(846) Prevalence and Causes of Unconsummated Marriages

Abstract Introduction An unconsummated marriage (UCM) is defined as the inability of a married couple to achieve penile–vaginal penetration despite repeated attempts. Common in non-Western societies, it represents both a medical and a social issue. Its prevalence in sexology consultations ranges from 2% to 24% according to the international literature. Epidemiological data remain limited. Objective This study aims to assess the prevalence of UCM and to identify its main etiologies. Methods We conducted an analytical cross-sectional study in the outpatient sexology clinic between 2010 and 2020. The study included patients consulting for unconsummated marriage (UCM). Data were collected using an exploratory form inspired by the Derogatis Sexual Function Inventory (DSFI). Results A total of 229 couples consulting for UCM were included, representing 42.7% of all sexology consultations between 2010 and 2020. The etiology of UCM was female in 53.7% of cases, male in 32.8%, and couple-related in 11.8%. Vaginismus was the leading cause (65%), followed by erectile dysfunction (35%). Both disorders coexisted in 11.8% of cases, while severe premature ejaculation was found in 10.9%. A decrease in sexual desire secondary to repeated unsuccessful attempts at consummation was reported by 10.5% of women and 11.8% of men. A history of strict parental upbringing was found in 60% of women with vaginismus and 68% of men with premature ejaculation. The absence of any sexual experience, including autoerotic behavior, before marriage was reported by 119 women and 36 men. Furthermore, 67 women and 36 men did not know genital anatomy or physiology. Only four women had ever received any form of sexual education. None of the patients had received information about sexuality during their premarital medical visit, which was performed in 60% of the couples. A psychiatric disorder was identified in 28.8% of patients, mainly mood and anxiety disorders. Conclusions Unconsummated marriage remains a frequent and underestimated issue. Vaginismus and erectile dysfunction constitute the main causes and often appear as mirror disorders. The lack of sexual education plays a crucial role, underscoring the need for a multidisciplinary approach that includes prevention, information, and support for couples. Disclosure No