Assessment of the relational factor in male patients consulting for sexual dysfunction: The concept of couple sexual dysfunction
Abstract
In a consecutive series of 1140 male subjects reporting a stable couple relationship and different degrees of sexual dysfunction, we evaluated the impact of relational factors, as assessed by the Structured Interview on Erectile Dysfunction (SIEDY) Scale 2 (exploring, as reported by the patient, menopausal symptoms, partner's medical illness interfering with sexual activity, and reduced partner desire and climax). We found that the SIEDY Scale 2 is significantly and independently associated with erectile dysfunction (ED), delayed ejaculation, hypoactive sexual desire, and decreased frequency of intercourse. SIEDY Scale 2 scores are associated with an advanced age of the partner and a long couple relationship, independently from patient's age. In addition, an increased relational factor correlates with increased extramarital affairs, conflicts in the couple, alcohol abuse, and presence of depressive symptoms, as assessed by the Middlesex Hospital Questionnaire. Our results should encourage the andrologist to consider the context in which sexual symptoms develop, analyzing the relationship and partner's behaviors and diseases. Resolving, or at least ameliorating, the relational background and the sexual framework might help in treating male sexual dysfunction.
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ED and its treatment involve a shared stressor that is challenging for both partners.
“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 [50]
ED treatment improves the partner's sexual function and satisfaction.
“Research has shown that ED treatment improves the partner's sexual function and satisfaction as well, indicating the importance of including couple interventions.50,64,127”
From A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM) (2021) · cites this paper as [50]
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- Authors
- Corona, G., Petrone, L., Mannucci, E., Magini, A., Lotti, F., Ricca, V., Chiarini, V., Forti, G., & Maggi, M.
- Affiliations
- Ospedale Bellaria (IT)
- University of Florence (IT)
- Corresponding author
- Maggi, Mario
- Venue
- Journal of Andrology
- Publisher
- Wiley
- Published
- 2006-11-12
- Volume
- 27
- Issue
- 6
- Pages
- 795-801
- ISSN
- 0196-3635 (ISSN-L)
- 1939-4640
- OpenAlex
- W2006575183
- Cited by
- 98
- References
- 26
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 5 · 2023: 4 · 2022: 6 · 2021: 7 · 2020: 2 · 2019: 3 · 2018: 3 · 2017: 3 · 2016: 7 · 2015: 1 · 2014: 10 · 2013: 16 · 2012: 1
- FWCI
- 3.18
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Andrology (publishedVersion)
- PubMed (publishedVersion)
- 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
- male sexual dysfunction, relational factors, erectile dysfunction, delayed ejaculation, hypoactive sexual desire disorder, partner age, adultery, couple conflict, alcohol abuse, depressive symptoms
- MeSH terms
- Female, Humans, Erectile Dysfunction, Interpersonal Relations, Interview, Psychological, Male, Middle Aged, Sexual Dysfunctions, Psychological
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