Click here to download

Towards a more effective taxonomy of the conditions assessed as unconsummated marriage
Journal Title: RIVISTA DI SESSUOLOGIA CLINICA 
Author/s: Marco Silvaggi, Paolo Maria Michetti, Adele Fabrizi, Roberta Rossi, Francesca Tripodi, Felipe Navarro, Chiara Simonelli 
Year:  2017 Issue: Language: Italian 
Pages:  19 Pg. 5-23 FullText PDF:  430 KB
DOI:  10.3280/RSC2017-001001
(DOI is like a bar code for intellectual property: to have more infomation:  clicca qui   and here 


The most shared definition of unconsummated marriage (UM) refers to "the failure to perform successful sexual intercourse at the beginning of the marriage. UM usually occurs in the first few nights of marriage and so it is frequently referred to as "honeymoon impotence" or "wedding night impotence". In the middle-eastern (MES) and western (WS) societies, sexuality follows different patterns in terms of meaning and rules. Moreover, the evolution of societies all around the world created new contexts and kinds of relationship. This could hamper a correct taxonomy of such sexual dysfunction where social variables seems crucial. Aim: To analyze and review data on UM all around the world, to understand if in different societies it refers to the same situation. Method: A review of published literature on UM from 1970 to date, was conducted. Results: Substantial difference emerged from MES to WS. In MES, sexuality is allowable only in marriage, while in WS sexuality and relationship are not strongly linked. This could suggest that the term "marriage" is unable to cover the phenomenon in such different countries. Moreover, the average time before the consultation, causal attribution and prevalence are very different in western and middle eastern countries. Conclusions: We found that the term "first attempts dysfunction" could be better used to describe male, female or both difficulties related to ignorance about sexuality or state/performance anxiety. On the other hand over the individual category of sexual dysfunctions, we suggest a new term as "unconsummated relationship", where individual difficulties toward sexuality are involved creating a couple’s dysfunction.
Keywords: Unconsummated marriage, honeymoon impotence, white marriage, vaginismus, infertility.

  1. Abraham G., Pasini W. (1974). Introduction a la Sexologie Medicale. Paris: Payol.
  2. Addar M.H. (2004). The unconsummated marriage: Causes and management. Clin Exp Obstet Gynecol; 31(4):279-81.
  3. Binik Y.M. (2010) The DSM diagnostic criteria for vaginismus. Arch Sex Behav; 39: 278-91
  4. Bodinger L., Hermesh H., Aizenberg D., Valevski A., Marom S., Shiloh R., Weizman A. (2002). Sexual function and behavior in social phobia. Journal of Clinical Psychiatry, 63: 874-9.
  5. Bramley H.M., Brown J., Draper K.C., Kilvington J. (1983). Nonconsummation of marriage treated by members of the Institute of Psychosocial Medicine: a pro-spective study. Br J Obstet Gynaecol; 90: 908-13.
  6. Conaglen J.V., Conaglen H.M. (2009). The effects of treating male hypogonadism on couples’ sexual desire and function. J Sex Med; 6: 456-63.
  7. Crowe M., Jones M. (1992). Sex therapy: the successes, the failure, the future. Br J Hosp Med; 48: 474-9.
  8. David S.R, Rosenbaum T.Y. (2005). Evaluation and Treatment of Unconsummat-ed Marriages among Orthodox Jewish Couples, Journal of Sex & Marital Therapy, 31, 4: 341-53., DOI: 10.1080/00926230590950244
  9. Davila J., Beck J.G. (2002). Is social anxiety associated with impairment in close relationships? A preliminary investigation. Behavior Therapy, 33: 427-46., DOI: 10.1016/S0005-7894(02)80037-5
  10. Descutner C.J., Thelen M. H. (1991). Development and validation of a Fear-of-Intimacy Scale. Psychological Assessment, 3: 218-25., DOI: 10.1037//1040-3590.3.2.218
  11. Duddle M. (1977). Etiological factors in the unconsummated marriage. Journal of Psychosomatic Research, 21: 157-60.
  12. Ellison C. (1968). Psychosomatic factors in the unconsummated marriage. Journal of Psychosomatic Research, 12: 61-5.
  13. Usta M.F., Erdoğru T., Tefekli A., Köksal T., Yücel B., Kadioğlu A. (2001). Hon-eymoon impotence: psychogenic or organic in origin? Urology; 57: 758-62.
  14. Fisher W.A., Eardley I., McCabe M., Sand M. (2009). Erectile dysfunction (ED) is a shared sexual concern of couples II: association of female partner characteris-tics with male partner ED treatment seeking and phosphodiesterase type 5 inhibitor utilizations. Journal of Sexual Medicine; 6: 3111-24.
  15. Ghanem H., El-Dakhly M., Shamloul R. (2008). Alternate-day tadalafil in the management 
of honeymoon impotence. Journal of Sexual Medicine; 5: 1451-4
  16. Ghatrifi D., Ghatrifi R. (2013). based on experiences of students, social factors are one of the most important reasons of pre marriage sexual activity in Iran. Pro-ceedings from the 21st Congress of the World Association for Sexual Health 339. Journal of Sexual Medicine, 10(suppl 5): 277-422.
  17. Gindin L.R., Resnicoff D. (2002). Unconsummated Marriages: A Separate and Different Clinical Entity. Journal of Sex & Marital Therapy, 28: S1: 85-99., DOI: 10.1080/00926230252851221.
  18. Hope D.A., Heimberg R.G., Turk C.L. (2010). Managing social anxiety: A cogni-tive-behavioral therapy approach (Therapist guide, 2nd ed.). New York, Ox-ford University Press.
  19. Kaplan H.S., Sadock BJ. (1995). Normal human sexuality and sexual and gender identity disorders. In: Kaplan H.S., Sadock B.J., eds. Comprehensive textbook of psychiatry/VI (Vol. 1 pp 1334-47). Baltimore MD: Williams & Wilkins.
  20. Kaplan H.L. (1974). The New Sex Therapy. Brunner/Mazel: New York, USA.
  21. Kashdan T.B., Volkmann J.R., Breen W.E., Han S. (2007). Social anxiety and ro-mantic relationships: The costs and benefits of negative emotion expression are context-dependent. Journal of Anxiety Disorders, 21: 475-92.
  22. Keltner, D., Haidt, J. (1999). Social functions of emotions at multiple levels of analysis. Cognition and Emotion, 13: 505-522.
  23. Keltner D., Kring A.M. (1998). Emotion, social function, and psychopathology. Review of General Psychology, 2: 320-342., DOI: 10.1037//1089-2680.2.3.320.
  24. Lauman E.O., Paik A., Rosen C. (1999). Sexual dysfunction in the United States. Prevalence and predictors. JAMA, 281: 537-44.
  25. Leary M.R. (2001). Social anxiety as an early warning system: A refinement and extension of the self-presentational theory of social anxiety. In: Hofman S.G., Di Bartolo P.M. (eds.). From social anxiety to social phobia: Multiple perspec-tives. New York: Allyn & Bacon (pp. 321-334).
  26. Lema V.M. (2014). Unconsummated marriage in sub-Saharan Africa: case re-ports. African Journal of Reproductive Health, 18(3): 159-65.
  27. Lomax-Simpson J.M. (1960). Unconsummated marriage in women. Medical World, 92: 221-4.
  28. Malik M.A., Iqbal Z., Ashraf N., Javed S.H., Ahmed I. (2009). Phosphodiesterase Inhibitor (Sildenafil) in the Management of Honey Moon Impotence. Interna-tional Journal Nephrology and Urology, 1(2):103-7.
  29. Meleshko K.G.A., Alden L.E. (1993). Anxiety and self-disclosure: Toward a moti-vational model. Journal of Personality and Social Psychology, 64: 1000-9., DOI: 10.1037//0022-3514.64.6.1000.
  30. Michetti P.M., Silvaggi M., Fabrizi A., Tartaglia N., Rossi R., Simonelli, C. (2013). Unconsummated marriage: can it still be considered a consequence of vaginismus? International Journal of Impotence Research, 1-3.
  31. Montesi, J.L., Conner, B.T., Gordon, E.A., Fauber, R.L., Kim, K.H., Heimberg, R.G., (2013). On the Relationship Among Social Anxiety, Intimacy, Sexual Communication, and Sexual Satisfaction in Young Couples. Archive of Sexual Behavior 42: 81-91.
  32. Nabil Mhiri M., Smaoui W., Bouassida M., Chabchoub K., Masmoudi J., Hadjslimen M., Chaieb Rebai N.N., Masmoudi S., Bahloul A., (2013). Uncon-summated marriage in the Arab Islamic world: Tunisian experience. Sexologie, 22, 3: e71-e76.
  33. Ozdemir O., Simsek F., Ozkardes S., Incesu C., Karakoc B. (2008). The Un-cosummated marriage: its frequency and clinical characteristics in a sexual dysfunction clinic. Journal of Sex & Marital Therapy; 34: 268-79, DOI: 10.1080/00926230701866380
  34. Perelman M.A., (2003). Sex coaching for physicians: combination treatment for patient and partner. Internationa Journal of Impotence Research, 15: S67-S74
  35. He Q., Yang J.R., Liu L.F. (2009) Efficacy of sildenafil on erectile dysfunction of newly-weds. Andrologia, 41: 348-51
  36. Sadock V.A. (1999). Normal human sexuality and sexual and gender identity disoders. In: Sadock B.J., Sadock V.A. (eds.). Comprehensive textbook of psy-chiatry, 7th ed. Philadelphia: Lippincott Williams & Wilkins (pp. 1600-1601).
  37. Shamloul R. (2006). Management of honeymoon impotence. Journal of Sexual Medicine; 3: 361-6.
  38. Sparrevohn R.M., Rapee R.M. (2009). Self-disclosure, emotional expression and intimacy within romantic relationships of people with social phobia. Behaviour Research and Therapy, 47: 1074-8.
  39. Wilkins W. (1995). Comprehensive Textbook of Psychiatry. 6th edn, Vol. II, Chapt 21. Baltimore: 129560.
  40. Zargooshi J. (2008). Male sexual dysfunction in unconsummated marriage: long-term outcome in 417 patients. Journal of Sexual Medicine; 5: 2895-903.

Marco Silvaggi, Paolo Maria Michetti, Adele Fabrizi, Roberta Rossi, Francesca Tripodi, Felipe Navarro, Chiara Simonelli, Towards a more effective taxonomy of the conditions assessed as unconsummated marriage in "RIVISTA DI SESSUOLOGIA CLINICA" 1/2017, pp. 5-23, DOI:10.3280/RSC2017-001001

   

FrancoAngeli is a member of Publishers International Linking Association a not for profit orgasnization wich runs the CrossRef service, enabing links to and from online scholarly content