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Last Updated: Jan 10, 2023

Infertility - Can Sexual Problems be the Cause Behind it?

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Dr. Shirish C MaldeSexologist • 29 Years Exp.MD, BHMS
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A couple becomes a family when they become parents. And, a lot of people want to enjoy the experience being parents. But sometimes, sexual problems can lead to bigger problems, like infertility.

The state of childlessness can be the result of sexual problems. Sometimes couples who go for fertility treatments do not realise that previously existing sexual dysfunctions can be the cause of infertility. Before spending a lot of time on expansive and expensive treatments, it is important to discern if the couple are having problems with their sex lives, with special preference to frequency and timing of coitus.

Two further categories of sexual dysfunctions need to be considered. One is premature ejaculation (PE) in which, the semen is ejected soon after sexual activity and with minimal penile stimulation. The second point is to consider whether the sperm is being introduced to the vagina. This is a personal examination of the couple’s method of having sex.

Sexual problems related to infertility in men are loss of desire, erectile dysfunction, premature ejaculation and retarded ejaculation and in women are loss of desire, vaginismus, dyspareunia and anorgasmia. All these dysfunctions can be solved with the help of an expert. Thus, it is important to go for thorough consultation before going for fertility treatments. 

Adequate sexual function can contribute to the success of fertility treatments, but at the same time it also leads to much stress and discord among couples as the pressure of procreation might get too much. This can have harmful repercussions, affecting the entire fertility treatment. The pressure of planned sex, to perform on demand and anxiety also harms fertility. 

Talking about sex and focusing on your relationship as a couple helps in the long run. If you wish to discuss any specific problem, you can consult a sexologist.


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