Marital Problems and Sexual Dysfunction: How are they Related?

1988 ◽  
Vol 152 (5) ◽  
pp. 629-631 ◽  
Author(s):  
John Rust ◽  
Susan Golombok ◽  
John Collier

In a study of 28 attenders of a sexual and marital clinic, the relationship between marital distress and both general and specific sexual dysfunctions was investigated. It was found that for men there was a much closer relationship between sexual and marital problems than for women. In particular, it was noted that the specific male sexual dysfunctions of impotence and premature ejaculation played a much larger part in marital discord than did the female dysfunctions of anorgasmia and vaginismus.

Author(s):  
R. Taylor Segraves

Well-controlled, double-blind, multisite investigations have demonstrated the efficacy of phosphodiesterase type 5 inhibitors for the treatment of erectile problems of mixed etiologies. A large number of studies affirm that serotonergic antidepressants delay ejaculation in men with premature ejaculation. Similarly, studies have demonstrated the efficacy of transdermal testosterone therapy in restoring sexual function in women after oophorectomy. There is suggestive evidence of the efficacy of cognitive-behavioral therapy in the treatment of sexual dysfunction in both sexes. However, the number and methodological rigor of such studies are limited and the effect sizes tend to be smaller than studies of pharmacological therapies.


Author(s):  
Michelle McCowan

The agreement between psychological and physical sexual arousal is variable among women: some show very high levels of sexual concordance while others demonstrate little or no agreement the emotional and physiological components of arousal (Chivers, Seto, Lalumière, Laan, & , 2010). This mind-body connection has been implicated in female sexual dysfunction, as women sexual dysfunctions tend to show especially low levels of sexual concordance (e.g., Laan, van Driel, & Lunsen, 2008). To date, there has been very little research on how concordance influences individual in sexual outcomes in women without sexual dysfunction. Initial evidence suggested a relationship between sexual concordance and orgasm consistency in healthy women (e.g., Adams, Haynes & Brayner, 1985); however, the few studies examining this relationship present mixed findings. The current study attempts to clarify the relationship between sexual concordance and orgasm consistency and examines sexual assertiveness as a mediator in the predicted concordance-orgasm consistency relationship.


2021 ◽  
pp. 263183182110475
Author(s):  
Manjula V ◽  
Manjula Munivenkatappa ◽  
Janardhana Navaneetham ◽  
Mariamma Philip

Background: Sexual dysfunction and marital intimacy and quality are found to have a reciprocal relationship. Examining this relationship in couples seeking help for sexual dysfunctions in the cultural context of India is worthwhile. Aim: This study aims to explore the nature of sexual functioning, sexual interaction, sexual communication, and marital intimacy and quality in couples with sexual dysfunction. Further, relationship between the above variables is also examined. Methods: A cross-sectional, single-group exploratory design was adopted. A sample of 155 married heterosexual individuals, with a clinical diagnosis of sexual dysfunction in either of the spouses, was included in the study. The tools used included MINI neuropsychiatric interview, Marital Quality Scale, Marital Intimacy Questionnaire, Dyadic Sexual Communication Scale, and Sexual Interaction Inventory. Results: Erectile dysfunction and premature ejaculation in men and hypoactive sexual desire disorder in women were the most common sexual dysfunctions. Majority of the sample were young adults. About 82% of the sample had moderate-to-severe levels of marital distress. Mood disorder was the most common psychiatric disorder reported in the sample. High levels of intimacy problems were seen with no significant gender differences in the overall marital quality or intimacy. Difficulty in the overall sexual interactions was found; however, higher levels of dissatisfaction with the frequency of sex and lower self-acceptance was reported by men compared to women. Significant interrelationships were found between marital quality and intimacy, sexual interaction, and sexual communication. Conclusions: Sexual dysfunctions and marital distress are closely related. Sexual interaction and sexual communication play a significant role in marital quality and intimacy.


2018 ◽  
Vol 19 (2) ◽  
pp. 112-124 ◽  
Author(s):  
Jakub Siembida ◽  
Piotr Frończuk ◽  
Justyna Morylowska-Topolska ◽  
Aleksandra Siek ◽  
Hanna Karakuła-Juchnowicz

Abstract Introduction According to the data obtained in the EZOP Poland study (2015), the prevalence of alcohol dependence in lifetime in Poland amounts to about 2.2% of the population, entailing enormous social, family and personal harm, including health damage. It is estimated that about 72% of alcohol-dependent patients complain about one or more problems related to the sexual sphere, which may result from both the development of somatic complications in the course of alcohol dependence, and from psychiatric complications that themselves can lead to sexual dysfunction. There are reports and clinical observations indicating that the occurrence of sexual dysfunction (SD) can affect the shortening or interruption of the period of abstinence. Aim The aim of this work is to show sexual dysfunctions in alcohol-dependent men and to discuss the factors that may affect the occurrence of the above-mentioned dysfunctions. Material and methods The available literature was reviewed using Medline, Google Scholar and ScienceDirect browsers by entering the keywords: alcohol dependence, sexual dysfunction, comorbidity, alcohol-caused diseases and time descriptors: 1979-2016. Results • Alcohol dependence is associated with the occurrence of various types of sexual dysfunctions (SD). • The diagnosis of SD should take into account all possible causes that may lead to the development of SD in this group of patients, including the comorbidity of somatic diseases or the negative impact of drugs on sexual function. • Occurrence of SD is connected with a higher risk of abstinence interruption. • There is a need to carry out more research in order to better understand the relationship between alcohol dependence and the prevalence of sexual dysfunctions.


1990 ◽  
Vol 7 (1) ◽  
pp. 32-35 ◽  
Author(s):  
Ethna C O'Gorman ◽  
Ian T. Bownes ◽  
Wallace W. Dinsmore

AbstractSexual dysfunctions are common in S.T.D. (Sexually Transmitted Diseases) Clinic attenders. Marital/relationship dysfunctions frequently follow specific sexual dysfunctions such as erectile, impotence and premature ejaculation. In addition concomitant marital therapy has been shown to enhance treatment for sexual dysfunction. Polypartnerism or multiple or serial sexual partners is also a common feature of S.T.D. clinic attenders. To date, no study has fully evaluated the social, psychological and medical determinants of this behaviour.The study examined the relationship between sexual dysfunction, marital difficulties and polypartnerism in 50 heterosexual STD clinic attenders. Thirty-one per cent of the sample had pathological scores on the Golombok-Rust Inventory of Sexual Satisfaction (GRISS). Forty-two per cent of the sample has pathological scores on the Golombok-Rust Inventory of Marital Satisfaction (GRIMS). There was a significant relationship between sexual dysfunction and marital dysfunction. Polypartnerism was also correlated with sexual and relationship dysfunction. It was felt that by offering treatment for specific sexual dysfunctions identified at STD clinics, marital/relationship difficulties could be averted. Subsequently polypartnerism could be reduced. By altering polypartnerism in this way, an important opportunity to influence vector spread of STD, including HIV infection is afforded.


2016 ◽  
Vol 23 (06) ◽  
pp. 646-654
Author(s):  
Muhammad Umar Khan ◽  
Muhammad Tanveer Alam ◽  
Darshan Kumar ◽  
Muhammad Adnan ◽  
Muhammad Adnan ◽  
...  

Objectives: To determine the frequency of different types of self-reported sexualdysfunction among male type 2 diabetic patients attending diabetic clinics of National Instituteof Diabetes & Endocrinology (NIDE) at Karachi, Pakistan. Study Design: Descriptive crosssectional.Place and Duration of Study: National Institute of Diabetes & Endocrinology at DowUniversity Hospital, Ojha Campus, Karachi. From August 2014 to January 2015. Methodology:This study was conducted at diabetic clinics of NIDE at Karachi from August 2014 to January2015. Type 2 diabetic males with self-reported complaints of sexual dysfunction were selectedby non-probability convenient sampling after obtaining well informed consent. Inclusioncriteria was married type 2 diabetic males of age between 35 to 65 years with at least fiveyears duration of type 2 diabetes, taking oral hypoglycemic agents, HbA1c levels between6.5% to 9.4% and living in a stable relation with a female partner for at least one year. Patient’sdemographic, anthropometric, biochemical parameters and sexual history was recorded onpre-designed questionnaire. Arizona Sexual Experience Scale and Diagnostic and StatisticalManual of Mental Disorder-5th edition were used for quantification of sexual dysfunction. Datawas analyzed by SPSS-18, to compute mean ± SD, frequencies and percentages. P-value of<0.05 was taken significant. Results: 95 Patients Type 2 diabetic male patients were recruited;who attended diabetic clinics of NIDE with different types of SD complaints. The mean ageof patients was 53.92 ± 8.17 years with 11.59 ± 3.52 years mean duration of type 2 diabetesmellitus. 81% patients had HbA1c levels of more than 7.4% and overweight patients were52.6%. 77.9% of patients were non-smokers. According to ASEX scale, 100% participantshad clinically significant sexual dysfunction with mean score 17 ± 2.3. 58 patients had singlesexual dysfunction and among them 26.3% had erectile dysfunction, while 36 patients haddouble sexual dysfunctions and among them 20% had combination of erectile dysfunction andpremature ejaculation. Data analysis showed no significant differences in age, duration of type2 diabetes mellitus, HbA1c levels and BMI with participant’s sub-groups having single, doubleand triple sexual dysfunctions. Erectile dysfunction was the most common sexual dysfunctionself-reported by 64.2% patients either as a sole complaint or in combination with other typesof sexual dysfunction, premature ejaculation was reported by 38.9% participants, hypoactivesexual desire disorder was found in 22.1% patients while the least common sexual dysfunctionreported was delayed ejaculation by 14.7% participants. Conclusion: The combination oferectile dysfunction and premature ejaculation is most frequent, followed by the combinationof erectile dysfunction and hypoactive sexual desire disorder. All diabetic men should be askedcarefully about the probable existence of any variety of sexual dysfunctions during their medicalevaluation.


2020 ◽  
Vol 16 ◽  
Author(s):  
Asma Farooq Shah ◽  
Isha Chawla ◽  
Kirti Goel ◽  
Rakesh Gollen ◽  
Randhir Singh

: The prevalence of obesity around the globe is increasing at such an alarming rate that WHO consultation on obesity designated obesity as a major unattended public health problem worldwide. Obesity is associated with a greater risk of excessive fat related metabolic and endocrinal diseases associated with different set of illness and disabilities, including type 2 diabetes, cardiovascular diseases, kidney diseases, sleep apnea, arthritis, lung diseases and sexual disorders. Obesity is found to be associated with male and female sexual dysfunctions and several studies have indicated a positive correlation between obesity and sexual dysfunction among both males and females. The relationship between male obesity and sexual dysfunction has been widely discussed, whereas a very little emphasis is laid on relationship between obesity and female sexual dysfunctions. Sexual dysfunctions are common and affects 20-50% of obese women. Particularly, female sexual dysfunction is a multi-factorial problem, including organic and psychological aspects involved into it. These disorders not only affect physical health of women but to a greater extent mental health is also affected. Considering this point of view, present review is emphasized on the impact of obesity on female sexual dysfunctions.


Sign in / Sign up

Export Citation Format

Share Document