The gendered disparity in orgasm frequency and sexual satisfaction during partnered sexual activity has implications for wellbeing, mental health, and relationship satisfaction. As such the current study investigated the role of sexual assertiveness and self-esteem as predictors of women’s sexual satisfaction, with sexual script theory offering a theoretical framework which may illuminate the problematic female sexual role. It was hypothesised that sexual assertiveness would mediate the positive relationship between self-esteem and both ego-centred and partner/activity-focused sexual satisfaction. Cross-sectional self-report data were collected online from 304 participants aged between 18–68 years who identified as heterosexual women. Results demonstrated that higher sexual assertiveness predicted higher sexual satisfaction, with sexual assertiveness found to mediate the relationship between women’s self-esteem and ego-centred sexual satisfaction (R² = .46, p < .001; B_indirect = .29, 95% BCI = .267, .523). Sexual assertiveness was also found to mediate the relationship between self-esteem and partner- and activity-focused sexual satisfaction (R² = .26, p < .001; B_indirect = .29, 95% BCI – .191, .400). Findings offer a foundation for future research and practical applications for practice professionals, mental health practitioners, and sex education programmes.

性行为期间性高潮频率和性满意度的性别差异对幸福感、心理健康和关系满意度有影响。因此，目前的研究调查了性自信和自尊作为女性性满意度预测因子的作用，性脚本理论提供了一个理论框架，可以阐明有问题的女性性角色。假设性自信将调解自尊与以自我为中心和以伴侣/活动为中心的性满足之间的积极关系。横断面自我报告数据是从 304 名年龄在 18-68 岁之间的被认定为异性恋女性的参与者在线收集的。结果表明，更高的性自信预示着更高的性满意度，R ²  = .46，p  < .001；B_间接 = .29, 95% BCI  = .267, .523)。还发现性自信可以调节自尊与以伴侣和活动为中心的性满意度之间的关系（R ²  = .26, p  < .001；B_间接 = .29, 95% BCI – .191, .400） . 研究结果为实践专业人士、心理健康从业者和性教育项目的未来研究和实际应用奠定了基础。