Many couples continue to suffer for several years with the inability to give birth to a child and a few end up in divorces. The oldest case of unconsummated marriage evaluated and successfully treated in my practice was of 21 years’ duration. We evaluated a total of 15,357 patients comprising 13402 males and 1955 females who sought treatment for sexual problems at Dr Promodu’s Institute of Sexual and Marital Health Pvt.Ltd from 01st February 2006 to 31st January 2015. Patients belonged to various diagnostic categories comprising of different age groups, genders, marital status, socio-economic background, languages, cultures, and hailed from different parts of the country.
Patients belonged to various diagnostic categories comprising of different age groups, genders, marital status, socio-economic background, languages, cultures, and hailed from different parts of the country. Evaluation was done based on case history, clinical interview, physical examination, laboratory investigations and imaging procedures. Male, female and combined factors were found to be responsible for non-consummation of marriage. Among the male factors, erectile dysfunction was found to be the top ranking cause accounting for 79.37% followed by premature ejaculation in 12.01%, lack of sexual desire in 3.92%, homosexual orientation in 2.79%, and sexual aversion disorder in 1.31% and disorders of sexual preference in 0.61%. Among the females, vaginismus was the commonest cause accounting for 95.23% followed by sexual aversion disorder in 2.46%, sexual desire disorder in 1.85% and lesbian orientation in 0.46%. Marital discord was found in 12.22% of the couples.
