Comment: Are sexual dissatisfaction and dysfunction related to higher rates of sexual activity? This study didn’t ask that question, but its results suggest that the question may merit investigation. Also, in a 2021 population-wide Swedish study, among those who used porn ≥3 times/week, 53.5 identified as homosexual and 38.9 as bisexual.
The Journal of Sexual Medicine
CharlotteBjörkenstamPhD, LouiseMannheimerPhD, MatildaLöfströmMSc, CharlotteDeoganPhD
Abstract
Introduction
Human sexuality is a natural and important part of peoples’ life and well-being. The underlying interactions affecting sexual satisfaction are complex, and sexual orientation differences partly remain to be identified as well as explained.
Aim
Our aim was to investigate sexual orientation–related differences in sexual satisfaction and sexual dissatisfaction and differences in sexual function and sexual-related problems.
Methods
We used Swedish data from SRHR2017 (sexual and reproductive health and rights), based on self-administered surveys, linked to nationwide registers. The national sample consisted of 14,537 women and men aged 16–84 years. With logistic regression, we examined sexual orientation–related differences in self-reported sexual satisfaction and sexual dissatisfaction, stratified by sex.
Main outcome measures
The main outcome measures of this study are odds ratios (ORs) with 95% confidence intervals (CIs).
Results
Bisexual women were more dissatisfied with their sex life, as compared with heterosexual women (OR: 1.8; 95% CI: 1.3–2.6), as were bisexual men compared with heterosexual men (OR: 2.7; 95% CI: 1.7–4.4). A bisexual or lesbian identity was a robust risk factor for premature orgasm (OR: 2.1; 95% CI: 1.1–3.9 and OR: 8.0; 95% CI: 3.2–20.0, respectively). Lesbian women seemed to have lower risk for many sexual-related problems (however not significant). Gay men lacked arousal (OR: 3.3; 95% CI: 1.6–6.9), had no orgasm (OR: 2.6; 95% CI: 1.4–4.7), and were at lower risk of experiencing premature ejaculation (OR: 0.4; 95% CI: 0.2–0.9), as compared with heterosexual men.
Conclusion
Our findings contribute to the sparse evidence of some sexual orientation differences in sexual satisfaction and sexual dysfunctions. Especially bisexual women and men appear to experience less sexual satisfaction in relation to heterosexual and homosexual women and men.