Coital difficulties resulting from a low frequency of sexual exposure constitute a major cause of infertility among males attending the infertility clinic at Benue State University Teaching Hospital (BSUTH), Makurdi, a study has said.
In a cross-sectional study involving all males attending the infertility clinic at the hospital, researchers found that the most coital difficulties were male erectile dysfunction 33 (32.4%), vaginismus 11 (10.8%), penile pain 14 (13.7%), poor response from the female partner eight(7.8%) and severe dyspareunia 18 (17.1%).
The study, which evaluates the causes of male sexual or coital difficulties among these couples over a two-year period, had the men fill a pretested structured questionnaire, said efforts should be made to evaluate these factors while assessing infertility among couples in order to mitigate the effect.
According to the study, in the Current Topics in Medicine and Medical Research, the majority of patients were above 41 years (79.4%) and diabetes mellitus and high blood pressure were the diseases most associated with coital difficulties.
Predominant co-morbid condition seen amongst the respondents was high blood pressure (32.4%), followed by diabetes mellitus (23.5%), chronic back pain (9.8%), chronic liver disease (5.9%) and the least was kidney disease (2.9%).
In order to overcome this problem, the majority of the respondents engaged in social vices such as excessive alcohol consumption (56.8%), smoking (23.5%), use of social drugs (9.8%) such as marijuana and native or herbal preparations. However, another 9.8% of the respondents did not engage in any of these social vices.
Excessive alcohol consumption and smoking were the prevalent social factors contributing to the respondents’ problem. The majority of the respondents (60%) had resorted to using aphrodisiacs, 25.7% used traditional preparations and herbs while 11.7% tried using alcohol to treat themselves before coming to the hospital.
Male sexual or coital difficulties are among the factors contributing to infertility in couples seeking fertility. This may result in low coital frequency. It may also be due to poor sexual knowledge or attitudes, poor self-esteem, emotional difficulties or sexual abuse.
Other causes include unresolved marital problems, ineffective communication, sexual orientation, chronic illnesses and disabilities, medication effects and negative childhood sexual learning or education.
The recommended coital frequency among couples seeking conception by natural means is three to four times in a week, preferably on alternate days. Inability to achieve this frequency of coitus may result in failure of conception.
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