A Comparison of Sexual Function, Psychological Status, and Sociodemographic Characteristics of Turkish Men within Polygamous and Monogamous Marriages.
BACKGROUND
A limited number of studies within the literature have entailed objective evaluations of psychological, sexual, and emotional features of women within polygamous marriages. However, there is a lack of studies reporting these features among polygamous and monogamous men.


OBJECTIVE
The aim of this study was to investigate sociodemographic characteristics, sexual function, and psychological status of polygamously and monogamously married men.


METHODS
Cross-sectional study.


METHODS
The study sample comprised two groups: 35 polygamous and 45 monogamous men in Kahramanmaraş Province, Turkey. Door-to-door surveys covered sociodemographic factors and adopted Beck Depression Inventory (BDI), and International Index of Erectile Function - Erectile Function Domain (IIEF-EFD) scales.


RESULTS
Polygamous men showed considerably higher IIEF-EFD scores (p<0.05). While the median score of IIEF-EFD was 25.0 for polygamous men, it was 22.0 for monogamous men. A comparison of the two groups revealed that polygamous men had lower BDI scores. However, the difference between the groups was statistically non-significant (p>0.05). Odds ratios and 95% confidence intervals of monogamous men for erectile dysfunction and depression were 14.4 (95% CI: 3.1-67.5) and 7.4 (95% CI: 0.9-61.9), respectively. The main reasons for multiple marriages reported by polygamous men, in descending order, were: 1) decreased satisfaction of sexual desires by a wife (37.1%); 2) falling in love with the second wife (22.8%); and 3) incompatibility with the first wife (17.1%). However, 62.9% of them responded negatively to the question: "Would you recommend polygamous marriage to other men?"


CONCLUSIONS
Our results showed that polygamous men had higher erectile function and lower depression scores than monogamous men. Further studies investigating the effects of polygamy on men's psychosexual function are warranted. Additionally, studies that address the perspectives of offspring and women's expectations within polygamous marriages should be conducted.
Department of Public Health, Sakarya University School of Medicine, Sakarya, Turkey.
Hasan Çetin
HÇ
Ekerbiçer
Department of Urology, Kahramanmaraş Sütçü İmam University School of Medicine, Kahramanmaraş, Turkey.
Sefa
S
Resim
Department of Urology, Kahramanmaraş Sütçü İmam University School of Medicine, Kahramanmaraş, Turkey.
Erkan
E
Efe
Department of Urology, Kahramanmaraş Sütçü İmam University School of Medicine, Kahramanmaraş, Turkey.
Mustafa Remzi
MR
Bahar
Department of Psychiatry, Kahramanmaraş State Hospital, Kahramanmaraş, Turkey.
Özlem
Ö
Altunören
Department of Urology, Nizip State Hospital, Gaziantep, Turkey.
Faruk
F
Küçükdurmaz
Department of Urology, Adıyaman University School of Medicine, Adıyaman, Turkey.
Can
C
Benlioğlu
Beck Depression Inventory; erectile status; polygamous men; polygamy