title: Etiological factors of unconsummated marriage.
abstract: Normal erectile function is subjected to the influence of psychological, hormonal, neurological, vascular and cavernosal factors. Unconsummated marriage is a common medical and social problem in andrology clinics in conservative communities. However, its etiological factors remain unclear. This work aimed to define the probable etiology of unconsummated marriage. A total of 191 patients were evaluated through history taking, constructed questionnaire, educational settings, clinical examination, lab investigation, imaging procedures and other measures. Psychogenic factors were the cause in 74.4% of the investigated patients. Performance anxiety was the cause in 52.9%, and in 21.5% other psychological distresses were responsible. Organic causes represent 7.3%, vaginismus 8.4%, premature ejaculation 3.1% and cases with undetermined etiology were 6.8%. In conclusion, performance anxiety was revealed to be the main contributor. However, other psychogenic, organic and social factors represent sizable etiological factors.
authors.affiliation: Department of Andrology and STDs, Cairo University, Cairo, Egypt.
authors.forename: W
authors.initials: W
authors.lastname: Badran
authors.forename: N
authors.initials: N
authors.lastname: Moamen
authors.forename: I
authors.initials: I
authors.lastname: Fahmy
authors.forename: A
authors.initials: A
authors.lastname: El-Karaksy
authors.forename: T M
authors.initials: TM
authors.lastname: Abdel-Nasser
authors.forename: H
authors.initials: H
authors.lastname: Ghanem
mesh_terms: D000293:Adolescent; D000328:Adult; D001007:Anxiety / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008393:Marriage / Q000208:ethnology / Q000523:psychology*; D008487:Medical History Taking; D008875:Middle Aged; D010808:Physical Examination; D020018:Sexual Dysfunctions, Psychological / Q000208:ethnology / Q000209:etiology / Q000503:physiopathology* / Q000523:psychology*; D011795:Surveys and Questionnaires