume":"30","author":"Kelly","year":"2004","journal-title":"J\u00a0Sex Marital Ther"},{"key":"2023012309402439700_bib28","first-page":"1","article-title":"Reversals of least-squares estimates and model-independent estimation for direction of unique effects","author":"Knaeble","year":"2015","journal-title":"Methodology"}],"container-title":["The Journal of Sexual Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1743609518310099?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1743609518310099?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/jsm\/article-pdf\/15\/8\/1140\/48588547\/jsm_15_8_1140.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jsm\/article-pdf\/15\/8\/1140\/48588547\/jsm_15_8_1140.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,7]],"date-time":"2024-07-07T15:53:32Z","timestamp":1720367612000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jsm\/article\/15\/8\/1140\/6980499"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,27]]},"references-count":28,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2018,6,27]]},"published-print":{"date-parts":[[2018,8,1]]}},"URL":"https:\/\/doi.org\/10.1016\/j.jsxm.2018.05.018","relation":{},"ISSN":["1743-6109","1743-6095"],"issn-type":[{"value":"1743-6109","type":"electronic"},{"value":"1743-6095","type":"print"}],"subject":[],"published-other":{"date-parts":[[2018,8]]},"published":{"date-parts":[[2018,6,27]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The Significance of the Female Orgasm: A Nationally Representative, Dyadic Study of Newlyweds' Orgasm Experience","name":"articletitle","label":"Article Title"},{"value":"The Journal of Sexual Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jsxm.2018.05.018","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2018 International Society for Sexual Medicine. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}