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Comment & Response |

Sexual Activity in Midlife Women and Beyond—Reply

Holly N. Thomas, MD1,2; Rachel Hess, MD, MS1
[+] Author Affiliations
1Center for Research on Healthcare, Division of General Internal Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania
2Department of Veterans Affairs Pittsburgh Healthcare System
JAMA Intern Med. 2014;174(7):1205. doi:10.1001/jamainternmed.2014.1592.
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In Reply We appreciate and read with interest the thought-provoking letters submitted to the editor in regard to our Research Letter.1

Maiorino et al expressed concern about excluding sexually inactive women at baseline. For this analysis, we were interested in the factors associated with continuation of sexual activity at midlife, so we necessarily only included women who were sexually active at baseline. They also noted that the 0.5 difference in Female Sexual Function Index (FSFI) scores between women who became sexually inactive and women who remained sexually active was not significant. We agree, and that is why we concluded that FSFI scores did not differ significantly between these 2 groups. The mean (SD) FSFI scores among women who became sexually inactive vs women who remained sexually active were 21.8 (3.8) and 22.3 (3.8), respectively (P = .67). In this cohort, 92.3% of the women had an FSFI score below 27, consistent with a designation of sexual dysfunction.2


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July 1, 2014
Maria Ida Maiorino, MD; Giuseppe Bellastella, MD, PhD; Katherine Esposito, MD, PhD
1Department of Medical, Surgical, Neurological, Metabolic, and Geriatric Sciences, Second University of Naples, Naples, Italy
2Department of Clinical and Experimental Medicine, Second University of Naples, Naples, Italy
JAMA Intern Med. 2014;174(7):1203-1204. doi:10.1001/jamainternmed.2014.1621.
July 1, 2014
Raymond C. Rosen, PhD; James A. Simon, MD
1New England Research Institutes Inc, Watertown, Massachusetts
2George Washington University, Women's Health & Research Consultants, Washington, DC
JAMA Intern Med. 2014;174(7):1204. doi:10.1001/jamainternmed.2014.1627.
July 1, 2014
Balasubramanian Srilatha, MD, PhD; Zhongwei Huang, MBBS, PhD, AHEA(UK); Ganesan P. Adaikan, PhD, DSc
1Department of Obstetrics & Gynecology, Yong Loo Lin School of Medicine, National University Hospital, National University of Singapore, Singapore
JAMA Intern Med. 2014;174(7):1204-1205. doi:10.1001/jamainternmed.2014.2606.
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