Introduction: Sexual pleasure is a human right and a central aspect of human sexuality that contributes significantly to people\'s overall well-being, making it an essential element to consider in clinical settings. This study aims to expand the understanding of sexual pleasure by examining how LGB+ people (lesbian, gay, bisexual, and other minority sexual orientations)-who perceived having a sexual problem-define solitary and partnered sexual pleasure. Methods: A cross-sectional exploratory qualitative study was conducted online. The current study included 85 people who self-identified as LGB+ and reported experiencing a sexual problem. Data analysis was performed using summative content analysis. Results: The results for solitary sexual pleasure comprised the creation of 5 categories (Enhancing the relationship with oneself, Specification of solitary pleasure, Negative experience, Unrestrained experience and A goal). For partnered sexual pleasure, 9 categories were created (The perks of being with another, Openness to experience, A result of sexual techniques, Psychophysiological experience, Misconceptions about sexual pleasure, Absence of intrapersonal constraints, Undesirable feelings, Explicit consent, and Absence of interpersonal constraints). Discussion: Despite reporting sexual problems, most participants reported having experienced sexual pleasure, and were able to define it. This study provided a deeper understanding of the perspectives on and experiences of sexuality among LGB+ people who experience sexual problems. Our findings highlight that current diagnostic criteria (e.g., DSM-5) do not seem to align with the problems reported by this sample population (the problems presented are beyond their sexual function). This reinforces the importance of viewing sexual problems from a perspective that goes beyond the categorial psychopathology model. Our study\'s findings may offer valuable insights for the evaluation and treatment of sexual problems, where sexual pleasure is considered a crucial aspect of sexual well-being.

Sexual complaints are a widespread problem around the globe. Ethnicity and culture play a vital role in sexual complaints, in terms of presentation, treatment, etiology, meaning, help-seeking behavior, and treatment preferences.
This study investigates whether there are differences in the type of sexual complaints among Dutch people with various ethnic backgrounds, using a help-seeking sample from 16 outpatient clinics based in different regions in the Netherlands.
Differences in sexual complaints between various ethnic groups were analyzed separately for women and men, using logistic regression, controlling for age.
The primary outcome measures included sexual complaints determined as per the registered details of the Dutch Registry for Sexology Outpatient Clinics.
Both similarities and differences were found between ethnic groups. Dyspareunia was an important complaint among women from all ethnic backgrounds, as were erectile problems among men. For most complaints, however, modest yet significant ethnic differences were found.
Health practitioners need to be aware of this ethnic and cultural variation, while acknowledging variety within groups as well.
This study is the first to include a help-seeking sample large enough to investigate ethnic differences in sexual complaints in this level of detail. An important limitation is the fact that this study pooled together diverse groups of people into ethnic categories.
The differences found were significant, yet modest. We can state that ethnic background does play a role in etiology and/or help-seeking in patients with sexual complaints, as long as we maintain an open stance and acknowledge similarities between ethnic groups as well. Tijdink S, De Graaf H, Hehenkamp L, et al. Sexual Complaints and Ethnicity: Ethnic Differences in a Help-Seeking Sample. J Sex Med 2020;17:1676-1686.