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Dyspareunia was associated with a reduced ability to experience an orgasm during intercourse for endometriosis patients (P\u00a0=\u00a0.020) and control women (P\u00a0=\u00a0.006). The ability to orgasm during noncoital sexual activities (P\u00a0=\u00a0.006) and sexual intercourse (P\u00a0=\u00a0.038) was associated with a higher sexual satisfaction in women with endometriosis. For controls, only the ability to achieve an orgasm with sexual intercourse was associated with sexual satisfaction (P\u00a0=\u00a0.038).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Clinical implications<\/jats:title>\n                  <jats:p>Sexual counselling as part of medical support could help couples living with chronic pelvic pain of the female partner integrate noncoital sexual activities in their sex lives, leading to fewer sex-related problems and higher sexual desire and satisfaction.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Strengths and limitations<\/jats:title>\n                  <jats:p>This study is the first to examine different ways of achieving an orgasm and sexual satisfaction in a large group of women with endometriosis and a matched control group. The breadth of the questionnaire allowed a differentiated analysis of factors influencing the likelihood of achieving an orgasm and overall sexual satisfaction. The one limitation is that the length and the intimate nature of the questionnaire possibly resulted in reluctance to answer this part of the questionnaire.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Partnered noncoital sexual activities may represent an alternative to reach orgasm for women with endometriosis-related chronic pelvic pain or anorgasmia during sexual intercourse.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1016\/j.jsxm.2020.09.001","type":"journal-article","created":{"date-parts":[[2020,10,5]],"date-time":"2020-10-05T22:13:28Z","timestamp":1601936008000},"page":"2417-2426","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":19,"title":["Sexual Satisfaction and Frequency of Orgasm in Women with Chronic Pelvic Pain due to Endometriosis"],"prefix":"10.1093","volume":"17","author":[{"given":"Silvan","family":"H\u00e4mmerli","sequence":"first","affiliation":[{"name":"Department of Reproductive Endocrinology , Zurich, , Switzerland"},{"name":"University Hospital Zurich , Zurich, , Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Kohl-Schwartz","sequence":"additional","affiliation":[{"name":"Division of Gynecological Endocrinology and Reproductive Medicine , Bern, , Switzerland"},{"name":"Bern University Hospital , Bern, , Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Imesch","sequence":"additional","affiliation":[{"name":"Department of Gynecology , Zurich, , Switzerland"},{"name":"University Hospital Zurich , Zurich, , Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"Rauchfuss","sequence":"additional","affiliation":[{"name":"Department of Psychosomatics , Berlin, , Germany"},{"name":"Charit\u00e9 Berlin , Berlin, , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monika M.","family":"W\u00f6lfler","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Graz, , Austria"},{"name":"University Hospital Graz , Graz, , Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felix","family":"H\u00e4berlin","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics , St. Gallen, , Switzerland"},{"name":"Canton Hospital St. Gallen , St. Gallen, , Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"von Orelli","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics , Zurich, , Switzerland"},{"name":"Triemli Hospital Zurich , Zurich, , Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brigitte","family":"Leeners","sequence":"additional","affiliation":[{"name":"Department of Reproductive Endocrinology , Zurich, , Switzerland"},{"name":"University Hospital Zurich , Zurich, , Switzerland"},{"name":"University of Zurich , Zurich, , Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,10,5]]},"reference":[{"key":"2023011111070594600_bib1","first-page":"2690","article-title":"The relationship between self-reported sexual satisfaction and general well-being in women","volume":"6","author":"Davison","year":"2009","journal-title":"J\u00a0Sex Med"},{"key":"2023011111070594600_bib2","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1080\/00926230601098449","article-title":"Intimacy, orgasm likelihood, and conflict predict sexual satisfaction in heterosexual male and female respondents","volume":"33","author":"Haning","year":"2007","journal-title":"J\u00a0Sex Marital Ther"},{"key":"2023011111070594600_bib3","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":"2023011111070594600_bib4","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1023\/A:1024591318836","article-title":"Correlates of increased sexual satisfaction","volume":"26","author":"Haavio-Mannila","year":"1997","journal-title":"Arch Sex Behav"},{"key":"2023011111070594600_bib5","first-page":"1313","article-title":"The quality of sexual experience in women correlates with post-orgasmic prolactin surges: results from an experimental prototype study","volume":"10","author":"Leeners","year":"2013","journal-title":"J\u00a0Sex Med"},{"key":"2023011111070594600_bib6","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1055\/s-2001-10757","article-title":"Sexual satisfaction of women - 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