(335) Unconsummated Marriage: Findings and Outcomes of Ccouples Visiting an Andrology Clinic

Abstract Introduction Failure to have a penetrative peno-vaginal intercourse among the heterosexual married couples is termed as unconsummated marriage (UCM). Unheard in most western countries, UM often seen culturally conservative countries like India where majority still don't sexual encounters prior marriage. Nonconsummation commonly due erectile dysfunction (ED, vaginismus or forced The management requires an aggressive early treatment otherwise some even end up divorce. Objective To report clinical characteristics and outcomes of males visiting Andrology clinic seeking for UCM Methods This retrospective study 62 male patients who presented andrology from Jan 2018 May 2022. All were subjected through detailed history including patient demographics, physical examination necessary investigations. Wherever possible, female partner was also involved discussion if found abnormal during referred reproductive medicine specialists. Results Of patients, (56, 90%) complained cause UCM. Other causes being lack anatomical knowledge (2/62), vaginal pain while attempting penetration (4/62), performance anxiety (5/62) (4/62). There overlap more than 1 few patients. mean duration 12.6 months (range 2-128 months). 13 had master’s degree 42 bachelor’s degree. Among 56 with ED, 22/56 already received sildenafil or/and tadalafil primary care physician no success. Dual therapy (simultaneous on-demand daily tadalafil) helped 23/56 consummate their Six didn’t come follow-up after 2 visits refused answer our questions on phone. Two did not seek any further ED oral medications failed proceeded assisted techniques conceive social reasons. four females vaginismus, 3 successfully consummated following dilator psychosexual counselling, but remaining intrauterine insemination conceive. Consummation achieved 6 men intra-cavernosal injection reconstituted 20mcg alprostadil. Three penile prosthesis placement (2 semirigid inflatable). divorced wives wanted “natural” erections husbands “medicated” erections. process Twelve accompanied by parents in-laws first second visit. Conclusions As against usual assumption, well-educated class. should be considered andrological emergency timely intervention required prevent termination When counselling doesn’t work, do hesitate start injections occasionally may implant surgery. Due familial concerns, decide without same considered. Disclosure No