Research shows how performance fears impact sexual satisfaction in young women

A study of a small group of Spanish young women found that those with lower sexual satisfaction tend to report more sexual inhibition due to the threat of performance failure and expected consequences of such failure. The research was published in Behavioral Sciences.

Sexual satisfaction is a subjective experience of fulfillment and pleasure derived from sexual activity, influenced by physical, emotional, and psychological factors. It is shaped by aspects such as intimacy, communication, relationship quality, personal expectations, and cultural beliefs. An emotional connection and mutual understanding between partners enhance sexual satisfaction, while stress, relationship conflicts, or health issues can diminish it.

Individual factors such as body image, self-esteem, and sexual confidence also play a role in determining a person’s level of satisfaction. Regular and open communication about needs and desires can contribute to a more fulfilling sexual experience. Additionally, hormonal balance, physical health, and age-related changes can impact sexual satisfaction over time. Research suggests that sexual satisfaction is linked to overall well-being, relationship stability, and mental health.

The study’s author, María del Mar Sánchez-Fuentes, and her colleagues aimed to examine the relationships between sexual satisfaction and sexual arousal, both as a trait (i.e., the propensity for sexual excitation and inhibition) and as a state (i.e., sexual arousal when viewing a video with explicit sexual content). They expected that women who were more sexually satisfied in their relationships would report a lower propensity for both sexual excitation and sexual inhibition. The authors also anticipated that sexually satisfied women would experience lower sexual arousal in the laboratory context.

Study participants were 45 Spanish heterosexual women aged between 18 and 25 who had a partner. Their average age was 21, and the mean duration of their romantic relationships was 27 months. On average, their first sexual relationship occurred at age 16, and they reported having had 4–5 sexual partners.

Participants completed assessments of sexual and relationship satisfaction (using the Global Measure of Relationship Satisfaction and the Global Measure of Sexual Satisfaction), sexual inhibition, and propensity for sexual arousal (using the Sexual Inhibition/Sexual Excitation Scales-Short Form).

Participants also viewed a 3‑minute nature documentary and a 3‑minute sexually explicit heterosexual video depicting a couple engaging in sexual activity, including oral sex and vaginal intercourse. While watching these videos, the women underwent vaginal photoplethysmography, which allowed the researchers to objectively measure their levels of sexual arousal.

Vaginal photoplethysmography is a physiological measurement technique used to assess vaginal blood flow and sexual arousal by detecting changes in vaginal tissue oxygenation and engorgement through light absorption. The apparatus, known as a vaginal photoplethysmograph, is a small, tampon‑shaped probe with a light source (usually infrared) and a light detector. It is inserted into the vagina to measure blood volume changes based on the intensity of reflected light. Participants also reported their level of sexual arousal using a rating scale (the Rating of Sexual Arousal).

Results showed that participants who reported higher sexual satisfaction also tended to be more satisfied with their relationships. Women with higher sexual satisfaction reported lower levels of sexual inhibition, both due to the threat of performance failure and the threat of performance consequences. Additionally, women who were more satisfied with their relationships tended to exhibit a lower genital response to the sexual video.

Sexual inhibition due to performance failure refers to the tendency to experience a decrease in sexual arousal or responsiveness because of concerns about one’s ability to perform sexually—for example, difficulty achieving orgasm, inadequate lubrication, or a perceived inability to satisfy a partner. Sexual inhibition due to performance consequences occurs when sexual arousal is reduced because of fears of potential negative outcomes of sexual activity, such as unintended pregnancy, sexually transmitted infections, emotional vulnerability, or social judgment.

“In conclusion, the negative association between sexual satisfaction and propensity for sexual inhibition in young women with a partner is supported, but not the positive association between trait/state sexual arousal and sexual satisfaction,” the study authors concluded.

The study sheds light on the links between sexual satisfaction, sexual arousal, and sexual inhibition. However, because it was conducted on a small group of young Spanish women, the results might differ for other demographic groups.

The paper, “Sexual Excitation in Young Women with Different Levels of Sexual Satisfaction in Relationships: A Laboratory Study”, was authored by María del Mar Sánchez-Fuentes, Ana Álvarez-Muelas, Oscar Cervilla, Reina Granados, and Juan Carlos Sierra.