Evidence map›Paper›PMID 42624987›Full record

ArticleInternational journal of impotence research2026

Role of afterplay in female sexual satisfaction in heterosexual relationship: A prospective randomized two arm study.

Gajanan S Bhat, Nandakishore Bhat, Anuradha Shastry

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Article in International journal of impotence research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Gajanan S BhatDepartment of Urology, Andrology and Sexual Medicine, TSS Shripad Hegde Kadave Institute of Medical Sciences, Sirsi, Uttara Kannada District, Karnataka State, India. gajubhatru@gmail.com.ORCID http://orcid.org/0000-0003-2067-9383
Nandakishore BhatDepartment of Urology, Father Muller Medical College, Mangalore, Dakshina Kannada District, Karnataka, India.
Anuradha ShastryDepartment of Urology and Sexual Medicine, TSS Shripad Hegde Kadave Institute of Medical Sciences, Sirsi, Uttara Kannada District, Karnataka State, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the recognized emotional importance of post-coital intimate behaviors such as hugging, cuddling, talking, kissing, massaging, listening to sensual music, showering, and reading erotic literature (collectively termed afterplay), their impact on female sexual satisfaction has not been systematically studied. This prospective randomized study evaluated the effect of afterplay on sexual satisfaction among sexually active women in heterosexual relationships. Couples with medical comorbidities, psychiatric disorders, or diagnosed sexual dysfunction were excluded. Participants were randomized into two groups using computer-generated random numbers. Both groups received weekly educational sessions on desire, arousal, lubrication, orgasm, satisfaction, pain, and foreplay, with Group B receiving an additional 15-minute session focused on afterplay. Sexual satisfaction was assessed at baseline and after 8 weeks using the Sexual Satisfaction Scale for Women (SSS-W), supplemented by diary-based records of sexual experiences. A total of 431 women completed the study (Group A: 211; Group B: 220), with comparable baseline characteristics. After 8 weeks, Group B showed significantly greater improvement across all SSS-W domains compared with Group A (p ≤ 0.05). These findings identify afterplay as an important factor influencing female sexual satisfaction. Partner education regarding afterplay may represent a simple and effective intervention for improving sexual well-being and addressing female sexual dissatisfaction.

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.