Within-Person Associations Between Sexual Life And Relationship Satisfaction In Women With Mayer-Rokitansky-Kuster-Hauser Syndrome In Long-Term Relationships

Within-Person Associations Between Sexual Life And Relationship Satisfaction In Women With Mayer-Rokitansky-Kuster-Hauser Syndrome In Long-Term Relationships | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Within-Person Associations Between Sexual Life And Relationship Satisfaction In Women With Mayer-Rokitansky-Kuster-Hauser Syndrome In Long-Term Relationships Lídia Silveira, Natalia Dutra, Juliana Schulze Burti, Vivianni Veloso This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-5933935/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Purpose : individuals with sexual dysfunctions represent a relevant population for relationship maintenance research because they explore how couples adapt to challenging circumstances. Once satisfaction plays a a crucial role in maintaining romantic relationships, with strong evidence indicating that sexual satisfaction significantly influences relationship satisfaction, investigating these adaptations provides valuable insights into the strategies couples employ to maintain relationships. This study investigates the dynamic between sexual life aspects and relationship satisfaction in women diagnosed with Mayer-Rokitansky-Küster-Hauser Syndrome (MRKH), a congenital condition characterized by the underdevelopment or absence of the uterus and vaginal canal. Methods : An online survey was conducted with 34 women diagnosed with MRKH (RG) and 80 women without the condition (CG). Clinical, sociodemographic, and behavioral data were collected, including relationship characteristics, sexual practices, sexual functioning, and emotional attachment to partners. Correlation analyses were used to assess the relationship between sexual satisfaction and relationship satisfaction while controlling relationship duration, parenthood, age, educational attainment, and socioeconomic status. Results : for RG, relationship satisfaction was not associated with sexual satisfaction even when considering relationship duration, parenthood, age, educational attainment, or socioeconomic status. Emotional attachment emerged as the sole predictor of relationship satisfaction in RG. Conclusion : these findings align with previous research suggesting that couples facing sexual challenges adapt their sexual scripts by prioritizing closeness and responsiveness (e.g., affection and physical proximity) to mitigate negative effects on their relationships. Understanding these compensatory mechanisms can offer valuable insights for research on relationship maintenance processes. relationship maintenance relationship satisfaction sexual satisfaction sexual dysfunctions women Figures Figure 1 Figure 2 Figure 3 Introduction Sex is a key factor that distinguishes romantic relationships from other types of intimate relationships. According to Štulhofer et al. (2010) sexual satisfaction involves different dimensions such as the sensation of pleasure, the ability to concentrate on these sensations, the perception of reciprocity in sexual exchanges, emotional connection and variety about the activity itself. It is based on the positive or negative individual perceptions of the response to sexual relationships. Given that, a satisfying sexual life doesn't just mean sexual benefits, it extends to a greater attachment between partners, is associated with greater sociability, longevity, reduced illness, and improved emotional regulation (Impett et al., 2019; Muise et al., 2016). These benefits directly impact relationship satisfaction (Park et al., 2023) and contribute for a greater quality of life (Holt-Lunstad et al., 2010; Impett et al., 2014). From an evolutionary perspective, mechanisms involved in sexual drive, attraction and pair-bond evolved as adaptive responses to ensure reproductive success (Campbell & Ellis, 2015). In hunter-gatherer societies in which individuals relied on others for support, assistance, resources, and protection during times of need (Apostolou, 2016), while extradyadic relationships or short-term pairings occasionally offered certain advantages (Buss, 2016b; Maner et al., 2008; Taylor, 1997), maintaining a long-term partner provided critical benefits, including consistent reproductive opportunities with a reliable ally and increased individual survival odds (Bode, 2023; Veloso & Júnior, 2022). For females, specifically, the high reproductive investment - production of nutrient-rich eggs, prolonged gestation, direct care and breastfeeding - required reliable access to resources, as well as the search for partnerships that could consistently contribute to the well-being of mother and offspring to maximize reproductive success (Buss, 2016a; Pollet et al., 2009; Trivers & Willard, 1973). Thus, unlike most mammalian species, humans developed cooperative offspring care, which probably arose as an adaptation to prolonged dependence on altricial offspring, which required substantial energy and resources to survive and thrive. The evolution of human mating systems, therefore, probably developed from the interaction between reproductive needs, survival and biparental investment. And, in this way, the biparental care characteristic of humans not only supported offspring survival but also strengthened the long-term relationships necessary for sustaining this cooperative investment system (Burunat, 2014; Schacht & Kramer, 2019; Young & Simpson, 2019). Pro-relationship behaviors, therefore, were critical for survival and extremely useful for reproduction, which may explain why both sexes develop and display a wide spectrum of behaviors aligned with sustained pair bonding (e.g. emotional attachment) (Bode, 2023; Young & Simpson, 2019), and seek out individuals who can help maintain stability and avoid dissolution (Apostolou et al., 2023; Bode, 2023). Ogolsky et al. (2017) propose that couples engage in both threat mitigation behaviors (e.g., conflict resolution and managing external temptations) and relational enhancement strategies (e.g., expressing appreciation and participating in shared activities) to maintain their relationships. Among these strategies, sexual activity emerges as a significant component of relational enhancement, for foster the intimacy, contribute to the emotional attachment[1] and also contribute to the physical and emotional well-being of both partners (Apostolou et al., 2023; Impett et al., 2019). Unsurprisingly, couples who report higher levels of sexual satisfaction also tend to experience greater relationship satisfaction[2] (Park et al., 2023). Regular sexual interactions contribute to relationship satisfaction by fostering intimacy, strengthening emotional bonds, and promoting overall well-being. These interactions are closely associated with higher levels of sexual fulfillment, improved relationship quality, and greater relational happiness and stability. Even when couples face challenges related to their sexual life, they often adapt their sexual scripts to preserve intimacy and maintain a satisfying relationship. Strategies include engaging in open communication about sexual needs and concerns, cultivating communal motivation—the willingness to prioritize a partner's sexual needs without expecting direct reciprocation—and incorporating non-sexual forms of physical affection, such as cuddling and holding hands, behaviors that favored emotional attachment. Additionally, couples explore new forms of sexual expression or modify existing practices to address challenges posed by dysfunctions, while placing greater emphasis on strengthening emotional intimacy (Impett et al., 2019). This theoretical framework is helpful when considering study groups experiencing sexual dysfunction once their sexual satisfaction is normally affected. Smith & Pukall (2011), for example, observed that women who experience pain during intercourse report significantly reduced sexual satisfaction compared to those without such issues, but often report similar levels of relationship satisfaction. This trend is also seen in individuals dealing with other sexual dysfunctions, such as erectile dysfunction or diminished sexual desire (R. C. Rosen et al., 2016). The comprehension is that couples manage to maintain their relationships satisfactorily by adapting their sexual scripts (e.g. expanding sexual practices) to accommodate these challenges, and mitigating the impact of sexual dysfunction on their broader relationship, continuing behaviors associated with intimacy and emotional bonding, such as affection, cuddling, and responsiveness, to helps maintain relational harmony even when sexual satisfaction is compromised (Burri et al., 2014; Vannier et al., 2017). In this research we could study these interactions in a group of women diagnosed with a rare condition that direct affect sexual functions: the Mayer-Rokitansky-Küster-Hauser Syndrome (MRKHS). The MRKHS is a congenital condition that affect one in 4.500-5000 women (46XX), classically characterized by a complete absence (agenesis) or rudimentary development (aplasia) of uterus and vaginal canal (Type I), that occur for underdevelopment of paramesonephric genital ducts during the 6 th embryonic week, for still elusive etiology. Some MRKHS women present associated extragenital malformations (e.g. renal, skeletal, ear, or cardiac), such cases are called Type II of the syndrome (Herlin et al., 2020). These alterations lead to primary amenorrhea, pelvic pain disorders and infertility. These conditions have profound implications on psychological (e.g. distress, reduced self-esteem, anxiety, depression and higher neuroticism following diagnosis,) and/or psychosexual (e.g. issues regarding identity, sexuality and infertility) health, and potentially affect coping strategies and romantic relationships (Facchin et al., 2021). Studies on MRKHS women, also reveal that women with the syndrome often experience pain during vaginal penetration (dyspareunia) due to the congenital absence or underdevelopment of the vagina, even after neovagina creation (Ding et al., 2015; Leithner et al., 2015; Pastor et al., 2017; Zhu et al., 2013); reduced sexual desire and difficulties with arousal and lubrication (Baby et al., 2024; Dabaghi et al., 2019; Herlin et al., 2020; Pastor et al., 2017); and challenges achieving orgasm are also reported, likely influenced by psychological factors such as body image concerns, anxiety, and identity struggles (Bargiel-Matusiewicz & Kroemeke, 2015; Bean et al., 2009; Leithner et al., 2015). These issues can negatively affect intimacy management, as well, can contribute to dissolutions. Although previous research has shown that they tend to start dyadic sexual activity later (Facchin et al., 2021), fear their partners finding out about their condition, worry about rejection after disclosing their diagnosis (Bean et al., 2009; Facchin et al., 2021) and have to deal with divorce due to issues related to both their sex life and fertility (Bean et al., 2009; Pastor et al., 2017), no study has directly explored this interaction. To fill this gap, this study investigated potential associations between sexual life and relationship satisfaction and in women with MRKHS. Methods Ethical Aspects This study was initially registered on the Plataforma Brasil and approved by the Ethical Committee for Research in Human and Social Sciences of Universidade Federal do Pará under report number 79659124.6.0000.5172. An informed consent was obtained from all individual participants included in the study. Ethical Approval All procedures were conducted in accordance with the Helsinki Declaration. Participants A total of 116 Brazilian women participated in the study. From those, two individuals were excluded for not meeting the inclusion criteria of relationship duration (≥6 months). The final sample consisted of 34 women comprising the group of women with de Mayer-Rokitansky-Küster-Hauser Syndrome (RG) and 80 the comparison group (CG), they aged 18 to 60 years and was in a relationship lasting at least six months. They live in sixteen different states across the five regions of Brazil, with the Southeast being the most represented in the RG (50%) and the North in the CG (62.5%). Sampling Considering the inclusion criteria the RG size was estimated at 30 (convenience sampling). Age was selected as the matching factor between the RG and comparison group (CG). Given the small size of RG sample, we implemented an unbalanced sampling design, using an optimal allocation ratio of at least 1 RG individual to 2 CG individuals per age stratum (e.g., 18–30 years; 31–40 years). This approach aimed to increase the likelihood of detecting significant differences between groups (Lohr, 2010). Recruitment The sample of women with MRKHS was recruited through announcements published on the Instituto Roki website, its social media platforms (Instagram), and WhatsApp community groups. Interested participants were directed to contact the researchers via Instagram or WhatsApp for clarification and access to the survey link. Additionally, Instituto Roki organized two online classes about sexuality in women with MRKHS, during which the lead researchers personally invited attendees to participate in the study. The comparison sample was recruited through invitations shared on social media platforms, including Instagram (via the Neurosciences and Behavior Graduate Program, Group for Advanced Studies in Evolutionary Psychology) and the first author’s personal accounts (Instagram and WhatsApp public statuses). For the CG, the survey link was provided directly through Instagram posts and WhatsApp messages. In both recruitment efforts, advertisements explicitly stated that the study focused on sexual behavior and included only individuals aged 18 to 60 years who had been in a romantic relationship for at least six months. Participants were informed that the survey would cover socioeconomic data, relationship characteristics, and sexual behavior. Informed consent was obtained electronically, with participants required to click an “I agree” button on the survey's first page. Environment and Instruments The instruments were applied by a virtual formulary powered by Google Forms. Three instruments were developed by the researchers specifically for this study: (a) Sociodemographic Instrument, that inquire participants about their: age, race, current home Brazil state, educational level (degrees), family incomes (minimum wages) and religion,;(b) Relationship Instrument, that included relationship status (e.g. marriage, engagement, dating), duration (years), and arrangement (monogamous or polygamous), cohabitation with partner, parenthood, sexual orientation and partner gender; and (c) Clinical Data Instrument, that asked just from MRKHS women, the life moment of the diagnosis (adolescence or adulthood); type (I or II) of the MRKHS; submission to neovagina creation by progressive mechanical dilation, or surgery, or both, and professional health support (gynecologists, physiotherapists, psychologist, and gynecological surgeons or others). Sexual Metrics Instruments Sexual Practices This instrument was originally developed for Silva & Brito (2016) to explore frequency of penetrative and non-penetrative practices among homossexual women. Once some participants did not undergo vaginal creation and/or could we decided to investigate this topic. Through this instrument participants were asked about their frequency of involvement in different sexual practices that were: vaginal sex with penetration by penis, fingers or toys; anal sex with penetration by penis, fingers, toys; oral sex, and masturbation. Sexual Function The Portuguese version of the Female Sexual Function Index (FSFI) was used to assess the degree and type of potential sexual dysfunctions among women (Pacagnella et al., 2008). This FSFI version was adapted to include both homo and heterosexual women by including finger and toy penetration practices on survey command. FSFI is a 19-item self-report questionnaire designed to assess six domains of female sexual function —sexual desire, arousal, lubrication, orgasm, satisfaction, and pain— providing a thorough evaluation of general and domain-specific aspects of female sexual health. Each item is rated on a Likert scale ranging from 0/1 to 5, with adjusted domain scores summed to calculate a total score ranging from 2 to 36. Higher scores indicate better overall sexual function, while scores of ≤26.55 are indicative of clinically significant sexual dysfunction (Meston et al., 2020; R. Rosen et al., 2000). Sexual Satisfaction To assess sexual satisfaction, we utilized the Portuguese version (Santos Pechorro et al., 2015) of the New Sexual Satisfaction Scale (NSSS) (Štulhofer et al., 2010). This instrument is structured in 20 items, organized into two main dimensions —the Individual Focus Subscale (questions 1-10) and the Partner and Sexual Activity Focus Subscale (questions 11-20)— answered on a Likert scale ranging from 1 (“not at all satisfied”) to 5 (“totally satisfied”). The score for each dimension is obtained from the sum of the scores for each question, and the total score from the sum of the scores for all the items, ranging from 20 to 100. There is no cut-off score for this table, but high values correspond to high levels of sexual satisfaction. Emotional Attachment The Love Scale from The Marriage and Relationship Questionnaire (Russell & Wells, 1993) in its Portuguese version (França et al., 2016) was used to assess emotional attachment. It is structured in nine items, answered on a Likert scale ranging from 1 (“not at all”) to 5 (“very much”). The results are calculated by adding up the answers obtained, ranging from 9 to 45, and higher scores indicate greater attachment. Relationship Satisfaction To assess relationship satisfaction the revised and translated version of Investment Model Scale (IMS-R) was utilized. It is a self-report instrument that measures satisfaction with love and have shown useful for predicting commitment to the romantic relationship and relationship dissolution (Londero-Santos et al., 2021). Originally proposed by Rusbult et al. (1998), based on the Investment Model of the Commitment Process, the Portuguese version of IMS-R contains 10 multiple-choice questions, to which answers are given on a Likert scale ranging from 1 to 4 for the first 5 questions, and from 0 to 8 for the last 5. The five first are apparent items, used only to increase understanding of the results, and the last 5 are those that measure the relationship satisfaction construct. A raw score is calculated from the average of the last 5 items and transformed into z-scores (Santos & Féres-Carneiro, 2020). The z-score ranging from -2,465 to 1,495, is interpreted as a general indicator of relationship satisfaction level, higher scores indicate greater relationship satisfaction, and lower scores the opposite. Data collection In this study we develop an online survey powered by Google Forms that has initially the Informed Consent followed by eight sections corresponding to the instruments previously described. The access via Google Forms does not require a login, conferring protection of participants' sensitive data. Data was automatically organized on Sheets by Google Forms, that was the software used for storing and organizing data for statistical analysis. Statistical Analysis Descriptive statistics and correlational analyses were conducted to summarize and examine the relationships among study variables inside each group performing single multivariate tests to allow the partitioning of within-person fluctuations as separate sources of variance. The Shapiro-Wilk test, density curve and dot plot analysis were used to assess the normality of the distribution. Subsequently, as both groups did not show a normal distribution (Shapiro Wilk test for RG p<0.03 and CG p<0.001), the Mann-Whitney non-parametric test was used to verify the differences between the groups in the general and sub scores of FSFI, NSSS, IMS-R, Sexual Practices and The Love Scale. The within-person associations between sexual satisfaction, relationship satisfaction and emotional attachment were examined through Spearman's correlation test, given the potential for non-normality in the sample responses in both groups. The correlation coefficient (𝜌) and corresponding p-value were used to determine the strength and significance of the association. Results A total of 116 Brazilian women participated in the study. From those, two individuals were excluded for not meeting the inclusion criteria of relationship duration (≥6 months). The final sample consisted of 34 women comprising the RG and 80 the CG. They live in sixteen different states across the five regions of the country, with the Southeast being the most represented in the RG (50%) and the North in the CG (62.5%). The participants were mostly young adults (20–30 years) in both groups, with an average age of 37.5 years (SD = 12.6) for RG and 32.7 years (SD = 10.7) for CG, ranging from 18 to 64 years. The majority identified as white (RG = 70.6%, CG = 55%) or mixed-race (RG = 23.5%, CG = 36.2%), with 5.9% (RG) and 8.7% (CG) identifying as black. In terms of education level, the highest percentages in the RG were for higher education (bachelor's degree = 20.5%; graduate degree = 44.1%), while in the CG, the largest percentages were for incomplete undergraduate education (22.5%) and graduate studies (53.7%). Monthly family incomes ranged from less than one minimum wage (approximately 232.7 USD) to more than six minimum wages, however, a significant concentration was observed between three and six minimum wages for both groups (Table 1). Table 1. Sociodemographic data and statistical distribution and similarity of MRKHS group (RG) and comparison group (CG). RG CG Similarity (p-value) Age n 34 80 0.065 b Mean 37.5 32.7 Median 33.5 31.0 Min 21 19 Max 64 57 Standard deviation 12.6 10.4 Normality (p-value) 0.031 a <0.001 a RG CG Brazil Area n (%) n (%) North 1 2.94 50 62.5 Northeast 7 20.59 9 11.25 Midwest 3 8.82 1 1.25 Southeast 17 50.00 17 21.25 South 6 17.65 3 3.75 (total) 34 100 80 100 Race Similarity (p-value) White 24 70,6 44 55 0.3 c Mixed 8 23,5 29 36,25 Black 2 5,9 7 8,75 (total) 34 100 80 100 Educational level High School 6 17,65 6 7,5 0.349 c Higher education 6 17,65 18 22,5 Bachelor's degree 7 20,59 13 16,25 Graduate Studies 15 44,12 43 53,75 (total) 34 100 80 100 Familiar incomes (minimum wages) 1≥ 3 8,82 5 6,25 0.947 c 1 - 2 4 11,76 7 8,75 3 - 4 7 20,59 17 21,25 5 - 6 6 17,65 13 16,25 6≤ 13 38,24 36 45 (omissed) 1 2,94 2 2,5 34 100 80 100 Religion Christian 19 55,88 43 53,75 0.01 c African rooted 1 2,94 3 3,75 Asian rooted 2 5,88 7 8,75 Multiple influence 4 11,76 0 0 Non-religious 6 17,65 26 32,5 (omissed) 2 5,88 1 1,25 (total) 34 100 80 100 a Shapiro-wilk, b Mann-Whitney U, c χ² Test Women were predominantly heterosexuals, engaged in stable relationships (e.g., engagement, marriage), in monogamous arrangements, with no children. RG women tended to last longer relationships than CG women, though the difference was not statistically significant ( p -value= 0.094) (Table 2). Additionally, RG women have a maximum one child, more frequently adopted than stepchildren (ratio: 6:1). In contrast, CG women have two children on average, mostly biological, with stepchildren being more common than adopted ones (ratio: 7:1). Table 2. Relationship characteristics data and statistical distribution and similarity of MRKHS group (RG) and comparison group (CG). Group n Mean Median Standard deviation Shapiro-Wilk (p-value) U Mann-Whitney (p-value) Relationship duration (years) RG 34 9.65 7 10.61 <.001 0.094 CG 80 6.63 3.25 7.68 <.001 Sexual orientation % in respective group Chi-square p-value Partner gender (n) Men Women Exclusivly heterosexual RG 30 88,24 48.1 <.001 30 0 CG 55 68,75 55 1 Predominantly heterosexual RG 1 2,94 1 0 CG 6 7,5 5 1 Bisexual RG 2 5,88 0 2 CG 12 15 8 4 Predominantly homosexual RG 0 0 0 0 CG 2 2,5 1 1 Exclusivly homosexual RG 1 2,94 0 1 CG 5 6,25 0 5 Relationship arrangement Monogamic relationship RG 33 97,06 20.8 <.001 CG 75 93,75 Poligamic relationship RG 1 2,94 CG 5 6,25 Relationship status Casual RG 4 11,76 71.4 <.001 CG 4 5 Dating RG 6 17,65 CG 11 13,75 Official relationship RG 4 11,76 CG 25 31,25 Engagement RG 3 8,82 CG 2 2,5 Stable union or marriage RG 17 50 CG 38 47,5 Cohabitation Alone RG 8 23,53 56.3 <.001 CG 6 7,5 With the partner RG 19 55,88 CG 44 55 With family or friends RG 7 20,59 CG 30 37,5 Parenthood RG 7 20,59 4.47 0.034 CG 33 41.25 RG women were diagnosed in adolescence (70.6%) or adulthood (29.4%); 53% had Type I, 23.5% Type II of the syndrome, and 23.5% were unable to provide this information. Approximately 76% of the women underwent neovagina creation by progressive mechanical dilation (n = 21), surgery (n = 3) or both (n = 2). Initial health support was provided mainly by gynecologists, physiotherapists and gynecological surgeons, while continuing health care was commonly done by psychologists, group therapy and physiotherapists. Sexual Practices Before starting analyses of sexual function and satisfaction, we initially select the sexually active individuals. Among the 114 participants only five (RG: 2, CG: 3) were excluded for not being engaged in any sexual practice (e.g. vaginal penetration, oral sex, anal, sex, masturbation). In both groups, participants engaged in sexual activities at least once a month. Anal sex was the least common practice (RG: 20.6%, CG: 22.5%). Statistically significant differences were not observed between groups in any of the different sexual practices (Table 3). Table 3. Sexual practices statistical frequency for MRKHS group (RG) and comparison group (CG). No practice Frequency Similarity (p-value) RG CG RG CG n % n % n % n % Vaginal Penetration (total) 3 8,8 6 7,5 31 91,2 74 92,5 1 a Monthly 15 44,1 31 38,75 Weekly 16 47,1 40 50 Daily 0 0 3 3,75 Anal Penetration (total) 27 79,4 62 77,5 7 20,6 18 22,5 0.82 b Monthly 6 17,6 15 18,75 Weekly 1 2,9 3 3,75 Daily 0 0 0 0 Oral Sex On partner (total) 6 17,6 13 16,25 28 82,4 67 83,75 0.85 b Monthly 17 50 40 50 Weekly 10 29,4 25 31,25 Daily 1 2,9 2 2,5 From partner (total) 8 23,5 17 21,25 26 76,5 63 78,75 0.78 b Monthly 11 32,4 36 45 Weekly 13 38,2 25 31,25 Daily 2 5,9 2 2,5 Masturbation On partner (total) 8 23,5 19 23,75 26 76,5 61 76,25 0.98 b Monthly 13 38,2 32 40 Weekly 12 35,3 25 31,25 Daily 1 2,9 4 5 From partner (total) 8 23,5 16 20 26 76,5 64 80 0.67 b Monthly 12 35,3 29 36,25 Weekly 13 38,2 31 38,75 Daily 1 2,9 4 5 a Fisher's exact Test, b χ² Test Sexual Dysfunctions and Sexual Satisfaction Using the proposed cut-off score of 26.55 for screening sexual dysfunction by FSFI, a greater proportion of women in the GR (41%) exhibited scores indicative of dysfunction compared to women in the CG (29%). Among the most affected domains in RG we find: reduced sexual desire, pain during sexual intercourse and reduced vaginal lubrication (Table 4). When analyzing sexual satisfaction by NSSS scores, no difference was found for any domains (Individual Focus Subscale and the Partner and Sexual Activity Focus Subscale) between the groups (Table 5). Table 4. Means and standard deviations for FSFI domains for MRKHS group (RG) and comparison group (CG). RG (n = 32) * CG (n = 77) * Mann-Whitney U (p-value) FSFI - Desire M 3.88 4.18 0.243 SD 1.26 1.22 FSFI - Arrousal M 4.47 4.73 0.592 SD 1.46 1.19 FSFI - Lubrication M 4.38 4.81 0.392 SD 1.80 1.37 FSFI - Orgasm M 4.53 4.75 0.573 SD 1.69 1.47 FSFI - Satisfaction M 4.83 4.79 0.986 SD 1.11 1.19 FSFI - Pain M 4.44 5.11 0.070 SD 1.73 1.16 FSFI General Score M 26.52 28.32 0.257 SD 6.98 5.93 *Women engaged in any sexual practice Table 5. Correlations for Relationship Satisfaction (IMS-R Scale) and Sexual Satisfaction (NSSS Scale) of women engaged in sexual practices for MRKHS group (RG) and comparison group (CG). NSSS Full Scale NSSS Individual Centered NSSS Partner and Sexual Activity Centered RG CG RG CG RG CG IMS-R Z-score p-value 0.170 <.001 0.603 <.001 0.142 <.001 ld 30 75 30 # 30 75 Spearman's Rho 0.248 0.493*** 0.095 0.420*** 0.265 0.512*** * p < .05, ** p < .01, *** p < .001 Emotional attachment Statistical data analysis of emotional attachment scores (Love Scale) shows similar scores for both groups (Table 6), although the concentration of higher punctuation has been observed in RG. Relationship Satisfaction For relationship satisfaction scores (IMS-R), the statistical analysis revealed no statistically significant differences between groups, but higher mean values were found for the RG group (Table 6). Table 6. Means and standard deviations for relationship satisfaction (IMS-R Scale), sexual satisfaction (NSSS Scale) and emotional attachment (Love Scale) of women engaged in sexual practices in MRKHS group (RG) and comparison group (CG). RG (n = 32) CG (n = 77) Reference values Mann-Whitney U (p-value) Effect dimension (Cohen d) IMS-R Z-score M 0.295 -2.86e−4 -2,465 to 1,495 0.191 0.239 SD 1.20 1.25 NSSS Full Scale Score M 78.9 79.3 20 to 100 0.508 -0,026 SD 14.7 17.7 Love Scale M 39.8 39.3 9 to 45 SD 5.73 5.65 0.671 0.085 Interaction Dynamics Sexual Frequency and Sexual Satisfaction A Spearman’s rank-order correlation revealed a positive and moderate to strong association between sexual frequency and sexual satisfaction were in the RG (p-value = 0.0001, Spearman’s r = 0.5) but not in the CG (p-value = 0.03, Spearman’s r = 0.2). The results indicate that higher sexual frequency is significantly associated with greater sexual satisfaction in the RG (Fig.1). Sexual Satisfaction and Relationship Satisfaction A Spearman’s rank-order correlation demonstrated no relationship between sexual satisfaction and relationship satisfaction in the RG (p-value = 0.170, Spearman’s r = 0.2) but a positive and moderate to strong correlation in the CG (p-value < 0.0001, Spearman’s r = 0.49). These findings suggest that individuals’ levels of sexual satisfaction do not influence levels of relationship satisfaction in RG romantic relationships (Fig.2). Emotional Attachment and Relationship Satisfaction The correlation analysis indicated a positive and moderate to strong association between emotional attachment and relationship satisfaction for both RG (p-value = 0.003, Spearman’s r = 0.49) and CG (p-value < 0.001, Spearman’s r = 0.5). This result suggests that stronger/weaker emotional bonds are [significantly/not significantly] related to relationship satisfaction (Fig.3). Discussion Research on individuals experiencing sexual dysfunctions has given greater attention to the implications of these conditions on sexual adaptation behaviors and their impact on romantic relationships (Burri et al., 2014; Impett et al., 2014; Leonhardt et al., 2023; R. C. Rosen et al., 2016; Vannier et al., 2017). However, when it comes to women with SMRKH, no study has directly explored this interaction, although previous research has shown that they tend to start dyadic sexual activity later (Facchin et al., 2021), fear their partners finding out about their condition, worry about rejection after disclosing their diagnosis (Bean et al., 2009; Facchin et al., 2021) and have to deal with divorce due to issues related to both their sex life and fertility (Bean et al., 2009; Pastor et al., 2017). Align with existing literature on sexual functioning in women with MRKHS, our findings reveal indicators of sexual dysfunction primarily in the domains of desire, lubrication, and painful penetration. In terms of functionality, such findings could be comprehended similarly to those one related to penetrations disorders (PD), a nomenclature which encompass conditions such as dyspareunia, vulvodynia, and vestibulodynia, that often compromise the entire sexual response cycle (desire, arousal, lubrication, orgasm, and resolution) (Conforti, 2017). Likewise to women with PD, MRKHS women commonly report pain as a significant factor contributing to decreased sexual frequency, satisfaction, and interest in engaging in sexual intercourse (Bean et al., 2009; Conforti, 2017; Dabaghi et al., 2019; Herlin et al., 2020). However, although these results were found in our sample, when sexual frequency and sexual satisfaction was assessed, it differed from other studies of women with SMRKH. Sexual satisfaction is usually reduced among women who suffer from sexual dysfunctions (Bualoy et al., 2025; Smith & Pukall, 2011; Villani et al., 2024; Zietarska Cisak et al., 2023) but in the women in our sample reported levels of sexual satisfaction (NSSS) and sexual frequency shown similar to those of the control group. Firstly, an important factor to considerate is that is that the MRKHS women in this sample receive virtual support from Instituto Roki, that consists in therapeutic groups (for them, their partners or parents) and classes about reproductive and sexual health with specialized professionals. Aligned to this practical factor, we are also considerate theoretical propositions. Impett et al. (2019), building on the understanding of relationship maintenance strategies proposed by Ogolsky et al. (2017) suggested that couples facing sexual challenges who adapt their sexual scripts (e.g. focusing on non-penetrative sexual activities) and emphasizing behaviors that foster emotional intimacy (e.g. improvement of affection and responsiveness) experience less disruption in their relationships. Based on this comprehension, we examined both sexual metrics and emotional attachment levels within our sample. As previously presented, MRKHS women exhibited similar involvement and frequency to the comparison group in each of the different sexual practices investigated, including the least frequent practice (anal sex). Additionally, although there was a correlation between sexual frequency and sexual satisfaction, no association was found when evaluated the association between sexual satisfaction and relationship satisfaction in MRKHS group. These results remain similar even when we consider factors that normally affect relationship satisfaction such as relationship duration, parenthood or educational level, what suggest that sexual metrics (sexual practices, sexual frequency and sexual satisfaction) were not the factors related to the similar levels of relationship satisfaction presented between comparison and study groups in this study, but rather other compensatory mechanisms. Similar levels with no significant differences were also found between groups when emotional attachment level was evaluated. Nevertheless, emotional attachment was the first factor correlated to the relationship satisfaction levels in this study sample. This specific result suggest us that emotional attachment, as suggested by Impett et al. (2019) could be a stronger factor to intimacy management for individuals facing sexual challenges. According to the evolutionary perspective, the advantages involved in maintain a long-term relationship with a partner, in reason of the reproductive advantage opportunities, the enhanced offspring survival and the improved survival odds of individuals, should have favored the selection of hunter-gatherer humans to express different strategies for maintaining their relationships. Over the course of evolutionary time, the survival of those individual culminated in the evolved mechanisms perceived at both the behavioral and neurohormonal levels (Apostolou et al., 2023; Bode, 2023; Denes et al., 2023). The comprehension that humans have evolved to exhibit pro-relationship behaviors at both individual and interactive levels—facilitating relationship maintenance—provides a valuable framework for examining the compensatory strategies employed by couples facing challenges in their sex lives. Ogolsky et al (2017) in their integrative model of relationship maintenance, proposed a conceptual model that identifies both interactive and individual processes aimed at mitigating threats and enhancing relationships. According to this model, interactive process—defined as those triggered in response to a partner’s behavior or jointly enacted by both partners—include behaviors such as social support and responsiveness (e.g., expressing care or concern for one’s partner) and facilitation (e.g., assisting a partner in achieving their goals or managing stressors together). Notably, these constructs closely align with the dimensions assessed in the relationship satisfaction instrument used in this study, which measures participants' perceptions of satisfaction with intimacy, companionship, security, and emotional involvement provided by their partners. Our findings suggest that in the context of sexual dysfunction, emotional attachment plays a pivotal role in sustaining relationship satisfaction and in fulfilling intimacy needs, since, among the variables analyzed—sexual satisfaction, parenthood, age, relationship duration, socioeconomic status, and education—only emotional attachment showed a significant correlation with relationship satisfaction in the MRKHS group. Conversely, in the comparison group, sexual satisfaction emerged as a stronger predictor of relationship satisfaction. In conclusion, we reiterate that individuals with sexual dysfunctions, including women with MRKH, represent a relevant population for relationship research that explores how couples adapt to challenging circumstances. Investigating these adaptations provides valuable insights into the strategies couples employ to maintain relationship quality, well-being, and satisfaction. In this context, the findings of this study contribute to indicate that emotional attachment is one of the mechanisms used by women with sexual dysfunction to keep their long-term relationships. And, although recognize that promoting stronger emotional bonds may enhance relationship satisfaction and support relationship maintenance, these findings should be interpreted with caution, as the study did not incorporate partners’ perspectives, which could provide a more comprehensive understanding of relational dynamics. LIMITATIONS AND FUCTURE DIRECTIONS While our study provides valuable insights, several limitations should be acknowledged. First, our sample consisted exclusively of women with MRKHS who were associated with the Instituto Roki. This constraint may have introduced selection bias, as participants from this institution may not fully represent the broader population of women with MRKHS. Future studies should aim to include more diverse samples from multiple institutions and geographical regions to enhance generalizability. Second, the cross-sectional nature of our study precludes causal inferences. Longitudinal research would be beneficial to explore how relationship satisfaction and sexual satisfaction evolve over time and whether specific adaptive strategies emerge in response to challenges related to sexual dysfunction. Additionally, our reliance on self-reported measures may have been influenced by social desirability bias, particularly concerning sensitive topics like sexual satisfaction and emotional attachment. Incorporating objective assessments or partner reports in future research could provide a more comprehensive understanding. Finally, while our study focused on women with MRKHS in long-term relationships, it would be valuable to explore the experiences of women in short-term relationships or those who are single. Such investigations could shed light on whether and how relationship dynamics and adaptive strategies differ across relationship contexts. Declarations Acknowledgements The authors thank all the participants for the time dedicated to taking part in the research. We also thank Instituto Roki, the partner organization that promoted our research among Mayer-Rokitansky-Küster-Hauser Syndrome women assisted by them. Funding The author Lídia Silveira received a scholarship from Fundação Amazônia de Amparo a Estudos e Pesquisas – FAPESPA, (Edictal 15/2021 PROPESP) during the realization of this study. Conflicts of interest/Competing interests The author Juliana Schulze Burti provides voluntary service to Instituto Roky, a partner institution in this research. Ethical Aspects This study was initially registered on the Plataforma Brasil and approved by the Ethical Committee for Research in Human and Social Sciences of Universidade Federal do Pará under report number 79659124.6.0000.5172. An informed consent was obtained from all individual participants included in the study. Ethical Approval All procedures were conducted in accordance with the Helsinki Declaration. Informed consent and Disclosure statement Informed consent and disclosure statements were obtained from all participants included in the study. Ethical Approval all procedures were conducted in accordance with the Helsinki Declaration. The study was approved by the Ethical Committee for Research in Human and Social Sciences of Universidade Federal do Pará under report number 79659124.6.0000.5172. Data Availability Statement The dataset generated and analyzed during the current study is not publicly available due to confidentiality and ethical considerations regarding sensitive participant information. However, de-identified data supporting the findings of this study may be made available upon reasonable request to the corresponding author, subject to approval from the relevant ethics committee and in compliance with data protection regulations. Authors’ contribution Lídia Silveira conceptualized and designed the study, collected the data, conducted the primary analyses, and was the lead author of the manuscript. Natália Dutra contributed to the statistical analyses, provided general manuscript revisions, and assisted in the English language review. Juliana Schulze Burti provided technical expertise and critical insights based on their specialization in the study area. Vivianni Veloso supervised the study, overseeing the overall structure and organization of the manuscript. All authors contributed to the review and final approval of the manuscript. References Apostolou, M. (2016). Understanding the Prevalence of Sexual Dysfunctions in Women: An Evolutionary Perspective. 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Ginekologia Polska , VM/OJS/J/93593. https://doi.org/10.5603/GP.a2023.0029 Footnote [1] Affective bonds formed between individual serving adaptive functions in fostering cooperation, caregiving, and resource sharing (Finkel & Eastwick, 2015). [2] According to Byers (2005) relationship satisfaction is a construct that refers to an individual's overall, subjective assessment of the quality of their romantic relationship, based on their positive and negative perceptions of the relationship. Additional Declarations Competing interest reported. Competing interests: The author Juliana Schulze Burti provides voluntary service to Instituto Roky, a partner institution in this research that help the research team in the recruitment of the sample of women disgnosed with Mayer-Rokitansky-Kuster-Hauser Syndrome. Instituto Roky is a non-profit organization that assists women with Rokitansky-Küster-Hauser syndrome throughout Brazil, operates mainly online, sharing up-to-date and reliable information on various topics related to the syndrome, and offering online psychological assistance through therapeutic support groups for women with the syndrome, their partners, and parents, as well as open classes with specialists in sexual and reproductive health. Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-5933935","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":410614318,"identity":"56dc54f1-d154-4b83-b31d-14f327135e6b","order_by":0,"name":"Lídia Silveira","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAABCklEQVRIie3PMUvDQBTA8RcOzuXZrJEW+xUuFAyCxa+SIGRriGRxKKFwcC7qHL9FiotuVx5k8lu4OlQKolCKicGqw4WOgvfnyL3A/eAOwGb7g/UYCL39W/7YQxPhW8IBnAJEM9Z7F4H21OfEcCeyx+b6DfJhMJS0Gt+vE3eGvkynkAQz08V4urgC8h8Uj/uTR5F5uiZFBdlAmwgKjaCdssIjNlEiKgGDJ+QQFcbno1isIT+tyWh13BJf4qabEAKLaiL6zhfZV12EpzQQdFZWcXxwrUaZR/xc3t54mWcgrkt3L88X+bgkouW7OkzcSzmX6etJYiJt4nsMgUGzusGvwubDdj9vs9ls/6APFm5RfOIIpZYAAAAASUVORK5CYII=","orcid":"","institution":"Federal University of Para","correspondingAuthor":true,"prefix":"","firstName":"Lídia","middleName":"","lastName":"Silveira","suffix":""},{"id":410614319,"identity":"d36fa15f-2f4b-4e11-88c3-13c715cc0b86","order_by":1,"name":"Natalia Dutra","email":"","orcid":"","institution":"Federal University of Para","correspondingAuthor":false,"prefix":"","firstName":"Natalia","middleName":"","lastName":"Dutra","suffix":""},{"id":410614321,"identity":"65e24968-d609-409f-b606-691812af1c55","order_by":2,"name":"Juliana Schulze Burti","email":"","orcid":"","institution":"Pontifícia Universidade Católica de São Paulo","correspondingAuthor":false,"prefix":"","firstName":"Juliana","middleName":"Schulze","lastName":"Burti","suffix":""},{"id":410614322,"identity":"c787052e-02df-4c3e-9123-64fe15443047","order_by":3,"name":"Vivianni Veloso","email":"","orcid":"","institution":"Federal University of Para","correspondingAuthor":false,"prefix":"","firstName":"Vivianni","middleName":"","lastName":"Veloso","suffix":""}],"badges":[],"createdAt":"2025-01-31 05:53:03","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-5933935/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-5933935/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":75436358,"identity":"dd0c3479-4e83-49c0-bd9e-e818751b018b","added_by":"auto","created_at":"2025-02-04 14:35:23","extension":"png","order_by":1,"title":"Figure 1","display":"","copyAsset":false,"role":"figure","size":51102,"visible":true,"origin":"","legend":"\u003cp\u003eSpearman’s correlation between sexual frequency and sexual satisfaction in MRKHS group (RG) and comparison group (CG). Higher sexual frequency is associated with higher sexual satisfaction for RG but no correlation was observed for CG\u003c/p\u003e","description":"","filename":"1.png","url":"https://assets-eu.researchsquare.com/files/rs-5933935/v1/d2c6a829a6b3c803e56fb239.png"},{"id":75436360,"identity":"415e47c5-19b7-4f42-9ca8-038cfc5e797a","added_by":"auto","created_at":"2025-02-04 14:35:23","extension":"png","order_by":2,"title":"Figure 2","display":"","copyAsset":false,"role":"figure","size":48303,"visible":true,"origin":"","legend":"\u003cp\u003eSpearman’s correlation between sexual satisfaction and relationship satisfaction. Greater sexual satisfaction is not linked to increased relationship satisfaction in MRKHS group (RG) and but in comparison group (CG).\u003c/p\u003e","description":"","filename":"2.png","url":"https://assets-eu.researchsquare.com/files/rs-5933935/v1/5fb1431a109f66b9b7b05f16.png"},{"id":75436359,"identity":"0326ef18-b520-474d-9b9e-5cea8896c48a","added_by":"auto","created_at":"2025-02-04 14:35:23","extension":"png","order_by":3,"title":"Figure 3","display":"","copyAsset":false,"role":"figure","size":50912,"visible":true,"origin":"","legend":"\u003cp\u003eSpearman’s correlation between emotional attachment and relationship satisfaction. A stronger emotional bond is positively associated with higher relationship satisfaction for MRKHS group (RG) and comparison group (CG).\u003c/p\u003e","description":"","filename":"3.png","url":"https://assets-eu.researchsquare.com/files/rs-5933935/v1/845a8972923122071454e3b6.png"},{"id":75437490,"identity":"b406d161-c590-48f2-831d-81944a8827b3","added_by":"auto","created_at":"2025-02-04 14:43:24","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":1584407,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-5933935/v1/322a31d1-18be-4aa4-a06f-89e10d374593.pdf"}],"financialInterests":"Competing interest reported. Competing interests: The author Juliana Schulze Burti provides voluntary service to Instituto Roky, a partner institution in this research that help the research team in the recruitment of the sample of women disgnosed with Mayer-Rokitansky-Kuster-Hauser Syndrome. Instituto Roky is a non-profit organization that assists women with Rokitansky-Küster-Hauser syndrome throughout Brazil, operates mainly online, sharing up-to-date and reliable information on various topics related to the syndrome, and offering online psychological assistance through therapeutic support groups for women with the syndrome, their partners, and parents, as well as open classes with specialists in sexual and reproductive health.","formattedTitle":"\u003cp\u003eWithin-Person Associations Between Sexual Life And Relationship Satisfaction In Women With Mayer-Rokitansky-Kuster-Hauser Syndrome In Long-Term Relationships\u003c/p\u003e","fulltext":[{"header":"Introduction","content":"\u003cp\u003eSex is a key factor that distinguishes romantic relationships from other types of intimate relationships. According to \u0026Scaron;tulhofer et al. (2010) sexual satisfaction involves different dimensions such as the sensation of pleasure, the ability to concentrate on these sensations, the perception of reciprocity in sexual exchanges, emotional connection and variety about the activity itself. It is based on the positive or negative individual perceptions of the response to sexual relationships. Given that, a satisfying sexual life doesn\u0026apos;t just mean sexual benefits, it extends to a greater attachment between partners, is associated with greater sociability, longevity, reduced illness, and improved emotional regulation (Impett et al., 2019; Muise et al., 2016). These benefits directly impact relationship satisfaction (Park et al., 2023) and contribute for a greater quality of life (Holt-Lunstad et al., 2010; Impett et al., 2014).\u003c/p\u003e\n\u003cp\u003eFrom an evolutionary perspective, mechanisms involved in sexual drive, attraction and pair-bond evolved as adaptive responses to ensure reproductive success (Campbell \u0026amp; Ellis, 2015). In hunter-gatherer societies in which individuals relied on others for support, assistance, resources, and protection during times of need (Apostolou, 2016), while extradyadic relationships or short-term pairings occasionally offered certain advantages (Buss, 2016b; Maner et al., 2008; Taylor, 1997), maintaining a long-term partner provided critical benefits, including consistent reproductive opportunities with a reliable ally and increased individual survival odds (Bode, 2023; Veloso \u0026amp; J\u0026uacute;nior, 2022).\u003c/p\u003e\n\u003cp\u003eFor females, specifically, the high reproductive investment - production of nutrient-rich eggs, prolonged gestation, direct care and breastfeeding - required reliable access to resources, as well as the search for partnerships that could consistently contribute to the well-being of mother and offspring to maximize reproductive success (Buss, 2016a; Pollet et al., 2009; Trivers \u0026amp; Willard, 1973). Thus, unlike most mammalian species, humans developed cooperative offspring care, which probably arose as an adaptation to prolonged dependence on altricial offspring, which required substantial energy and resources to survive and thrive.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eThe evolution of human mating systems, therefore, probably developed from the interaction between reproductive needs, survival and biparental investment. And, in this way, the biparental care characteristic of humans not only supported offspring survival but also strengthened the long-term relationships necessary for sustaining this cooperative investment system (Burunat, 2014; Schacht \u0026amp; Kramer, 2019; Young \u0026amp; Simpson, 2019).\u0026nbsp;\u003c/p\u003e\n\u003cp\u003ePro-relationship behaviors, therefore, were critical for survival and extremely useful for reproduction, which may explain why both sexes develop and display a wide spectrum of behaviors aligned with sustained pair bonding (e.g. emotional attachment) (Bode, 2023; Young \u0026amp; Simpson, 2019), \u0026nbsp;and seek out individuals who can help maintain stability and avoid dissolution (Apostolou et al., 2023; Bode, 2023).\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eOgolsky et al. (2017) propose that couples engage in both threat mitigation behaviors (e.g., conflict resolution and managing external temptations) and relational enhancement strategies (e.g., expressing appreciation and participating in shared activities) to maintain their relationships. Among these strategies, sexual activity emerges as a significant component of relational enhancement, for foster the intimacy, contribute to the emotional attachment[1] and also contribute to the physical and emotional well-being of both partners (Apostolou et al., 2023; Impett et al., 2019). Unsurprisingly, couples who report higher levels of sexual satisfaction also tend to experience greater relationship satisfaction[2] (Park et al., 2023).\u003c/p\u003e\n\u003cp\u003eRegular sexual interactions contribute to relationship satisfaction by fostering intimacy, strengthening emotional bonds, and promoting overall well-being. These interactions are closely associated with higher levels of sexual fulfillment, improved relationship quality, and greater relational happiness and stability. \u0026nbsp;Even when couples face challenges related to their sexual life, they often adapt their sexual scripts to preserve intimacy and maintain a satisfying relationship. Strategies include engaging in open communication about sexual needs and concerns, cultivating communal motivation\u0026mdash;the willingness to prioritize a partner\u0026apos;s sexual needs without expecting direct reciprocation\u0026mdash;and incorporating non-sexual forms of physical affection, such as cuddling and holding hands, behaviors that favored emotional attachment. \u0026nbsp;Additionally, couples explore new forms of sexual expression or modify existing practices to address challenges posed by dysfunctions, while placing greater emphasis on strengthening emotional intimacy (Impett et al., 2019).\u003c/p\u003e\n\u003cp\u003eThis theoretical framework is helpful when considering study groups experiencing sexual dysfunction once their sexual satisfaction is normally affected. Smith \u0026amp; Pukall (2011), for example, observed that women who experience pain during intercourse report significantly reduced sexual satisfaction compared to those without such issues, but often report similar levels of relationship satisfaction. This trend is also seen in individuals dealing with other sexual dysfunctions, such as erectile dysfunction or diminished sexual desire (R. C. Rosen et al., 2016). The comprehension is that couples manage to maintain their relationships satisfactorily by adapting their sexual scripts (e.g. expanding sexual practices) to accommodate these challenges, and mitigating the impact of sexual dysfunction on their broader relationship, continuing behaviors associated with intimacy and emotional bonding, such as affection, cuddling, and responsiveness, to helps maintain relational harmony even when sexual satisfaction is compromised (Burri et al., 2014; Vannier et al., 2017). In this research we could study these interactions in a group of women diagnosed with a rare condition that direct affect sexual functions: the Mayer-Rokitansky-K\u0026uuml;ster-Hauser Syndrome (MRKHS).\u003c/p\u003e\n\u003cp\u003eThe MRKHS is a congenital condition that affect one in 4.500-5000 women (46XX), classically characterized by a complete absence (agenesis) or rudimentary development (aplasia) of uterus and vaginal canal (Type I), that occur for underdevelopment of paramesonephric genital ducts during the 6\u003csup\u003eth\u003c/sup\u003e embryonic week, for still elusive etiology. Some MRKHS women present associated extragenital malformations (e.g. renal, skeletal, ear, or cardiac), such cases are called Type II of the syndrome (Herlin et al., 2020). These alterations lead to primary amenorrhea, pelvic pain disorders and infertility. \u0026nbsp;These conditions have profound implications on psychological (e.g. distress, reduced self-esteem, anxiety, depression and higher neuroticism following diagnosis,) and/or psychosexual (e.g. issues regarding identity, sexuality and infertility) health, and potentially affect coping strategies and romantic relationships (Facchin et al., 2021).\u003c/p\u003e\n\u003cp\u003eStudies on MRKHS \u0026nbsp;women, also reveal that \u0026nbsp;women with the syndrome often experience pain during vaginal penetration (dyspareunia) due to the congenital absence or underdevelopment of the vagina, even after neovagina creation (Ding et al., 2015; Leithner et al., 2015; Pastor et al., 2017; Zhu et al., 2013); reduced sexual desire and difficulties with arousal and lubrication (Baby et al., 2024; Dabaghi et al., 2019; Herlin et al., 2020; Pastor et al., 2017); and challenges achieving orgasm are also reported, likely influenced by psychological factors such as body image concerns, anxiety, and identity struggles (Bargiel-Matusiewicz \u0026amp; Kroemeke, 2015; Bean et al., 2009; Leithner et al., 2015). \u0026nbsp;\u003c/p\u003e\n\u003cp\u003eThese issues can negatively affect intimacy management, as well, can contribute to dissolutions. Although previous research has shown that they tend to start dyadic sexual activity later\u003cem\u003e\u0026nbsp;\u003c/em\u003e(Facchin et al., 2021), fear their partners finding out about their condition, worry about rejection after disclosing their diagnosis (Bean et al., 2009; Facchin et al., 2021) and have to deal with divorce due to issues related to both their sex life and fertility (Bean et al., 2009; Pastor et al., 2017), no study has directly explored this interaction. To fill this gap, this study investigated potential associations between sexual life and relationship satisfaction and in women with MRKHS.\u003c/p\u003e"},{"header":"Methods","content":"\u003cp\u003e\u003cem\u003eEthical Aspects\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eThis study was initially registered on the Plataforma Brasil and approved by the Ethical Committee for Research in Human and Social Sciences of Universidade Federal do Par\u0026aacute; under report number 79659124.6.0000.5172. An\u0026nbsp;informed consent was obtained from all individual participants included in the study. Ethical Approval All procedures were conducted in accordance with the Helsinki Declaration.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eParticipants\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eA total of 116 Brazilian women participated in the study. From those, two individuals were excluded for not meeting the inclusion criteria of relationship duration (\u0026ge;6 months). The final sample consisted of 34 women comprising the group of women with de Mayer-Rokitansky-K\u0026uuml;ster-Hauser Syndrome (RG) and 80 the comparison group (CG), they aged 18 to 60 years and was in a relationship lasting at least six months. They live in sixteen different states across the five regions of Brazil, with the Southeast being the most represented in the RG (50%) and the North in the CG (62.5%).\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eSampling\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eConsidering the inclusion criteria the RG size was estimated at 30 (convenience sampling). Age was selected as the matching factor between the RG and comparison group (CG). Given the small size of RG sample, we implemented an unbalanced sampling design, using an optimal allocation ratio of at least 1 RG individual to 2 CG individuals per age stratum (e.g., 18\u0026ndash;30 years; 31\u0026ndash;40 years). This approach aimed to increase the likelihood of detecting significant differences between groups (Lohr, 2010).\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eRecruitment\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eThe sample of women with MRKHS was recruited through announcements published on the Instituto Roki website, its social media platforms (Instagram), and WhatsApp community groups. Interested participants were directed to contact the researchers via Instagram or WhatsApp for clarification and access to the survey link. Additionally, Instituto Roki organized two online classes about sexuality in women with MRKHS, during which the lead researchers personally invited attendees to participate in the study.\u003c/p\u003e\n\u003cp\u003eThe comparison sample was recruited through invitations shared on social media platforms, including Instagram (via the Neurosciences and Behavior Graduate Program, Group for Advanced Studies in Evolutionary Psychology) and the first author\u0026rsquo;s personal accounts (Instagram and WhatsApp public statuses). For the CG, the survey link was provided directly through Instagram posts and WhatsApp messages.\u003c/p\u003e\n\u003cp\u003eIn both recruitment efforts, advertisements explicitly stated that the study focused on sexual behavior and included only individuals aged 18 to 60 years who had been in a romantic relationship for at least six months. Participants were informed that the survey would cover socioeconomic data, relationship characteristics, and sexual behavior. Informed consent was obtained electronically, with participants required to click an \u0026ldquo;I agree\u0026rdquo; button on the survey\u0026apos;s first page.\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eEnvironment and Instruments\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eThe instruments were applied by a virtual formulary powered by Google Forms. Three instruments were developed by the researchers specifically for this study: (a) Sociodemographic \u0026nbsp;Instrument, that inquire participants about their: age, race, current home Brazil state, educational level (degrees), family incomes (minimum wages) and religion,;(b) Relationship Instrument, that included relationship status (e.g. marriage, engagement, dating), duration (years), and arrangement (monogamous or polygamous), cohabitation with partner, parenthood, sexual orientation and partner gender; and (c) Clinical Data Instrument, that asked just from MRKHS women, the life moment of the diagnosis (adolescence or adulthood); type (I or II) of the MRKHS; submission to neovagina creation by progressive mechanical dilation, or surgery, or both, and professional health support (gynecologists, physiotherapists, psychologist, and gynecological surgeons or others).\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eSexual Metrics Instruments\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eSexual Practices\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eThis instrument was originally developed for Silva \u0026amp; Brito (2016) to explore frequency of penetrative and non-penetrative practices among homossexual women. Once some participants did not undergo vaginal creation and/or could we decided to investigate this topic. Through this instrument participants were asked about their frequency of involvement in different sexual practices that were: vaginal sex with penetration by penis, fingers or toys; anal sex with penetration by penis, fingers, toys; oral sex, and masturbation.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eSexual Function\u003c/p\u003e\n\u003cp\u003eThe Portuguese version of the Female Sexual Function Index (FSFI) was used to assess the degree and type of potential sexual dysfunctions among women (Pacagnella et al., 2008). This FSFI version was adapted to include both homo and heterosexual women by including finger and toy penetration practices on survey command. FSFI is a 19-item self-report questionnaire designed to assess six domains of female sexual function \u0026mdash;sexual desire, arousal, lubrication, orgasm, satisfaction, and pain\u0026mdash; providing a thorough evaluation of general and domain-specific aspects of female sexual health. Each item is rated on a Likert scale ranging from 0/1 to 5, with adjusted domain scores summed to calculate a total score ranging from 2 to 36. Higher scores indicate better overall sexual function, while scores of \u0026le;26.55 are indicative of clinically significant sexual dysfunction (Meston et al., 2020; R. Rosen et al., 2000).\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eSexual Satisfaction\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eTo assess sexual satisfaction, we utilized the Portuguese version (Santos Pechorro et al., 2015) of the New Sexual Satisfaction Scale (NSSS) (\u0026Scaron;tulhofer et al., 2010). This instrument is structured in 20 items, organized into two main dimensions \u0026mdash;the Individual Focus Subscale (questions 1-10) and the Partner and Sexual Activity Focus Subscale (questions 11-20)\u0026mdash; answered on a Likert scale ranging from 1 (\u0026ldquo;not at all satisfied\u0026rdquo;) to 5 (\u0026ldquo;totally satisfied\u0026rdquo;). The score for each dimension is obtained from the sum of the scores for each question, and the total score from the sum of the scores for all the items, ranging from 20 to 100. There is no cut-off score for this table, but high values correspond to high levels of sexual satisfaction.\u003c/p\u003e\n\u003cp\u003eEmotional Attachment\u003c/p\u003e\n\u003cp\u003eThe Love Scale from The Marriage and Relationship Questionnaire (Russell \u0026amp; Wells, 1993) in its Portuguese version (Fran\u0026ccedil;a et al., 2016) was used to assess emotional attachment. It is structured in nine items, answered on a Likert scale ranging from 1 (\u0026ldquo;not at all\u0026rdquo;) to 5 (\u0026ldquo;very much\u0026rdquo;). The results are calculated by adding up the answers obtained, ranging from 9 to 45, and higher scores indicate greater attachment.\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eRelationship Satisfaction\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eTo assess relationship satisfaction the revised and translated version of Investment Model Scale (IMS-R) was utilized. It is a self-report instrument that measures satisfaction with love and have shown useful for predicting commitment to the romantic relationship and relationship dissolution (Londero-Santos et al., 2021). Originally proposed by Rusbult et al. (1998), based on the Investment Model of the Commitment Process, the Portuguese version of IMS-R contains 10 multiple-choice questions, to which answers are given on a Likert scale ranging from 1 to 4 for the first 5 questions, and from 0 to 8 for the last 5. The five first are apparent items, used only to increase understanding of the results, and the last 5 are those that measure the relationship satisfaction construct. A raw score is calculated from the average of the last 5 items and transformed into z-scores (Santos \u0026amp; F\u0026eacute;res-Carneiro, 2020). The z-score ranging from -2,465 to 1,495, is interpreted as a general indicator of relationship satisfaction level, higher scores indicate greater relationship satisfaction, and lower scores the opposite.\u003c/p\u003e\n\u003cp\u003eData collection\u003c/p\u003e\n\u003cp\u003eIn this study we develop an online survey powered by Google Forms that has initially the Informed Consent followed by eight sections corresponding to the instruments previously described. The access via Google Forms does not require a login, conferring protection of participants\u0026apos; sensitive data. Data was automatically organized on Sheets by Google Forms, that was the software used for storing and organizing data for statistical analysis.\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eStatistical Analysis\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eDescriptive statistics and correlational analyses were conducted to summarize and examine the relationships among study variables inside each group performing single multivariate tests to allow the partitioning of within-person fluctuations as separate sources of variance.\u003c/p\u003e\n\u003cp\u003eThe Shapiro-Wilk test, density curve and dot plot analysis were used to assess the normality of the distribution. Subsequently, as both groups did not show a normal distribution (Shapiro Wilk test for RG p\u0026lt;0.03 and CG p\u0026lt;0.001), the Mann-Whitney non-parametric test was used to verify the differences between the groups in the general and sub scores of FSFI, NSSS, IMS-R, Sexual Practices and The Love Scale.\u003c/p\u003e\n\u003cp\u003eThe within-person associations between sexual satisfaction, relationship satisfaction and emotional attachment were examined through Spearman\u0026apos;s correlation test, given the potential for non-normality in the sample responses in both groups. The correlation coefficient (𝜌) and corresponding p-value were used to determine the strength and significance of the association.\u003c/p\u003e"},{"header":"Results","content":"\u003cp\u003eA total of 116 Brazilian women participated in the study. From those, two individuals were excluded for not meeting the inclusion criteria of relationship duration (\u0026ge;6 months). The final sample consisted of 34 women comprising the RG and 80 the CG. They live in sixteen different states across the five regions of the country, with the Southeast being the most represented in the RG (50%) and the North in the CG (62.5%).\u003c/p\u003e\n\u003cp\u003eThe participants were mostly young adults (20\u0026ndash;30 years) in both groups, with an average age of 37.5 years (SD = 12.6) for RG and 32.7 years (SD = 10.7) for CG, ranging from 18 to 64 years. The majority identified as white (RG = 70.6%, CG = 55%) or mixed-race (RG = 23.5%, CG = 36.2%), with 5.9% (RG) and 8.7% (CG) identifying as black. In terms of education level, the highest percentages in the RG were for higher education (bachelor\u0026apos;s degree = 20.5%; graduate degree = 44.1%), while in the CG, the largest percentages were for incomplete undergraduate education (22.5%) and graduate studies (53.7%). Monthly family incomes ranged from less than one minimum wage (approximately 232.7 USD) to more than six minimum wages, however, a significant concentration was observed between three and six minimum wages for both groups (Table 1).\u003c/p\u003e\n\u003ctable border=\"0\" cellspacing=\"0\" cellpadding=\"0\" width=\"643\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd colspan=\"11\" valign=\"top\" style=\"width: 4.2661%;\"\u003e\n \u003cp\u003eTable 1. Sociodemographic data and statistical distribution and similarity of MRKHS group (RG) and comparison group (CG).\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" style=\"width: 7.7354%;\"\u003e\n \u003cp\u003e\u003cstrong\u003eRG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" style=\"width: 7.6522%;\"\u003e\n \u003cp\u003e\u003cstrong\u003eCG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" style=\"width: 7.1203%;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSimilarity (p-value)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003e\u003cstrong\u003eAge\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003en\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" valign=\"bottom\" style=\"width: 7.7354%;\"\u003e\n \u003cp\u003e34\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" valign=\"bottom\" style=\"width: 7.6522%;\"\u003e\n \u003cp\u003e80\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" rowspan=\"6\" valign=\"top\" style=\"width: 7.7947%;\"\u003e\n \u003cp\u003e0.065\u003csup\u003eb\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003eMean\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" valign=\"top\" style=\"width: 7.7354%;\"\u003e\n \u003cp\u003e37.5\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" valign=\"top\" style=\"width: 7.6522%;\"\u003e\n \u003cp\u003e32.7\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003eMedian\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" valign=\"top\" style=\"width: 7.7354%;\"\u003e\n \u003cp\u003e33.5\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" valign=\"top\" style=\"width: 7.6522%;\"\u003e\n \u003cp\u003e31.0\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003eMin\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" valign=\"top\" style=\"width: 7.7354%;\"\u003e\n \u003cp\u003e21\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" valign=\"top\" style=\"width: 7.6522%;\"\u003e\n \u003cp\u003e19\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003eMax\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" valign=\"top\" style=\"width: 7.7354%;\"\u003e\n \u003cp\u003e64\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" valign=\"top\" style=\"width: 7.6522%;\"\u003e\n \u003cp\u003e57\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003eStandard deviation\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" valign=\"top\" style=\"width: 7.7354%;\"\u003e\n \u003cp\u003e12.6\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" valign=\"top\" style=\"width: 7.6522%;\"\u003e\n \u003cp\u003e10.4\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003eNormality (p-value)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" valign=\"top\" style=\"width: 7.7354%;\"\u003e\n \u003cp\u003e0.031\u003csup\u003ea\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" valign=\"top\" style=\"width: 7.6522%;\"\u003e\n \u003cp\u003e\u0026lt;0.001\u003csup\u003ea\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" valign=\"top\" style=\"width: 5.5654%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" style=\"width: 7.7354%;\"\u003e\n \u003cp\u003e\u003cstrong\u003eRG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" style=\"width: 7.6522%;\"\u003e\n \u003cp\u003e\u003cstrong\u003eCG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" style=\"width: 5.5654%;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003e\u003cstrong\u003eBrazil Area\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e\u003cstrong\u003en\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e\u003cstrong\u003e(%)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e\u003cstrong\u003en\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e\u003cstrong\u003e(%)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" style=\"width: 3.9925%;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003eNorth\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e2.94\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e50\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e62.5\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" valign=\"bottom\" style=\"width: 3.9925%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003eNortheast\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e7\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e20.59\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e9\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e11.25\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" valign=\"bottom\" style=\"width: 3.9925%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003eMidwest\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e3\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e8.82\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e1.25\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" valign=\"bottom\" style=\"width: 3.9925%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003eSoutheast\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e17\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e50.00\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e17\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e21.25\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" valign=\"bottom\" style=\"width: 3.9925%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003eSouth\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e6\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e17.65\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e3\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e3.75\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" valign=\"bottom\" style=\"width: 3.9925%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e(total)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e34\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e100\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e80\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e100\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" valign=\"bottom\" style=\"width: 3.9925%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003e\u003cstrong\u003eRace\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" style=\"width: 11.4783%;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSimilarity (p-value)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003eWhite\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e24\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e70,6\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e44\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e55\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" rowspan=\"4\" valign=\"top\" style=\"width: 11.4783%;\"\u003e\n \u003cp\u003e0.3\u003csup\u003ec\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003eMixed\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e8\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e23,5\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e29\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e36,25\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003eBlack\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e2\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e5,9\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e7\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e8,75\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e(total)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e34\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e100\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e80\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e100\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003e\u003cstrong\u003eEducational level\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" valign=\"bottom\" style=\"width: 11.4783%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003eHigh School\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e6\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e17,65\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e6\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e7,5\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" rowspan=\"5\" valign=\"top\" style=\"width: 11.4783%;\"\u003e\n \u003cp\u003e0.349\u003csup\u003ec\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003eHigher education\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e6\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e17,65\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e18\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e22,5\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003eBachelor\u0026apos;s degree\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e7\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e20,59\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e13\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e16,25\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003eGraduate Studies\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e15\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e44,12\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e43\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e53,75\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e(total)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e34\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e100\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e80\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e100\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003e\u003cstrong\u003eFamiliar incomes (minimum wages)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" valign=\"bottom\" style=\"width: 11.4783%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003e1\u0026ge;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e3\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e8,82\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e5\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e6,25\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" rowspan=\"7\" valign=\"top\" style=\"width: 11.4783%;\"\u003e\n \u003cp\u003e0.947\u003csup\u003ec\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003e1 - 2\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e11,76\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e7\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e8,75\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003e3 - 4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e7\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e20,59\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e17\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e21,25\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003e5 - 6\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e6\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e17,65\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e13\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e16,25\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003e6\u0026le;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e13\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e38,24\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e36\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e45\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e(omissed)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e2,94\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e2\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e2,5\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e34\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e100\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e80\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e100\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003e\u003cstrong\u003eReligion\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"bottom\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" valign=\"bottom\" style=\"width: 11.4783%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003eChristian\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e19\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e55,88\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e43\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e53,75\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"3\" rowspan=\"7\" valign=\"top\" style=\"width: 11.4783%;\"\u003e\n \u003cp\u003e0.01\u003csup\u003ec\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003eAfrican rooted\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e2,94\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e3\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e3,75\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003eAsian rooted\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e2\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e5,88\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e7\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e8,75\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003eMultiple influence\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e11,76\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e0\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e0\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003eNon-religious\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e6\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e17,65\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e26\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e32,5\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e(omissed)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e2\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e5,88\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e1,25\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 11.811%;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 9.5653%;\"\u003e\n \u003cp\u003e(total)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 2.5785%;\"\u003e\n \u003cp\u003e34\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 5.1569%;\"\u003e\n \u003cp\u003e100\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 2.4121%;\"\u003e\n \u003cp\u003e80\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 5.2401%;\"\u003e\n \u003cp\u003e100\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd colspan=\"15\" style=\"width: 48.2422%;\"\u003e\n \u003cp\u003e\u003csup\u003ea\u003c/sup\u003eShapiro-wilk, \u003csup\u003eb\u003c/sup\u003eMann-Whitney U, \u003csup\u003ec\u003c/sup\u003e\u0026chi;\u0026sup2; Test\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003eWomen were predominantly heterosexuals, engaged in stable relationships (e.g., engagement, marriage), in monogamous arrangements, with no children. RG women tended to last longer relationships than CG women, though the difference was not statistically significant (\u003cem\u003ep\u003c/em\u003e-value= 0.094) (Table 2). Additionally, RG women have a maximum one child, more frequently adopted than stepchildren (ratio: 6:1). In contrast, CG women have two children on average, mostly biological, with stepchildren being more common than adopted ones (ratio: 7:1).\u003c/p\u003e\n\u003ctable border=\"0\" cellspacing=\"0\" cellpadding=\"0\" width=\"715\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd colspan=\"8\" style=\"width: 715px;\"\u003e\n \u003cp\u003eTable 2. Relationship characteristics data and statistical distribution and similarity of MRKHS group (RG) and comparison group (CG).\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eGroup\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 53px;\"\u003e\n \u003cp\u003e\u003cstrong\u003en\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 111px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eMean\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 82px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eMedian\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 69px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eStandard deviation\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 107px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eShapiro-Wilk (p-value)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 122px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eU Mann-Whitney (p-value)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eRelationship duration (years)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eRG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e34\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e9.65\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e7\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e10.61\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 107px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 122px;\"\u003e\n \u003cp\u003e0.094\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eCG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e80\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e6.63\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e3.25\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e7.68\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 107px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 122px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 111px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 82px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 69px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 228px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSexual orientation\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 111px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e% in respective group\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 82px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eChi-square\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 69px;\"\u003e\n \u003cp\u003e\u003cstrong\u003ep-value\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 228px;\"\u003e\n \u003cp\u003e\u003cstrong\u003ePartner gender (n)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 53px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 111px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 82px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 69px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 107px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eMen\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 122px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eWomen\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003eExclusivly heterosexual\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eRG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e30\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e88,24\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e48.1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 107px;\"\u003e\n \u003cp\u003e30\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 122px;\"\u003e\n \u003cp\u003e0\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eCG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e55\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e68,75\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e55\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003ePredominantly heterosexual\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eRG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e2,94\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e0\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eCG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e6\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e7,5\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e5\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003eBisexual\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eRG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e2\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e5,88\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e0\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e2\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eCG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e12\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e15\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e8\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003ePredominantly homosexual\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eRG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e0\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e0\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e0\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e0\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eCG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e2\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e2,5\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003eExclusivly homosexual\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eRG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e2,94\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e0\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eCG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e5\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e6,25\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e0\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e5\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eRelationship arrangement\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 53px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 111px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003eMonogamic relationship\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eRG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e33\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e97,06\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e20.8\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eCG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e75\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e93,75\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003ePoligamic relationship\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eRG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e2,94\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eCG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e5\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e6,25\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eRelationship status\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 53px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 111px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003eCasual\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eRG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e11,76\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e71.4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eCG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e5\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003eDating\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eRG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e6\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e17,65\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eCG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e11\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e13,75\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003eOfficial relationship\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eRG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e11,76\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eCG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e25\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e31,25\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003eEngagement\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eRG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e3\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e8,82\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eCG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e2\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e2,5\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003eStable union or marriage\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eRG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e17\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e50\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eCG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e38\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e47,5\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eCohabitation\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 53px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 111px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003eAlone\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eRG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e8\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e23,53\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e56.3\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eCG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e6\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e7,5\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003eWith the partner\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eRG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e19\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e55,88\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eCG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e44\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e55\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003eWith family or friends\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eRG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e7\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e20,59\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eCG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e30\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e37,5\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eParenthood\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eRG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e7\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e20,59\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e4.47\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e0.034\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 110px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 62px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eCG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 53px;\"\u003e\n \u003cp\u003e33\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 111px;\"\u003e\n \u003cp\u003e41.25\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 82px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 69px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 107px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 122px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003eRG women were diagnosed in adolescence (70.6%) or adulthood (29.4%); 53% had Type I, 23.5% Type II of the syndrome, and 23.5% were unable to provide this information. Approximately 76% of the women underwent neovagina creation by progressive mechanical dilation (n = 21), surgery (n\u0026nbsp;=\u0026nbsp;3) or both (n = 2). Initial health support was provided mainly by gynecologists, physiotherapists and gynecological surgeons, while continuing health care was commonly done by psychologists, group therapy and physiotherapists.\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eSexual Practices\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eBefore starting analyses of sexual function and satisfaction, we initially select the sexually active individuals. Among the 114 participants only five (RG: 2, CG: 3) were excluded for not being engaged in any sexual practice (e.g. vaginal penetration, oral sex, anal, sex, masturbation). In both groups, participants engaged in sexual activities at least once a month. Anal sex was the least common practice (RG: 20.6%, CG: 22.5%). Statistically significant differences were not observed between groups in any of the different sexual practices (Table 3).\u003c/p\u003e\n\u003ctable border=\"0\" cellspacing=\"0\" cellpadding=\"0\" width=\"704\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd colspan=\"12\" style=\"width: 704px;\"\u003e\n \u003cp\u003eTable 3. Sexual practices statistical frequency for MRKHS group (RG) and comparison group (CG).\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"4\" style=\"width: 155px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eNo practice\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 90px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"4\" style=\"width: 184px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eFrequency\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 123px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSimilarity (p-value)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 77px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eRG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 78px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eCG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 90px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 92px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eRG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" valign=\"top\" style=\"width: 92px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eCG\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 123px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 104px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 32px;\"\u003e\n \u003cp\u003en\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 45px;\"\u003e\n \u003cp\u003e%\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 32px;\"\u003e\n \u003cp\u003en\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 45px;\"\u003e\n \u003cp\u003e%\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 90px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003en\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e%\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003en\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e%\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 123px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eVaginal Penetration\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 48px;\"\u003e\n \u003cp\u003e(total)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"4\" valign=\"top\" style=\"width: 32px;\"\u003e\n \u003cp\u003e3\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"4\" valign=\"top\" style=\"width: 45px;\"\u003e\n \u003cp\u003e8,8\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"4\" valign=\"top\" style=\"width: 32px;\"\u003e\n \u003cp\u003e6\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"4\" valign=\"top\" style=\"width: 45px;\"\u003e\n \u003cp\u003e7,5\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 90px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e31\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e91,2\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e74\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e92,5\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"4\" style=\"width: 123px;\"\u003e\n \u003cp\u003e1\u003csup\u003ea\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 104px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 90px;\"\u003e\n \u003cp\u003eMonthly\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 46px;\"\u003e\n \u003cp\u003e15\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e44,1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 46px;\"\u003e\n \u003cp\u003e31\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e38,75\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 104px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 90px;\"\u003e\n \u003cp\u003eWeekly\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 46px;\"\u003e\n \u003cp\u003e16\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e47,1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 46px;\"\u003e\n \u003cp\u003e40\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e50\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 90px;\"\u003e\n \u003cp\u003eDaily\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e0\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e0\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 46px;\"\u003e\n \u003cp\u003e3\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e3,75\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eAnal Penetration\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 48px;\"\u003e\n \u003cp\u003e(total)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"4\" valign=\"top\" style=\"width: 32px;\"\u003e\n \u003cp\u003e27\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"4\" valign=\"top\" style=\"width: 45px;\"\u003e\n \u003cp\u003e79,4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"4\" valign=\"top\" style=\"width: 32px;\"\u003e\n \u003cp\u003e62\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"4\" valign=\"top\" style=\"width: 45px;\"\u003e\n \u003cp\u003e77,5\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 90px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e7\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e20,6\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e18\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e22,5\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"4\" style=\"width: 123px;\"\u003e\n \u003cp\u003e0.82\u003csup\u003eb\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 104px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 90px;\"\u003e\n \u003cp\u003eMonthly\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e6\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e17,6\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e15\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e18,75\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"bottom\" style=\"width: 104px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 90px;\"\u003e\n \u003cp\u003eWeekly\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e2,9\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e3\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e3,75\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 90px;\"\u003e\n \u003cp\u003eDaily\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e0\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e0\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e0\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e0\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eOral Sex\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 48px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 32px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 45px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 32px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 45px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 90px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 123px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003eOn partner\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 48px;\"\u003e\n \u003cp\u003e(total)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"4\" valign=\"top\" style=\"width: 32px;\"\u003e\n \u003cp\u003e6\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"4\" valign=\"top\" style=\"width: 45px;\"\u003e\n \u003cp\u003e17,6\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"4\" valign=\"top\" style=\"width: 32px;\"\u003e\n \u003cp\u003e13\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"4\" valign=\"top\" style=\"width: 45px;\"\u003e\n \u003cp\u003e16,25\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 90px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e28\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e82,4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e67\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e83,75\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"4\" style=\"width: 123px;\"\u003e\n \u003cp\u003e0.85\u003csup\u003eb\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 90px;\"\u003e\n \u003cp\u003eMonthly\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 46px;\"\u003e\n \u003cp\u003e17\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e50\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 46px;\"\u003e\n \u003cp\u003e40\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e50\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 90px;\"\u003e\n \u003cp\u003eWeekly\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 46px;\"\u003e\n \u003cp\u003e10\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e29,4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 46px;\"\u003e\n \u003cp\u003e25\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e31,25\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 90px;\"\u003e\n \u003cp\u003eDaily\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e2,9\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 46px;\"\u003e\n \u003cp\u003e2\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e2,5\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003eFrom partner\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 48px;\"\u003e\n \u003cp\u003e(total)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"4\" valign=\"top\" style=\"width: 32px;\"\u003e\n \u003cp\u003e8\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"4\" valign=\"top\" style=\"width: 45px;\"\u003e\n \u003cp\u003e23,5\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"4\" valign=\"top\" style=\"width: 32px;\"\u003e\n \u003cp\u003e17\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"4\" valign=\"top\" style=\"width: 45px;\"\u003e\n \u003cp\u003e21,25\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 90px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e26\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e76,5\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e63\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e78,75\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"4\" style=\"width: 123px;\"\u003e\n \u003cp\u003e0.78\u003csup\u003eb\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 90px;\"\u003e\n \u003cp\u003eMonthly\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e11\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e32,4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e36\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e45\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 90px;\"\u003e\n \u003cp\u003eWeekly\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e13\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e38,2\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e25\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e31,25\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 90px;\"\u003e\n \u003cp\u003eDaily\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e2\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e5,9\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e2\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e2,5\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eMasturbation\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 48px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 32px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 45px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 32px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 45px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 90px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 123px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003eOn partner\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e(total)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"4\" valign=\"top\" style=\"width: 32px;\"\u003e\n \u003cp\u003e8\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"4\" valign=\"top\" style=\"width: 45px;\"\u003e\n \u003cp\u003e23,5\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"4\" valign=\"top\" style=\"width: 32px;\"\u003e\n \u003cp\u003e19\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"4\" valign=\"top\" style=\"width: 45px;\"\u003e\n \u003cp\u003e23,75\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 90px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e26\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e76,5\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e61\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e76,25\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"4\" style=\"width: 123px;\"\u003e\n \u003cp\u003e0.98\u003csup\u003eb\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 90px;\"\u003e\n \u003cp\u003eMonthly\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e13\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e38,2\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e32\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e40\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 90px;\"\u003e\n \u003cp\u003eWeekly\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e12\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e35,3\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e25\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e31,25\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 90px;\"\u003e\n \u003cp\u003eDaily\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e2,9\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e5\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003eFrom partner\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 48px;\"\u003e\n \u003cp\u003e(total)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"4\" valign=\"top\" style=\"width: 32px;\"\u003e\n \u003cp\u003e8\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"4\" valign=\"top\" style=\"width: 45px;\"\u003e\n \u003cp\u003e23,5\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"4\" valign=\"top\" style=\"width: 32px;\"\u003e\n \u003cp\u003e16\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"4\" valign=\"top\" style=\"width: 45px;\"\u003e\n \u003cp\u003e20\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 90px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e26\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e76,5\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e64\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e80\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"4\" style=\"width: 123px;\"\u003e\n \u003cp\u003e0.67\u003csup\u003eb\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 90px;\"\u003e\n \u003cp\u003eMonthly\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e12\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e35,3\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e29\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e36,25\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 90px;\"\u003e\n \u003cp\u003eWeekly\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e13\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e38,2\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e31\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e38,75\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 48px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 90px;\"\u003e\n \u003cp\u003eDaily\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e2,9\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 46px;\"\u003e\n \u003cp\u003e5\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd colspan=\"12\" style=\"width: 704px;\"\u003e\n \u003cp\u003e\u003csup\u003ea\u003c/sup\u003eFisher\u0026apos;s exact Test, \u003csup\u003eb\u003c/sup\u003e\u0026chi;\u0026sup2; Test\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u003cbr\u003e\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eSexual Dysfunctions and Sexual Satisfaction\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eUsing the proposed cut-off score of 26.55 for screening sexual dysfunction by FSFI, a greater proportion of women in the GR (41%) exhibited scores indicative of dysfunction compared to women in the CG (29%). Among the most affected domains in RG we find: reduced sexual desire, pain during sexual intercourse and reduced vaginal lubrication (Table 4). \u0026nbsp;When analyzing sexual satisfaction by NSSS scores, no difference was found for any domains (Individual Focus Subscale and the Partner and Sexual Activity Focus Subscale) between the groups (Table 5).\u003c/p\u003e\n\u003cdiv\u003e\n \u003ctable border=\"0\" cellspacing=\"0\" cellpadding=\"0\" width=\"491\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd colspan=\"5\" style=\"width: 491px;\"\u003e\n \u003cp\u003eTable 4. Means and standard deviations for FSFI domains for\u0026nbsp;MRKHS group (RG) and comparison group (CG).\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 94px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 57px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 66px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eRG\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003e(n = 32)\u003csup\u003e*\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 104px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eCG\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003e(n = 77)\u003csup\u003e*\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 170px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eMann-Whitney U (p-value)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" style=\"width: 94px;\"\u003e\n \u003cp\u003eFSFI - Desire\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 57px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eM\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 66px;\"\u003e\n \u003cp\u003e3.88\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e4.18\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" style=\"width: 170px;\"\u003e\n \u003cp\u003e0.243\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 57px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSD\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 66px;\"\u003e\n \u003cp\u003e1.26\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e1.22\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" style=\"width: 94px;\"\u003e\n \u003cp\u003eFSFI - Arrousal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 57px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eM\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 66px;\"\u003e\n \u003cp\u003e4.47\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e4.73\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" style=\"width: 170px;\"\u003e\n \u003cp\u003e0.592\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 57px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSD\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 66px;\"\u003e\n \u003cp\u003e1.46\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e1.19\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" style=\"width: 94px;\"\u003e\n \u003cp\u003eFSFI - Lubrication\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 57px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eM\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 66px;\"\u003e\n \u003cp\u003e4.38\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e4.81\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" style=\"width: 170px;\"\u003e\n \u003cp\u003e0.392\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 57px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSD\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 66px;\"\u003e\n \u003cp\u003e1.80\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e1.37\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" style=\"width: 94px;\"\u003e\n \u003cp\u003eFSFI - Orgasm\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 57px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eM\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 66px;\"\u003e\n \u003cp\u003e4.53\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e4.75\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" style=\"width: 170px;\"\u003e\n \u003cp\u003e0.573\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 57px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSD\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 66px;\"\u003e\n \u003cp\u003e1.69\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e1.47\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" style=\"width: 94px;\"\u003e\n \u003cp\u003eFSFI - Satisfaction\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 57px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eM\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 66px;\"\u003e\n \u003cp\u003e4.83\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e4.79\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" style=\"width: 170px;\"\u003e\n \u003cp\u003e0.986\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 57px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSD\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 66px;\"\u003e\n \u003cp\u003e1.11\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e1.19\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" style=\"width: 94px;\"\u003e\n \u003cp\u003eFSFI - Pain\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 57px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eM\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 66px;\"\u003e\n \u003cp\u003e4.44\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e5.11\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" style=\"width: 170px;\"\u003e\n \u003cp\u003e0.070\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 57px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSD\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 66px;\"\u003e\n \u003cp\u003e1.73\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e1.16\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" style=\"width: 94px;\"\u003e\n \u003cp\u003eFSFI General Score\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 57px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eM\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 66px;\"\u003e\n \u003cp\u003e26.52\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e28.32\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" style=\"width: 170px;\"\u003e\n \u003cp\u003e0.257\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 57px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSD\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 66px;\"\u003e\n \u003cp\u003e6.98\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 104px;\"\u003e\n \u003cp\u003e5.93\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd colspan=\"5\" valign=\"bottom\" style=\"width: 491px;\"\u003e\n \u003cp\u003e\u003csup\u003e*Women engaged in any sexual practice\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n \u003c/table\u003e\n\u003c/div\u003e\n\u003cp\u003e\u0026nbsp;\u003c/p\u003e\n\u003ctable border=\"0\" cellspacing=\"0\" cellpadding=\"0\" width=\"689\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd colspan=\"11\" style=\"width: 689px;\"\u003e\n \u003cp\u003eTable 5. Correlations for Relationship Satisfaction (IMS-R Scale) and Sexual Satisfaction (NSSS Scale) of women engaged in sexual practices for\u0026nbsp;MRKHS group (RG) and comparison group (CG).\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 101px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 87px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 64px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 127px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eNSSS Full Scale\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 135px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eNSSS Individual Centered\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 153px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eNSSS Partner and Sexual Activity Centered\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 101px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 87px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 64px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 39px;\"\u003e\n \u003cp\u003eRG\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 88px;\"\u003e\n \u003cp\u003eCG\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 76px;\"\u003e\n \u003cp\u003eRG\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 59px;\"\u003e\n \u003cp\u003eCG\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003eRG\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 74px;\"\u003e\n \u003cp\u003eCG\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 101px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eIMS-R Z-score\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 87px;\"\u003e\n \u003cp\u003ep-value\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 64px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 39px;\"\u003e\n \u003cp\u003e0.170\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 88px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 76px;\"\u003e\n \u003cp\u003e0.603\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 59px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e0.142\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 74px;\"\u003e\n \u003cp\u003e\u0026lt;.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 101px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 87px;\"\u003e\n \u003cp\u003eld\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 64px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 39px;\"\u003e\n \u003cp\u003e30\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 88px;\"\u003e\n \u003cp\u003e75\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 76px;\"\u003e\n \u003cp\u003e30\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 59px;\"\u003e\n \u003cp\u003e#\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e30\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 74px;\"\u003e\n \u003cp\u003e75\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 101px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 87px;\"\u003e\n \u003cp\u003eSpearman\u0026apos;s Rho\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 64px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 39px;\"\u003e\n \u003cp\u003e0.248\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 88px;\"\u003e\n \u003cp\u003e0.493***\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 76px;\"\u003e\n \u003cp\u003e0.095\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 59px;\"\u003e\n \u003cp\u003e0.420***\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 11px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 79px;\"\u003e\n \u003cp\u003e0.265\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 74px;\"\u003e\n \u003cp\u003e0.512***\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd colspan=\"11\" style=\"width: 689px;\"\u003e\n \u003cp\u003e\u003csup\u003e* p \u0026lt; .05, ** p \u0026lt; .01, *** p \u0026lt; .001\u003c/sup\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003eEmotional attachment\u003c/p\u003e\n\u003cp\u003eStatistical data analysis of emotional attachment scores (Love Scale) shows similar scores for both groups (Table 6), although the concentration of higher punctuation has been observed in RG.\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eRelationship Satisfaction\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eFor relationship satisfaction scores (IMS-R), the statistical analysis revealed no statistically significant differences between groups, but higher mean values were found for the RG group (Table 6).\u003c/p\u003e\n\u003ctable border=\"0\" cellspacing=\"0\" cellpadding=\"0\" width=\"652\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd colspan=\"11\" style=\"width: 652px;\"\u003e\n \u003cp\u003eTable 6. Means and standard deviations for relationship satisfaction (IMS-R Scale), sexual satisfaction (NSSS Scale) and emotional attachment (Love Scale) of women engaged in sexual practices in MRKHS group (RG) and comparison group (CG).\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 83px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 28px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 83px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eRG\u0026nbsp;\u003c/strong\u003e(n = 32)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 80px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eCG\u0026nbsp;\u003c/strong\u003e(n = 77)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 112px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eReference values\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 103px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eMann-Whitney U (p-value)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 13px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 112px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eEffect dimension (Cohen d)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 83px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eIMS-R Z-score\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 28px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eM\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 83px;\"\u003e\n \u003cp\u003e0.295\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 80px;\"\u003e\n \u003cp\u003e-2.86e\u0026minus;4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 112px;\"\u003e\n \u003cp\u003e-2,465 to 1,495\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 13px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 103px;\"\u003e\n \u003cp\u003e0.191\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 13px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 112px;\"\u003e\n \u003cp\u003e0.239\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 83px;\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 28px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSD\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 83px;\"\u003e\n \u003cp\u003e1.20\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 80px;\"\u003e\n \u003cp\u003e1.25\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 13px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 112px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 13px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 103px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 13px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 112px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 83px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eNSSS Full Scale Score\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 28px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eM\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 83px;\"\u003e\n \u003cp\u003e78.9\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 80px;\"\u003e\n \u003cp\u003e79.3\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 13px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 112px;\"\u003e\n \u003cp\u003e20 to 100\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 13px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 103px;\"\u003e\n \u003cp\u003e0.508\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 13px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 112px;\"\u003e\n \u003cp\u003e-0,026\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 83px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 28px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSD\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 83px;\"\u003e\n \u003cp\u003e14.7\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 80px;\"\u003e\n \u003cp\u003e17.7\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 13px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 112px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 13px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 103px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 13px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 112px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" valign=\"top\" style=\"width: 83px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eLove Scale\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 28px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eM\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 83px;\"\u003e\n \u003cp\u003e39.8\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 80px;\"\u003e\n \u003cp\u003e39.3\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 13px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 112px;\"\u003e\n \u003cp\u003e9 to 45\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 13px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 103px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 13px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 112px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 28px;\"\u003e\n \u003cp\u003e\u003cstrong\u003eSD\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 83px;\"\u003e\n \u003cp\u003e5.73\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 13px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 80px;\"\u003e\n \u003cp\u003e5.65\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 13px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 112px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 13px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 103px;\"\u003e\n \u003cp\u003e0.671\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"bottom\" style=\"width: 13px;\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 112px;\"\u003e\n \u003cp\u003e0.085\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u003cbr\u003e\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eInteraction Dynamics\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eSexual Frequency and Sexual Satisfaction\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eA Spearman\u0026rsquo;s rank-order correlation revealed a positive and moderate to strong association between sexual frequency and sexual satisfaction were in the RG (p-value = 0.0001, Spearman\u0026rsquo;s r = 0.5) but not in the CG (p-value = 0.03, Spearman\u0026rsquo;s r = 0.2). The results indicate that higher sexual frequency is significantly associated with greater sexual satisfaction in the RG (Fig.1).\u003c/p\u003e\n\u003cdiv align=\"center\"\u003e\u003cbr\u003e\u003c/div\u003e\n\u003cp\u003e\u003cem\u003eSexual Satisfaction and Relationship Satisfaction\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eA Spearman\u0026rsquo;s rank-order correlation demonstrated no relationship between sexual satisfaction and relationship satisfaction in the RG (p-value = 0.170, Spearman\u0026rsquo;s r = 0.2) but a positive and moderate to strong correlation in the CG (p-value \u0026lt; 0.0001, Spearman\u0026rsquo;s r = 0.49). These findings suggest that individuals\u0026rsquo; levels of sexual satisfaction do not influence levels of relationship satisfaction in RG romantic relationships (Fig.2).\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eEmotional Attachment and Relationship Satisfaction\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eThe correlation analysis indicated a positive and moderate to strong association between emotional attachment and relationship satisfaction for both RG (p-value = 0.003, Spearman\u0026rsquo;s r = 0.49) and CG (p-value \u0026lt; 0.001, Spearman\u0026rsquo;s r = 0.5). This result suggests that stronger/weaker emotional bonds are [significantly/not significantly] related to relationship satisfaction (Fig.3).\u003c/p\u003e"},{"header":"Discussion","content":"\u003cp\u003eResearch on individuals experiencing sexual dysfunctions has given greater attention to the implications of these conditions on sexual adaptation behaviors and their impact on romantic relationships (Burri et al., 2014; Impett et al., 2014; Leonhardt et al., 2023; R. C. Rosen et al., 2016; Vannier et al., 2017). However, when it comes to women with SMRKH, no study has directly explored this interaction, although previous research has shown that they tend to start dyadic sexual activity later (Facchin et al., 2021), fear their partners finding out about their condition, worry about rejection after disclosing their diagnosis (Bean et al., 2009; Facchin et al., 2021) and have to deal with divorce due to issues related to both their sex life and fertility (Bean et al., 2009; Pastor et al., 2017).\u003c/p\u003e\n\u003cp\u003eAlign with existing literature on sexual functioning in women with MRKHS, our findings reveal indicators of sexual dysfunction primarily in the domains of desire, lubrication, and painful penetration. In terms of functionality, such findings could be comprehended similarly to those one related to penetrations disorders (PD), a nomenclature which encompass conditions such as dyspareunia, vulvodynia, and vestibulodynia, that often compromise the entire sexual response cycle (desire, arousal, lubrication, orgasm, and resolution) (Conforti, 2017). Likewise to women with PD, MRKHS women commonly report pain as a significant factor contributing to decreased sexual frequency, satisfaction, and interest in engaging in sexual intercourse (Bean et al., 2009; Conforti, 2017; Dabaghi et al., 2019; Herlin et al., 2020).\u003c/p\u003e\n\u003cp\u003eHowever, although these results were found in our sample, when sexual frequency and sexual satisfaction was assessed, it differed from other studies of women with SMRKH. Sexual satisfaction is usually reduced among women who suffer from sexual dysfunctions (Bualoy et al., 2025; Smith \u0026amp; Pukall, 2011; Villani et al., 2024; Zietarska Cisak et al., 2023) but in the women in our sample reported levels of sexual satisfaction (NSSS) and sexual frequency shown similar to those of the control group.\u003c/p\u003e\n\u003cp\u003eFirstly, an important factor to considerate is that is that the MRKHS women in this sample receive virtual support from Instituto Roki, that consists in therapeutic groups (for them, their partners or parents) and classes about reproductive and sexual health with specialized professionals. Aligned to this practical factor, we are also considerate theoretical propositions. Impett et al. (2019), building on the understanding of relationship maintenance strategies proposed by Ogolsky et al. \u0026nbsp;(2017) suggested that couples facing sexual challenges who adapt their sexual scripts (e.g. focusing on non-penetrative sexual activities) and emphasizing behaviors that foster emotional intimacy (e.g. improvement of affection and responsiveness) experience less disruption in their relationships. Based on this comprehension, we examined both\u0026nbsp;sexual metrics\u0026nbsp;and emotional attachment levels within our sample.\u003c/p\u003e\n\u003cp\u003eAs previously presented, MRKHS women exhibited similar involvement and frequency to the comparison group in each of the different sexual practices investigated, including the least frequent practice (anal sex). Additionally, although there was a correlation between sexual frequency and sexual satisfaction, no association was found when evaluated the association between sexual satisfaction and relationship satisfaction in MRKHS group. These results remain similar even when we consider factors that normally affect relationship satisfaction such as relationship duration, parenthood or educational level, what suggest that sexual metrics (sexual practices, sexual frequency and sexual satisfaction) were not the factors related to the similar levels of relationship satisfaction presented between comparison and study groups in this study, but rather other compensatory mechanisms.\u003c/p\u003e\n\u003cp\u003eSimilar levels with no significant differences were also found between groups when emotional attachment level was evaluated. Nevertheless, emotional attachment was the first factor correlated to the relationship satisfaction levels in this study sample. This specific result suggest us that emotional attachment, as suggested by Impett et al. (2019) could be a stronger factor to intimacy management for individuals facing sexual challenges.\u003c/p\u003e\n\u003cp\u003eAccording to the evolutionary perspective, the advantages involved in maintain a long-term relationship with a partner, in reason of the reproductive advantage opportunities, the enhanced offspring survival and the improved survival odds of individuals, should have favored the selection of hunter-gatherer humans to express different strategies for maintaining their relationships. Over the course of evolutionary time, the survival of those individual culminated in the evolved mechanisms perceived at both the behavioral and neurohormonal levels (Apostolou et al., 2023; Bode, 2023; Denes et al., 2023). The comprehension that humans have evolved to exhibit pro-relationship behaviors at both individual and interactive levels\u0026mdash;facilitating relationship maintenance\u0026mdash;provides a valuable framework for examining the compensatory strategies employed by couples facing challenges in their sex lives.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eOgolsky et al (2017) in their integrative model of relationship maintenance, proposed a conceptual model that identifies both interactive and individual processes aimed at mitigating threats and enhancing relationships. According to this model, interactive process\u0026mdash;defined as those triggered in response to a partner\u0026rsquo;s behavior or jointly enacted by both partners\u0026mdash;include behaviors such as social support and responsiveness (e.g., expressing care or concern for one\u0026rsquo;s partner) and facilitation (e.g., assisting a partner in achieving their goals or managing stressors together). Notably, these constructs closely align with the dimensions assessed in the relationship satisfaction instrument used in this study, which measures participants\u0026apos; perceptions of satisfaction with intimacy, companionship, security, and emotional involvement provided by their partners.\u003c/p\u003e\n\u003cp\u003eOur findings suggest that in the context of sexual dysfunction, emotional attachment plays a pivotal role in sustaining relationship satisfaction and in fulfilling intimacy needs, since, among the variables analyzed\u0026mdash;sexual satisfaction, parenthood, age, relationship duration, socioeconomic status, and education\u0026mdash;only emotional attachment showed a significant correlation with relationship satisfaction in the MRKHS group. Conversely, in the comparison group, sexual satisfaction emerged as a stronger predictor of relationship satisfaction.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eIn conclusion, we reiterate that individuals with sexual dysfunctions, including women with MRKH, represent a relevant population for relationship research that explores how couples adapt to challenging circumstances. Investigating these adaptations provides valuable insights into the strategies couples employ to maintain relationship quality, well-being, and satisfaction. In this context, the findings of this study contribute to indicate that emotional attachment is one of the mechanisms used by women with sexual dysfunction to keep their long-term relationships. And, although recognize that promoting stronger emotional bonds may enhance relationship satisfaction and support relationship maintenance, these findings should be interpreted with caution, as the study did not incorporate partners\u0026rsquo; perspectives, which could provide a more comprehensive understanding of relational dynamics.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eLIMITATIONS AND FUCTURE DIRECTIONS\u003c/p\u003e\n\u003cp\u003eWhile our study provides valuable insights, several limitations should be acknowledged. First, our sample consisted exclusively of women with MRKHS who were associated with the Instituto Roki. This constraint may have introduced selection bias, as participants from this institution may not fully represent the broader population of women with MRKHS. Future studies should aim to include more diverse samples from multiple institutions and geographical regions to enhance generalizability. Second, the cross-sectional nature of our study precludes causal inferences. Longitudinal research would be beneficial to explore how relationship satisfaction and sexual satisfaction evolve over time and whether specific adaptive strategies emerge in response to challenges related to sexual dysfunction.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eAdditionally, our reliance on self-reported measures may have been influenced by social desirability bias, particularly concerning sensitive topics like sexual satisfaction and emotional attachment. Incorporating objective assessments or partner reports in future research could provide a more comprehensive understanding. Finally, while our study focused on women with MRKHS in long-term relationships, it would be valuable to explore the experiences of women in short-term relationships or those who are single. Such investigations could shed light on whether and how relationship dynamics and adaptive strategies differ across relationship contexts.\u003c/p\u003e"},{"header":"Declarations","content":"\u003cp\u003e\u003cem\u003eAcknowledgements\u0026nbsp;\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eThe authors thank all the participants for the time dedicated to taking part in the research. We also thank Instituto Roki, the partner organization that promoted our research among Mayer-Rokitansky-K\u0026uuml;ster-Hauser Syndrome women assisted by them.\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eFunding\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eThe author L\u0026iacute;dia Silveira received a scholarship from Funda\u0026ccedil;\u0026atilde;o Amaz\u0026ocirc;nia de Amparo a Estudos e Pesquisas \u0026ndash; FAPESPA, (Edictal 15/2021 PROPESP) during the realization of this study.\u003cem\u003e\u0026nbsp;\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eConflicts of interest/Competing interests\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eThe author Juliana Schulze Burti provides voluntary service to Instituto Roky, a partner institution in this research.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eEthical Aspects\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eThis study was initially registered on the Plataforma Brasil and approved by the Ethical Committee for Research in Human and Social Sciences of Universidade Federal do Par\u0026aacute; under report number 79659124.6.0000.5172. An\u0026nbsp;informed consent was obtained from all individual participants included in the study. Ethical Approval All procedures were conducted in accordance with the Helsinki Declaration.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eInformed consent and Disclosure statement\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eInformed consent and disclosure statements were obtained from all participants included in the study. Ethical Approval all procedures were conducted in accordance with the Helsinki Declaration. The study was approved by the Ethical Committee for Research in Human and Social Sciences of Universidade Federal do Par\u0026aacute; under report number 79659124.6.0000.5172.\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eData Availability Statement\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eThe dataset generated and analyzed during the current study is not publicly available due to confidentiality and ethical considerations regarding sensitive participant information. However, de-identified data supporting the findings of this study may be made available upon reasonable request to the corresponding author, subject to approval from the relevant ethics committee and in compliance with data protection regulations.\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eAuthors\u0026rsquo; contribution\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eL\u0026iacute;dia Silveira conceptualized and designed the study, collected the data, conducted the primary analyses, and was the lead author of the manuscript. Nat\u0026aacute;lia Dutra contributed to the statistical analyses, provided general manuscript revisions, and assisted in the English language review. Juliana Schulze Burti provided technical expertise and critical insights based on their specialization in the study area. Vivianni Veloso supervised the study, overseeing the overall structure and organization of the manuscript. All authors contributed to the review and final approval of the manuscript.\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\n\u003cli\u003eApostolou, M. (2016). Understanding the Prevalence of Sexual Dysfunctions in Women: An Evolutionary Perspective. \u003cem\u003eAdaptive Human Behavior and Physiology\u003c/em\u003e, \u003cem\u003e2\u003c/em\u003e(1), 26\u0026ndash;43. https://doi.org/10.1007/s40750-015-0029-1\u003c/li\u003e\n\u003cli\u003eApostolou, M., Christoforou, C., \u0026amp; Lajunen, T. J. (2023). What are Romantic Relationships Good for? An Explorative Analysis of the Perceived Benefits of Being in a Relationship. \u003cem\u003eEvolutionary Psychology\u003c/em\u003e, \u003cem\u003e21\u003c/em\u003e(4), 14747049231210245. https://doi.org/10.1177/14747049231210245\u003c/li\u003e\n\u003cli\u003eApostolou, M., Matogian, I., Koskeridou, G., Shialos, M., \u0026amp; Georgiadou, P. (2019). 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S., \u0026amp; Simpson, J. A. (2019). An Evolutionary, Life History Theory Perspective on Relationship Maintenance\u0026mdash;Chap 3. Em B. G. Ogolsky \u0026amp; J. K. Monk, \u003cem\u003eAn Evolutionary, Life History Theory Perspective on Relationship Maintenance\u0026mdash;Chap 3\u003c/em\u003e (p. 29\u0026ndash;46). Cambridge University Press.\u003c/li\u003e\n\u003cli\u003eZhu, L., Zhou, H., Sun, Z., Lou, W., \u0026amp; Lang, J. (2013). Anatomic and Sexual Outcomes after Vaginoplasty Using Tissue‐Engineered Biomaterial Graft in Patients with Mayer‐Rokitansky‐K\u0026uuml;ster‐Hauser Syndrome: A New Minimally Invasive and Effective Surgery. \u003cem\u003eThe Journal of Sexual Medicine\u003c/em\u003e, \u003cem\u003e10\u003c/em\u003e(6), 1652\u0026ndash;1658. https://doi.org/10.1111/jsm.12143\u003c/li\u003e\n\u003cli\u003eZietarska Cisak, M., Zwierzchowska, A., Barcz, E., \u0026amp; Horosz, E. (2023). Sexual function in women with pelvic organ prolapse and surgery influence on their complaints. \u003cem\u003eGinekologia Polska\u003c/em\u003e, VM/OJS/J/93593. https://doi.org/10.5603/GP.a2023.0029\u003c/li\u003e\n\u003c/ol\u003e"},{"header":"Footnote","content":"\u003cp\u003e[1] Affective bonds formed between individual serving adaptive functions in fostering cooperation, caregiving, and resource sharing (Finkel \u0026amp; Eastwick, 2015).\u003c/p\u003e\n\u003cp\u003e[2] According to Byers (2005) relationship satisfaction is a construct that refers to an individual\u0026apos;s overall, subjective assessment of the quality of their romantic relationship, based on their positive and negative perceptions of the relationship.\u003c/p\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":true,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"relationship maintenance, relationship satisfaction, sexual satisfaction, sexual dysfunctions, women","lastPublishedDoi":"10.21203/rs.3.rs-5933935/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-5933935/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003ePurpose\u003c/strong\u003e: individuals with sexual dysfunctions represent a relevant population for relationship maintenance research because they explore how couples adapt to challenging circumstances. Once satisfaction plays a a crucial role in maintaining romantic relationships, with strong evidence indicating that sexual satisfaction significantly influences relationship satisfaction, investigating these adaptations provides valuable insights into the strategies couples employ to maintain relationships. This study investigates the dynamic between sexual life aspects and relationship satisfaction in women diagnosed with Mayer-Rokitansky-Küster-Hauser Syndrome (MRKH), a congenital condition characterized by the underdevelopment or absence of the uterus and vaginal canal.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eMethods\u003c/strong\u003e: An online survey was conducted with 34 women diagnosed with MRKH (RG) and 80 women without the condition (CG). Clinical, sociodemographic, and behavioral data were collected, including relationship characteristics, sexual practices, sexual functioning, and emotional attachment to partners. Correlation analyses were used to assess the relationship between sexual satisfaction and relationship satisfaction while controlling relationship duration, parenthood, age, educational attainment, and socioeconomic status.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResults\u003c/strong\u003e: for RG, relationship satisfaction was not associated with sexual satisfaction even when considering relationship duration, parenthood, age, educational attainment, or socioeconomic status. Emotional attachment emerged as the sole predictor of relationship satisfaction in RG.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConclusion\u003c/strong\u003e: these findings align with previous research suggesting that couples facing sexual challenges adapt their sexual scripts by prioritizing closeness and responsiveness (e.g., affection and physical proximity) to mitigate negative effects on their relationships. Understanding these compensatory mechanisms can offer valuable insights for research on relationship maintenance processes.\u003c/p\u003e","manuscriptTitle":"Within-Person Associations Between Sexual Life And Relationship Satisfaction In Women With Mayer-Rokitansky-Kuster-Hauser Syndrome In Long-Term Relationships","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2025-02-04 14:35:19","doi":"10.21203/rs.3.rs-5933935/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"b16961a4-f73d-447f-8cfd-b84388fd3f59","owner":[],"postedDate":"February 4th, 2025","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[],"tags":[],"updatedAt":"2025-02-04T14:35:19+00:00","versionOfRecord":[],"versionCreatedAt":"2025-02-04 14:35:19","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-5933935","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-5933935","identity":"rs-5933935","version":["v1"]},"buildId":"8U1c8b4HqxoKbykW_rLl7","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}