
Editorial
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The persistent disparity in orgasm frequency between cisgender men and women during heterosexual intercourse—termed the “orgasm gap”—reflects not only physiological but also deeply embedded sociocultural dynamics. Several researchers use the term orgasm gap primarily for orgasm difficulties originating from cultural issues, whereas other researchers also use this term for broader use. Reduced orgasm frequency leads to poor sexual satisfaction, decreased desire to engage in sexual relationships and several other adverse consequences for women. Sociocultural changes happening around the world, resulting in improving women’s rights, education, independence, awareness related to sexual issues, public discourse and media representation, as well as rapidly improved scientific understanding, are influencing issues related to the orgasm gap. Against this backdrop of advancing gender equity, increasing sexual literacy, and expanding scientific inquiry, the conversation around female sexual pleasure is evolving. Efforts to address the orgasm gap now encompass media representation, educational outreach like easy availability of information and resources in books and websites, and the integration of evidence-based clinical approaches. This narrative review synthesizes current scientific findings, sociocultural narratives, and technological developments, equipping clinicians with comprehensive, context as well as culturally sensitive strategies for helping females with orgasmic difficulties.
This review article delves into the multifaceted realm of threesomes, examining their impact on societal norms and providing insight into the evolving landscape of human sexuality. It investigates various aspects including prevalence, motivations, configurations, and impacts, while emphasizing the significance of cultural acceptance and implications for relational well-being. Notable gender differences in participation and fantasies are explored, with an emphasis on how diverse configurations challenge established norms. Motivations for engaging in threesomes span from curiosity to intimacy enhancement, reflecting evolving attitudes toward sexual behaviors. The potential influence of threesomes on monogamous relationships is discussed, highlighting the importance of clear communication and safe sex practices. Additionally, the role of female agency and pornography in shaping perceptions and experiences is examined. Recommendations for researchers and mental health professionals underscore the need to address societal stigmas, explore cultural contexts, promote comprehensive sex education, empower female agency, and enhance communication skills. Understanding threesomes contributes to a deeper understanding of human sexuality, fostering inclusivity toward diverse sexual experiences and relationships. Further research is advocated to bridge existing gaps and cultivate a more empathetic society, recognizing threesomes as a complex aspect of human intimacy deserving of nuanced discussions and inclusive research.
Sexuality is a central dimension of people’s lives, but it is often overlooked and neglected in relation to people with intellectual disabilities. This Systematic Literature Review investigates the perceptions, attitudes, and experiences of people with intellectual disabilities, their families and professionals about their sexual and romantic lives. Specific databases were searched (PubMed, EBSCO, SCOPUS, APA PsyArticles, Cochrane, and gray literature), and a methodological quality assessment was carried out according to the Joanna Briggs Institute, resulting in the inclusion of 21 articles, published between 2018 and 2023, which met the established criteria. The results show that sexuality is essential for people with intellectual disabilities. The studies show that these people seek intimate relationships, but are limited by social norms, lack of support and inadequate sexual education. This directly affects their emotional well-being and personal satisfaction. Health professionals and caregivers have divergent attitudes towards the sexuality of people with intellectual disabilities, facing obstacles in sexuality education. Parents face a dilemma between promoting independence and protecting themselves from risks, which influences their children’s emotional balance. This highlights the need for personalized approaches to sex education, attention to specific needs and effective communication between health professionals, caregivers and families, with the aim of strengthening self-esteem and autonomy. The results show that researchers should understand the impact of different parenting approaches on the emotional health of individuals with intellectual disabilities. Future research should include all stakeholders, enabling a wider range of perspectives and stakeholder involvement in the formulation, implementation, and evaluation of personalized educational programs.
Female genital cosmetic surgery (FGCS) has become increasingly sought after for achieving idealized genital appearances. Prototypical vulvar expectations driven by cultural norms significantly impact women’s body image and motivations for undergoing FGCS. This study explored how visual characteristics of vulvas, such as labia size and pubic hair, influence perceptions of attractiveness, sexual behavior, and personality traits based on zero-acquaintance assessments. Participants evaluated images of vulvas varying in visible anatomical features. The researchers investigated the associations between perceived genital prototypicality, personality attributes, and sexual perceptions. Prototypical vulvas, aligning with cultural aesthetics, were rated as more attractive and linked to positive personality traits. Visible anatomical variations, such as longer labia minora or untrimmed pubic hair, led to more negative perceptions and associations with increased sexual openness. The findings demonstrated how societal standards shape perceptions of female genitalia, exacerbating body image issues, and influencing decisions to undergo FGCS. The need for broader cultural acceptance of natural anatomical diversity is necessary to reduce the stigma and psychological impact associated with non-conforming genital appearances.
Sex communication within family and relationships is an essential aspect of the sexual and reproductive health (SRH) of the individual. Family sex communication orientation is the degree to which families engage in open and supportive discussions about sex. In contrast, dyadic sexual communication is the exchange of sexual preferences, boundaries, and desires between partners in a romantic relationship.
This article aimed to study the influence of family sex communication orientation and gender on dyadic sexual communication among emerging adults in romantic relationships. A total of 175 participants, comprising 89 females and 86 males aged between 18 and 25, were included in the study. Data was collected using the Family Sex Communication Quotient (FSCQ) and the Dyadic Sexual Communication Scale (DSCS). The hypothesis was tested using Two-way ANOVA.
Results showed a significant influence of family sex communication orientation on dyadic sexual communication (
The findings suggest that while family sex communication influences the sexual communication of couples, its impact is consistent across genders. The results indicate the need for further research to deepen the understanding of other factors of sexual communication. It also implies the importance of bringing the concepts of family sex communication into couple and family counseling.
Sexual health and sexual quality of life are integral to a person’s physical and mental health as well as well-being. Nevertheless, there is a dearth of literature on how South Asian healthcare professionals perceive offering sexual health education and counseling to patients within the South Asian context, where discussion of sexuality is considered taboo.
The aim of this article was to explore healthcare professionals’ perspectives regarding approaches to enhance delivery of sexual counseling to cardiac patients.
A qualitative descriptive study was conducted. Healthcare professionals were recruited using maximum variation sampling and interviewed using a semi-structured interview guide from June to September 2023. Reflexive thematic analysis was used for data analysis.
Analysis of the 11 interviews revealed three main themes: (a) gaps in patients’ sexual health knowledge and receipt of counseling, (b) need for health professional training to promote open discussion about sexual health with patients, and (c) activating organizational action to support the provision of sexual counseling.
Structural and cultural barriers impede consistent implementation of sexual health assessment and counseling of cardiac patients, despite needs. Sexual health education of professionals across relevant disciplines, structural changes to support healthcare professionals in sexual counseling, provision of sexual health assessment checklists, tools, and practice guidelines, patient education, and providing written sexual health education material in local languages are potential strategies.
The relationship between personality trait expression and gender identity in adolescents and young adults remains underexplored, particularly through a dimensional framework. This study examines associations between maladaptive personality traits, borderline features, and gender dysphoria across developmental age groups.
A cross-sectional sample of 269 participants aged 14–26, including both gender-conforming and gender-diverse individuals, completed the Personality Inventory for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition – Brief Form (PID-5-BF), Borderline Personality Features Scale for Children (BPFS-C), and the Utrecht Gender Dysphoria Scale. Statistical analyses included
Gender-diverse participants reported modest elevations in negative affect, detachment, and borderline personality features compared to gender-conforming peers. Age-based analyses showed that younger participants (14–16 years) reported higher mean levels of antagonism, disinhibition, psychoticism, and gender dysphoria. While these differences were statistically significant, all scores remained within non-clinical ranges, and effect sizes were small to moderate. Gender dysphoria was weakly correlated with negative affect, detachment, and borderline features.
Results suggest that observed variations in trait expression reflect developmental and contextual influences rather than psychopathological characteristics. These findings highlight the importance of non-pathologizing, developmentally sensitive approaches in clinical settings when working with gender-diverse youth.
Sex education continues to be inconsistently provided across the United States, with many states not even requiring that sex education be medically accurate. One population at high risk of experiencing the consequences of poor sex education is college students. The current study sought to assess the self-derived “sex facts” that college students feel they know.
Twenty college students were asked to name five things about sex, sexuality, sexual health, sexual behavior, sexual identity, or sexual anatomy that they were 100% sure were true, yielding a total of 96 answers for analysis.
Approximately 56% of their answers were true. The highest proportion of true answers was related to sexual identity topics (74%), while the lowest proportion (20%) was related to sensuality topics. The sexuality education implications of these results are discussed in detail.
The clitoris is a vital organ for female sexual arousal, and adequate blood flow is essential for its function. L-citrulline, a precursor to L-arginine, boosts nitric oxide (NO) production, potentially enhancing blood flow. This study aimed to evaluate the effect of a topical gel containing L-citrulline and L-arginine on clitoral blood flow in healthy women.
Five female volunteers aged 24-32 participated in this pilot study. The topical gel was applied externally to the vulva. Doppler ultrasound was used to measure clitoral length, clitoral volume, peak systolic velocity (PSV), resistive index (RI), and pulsatility index (PI) before and after gel application.
Significant increases were observed in clitoral length (20 mm-24 mm,
Topical L-citrulline and L-arginine gel significantly improves clitoral blood flow, suggesting its potential as a non-invasive treatment for enhancing sexual function in healthy women. Further research is required to evaluate how clinicians can use these findings to counsel patients about using gels to increase clitoral blood flow.
Gender is a psychosocial construct that reflects attitudes, feelings, and behaviors prescribed by cultural expectations for men and women. Gender discrimination has been identified as inappropriate in numerous societies. Greater attention has been paid to the discrimination in attitudes and practices that essentially disadvantage women and girls. There is limited attention and research on discrimination, whose central casualties are men and boys. It is so unrecognized that the mere mention of it may appear laughable to some. The article examines how hegemonic masculinity in India perpetuates discrimination against men by enforcing rigid gender norms, leading to emotional suppression, societal pressure, and marginalization of nonconforming masculinities. Further the study aims to challenge traditional notions of masculinity and advocate for more inclusive gender frameworks.
This exploration of Lana Del Rey’s song “A&W” through a feminist lens focuses on themes of bodily autonomy, sexual trauma, societal judgment, and emotional resilience. The song’s opening reflects a poignant loss of innocence and highlights the protagonist’s strained relationship with her mother, emphasizing the critical role of maternal bonds in identity formation as theorized in feminist psychoanalysis. Del Rey’s portrayal of complexity in feminine identity is captured in lyrics that reject reductive labels, embracing the contradictions and multitudes within a woman.
The song also critiques rape culture and victim-blaming, challenging societal narratives that invalidate survivors’ experiences based on appearance or stereotypes. By juxtaposing vulnerability with resilience, Del Rey illuminates the psychological impact of trauma and the protagonist’s journey toward self-reclamation. Furthermore, the title, an abbreviation for “American Whore,” reclaims a derogatory term, transforming it into a symbol of defiance against patriarchal norms.
Del Rey’s use of popular music as a medium bridges personal and collective struggle, demonstrating the power of art to articulate feminist resistance. Positioned within the broader context of fourth-wave feminism, “A&W” becomes a compelling feminist text, offering insights into the intersections of trauma, identity, and cultural critique.

