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Best Urology & Andrology Clinic in Delhi/NCR - Uroclinic

Uroclinic : East Patel Nagar

Call : +91 9968826626
Mail : myuroclinic@gmail.com
Address : UROCLINIC 25/34, Ground Floor, Govind Lal Sikka Marg, Near Rajendra Place Metro Station (Pillar No. 161), East Patel Nagar New Delhi 110008

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Andrology Disease

Unconsummated Marriage

Female sexual dysfunction (FSD) refers to a range of difficulties and concerns that can affect a woman’s sexual experiences and satisfaction. These issues can manifest as problems with desire, arousal, orgasm, or pain during sexual activity, and they can have a significant impact on a woman’s quality of life and intimate relationships. Understanding the causes, symptoms, diagnosis, and treatment options for female sexual dysfunction is essential for individuals seeking to address these concerns and improve sexual health and well-being.

Understanding Unconsummated Marriage :

When a heterosexual couple is unable to have penetrative vaginal intercourse, their relationship may be called unconsummated.

The term unconsummated marriage is typically used in cultures where intercourse before marriage is taboo. However, in cultures where sexual relationships outside of marriage are more accepted, the term unconsummated relationship may be used. 

Scientists aren’t sure how many couples are unable to have intercourse. Some couples do not seek help because they feel ashamed or embarrassed, and the situation may continue for several years.

Unconsummated relationships can have a great impact on relationships. Partners may feel confused, rejected, or resentful.

Causes and Risk Factors:

Both male and female sexual dysfunctions can contribute to unconsummated marriages/relationships. Here are some examples:

  • Vaginismus occurs when a woman’s pelvic floor muscles contract involuntarily at the start of penetration. This contraction makes the vagina tighter and narrower, making penetration (such as with a penis, finger, or gynecologist’s speculum) becomes extremely difficult or impossible. 
  • Erectile dysfunction (ED) occurs when a man is unable to get or keep an erection rigid enough for penetration. ED may have physical or psychological causes.
  • Premature ejaculation (PE) occurs when a man ejaculates before he wishes it to happen. Severe PME may lead ejaculation before penetration.
  • Couples can have difficulties consummating their relationships for a variety of other reasons:
  • Anxiety: Couples who have little or no sexual experience may feel anxious about their first intercourse. They may not know what to expect or worry about their performance.
  • Insufficient sex education: Partners may be unfamiliar with sexual anatomy and the sexual response cycle, especially if they have never been in sexual situations before.
  • Fear of pain:  People may expect intercourse to be painful. For some, this fear may be the result of insufficient education. Hearing stories about painful first intercourse experiences can add to apprehension, too.
  • Taboos or negative feelings about sex: People who have grown up believing that sex is “bad” or “dirty” may have trouble consummating their relationships.
  • Societal pressure: In some cultures, couples are expected to consummate their marriages within a certain period of time, and families might require proof that consummation has taken place. In others, couples may feel they are supposed to have sex within a certain time frame, regardless of whether they feel ready to do so.
  • A sexual secret: People may have an undisclosed sexual orientation or preference 

Common presentation:

Couple usually present to an Andrologist with complaints of not able to impregnate the wife, and only after detailed history taking, it is revealed that their marriage has not been consummated so far. Very few couple in the beginning accept that they have an issue with successful penetration because of the lack of proper sex education. It’s essential on part of Andrologist that a detailed discussion is done with couples together as well as seperately with both of them  to find out the cause .

Diagnosis and Evaluation:

The diagnosis of Unconsummated Marriage typically involves a comprehensive assessment of couple’s sexual history , psychological factors, and interpersonal dynamics. Diagnostic evaluations may include:

  • Medical History: An Andrologist will inquire about symptoms, sexual history, medical conditions, medications, and any psychosocial or relationship factors of both the partners preventing consummation of marriage .
  • Physical Examination: A physical examination may be performed to assess pelvic health, hormonal status, and signs of any underlying medical conditions or gynecological disorders.
  • Psychological Assessment: A psychological evaluation may be conducted to assess for underlying psychological factors contributing to sexual dysfunction, such as anxiety, depression, trauma, or relationship issues.
  • Laboratory Tests: Blood tests may be ordered to evaluate hormone levels, thyroid function, or other potential medical causes of sexual dysfunction.

Treatment and Management:

Fortunately, couples in unconsummated relationships do have treatment options. Discussing sexual issues with an Andrologist might feel awkward, but it is an important first step. A psychologist’s help is also crucial in difficult cases with complex interpersonal relationships.

Some couples undergo sex therapy, where they learn more about sexuality, such as the details of their own anatomy and their partner’s. They may also learn about how human bodies prepare for sex. For example, a woman who fears pain during intercourse might not be aware that the vagina lubricates for more comfortable penetration. Having this knowledge could help her feel more confident.

During therapy, couples can also practice relaxation and communication techniques that can help them feel more comfortable with sexual situations and with each other as sexual partners.

Issues such as erectile dysfunction, premature ejaculation, and vaginismus can be addressed during sex therapy as well.

 Follow-Up Care: Regular follow-up visits with an Andrologist, Psychologist, or sexual health specialist are essential for couple with unconsummated marriage to monitor treatment progress, adjust interventions as needed, and address any ongoing concerns or challenges related to successful consummation.

(source of above information : issm.info)

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UROCLINIC 25/34, Ground Floor, Govind Lal Sikka Marg, Near Rajendra Place Metro Station (Pillar No. 161), East Patel Nagar New Delhi 110008

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