What are the factors influencing the length of the successful therapy of unconsummated marriages?
Jakima, S1; Malachowska, E2; Zakliczynska, H2
1: Poradnia Seksuologiczna, Poland; 2: Poradnia Seksuologiczna, Warszawa, Poland
Objective. Despite the growing experience in the diagnosis and management of the unconsummated marriage (UCM) little is known about how to plan the duration of therapy. The aim of the study was to define clue factors determining the number of therapeutic sessions for UCM necessary to achieve the sexual consumption of the relationship.
Material and methods. From 51 pairs included in the study due to primary UCM 40 pairs successfully finished the therapeutic program while 11 pairs dropped out from the program and were not included in the further analysis. Patients signed up for the therapy after 8.4±4.2y of relationship, and 3.2±2.8y from the sexual initiation in the relationship at the age of 30.2±4.5y for female, and 31.7±4.8y for male. Women’s mean age of sexual initiation was 21.1±3.6y and their partners – 20.8±4.6y. All women were diagnosed with primary vaginismus. There was no sexual dysfunction precluding vaginal penetration among all men included in the study. The original therapeutic approach consisted of 3 steps procedure: diagnosis of the sexual problem within the couple (anamnesis, medical examination, Mell-Krat Scale, STAI Scale), woman’s behavioural therapy including relaxation and visualization, and the couple behavioural therapy with the male partners involved into relaxation, visualization and sexual penetration. The Pearson correlation coefficient was used to assess the relationship between selected factors and number of therapeutic sessions necessary to achieve consumption.
Results. Women who needed the higher number of therapeutic sessions more often pursue sexual activity before therapy (self-masturbation and sexual contact with the partner) (r=0.39, p<0.05), perceived themselves as poor sexual partners (r=0.33, p<0.05), used contraceptives (r=0.43, p<0.01), required analgesics during the therapy (2% sol. lignocaine) (r=0.39, p<0.05). Male partners of women’s who needed longer therapeutic protocol suffered from sexual dysfunction (erectile dysfunction or premature ejaculation). Women who required the smaller number of therapeutic sessions: reached orgasms faster (r=0.35, p<0.05), described herself as an attractive sexual partner (r=0.34, p<0.05) and underwent defloration by the gynaecologist (r=0.39, p<0.05).
Conclusion. Sexual self-esteem of women and their sexual activity are the main factors prognosticating the length of the therapy for UCM.
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