Unconsummated Marriage: Relationship between Honeymoon Impotence and Vaginismus

Unconsummated marriage is a common problem in the andrology clinics in eastern communities. The aetiology of this problem is attributed to factors like erectile dysfunction, premature ejaculation and vaginismus. The aim of this study is to examine the role of vaginismus in erectile dysfunction of newly married men refractory to conventional treatment. 40 men were include in this study. All had erectile dysfunction dating since marriage with history of normal erectile function before marriage and failure of PDE5 inhibitors treatment as well as intracorporal injection home therapy. Twenty-five female partners were diagnosed for vaginismus. Following treatment all but two women (drop outs) were improved. However when women were ready for intercourse 12 men were still having erectile dysfunction and needed to use Tadalafil for a short term before having normal erectile function. We concluded that vaginismus is important etiological factor in unconsummated marriage and it should be considered when treating men presenting with honeymoon erectile dysfunction.