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Unconsummated marriage: can it still be considered a consequence of vaginismus?

Abstract

Unconsummated marriage (UM) is the failure to perform successful sexual intercourse at the beginning of the marriage. Vaginismus has been traditionally reported as the leading cause. ED is also a leading cause for UM. This appears to be a significant problem in the conservative middle-Eastern societies and in the developing countries, where couples are strongly prevented by religious rules and cultural taboos from sexual experiences before wedding. One could think that according to major sexual freedom and information, in Western countries UM is now disappearing, but the number of observed cases by the authors in 2008–2012 was relevant. The aim of this study is to compare the literature data from non-Western countries with the features of UM in Western ones, focusing on cases observed by the authors, and to verify whether the etiology of UM proposed in the ’70s is still relevant, outlining any changes that occur in current reality. In our series, traditional appearance of UM is no more effective, while the role of man is undervalued, because of his frailty, lack of self-confidence and ignorance, expressing a social and cultural change of man’s role in the couple.

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References

  1. Faruk M . Honeymoon impotence: psychogenic or organic in origin? Urology 2001; 57: 758–762.

    Article  Google Scholar 

  2. Shamloul R . Management of honeymoon impotence. J Sex Med 2006; 3: 361–366.

    Article  Google Scholar 

  3. Badran W, Moamen N, Fahmy I, El-Karaksy A, Abdel-Nasser TM, Ghanem H . Etiological factors of unconsummated marriage. Int J Impot Res 2006; 18: 458–463.

    Article  CAS  Google Scholar 

  4. El-Meliegy A . A retrospective study of 418 patients with honeymoon impotence in an andrology clinic in Jeddah, Saudi Arabia. Europ J Sexol 2004; 13: 1–4.

    Google Scholar 

  5. Yanaihara H, Marumo K, Murai M . Clinical study of honeymoon impotence at Keio University. Impotence 1998; 13: 201–204.

    Google Scholar 

  6. Ozdemir O, Simsek F, Ozkardes S, Incesu C, Karakoc B . The Uncosummated marriage: its frequency and clinical characteristics in a sexual dysfunction clinic. J Sex Marital Therapy 2008; 34: 268–279.

    Article  Google Scholar 

  7. Zargooshi J . Male sexual dysfunction in unconsummated marriage: long-term outcome in 417 patients. J Sex Med 2008; 5: 2895–2903.

    Article  Google Scholar 

  8. Kaplan HS . The New Sex Therapy. Brunner/Mazel: New York, NY, USA, 1974.

    Google Scholar 

  9. Ghanem H, El-Dakhly M, Shamloul R . Alternate-day tadalafil in the management of honeymoon impotence. J Sex Med 2008; 5: 1451–1454.

    Article  Google Scholar 

  10. Crowe M, Jones M . Sex therapy: the successes, the failure, the future. Br J Hosp Med 1992; 48: 474–479.

    CAS  PubMed  Google Scholar 

  11. Binik YM . The DSM diagnostic criteria for vaginismus. Arch Sex Behav 2010; 39: 278–291.

    Article  Google Scholar 

  12. Fisher WA, Eardley I, McCabe M, Sand M . Erectile dysfunction (ED) is a shared sexual concern of couples II: association of female partner characteristics with male partner ED treatment seeking and phosphodiesterase type 5 inhibitor utilizations. J Sex Med 2009; 6: 3111–3124.

    Article  Google Scholar 

  13. Conaglen JV, Conaglen HM . The effects of treating male hypogonadism on couples' sexual desire and function. J Sex Med 2009; 6: 456–463.

    Article  CAS  Google Scholar 

  14. Lauman EO, Paik A, Rosen C . Sexual dysfunction in the United States. Prevalence and predictors. JAMA 1999; 281: 537–544.

    Article  Google Scholar 

  15. Zargooshi J . Unconsummated marriage: clarification of aetiology; treatment with intracorporeal injection. BJU Int 2000; 86: 75–79.

    Article  CAS  Google Scholar 

  16. Masters WH, Johnson VE . Human Sexuality Inadequacy. Little Brown: Boston, MA, USA, 1970.

    Google Scholar 

  17. Gindin LR, Resnicoff D . Uncosummated marriages: a separate and different clinical entity. J Sex Marital Therapy 2002; 28: 85–99.

    Article  Google Scholar 

  18. Organization for Economic Co-operation and Development. http://www.oecd.org/edu/EAG2012%20-%20Countary%20note%20-%20Italy.pdf.

  19. Gül V, Ruf GD . Treating vaginismus in Turkish women. Nervenarzt 2009; 80: 288–294.

    Article  Google Scholar 

  20. Ribner DS, Rosenbaum TY . Evaluation and treatment of unconsummated marriages among Orthodox Jewish couples. J Sex Marital Ther 2005; 31: 341–353.

    Article  Google Scholar 

  21. Perelman MA . Sex coaching for physicians: combination treatment for patient and partner. Int J Impot Res 2003; 15: S67–S74.

    Article  Google Scholar 

  22. Dean J, Rubio-Aurioles E, McCabe M, Eardley I, Speakman M, Buvart J et al. Integrating partners into erectile dysfunction treatment: improving the sexual experience for the couple. Int J Clin Pract 2008; 62: 127–133.

    Article  CAS  Google Scholar 

Download references

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Correspondence to P M Michetti.

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Michetti, P., Silvaggi, M., Fabrizi, A. et al. Unconsummated marriage: can it still be considered a consequence of vaginismus?. Int J Impot Res 26, 28–30 (2014). https://doi.org/10.1038/ijir.2013.24

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  • DOI: https://doi.org/10.1038/ijir.2013.24

Keywords

  • ED
  • honeymoon impotence
  • unconsummated marriage
  • vaginismus

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