Is female sexual function related to the male partners’ erectile function?
Abstract
INTRODUCTION: There are limited data concerning the relationship between the sexual functioning of each partner in a heterosexual couple. AIM: This cross-sectional study was to investigate the association between female sexual function and the male partners' erectile function. METHODS: Two self-administered questionnaires were used, one distributed to 2,159 female employees of two hospitals in Southern Taiwan and the other to their male partners, if available, to assess sexual function in each partner of the couple. OUTCOME MEASURE: Female sexual function and male erectile function were assessed by the Female Sexual Function Index (FSFI) and by the International Index of Erectile Function (IIEF), respectively. RESULTS: Among the 1,580 female and 779 male respondents, 632 sexually active couples were eligible for the analysis with mean ages of 36.9 years (range 21-67) and 39.5 years (range 18-80) for the women and men, respectively. After adjustment for female age group, nearly all the FSFI and IIEF domain scores correlated significantly to a slight to moderate degree. On the basis of the FSFI and IIEF scores, 42.9% (255/594) of the women reported sexual difficulty, and 15.0% (96/632) of the men reported mild to moderate erectile dysfunction (ED). After adjustment for female age group, the female partners of men with ED had significantly lower total and domain scores of the FSFI than those of men without ED, with effect sizes of η(p)(2) = 0.02-0.08. After further adjustment for other risk factors, ED of the male partner was still a significant risk factor for female sexual difficulty as well as for sexual difficulty in the aspects of arousal, orgasm, sexual satisfaction, and sexual pain (odds ratio = 2.5-3.3). CONCLUSIONS: Significant correlations between female sexual functioning and male erectile function were identified.
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Men tend to ignore or suppress the problem, even when feeling distressed.
“In addition, it is important to include, whenever applicable and possible, the partner during the assessment procedure because (s)he may be aware of the problem first as men tend to ignore or suppress the problem, even when feeling distressed.49,52,53”
From A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM) (2021) · cites this paper as [52]
Female partners of men with ED more frequently report sexual problems as well as reduced quality of their sex life due to lower levels of intimacy and foreplay.
“Accordingly, evidence has shown that female partners of men with ED more frequently report sexual problems52 as well as reduced quality of their sex life due to lower levels of intimacy and foreplay.53,54”
From A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM) (2021) · cites this paper as [52]
Sexual changes in one partner go along with sexual changes in the other partner.
“Not only does ED and its treatment involve a shared stressor that is challenging for both partners, but it is also common that sexual changes in 1 partner go along with sexual changes in the other partner.14,51,52”
From A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM) (2021) · cites this paper as [52]
The partner often knows more about the circumstances in which the ED occurs and may play an important role in motivating the partner to consider treatment.
“Not only does the partner often know more about the circumstances in which the ED occurs, (s)he may also play an important role in motivating the partner to consider treatment.”
From A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM) (2021) · cites this paper as [52]
Including the partner in ED treatment promotes treatment adherence, increases treatment success, and targets the partner's own psychological and sexual problems and distress.
“Statement #16: It is recommended to include the partner in ED treatment to promote treatment adherence, increase treatment success, and to target the partner's own psychological and sexual problems and distress (Level 2, Grade B).”
From A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM) (2021) · cites this paper as [52]
Positive involvement of the partner helps solve the problem and adhere to treatment.
“Both partners suffer from the problem, and it has been shown that positive involvement of the partner helps to solve the problem and adhere to treatment.49,52,54,99”
From A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM) (2021) · cites this paper as [52]
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Dreischor, F., Laan, E. T. M., Apers, S., Repping, S., van Lunsen, R. H. W., Lambalk, C. B., ́Hooghe, T. D., Goddijn, M., Custers, I. M., & Dancet, E. A. F. (2020) · Human Reproduction · doi:10.1093/humrep/deaa106 · Cited by 6 · see citing works
Sexual Dysfunction in Parkinson’s Disease
Bronner, G., & Gurevich, T. (2022) · Cambridge University Press eBooks · doi:10.1017/9781009039291.015 · Cited by 6 · see citing works
Zaazaa, A., Bayerle‐Eder, M., Elnabarawy, R., Elbitar, M., & Mostafa, T. (2021) · Advances in Urology · doi:10.1155/2021/5548494 · Cited by 6 · see citing works
Sexual and psychological health of couples with azoospermia in the context of the COVID-19 pandemic
Dong, M., Tao, Y., Wu, S., Li, Z., Wang, X., & Tan, J. (2021) · PeerJ · doi:10.7717/peerj.12162 · Cited by 6 · see citing works
An easy method to define the cervical borders during postpartum hysterectomy
Tsui, K., Lin, L., & Wang, P. (2017) · Journal of the Chinese Medical Association · doi:10.1016/j.jcma.2017.06.010 · Cited by 6 · see citing works
La dysfonction érectile, une présence active
Colson, M.-H., Cuzin, B., Faix, A., Grellet, L., & Huyghes, É. (2018) · Sexologies · doi:10.1016/j.sexol.2018.01.017 · Cited by 5 · see citing works
Gao, J., Zhang, Y., Li, H., Gao, P., & Zhang, X. (2020) · BioMed Research International · doi:10.1155/2020/2302348 · Cited by 5 · see citing works
Infertility and Sexual Dysfunction (SD) in the Couple
Grill, E. A., Khavari, R., Zurawin, J. L., Gonzalez, J. R. F., & Pastuszak, A. W. (2016) · Springer eBooks · doi:10.1007/978-1-4939-3100-2_32 · Cited by 4 · see citing works
Brock, G. B., Hellstrom, W. J. G., Giraldi, A. G. E., & Honig, S. C. (2025) · Sexual Medicine · doi:10.1093/sexmed/qfaf021 · Cited by 3 · see citing works
How the medicalization of reproduction takes the fun out of the process
Domar, A. D., Meyers, A. J., & Grill, E. A. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-822288-1.00010-5 · Cited by 3 · see citing works
Male Sexual Dysfunctions in the Infertile Couple
D’Anna, M., & Barreda, J. T. (2024) · Trends in andrology and sexual medicine · doi:10.1007/978-3-031-55080-5_9 · Cited by 2 · see citing works
Post-orgasmic illness syndrome and its effects on self esteem and relationships: a survey
Maietta, L. N., Bronson, I., Cabral, M., Stokes, C., Radillo, K., Johnson, O., Banerjee, D., Rothschild, A. J., & Rubin, R. S. (2025) · International Journal of Impotence Research · doi:10.1038/s41443-025-01103-9 · Cited by 2 · see citing works
Unfair: Government-Approved Sexual Medicine Treatments Only Available for Men
Goldstein, I. (2014) · The Journal of Sexual Medicine · doi:10.1111/jsm.12431 · Cited by 2 · see citing works
Urologic and Clinical Evaluation of the Male with Erectile Dysfunction
Berookhim, B. M., Pastuszak, A. W., Bar-Chama, N. C., & Khera, M. (2016) · Springer eBooks · doi:10.1007/978-1-4939-3100-2_6 · Cited by 2 · see citing works
Penile Prosthesis Implant for Severe Erectile Dysfunction
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Niu, C., Ventus, D., Wen, G., & Santtila, P. O. (2025) · International Journal of Impotence Research · doi:10.1038/s41443-025-01072-z · Cited by 1 · see citing works
Manurung, M. A., & Rahardjo, H. E. (2023) · Medical Journal of Indonesia · doi:10.13181/mji.oa.236696 · Cited by 1 · see citing works
Selected aspects of sexual functioning in students
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Rokach, A., & Patel, K. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-819174-3.00009-7 · Cited by 1 · see citing works
Laparoscopic surgery as treatment for rectal cancer
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Brain-Behavioral Systems and Psychological Distress in Women with Hypoactive Sexual Desire Disorder
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Female Sexual Function During Male Sexual Dysfunction and Vice Versa
Bertozzi, M. A., & Ales, V. (2017) · Springer eBooks · doi:10.1007/978-3-319-41716-5_13
Re: Assessment of sexual functions in partners of women with complaints of urinary incontinence
Kadıhasanoğlu, M., & Özbek, E. (2017) · International braz j urol · doi:10.1590/s1677-5538.ibju.2016.0647
Female sexual dysfunction in an outpatient andrology clinic—A therapeutic opportunity?
Fernandes, C., Soares, C., Oliveira, J., Gonçalves, M., & do Rosário, F. S. (2023) · Revista Internacional de Andrología · doi:10.1016/j.androl.2023.100369
Nham, E., Liblik, K., Vigil, H. R., Flannigan, R. K., Brotto, L. A., & Witherspoon, L. (2025) · The Journal of Sexual Medicine · doi:10.1093/jsxmed/qdaf350
Mohamed, H. S., Abdelshafi, A., Ahmed, A., Deameh, M. G., Mohamed, T., Ramez, M., & Raheem, O. A. (2026) · The Journal of Sexual Medicine · doi:10.1093/jsxmed/qdag006
- Authors
- Jiann, B.-P., Su, C.-C., & Tsai, J.-Y.
- Affiliations
- Kaohsiung Veterans General Hospital (TW)
- Yuan's General Hospital (TW)
- Corresponding author
- Jiann, Bang-Ping
- Venue
- The Journal of Sexual Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2013-02-01
- Volume
- 10
- Issue
- 2
- Pages
- 420-429
- ISSN
- 1743-6095 (ISSN-L)
- 1743-6109
- OpenAlex
- W1917625573
- Cited by
- 71
- References
- 47
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 3 · 2023: 2 · 2022: 4 · 2021: 12 · 2020: 6 · 2019: 2 · 2018: 5 · 2017: 11 · 2016: 9 · 2015: 4 · 2014: 5 · 2013: 3
- FWCI
- 2.73
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- The Journal of Sexual Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Kaohsiung Veterans General Hospital (VGHKS 97-047)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
- Social Sciences › Sociology and Political Science › Marriage and Sexual Relationships
- Keywords
- female sexual function, erectile dysfunction, couples, sexual partners, sexual dysfunction, female sexual dysfunction, sexual arousal, sexual satisfaction, sexual pain, orgasm, Female Sexual Function Index, International Index of Erectile Function
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Cross-Sectional Studies, Female, Health Surveys, Humans, Erectile Dysfunction, Male, Marriage, Mathematical Computing, Middle Aged, Psychometrics, Surveys and Questionnaires, Statistics as Topic, Taiwan, Spouses, Sexual Dysfunctions, Psychological, Young Adult
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