Abstract Introduction The ability to have children is connected with self-image, self-respect, and sexuality. Infertilitycan result in either sexual dysfunction or marital distress or both in male and female. Physicians often ignore the dyadic relation of the couple and their sexual intimacy while treating infertility. Objective The purpose of the present study was to examine the proportion of sexual dysfunction and their marital adjustment issues in individuals sufferring from infertility and compare differrent aspects of adjustment issues. Methods Patients were recruited randomly from the departments of infertility in two tertiary care hospitals named Bangladesh Medical University (BMU) and Bangladesh Institute of Rehabilitation of Diabetic and Endocrine metabolism (BIRDEM) in Dhaka city in Bangladesh. Only diagnosed patients seeking treatment were recruited. The study period was from October 2024 till June 2025. IRB was approved from BMU (IRB number: BSMMU/2024/5584). Either male or female patients with diagnosed infertility were randomly selected from these two institutes. Validated instruments like FSFI-6 was used to see female sexual dysfunction and IIEF-6 to see Erectile Dysfunction (ED) of any form and PEDT to see premature ejaculation (PE). Revised Dyadic Adjustment Scale (R-DAS) was applied to see the marital adjustment and satisfaction. Results Total 658 patients (male=320, female=338) were recruited.The mean age of male and female who came for infertility treatment were 33.77 and 28.57 respectively. In men, (n = 320) ED (Any degree) was found in 108 (33.7%) patients. Among the respondents, Mild ED was found in 77 (24.1%), Mild to moderate ED in 26 (8.1%) and Moderate ED in 05 (1.6%) patients. Premature ejaculation (Any degree) 60 (18.7), Probable PE was found in 18 (5.6%), PE 42 (13.1). Among the women, (n = 338) Sexual dysfunction was found in 47 (13.90%) patients. The prevalence of sexual dysfunction was substantial in this sub fertile cohort, affecting nearly one in four individuals (24.2%) overall. Men were disproportionately affected, with ED and PE is present in 33.7% and 18.7% of male partners respectively. These findings highlight that male sexual health concerns are a predominant comorbidity within the infertile population. R-DAS was used to see the marital adjustment and all three R-DAS constructs-Consensus, Satisfaction, and Cohesion-showed significant associations with sexual functioning outcomes. A score of 47 or less indicates marital dissatisfaction. Marital dissatisfaction was found in 17.2% male and 34% female. Higher Consensus and Satisfaction scores were positively correlated with better erectile (IIEF-6) and female sexual functioning (FSFI-6) and negatively correlated with premature ejaculation (PEDT) scores, indicating that greater marital agreement and satisfaction are linked to healthier sexual functioning. Cohesion showed a weaker but significant positive correlation with FSFI-6. Marital distress was significantly more prevalent among infertile women than men (34.0% vs. 17.2%, 0.001). High prevalence of distress was observed in men with mild-to-moderate ED (34.6%). And PE (p = 0.012). Conclusions Physicians dealing infertility should frequently address marital adjustment and sexual dysfunction among couples. Disclosure No
Ahsan et al. (Mon,) studied this question.