Male Responses to Female Partners with Genitopelvic Pain/Penetration Disorder: A Systematic Review of Biopsychological Impacts and Coping Strategies.

Introduction: Healthy relationships rely on emotional, physical, and sexual connections, but genitopelvic pain/penetration disorder (GPPPD) can render intimacy difficult for affected couples. This condition also affects the psychological and sexual well-being of male partners, which frequently leads to feelings of rejection and frustration that can further strain relationships. To effectively support couples, understanding how male partners are impacted by and cope with their partner's GPPPD, the focus of this study, is crucial. Methods: This study conducted a systematic review of the literature published up to 2024 across nine databases to identify studies on male sexual dysfunction related to female partners with GPPPD. Studies that focused on male responses to GPPPD, excluding reviews and theoretical articles, were considered eligible. Data were extracted and assessed using PRISMA guidelines and the Risk of Bias in Non-randomized Studies (ROBINS-E) tool, focusing on outcomes such as sexual dysfunction, mental health, relationship satisfaction, and effort to seek solutions among male partners. Results: Conducted between 2008 and 2020 in several countries, primarily from the Middle East, these studies involved approximately 2,485 couples. The results highlighted that male partners of women with GPPPD frequently experience significant sexual dissatisfaction and dysfunction, including issues such as premature ejaculation, erectile dysfunction, and hypoactive sexual desire. These challenges typically lead biological, psychological, and social impacts. We also observed no significant differentiation across cultures, social values, or generations. Conclusion: The review identified three major responses and effects of GPPPD among men, including personal and relational tension that contribute to mental and sexual disorders; however, men frequently actively seek help and adopt coping strategies instead of passively accepting the situation.