ArticleSexual medicine2026
The gender paradox of infertility: a comparative study of marital adjustment and sexual dysfunction in Bangladesh.
Article in Sexual medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Infertility significantly impacts self-image, sexuality, and interpersonal dynamics. While sexual dysfunction is a known consequence of infertility, its prevalence and impact on marital adjustment, specifically within the socio-cultural context of Bangladesh remain under-explored. The aim of this study was to determine the prevalence of sexual dysfunction among infertile men and women and to examine its association with marital adjustment. Methods: This cross-sectional study was conducted at two tertiary hospitals in Bangladesh and data were collected from September 2024 to June 2025. A total of 658 participants (320 men and 338 women) were recruited via systematic random sampling. Sexual function was evaluated using the International Index of Erectile Function (IIEF-EF), the Premature Ejaculation Diagnostic Tool (PEDT), and the 6-item Female Sexual Function Index (FSFI-6). Marital adjustment was assessed using the Revised Dyadic Adjustment Scale (RDAS). Results: The overall prevalence of sexual dysfunction in this cohort was 25.4% ( Conclusion: A substantial "gender paradox" exists in infertility-related sexual health in Bangladesh, where men exhibit a significantly higher prevalence of sexual dysfunction than women. These findings highlight the necessity of integrating sexual medicine and psychological counseling into routine infertility management to improve both reproductive outcomes and marital quality. Strengths include the use of validated psychometric instruments and a relatively large, clinic-based sample. Limitations include cross-sectional design and reliance on self-report measures, which may limit generalizability and causal interpretation.
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