RNQualitativeInternational journal of community based nursing and midwifery2018

Women's Perceptions and Feelings about Loss of Their Sexual Desire: A Qualitative Study in Iran.

Pouran Akhavan Akbari, Giti Ozgoli, Masoumeh Simbar and 1 others

PMID 29607345

WHAT IT FOUND

Women with low sexual desire described feeling their femininity was spoiled, fearing they would lose their spouse, and accepting sex or role-playing to keep the marriage.

They reported less emotional connection with partners who criticized their bodies or demanded unwanted sexual acts.

Key findings

01Participants described a 'spoiled feminine identity' involving low self-esteem, negative body image, and feeling like incompetent women when unable to meet spousal sexual expectations.

02Many women accepted sex or pretended to be interested to maintain the relationship, driven by fear of losing their spouse or financial dependence.

03Relationships deteriorated through reduced affection, lack of sexual communication, and sexual coercion, with some partners demanding anal or oral sex that women found insulting or distressing.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study was conducted in Iran, so the findings are deeply influenced by specific cultural and religious norms regarding gender roles and sexuality, which may not apply to other populations. Participants were recruited from healthcare centers, which may bias the sample toward women seeking help or those with more severe distress. The small sample size (17 women) limits the generalizability of the themes. The reliance on self-reported data for sensitive topics like sexual coercion and dissatisfaction may lead to underreporting due to stigma or fear.

The easy way to misread this

Do not interpret these themes as universal causes of female sexual interest and arousal disorder. The findings reflect the specific cultural context of Iranian women, where gender roles and marital expectations strongly shape sexual experiences, and should not be applied without considering the patient's individual cultural background.

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