Journal of Andrology
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Published-Ahead-of-Print June 28, 2006, DOI:10.2164/jandrol.106.000638

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Assessment of the relational factor in male patients consulting for sexual dysfunction: the concept of couple sexual dysfunction

Giovanni Corona , Luisa Petrone , Edoardo Mannucci , Angela Magini , Francesco Lotti , Valdo Ricca , Valerio Chiarini , Gianni Forti , and Mario Maggi *

* To whom correspondence should be addressed. E-mail: m.maggi{at}dfc.unifi.it.

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 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 SIEDY Scale 2 is significantly and independently from other factors (as the organic ones) associated with erectile dysfunction (ED), delayed ejaculation, hypoactive sexual desire and decreased number of intercourses. 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 extra-marital affairs, conflicts in the couple, alcohol abuse and presence of depressive symptoms, as assessed by MHQ questionnaire. Our result should encourage the andrologist to consider the context in which the sexual symptom develops, analysing the relationship and partner's behaviour and diseases. Resolving, or at least ameliorating, the relational background and the sexual framework might help in treating male sexual dysfunction.


Key words: Erectile Dysfunction • SIEDY • couple sexual dysfunction • delayed ejaculation • hypoactive sexual desire • structured interview






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