The Global Online Sexuality Survey: the USA in 2011, marriage, coital frequency, and contraception among English-speaking men

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The Global Online Sexuality Survey is a worldwide epidemiologic study of sexuality and sexual disorders, investigating cultural characteristics and uniqueness, and comparing sexuality across cultures and races, launched in the Middle East in 2010 and USA in 2011. The current report investigates trends in marriage, coital frequency, and contraception in USA as of 2011.

Materials and methods

The Global Online Sexuality Survey was deployed randomly to English-speaking male web surfers in USA through paid advertising on Facebook, comprising 146 questions.


63.4% of participants were married, mostly among the 50–59 age group (40.5%), with no effect on the rate of erectile dysfunction or premature ejaculation (PE). Longer duration of coital relationship was associated with higher prevalence of PE. Utility of phosphodiesterase inhibitors despite normal erectile function (recreational use) was most common among the married (69.5%). Monthly coital frequency decreased with age from a median of 10 in the 18–39 years group to 4 in the above 60 age group. 28.8% reported the use of one or more contraceptive measures for birth control. The most frequently used was condom, although least preferred. Vasectomy and female contraceptive measures were the most favored.


Patterns in marriage, coital frequency, and contraception are described. Couples with a longer duration of coital relationship should be educated about PE and its management options. The data presented here may be informative for female partners as to the preferences of men in normal coital frequency and contraceptive measures.

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